Meth Matters
Critical Issue
Collaborative Responses
Retail Impact
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DEA has developed training materials regarding selfcertification training for regulated sellers of nonprescription drug products containing
– ephedrine, pseudoephedrine, and
phenylpropanolamine
– required by the Combat Methamphetamine
Epidemic Act of 2005 (Title VII of Public Law 109177).
• In 2009, Gov. Bobby Jindal signed a bill
into law geared to stopping local meth
production.
• The law requires that pseudoephedrine
drugs (a key ingredient in meth) are only
sold by licensed pharmacies and that
when pharmacies sell them, they must
enter sale information into a new Central
Computer Monitoring System.
• Law enforcement officials will be able to
access the database and monitor
pseudoephedrine sales.
• Training Required to Sell Drug
Products Containing Ephedrine,
Pseudoephedrine, and
Phenylpropanolamine by Mobile
Retail Vendors
• U.S. Department of Justice Drug
Enforcement Administration Office
of Diversion Control
• U.S. Department of Justice
• Drug Enforcement Administration
• Office of Diversion Control
• Why do I have to take this training?
• Because a new federal law, the Combat
Methamphetamine Epidemic Act of 2005, says you
cannot sell Scheduled Listed Chemical Products
containing ephedrine, pseudoephedrine, or
phenylpropanolamine until you have completed this
training.
• This training will help you to understand the laws and
what you must know before you can sell these drug
products.
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What am I going to learn from this training?
This training will teach you:
• that you must keep a logbook of sales;
• that the name on the identification your customer shows
you matches the name your customer wrote in the
logbook;
• that these Scheduled Listed Chemical Products must be
kept either behind the counter or in a locked cabinet;
• that you can sell only a limited amount (3.6 grams) of
these drug products to each customer per day;
• that your customer can only buy a limited amount, (9
grams) of these drug products in a 30-dayperiod.
• What are methamphetamine and amphetamine?
• Methamphetamine and amphetamine are highly
addictive drugs that are dangerous to use and make.
• Other common names for methamphetamine are“meth,”
“crystal,” “crank,” and “ice.”
• Ephedrine and pseudoephedrine can be used illegally to
make methamphetamine.
• Phenylpropanolamine can be used illegally to make
amphetamine.
• What is the purpose of the new law?
• The new law establishes requirements for selling
Scheduled Listed Chemical Products
containingephedrine, pseudoephedrine,
andphenylpropanolamine because these ingredients
canbe used illegally to make methamphetamine
oramphetamine.
• In all states every seller of these drug products must
follow the new law.
• Some states have tougher laws than the current federal
law. If your state has tougher laws, those lawsmust be
followed in addition to the federal law.
• What information must be in the logbook?
• You must keep a logbook which contains a written or
electronic list of sales of drug products
containingephedrine, pseudoephedrine,
andphenylpropanolamine.
• You must write or enter in the logbook the name ofthe
drug product and the quantity sold.
• Your customer must write or enter in the logbooktheir
name and address, and the date and time of thesale.
• Your customer must also sign the logbook(signature).
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Who can see the logbook information?
You must keep the logbook secure.
• You may share information in the logbook:
To comply with the law; and
For a product recall.
Logbook information may only be shown to local, state
and federal law enforcement.
• Information in the logbook may be copied, inspected
only, or turned over entirely.
• Ask your supervisor for further information about sharing
information.
• How much of these drug products can I sell to each
customer per day?
• You cannot sell more than 3.6 grams per day to each
customer of Scheduled Listed Chemical Products
containing ephedrine, pseudoephedrine or
phenylpropanolamine.
• Refer to the charts on the next two slides for the amount
of tablets or liquids that equals 3.6 grams.
• No matter how many sales you make to a customer, you
cannot legally sell more than 3.6 grams per day of these
drug products to the same person.
Number of tablets in 3.6 grams
Office of Diversion Control
Ingredients
Number of tablets = 3.6 grams
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25 mg Ephedrine HCl
75 Tablets
25 mg Ephedrine Sulfate
186 Tablets
30 mg Pseudoephedrine HCl
146 Tablets
60 mg Pseudoephedrine HCl
73 Tablets
120 mg Pseudoephedrine HCl
36 Tablets
30 mg Pseudoephedrine Sulfate
155 Tablets
60 mg Pseudoephedrine Sulfate
77 Tablets
120 mg Pseudoephedrine Sulfate
38 Tablets
240 mg Pseudoephedrine Sulfate
19 Tablets
Phenylpropanolamine (PPA) - FDA issued a voluntary recall
as being unsafe for human consumption. Veterinary use is
by prescription only.
Liquids -Number of milliliters in 3.6 grams
Ingredients
Number of milliliters
(ml) = 3.6 grams
6.25 mg Ephedrine HCl/ 5 ml Liquid
3515 ml
15 mg Pseudoephedrine HCl / 1.6 ml Liquid
468 ml
7.5 mg Pseudoephedrine HCl / 5 ml Liquid
2929 ml
15 mg Pseudoephedrine HCl / 5 ml Liquid
1464 ml
15 mg Pseudoephedrine HCl / 2.5 ml Liquid
732 ml
30 mg Pseudoephedrine HCl / 5 ml Liquid
732 ml
30 mg Pseudoephedrine HCl / 2.5 ml Liquid
366 ml
60 mg Pseudoephedrine HCl / 5 ml Liquid
366 ml
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Phenylpropanolamine FDA issued a voluntary recall as
being unsafe for human consumption. Veterinary use is by
prescription only.
Environmental Impact
Field Safety Concerns
Methamphetamine Availability
• January 2007
– Price Per Gram $147.12
– 57% Purity
• December 2008
– Price Per Gram $168.61
– 61.8% Purity
Highest Cost Per Gram during date range - $295
LABS IN LOUISIANA
2008 – 4
2009 – 1
2010 – 24
2011 - 1
Outcomes
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Improper storage, use, and disposal of chemicals
Chemical Fires and Explosions
Toxic Chemical Production
5 to 7 pounds of waste per pound of methamphetamine
Waste discarded in fields, streams, forests, and sewer systems
Extensive environmental damage
Clean up Cost
2003 - $17,000.00
2010 - $3,000.00 - $4,000.00
So What About Today-Shake and Bake
• Other than Gassing, made
in soda bottle
• Takes about 1 ½ hr.
• 2 Boxes of Tablets may yield
4 grams (92% Yield)
• $30 investment that fits in a
backpack produces $600
yield
• Generates lots of heat
• Only 10-15# of Pressure
• 20% of Pop Bottle labs
found from Fire
• Contamination is often easily detected, due to distinctive smell
and obvious stains on surfaces
• Stains can persist for years and “bleed through” paint, creating
vapor
• Vapor can be removed by venting the house; inadequate
ventilation can cause buildup to toxic levels
• Residue reacts with spray starch
• Stained items/surfaces may be discarded
Potential for Exposure
Decontamination
Safety
2:1
Spic and Span
Water
CRIMINAL FACTORS IN
MANUFACTURING
METHAMPHETAMINE
SECONDARY CRIMES
CHECK FRAUD
CREDIT CARD FRAUD
COUNTERFEIT MONEY
IDENTITY THEFT
FORGERY
Community
Impact
Drug Endangered Children
SHE
MATTERS
AND SO
DOES
HER SAFETY!
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Department of Justice: Originally stemming
from the methamphetamine crisis, this
movement was initiated within the last
decade to respond to the growing
phenomenon of finding children in meth
labs’ homes and other areas where they
were living or playing.
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A drug endangered child is a young person
under the age of 18 who lives in or is exposed
to an environment where drugs, including
pharmaceuticals, are present for any number
of reasons, including trafficking and
manufacturing of these drugs.
As a result of that exposure, these children
experience or are at high risk of experiencing
physical, sexual or emotional abuse, harm or
neglect
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The FACTS
• US Department of Health and Human Services (1999) – Substance abuse
was a factor in two-thirds of all foster care placements
• In 2009, 980 children were reported to the El Paso Intelligence Center
(EPIC) as present at or affected by methamphetamine laboratories
• 8 were injured and 2 were killed in labs
How are you handling
Your cases that involve
Children in the home?
Exposure Dangers
Chemical Contamination
Fires and explosions
Abuse and Neglect
Hazardous lifestyle
Social Problems
Physical Hazards (Unsafe and Unsanitary)
Meth Use During Pregnancy
• Baby
–Low birthweight, birth defects
–Drug withdrawal
–Developmental disabilities
Child Maltreatment
The caretaker who is responsible for , or permits the abuse or
neglect of a child:
• Physical Abuse/Neglect
• Sexual Abuse
• Emotional Abuse/Neglect
• Physical Neglect
• Educational Neglect
• Failure to thrive
SOCIAL CONSEQUENCES
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Delinquency
School discipline problems
School absenteeism
Criminal behavior
Isolation
Poor peer relations
Unemployment
Poverty
Addiction
Multidisciplinary Team Approach
Issues to address
• Staff Training
• Agency Roles and Responsibilities
• Confidentiality/HIPPA Issues
• Safety Procedures for children, families, and responding personnel
• Interviewing procedures
• Medical procedures
• Community Resource Development
Multidisciplinary Team Composition
Medical and Mental Health Services
Child Protective Services
Law Enforcement
Public Safety (Fire Department)
Prosecution
Community
Impact
Elder Care and Safety
Elder Abuse defined….
National Research Council
mistreatment as “(a) intentional actions that
cause harm or create a serious risk of harm to
a vulnerable elder by a caregiver or other
person who stands in a trust relationship to
the elder, or (b) failure by a caregiver to satisfy
the elder’s basic needs or to protect the elder
from harm.”
Warning Signs
• Do you have a participant living with another adult
over the age of 50?
• What is the physical/mental state of the adult over
the age of 50?
• What are the living conditions in the home?
PAY ATTENTION TO THE SIGNS
INTERVENE WHEN APPROPRIATE
Physical Signs
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Injury that has not been cared for properly
Injury that is inconsistent with the explanation for its cause;
Pain when touched;
Cuts, puncture wounds, burns, bruises, welts;
Dehydration or malnutrition without illness-related cause;
Poor skin color;
Sunken eyes or cheeks;
Inappropriate administration of medication;
Soiled clothing or bed;
Lack of necessities such as food, water, or utilities;
Lack of personal effects, pleasant living environment, personal items; or
Forced isolation.
Behavioral Signs
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Vulnerable Adult
Fear;
Anxiety, agitation;
Anger;
Isolation, withdrawal;
Depression;
Non-responsiveness,
resignation, ambivalence;
• Contradictory statements,
implausible stories;
• Hesitation to talk openly; or
• Confusion or disorientation.
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Caregiver
Prevents vulnerable adult from
speaking to or seeing visitors;
Anger, indifference, aggressive behavior
toward vulnerable adult;
History of substance abuse, mental
illness, criminal behavior or family
violence;
Lack of affection toward vulnerable
adult;
Flirtation or coyness as possible
indicator of inappropriate sexual
relationship;
Conflicting accounts of incidents;
Speaks of vulnerable adult as a burden;
or
Believes vulnerable adult could do more
self care than actually capable of.
Perpetrators of Elder Abuse
• A majority of perpetrators of physical abuse were partners or spouses
• Half of perpetrators were using drugs or alcohol at the time of the
mistreatment
• Three in ten perpetrators had a history of mental illness
• Over a third of perpetrators were unemployed
• Four in ten perpetrators were socially isolated
National Institute of Justice Phone Survey (2008)
Inspector Vanessa Price
Oklahoma City Police Department
Office of Weed and Seed Programs
vanessa.price@okc.gov