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Crystal methamphetamine has rapidly become the illicit drug of choice. However, the use and manufacturing of this drug presents problems unique to communities that other drug abuse has not presented in the past. When law enforcement was just beginning to appreciate this drug's devastating effects on communities and users, the focus of law enforcement was to develop safe procedures to locate and seize meth labs. As law enforcement became sophisticated in the detection, seizure and arrest of these clandestine labs and their operators, what became astoundingly apparent was that the real victims of the crime were the children. Thirty to thirty-five percent of seized meth labs are in homes where children reside.

National Jewish Research Center Methamphetamine Research - Full Report
National Jewish Research Center Methamphetamine Research - Synopsis
Larimer County Agreement and Protocol



National Jewish Research Center Methamphetamine Research - Full Report

The State of Colorado as well as the nation face an unprecedented epidemic of clandestine methamphetamine drug manufacturing. Seizures of methamphetamine drug laboratories continue to rise putting police and fire first responders at risk for a variety of hazards. The number of seizures in Colorado has risen dramatically from 31 laboratories in 1998 to 455 laboratories in 2001. First responders and susceptible third parties, such as children, are at risk for exposures to the chemical hazards and the fire, explosion, and safety hazards inherent with clandestine manufacture of methamphetamine.

Unfortunately, very little is known regarding the specific exposure hazards faced by first responders and bystanders associated with illegal methamphetamine manufacture and lab seizure. As a result there is very poor information on which to establish appropriate medical treatment plans and healthcare providers are forced to provide generic, often expensive, and probably to some extent unnecessary medical testing.

The use of personal protective equipment (PPE) by emergency services and law enforcement.... Read the entire report (requires Adobe Acrobat PDF Reader)
 

National Jewish Research Center Methamphetamine Research - Synopsis

In the year 2002 the National Clandestine Laboratory Database reported 8,911 clandestine laboratory seizures. Over ninety percent of these were methamphetamine production and over 2078 incidents involved children. First responders and children alike are exposed to toxic and hazardous chemical exposure. Many of the hazards of this illicit process and the type of exposure have not been studied extensively, and are therefore unknown. According to the El Paso Intelligence Center, the increase of methamphetamine production has resulted in at least one methamphetamine laboratory in every state of the union in 2002. In January 2003, National Jewish Hospital and Research center began to study the harmful effects of methamphetamine labs to first responders and children through various methodologies, including: controlled lab studies, field controlled lab studies and surveys. The study expanded its scope throughout the year with results that may impact the way in which first responders and investigators perform their duties. Throughout the duration of this study, the spirit of collaboration and cooperation has been a predominant factor.

The initial study concerns included the potential, exposures, related health concerns, medical monitoring, and the comprehensive use of personal protective equipment. Throughout the study additional questions arose regarding the airborne properties of methamphetamine, the decontamination process and the degree of danger to children.

The standards used for measuring exposure were those utilized for an occupational setting. These guidelines and standards are formulated based on a predominantly male workforce, 20-30 years of age and healthy. These standards are not applicable to children, those with health conditions or pregnant women. To date, there are no suitable standards established regarding exposures to children during the production of methamphetamine. Therefore, a significant amount of future research is still needed in order to accurately determine the degree of dangers to children.

There are approximately three contemporary “street” methods to manufacture methamphetamine in the United States. Countless numbers of “recipes” exist in drug cultures for manufacturing. In this study the primary method observed with the “Pseudo-Ephedrine Reduction Method”, using red phosphorous or hypophosphorous. Future studies will include the use of anhydrous ammonia in the “Birch” or “Nazi” Method. The primary emitting chemicals of focus throughout the study were: phosphine, iodine, hydrogen chloride, other acids and methamphetamine itself. Intially, solvents (organic chemicals) were examined as well, but later disregarded due to the insignificant amounts found. These materials dissipate quickly. This study also served to examine the specific hazards during the different stages of manufacturing.

Officials from NIOSH, National Jewish Research Center and Law Enforcement performed the controlled laboratory portion of the study in a municipal police department crime lab. Three formulas were used; a “street” Red Phosphorous method, a DEA laboratory method and a method utilizing hypophosphorous acid. The standards applied for exposure detection were those of Threshold Limit Values (TLV) and Short Term Exposure Limits (STEL). Again, these are occupational standards. Although no occupational standard exists for methamphetamine; a reference standard has been established for surface levels, which is more applicable than using a pharmaceutical dosage amount.

During the scientific laboratory portion, designed to examine “worst case” scenarios, occupational standards for hydrogen chloride, iodine, phosphine were all exceeded at one point or another. Levels for hydrogen chloride acid were at and above the limits. Phosphine measured up to three times the short-term exposure limit and ten times over the recommended eight hour per day limit. Iodine and methamphetamine were up to thirty times over the limits. Most monitors measure an average measurement over a given time period, therefore, exact peaks are not recognized and could be reaching extremely dangerous levels.

The research team responded to sixteen suspected methamphetamine laboratory investigations with a local task force. Although none of the locations had an in-process working lab, air samples and surface wipe samples were taken. Most of the labs were considered small in nature and the presence of chemicals limited. There were no significant levels of hydrochloric acid, phosphine, iodine or solvents found. A number of notable iodine stains on carpets, walls and furniture were observed. Most significantly, there were excessive levels of methamphetamine found throughout the labs on a wide variety of surfaces. Methamphetamine was detected in ten out of fourteen labs tested. The presence of methamphetamine was found on vertical as well as horizontal surfaces in levels up to 10,000 times over the recommended amount. Methamphetamine, ephedrine, and pseudoephedrine contamination was detected on appliances, counters, vents, and furniture in extreme amounts. Due to the presence of contamination various surfaces, it was determined that sustainable, widespread high-level methamphetamine contamination occurs during the manufacturing process, which led to more focus in this area during the remaining research.

The next phase consisted of two controlled methamphetamine labs conducted by certified chemists. The first was done in an abandoned house and the second in a motel. Both locations were scheduled for demolition. The purpose was to determine the likely exposures during the cooking process itself, particularly to first responders and those dwelling in the structure. The set up was designed to be reflective of a “typical” clandestine illegal cooking process. Samples were taken throughout the area of both cooks, including near the cook, a distance away and within the breathing zone of the location.

In the first cook, conducted at the house, a lesser amount of methamphetamine was produced than what is normally discovered in most street level operations, possibly resulting in less exposure than the typical clandestine lab. A Red-P “street” method and two hypophosphorous methods were used for a total of three separate cooks. Phosphine, iodine and hydrogen chloride levels all exceeded safe exposure levels in the area of the cook in the Red-P process, causing significant contamination.

During the “salting out” phase, hydrogen chloride levels for all three cooks were dangerously high. The levels were high enough to be of significant risk to anyone present during this phase with a peak reaching 228 mg/m3, when the ceiling TLV is 7.5 mg/m3 for hydrochloric acid.

Vertical and horizontal wipe samples were taken for methamphetamine contamination. Even at distances away from the cook, both horizontal and vertical surfaces showed the presence of methamphetamine, suggesting that it rapidly travels as an aerosol throughout the vicinity. Again, this cook produced only a small amount of methamphetamine, yet still revealed significant contamination and potential exposure. Wipes were also taken from participants of the study, revealing significant methamphetamine contamination to those present at a clandestine lab site on their clothing and skin.

The second controlled lab study took place in a hotel room with an attached bathroom. The cook was administered by chemists from the D. E. A. and a “street” Red-P method was utilized. Both time averaged and real-time (peak) level measurements were taken for phosphine, iodine and hydrochloric acid. Three types of wipe sampling were conducted for airborne methamphetamine. Personal pumps were placed on the chemists conducting the cook and wipe samples were taken from the outer suits of some of the personnel assisting with the study.

During the cooking phase of the process, time-averaged levels for phosphine, iodine and hydrochloric acid stayed below the recommended threshold limit values. During the “salting out” period, phosphine and iodine stayed below threshold limit values, but hydrochloric acid exceeded levels in the bathroom area of the hotel room up to twice the short term exposure limit. Peak level measurements taken in real time indicated that phosphine was at and above the TLV for the “salting out” period and hydrochloric acid was over the limit of Immediately Dangerous to Life and Health (IDLH), creating a significant health risk. Seventeen different locations were examined for methamphetamine in the room of the lab, hallway and in an adjacent room. Methamphetamine levels were found at ten to a thousand times over the recommended standard, which indicated that methamphetamine itself becomes airborne and produces widespread contamination in the cook area and beyond. Methamphetamine was detected in the adjacent room and down the hallway on carpet samples at high levels. Personal wipe samples of personnel supported that contamination of skin and clothing will occur to those present at a methamphetamine lab and sufficient decontamination must be conducted for first responders and residents.

In addition to the various lab studies, a questionnaire survey was also administered to first responders. In this study, sixty-six percent of respondents stated that they had detected odors associated with methamphetamine labs they had entered, suggesting the likelihood of some type of exposure. However, only twenty-six percent reported that they wear respirators during investigations. Thirty-eight percent of those surveyed reported being sent through the decontamination process and over fifty percent (52%) of the respondents reported having at least one symptom associated with methamphetamine labs. The primary symptoms reported were eye irritation, sore throat, cough, dizziness and headaches.

Research efforts are scheduled to continue through 2004 with additional controlled methamphetamine labs including anhydrous ammonia, hypophosphorous and red phosphorous methods. Further examination of the decontamination procedure and an increased evaluation of the harmful effects upon children shall continue as well. For further information contact Dr. John Martyny at (303) 398-1939 or go to www.nationaljewish.org.
 

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Larimer County has developed an agreement between the Department of Human Services and the Drug Task Force and a Protocol for Investigating Child Protection Referrals. This is a terrific example of how agencies are working together to protect Colorado's children from drug endangered environments.

Memo of Understanding
Protocol for Investigating Child Protection Referrals Involving the Operation of “Clandestine Labs.”

Memorandum of Understanding

This memorandum of understanding, made this 1st day of April 2003 by and between the Larimer County Department of Human Services, 2555 Midpoint Drive, Suite E, Fort Collins, Colorado 80525, hereinafter referred to as LCDHS, and Larimer County Drug Task Force, 300 Laporte, Fort Collins, CO 80521, hereinafter referred to as LCDTF and in accordance with MOU requirements developed by the Colorado Department of Human Services and Colorado Department of Public Safety, Division of Criminal Justice, effective 23rd day of May 2002.

Whereas, the parties are authorized under federal statutory authority Title 1 of the Omnibus Crime Control and Safe Streets Act of 1968, 42 U.S.C. &, 3701, et, seq., as amended, under the program name “FY 2002 Byrne Formula Grant Program;” and,

Whereas, the intent of the “FY 2002 Byrne Formula Grant Program” is to provide federal financial assistance to state and local law enforcement agencies in Colorado to foster collaborative efforts in support of national drug-control priorities to control violent, drug related crimes and offenders; and,

Whereas, Bureau of Justice Assistance Byrne Grant Award #2002-DB-BX-0008 contains special conditions and requirements of DCJ concerning subgrantee law enforcement activities related to the identification, seizure or closure of clandestine methamphetamine laboratories and the treatment of any minors involved therein; and,

Whereas, in fulfillment of the special conditions and requirements associated with Bureau of Justice Assistance Grant Award #2002-DB-BX-0008, and described in the award as “Mitigation of Health, Safety and Environment Risks,” LCDHS and LCDTF hereby agree to the following:

(1)      Purpose of the Agreement – The agreement is a collaborative effort between the two agencies to assist in the identification, investigation and the removal of Drug Endangered Children from hazardous drugs usage and manufacturing locations found within the Larimer County Law Enforcement jurisdictions. Jurisdictions include Fort Collins Police Services, Colorado State University Police, Larimer County Sheriff Department and Loveland Police Department, excluding the cities of Estes Park and Berthoud. Each of the parties agree to make available to each other specialized trained investigators, equipment, resources and information needed for these situations.

(2)      Duration of the Agreement – This MOU is effective when signed for the period beginning January 31, 2003 and expiring on June 30, 2004.

(3)      Notification requirement – All Colorado law enforcement agencies awarded a Byrne subgrant by DCJ will be required to report the discovery of any minors at methamphetamine laboratory site, to the Larimer County Department of Human Services as appropriate under the following Colorado state statutes and any others as may be relevant:

 a.

C.R.S. & 19-3-401 (1)(a) “Taking Children into Custody.” A child may be taken into temporary custody by a law enforcement officer without order of the court: When the child is abandoned, lost or seriously endangered in such child’s surroundings or seriously endangers others and immediate removal appears to be necessary for such child’s protection or the protection of others;….and,

 b.

C.R.S. & 19-3-102 (1) (c) “Neglected or Dependent Child”: A child is neglected or dependent if …. The child’s environment is injurious to his or her welfare....

Law Enforcement reports to LCDHS concerning minors located in a methamphetamine laboratory site shall be made promptly and in a manner to ensure immediate response by qualified LCDHS personnel.

(4)      LCDHS will provide the usual and customary services of its child protection services to peace officers handling minors involved in the seizure or closure of methamphetamine laboratories; including but not limited to:

 a.

Response to the potential health needs of any minor at the site;

 b.

Taking the minor into protective custody unless the minor is criminally involved in the methamphetamine lab activities or is subject to arrest for other criminal violations;
 c.
Ensuring immediate medical testing for methamphetamine toxicity; and,

 d.

Arranging for any follow-up medical tests, examinations, or health care made necessary as a result of methamphetamine toxicity or chemical exposure.

(5)      LCDTF and LCDHS will conduct joint investigations in accordance to the mutually agreed upon terms listed in Appendix A, “ Protocol for investigating Child Protection Referrals involving the operation of, “Clandestine Labs.”

In Witness whereof, the parties have caused this agreement to be executed by the parties’ duly authorized representatives as set forth below.

________________________________________________________________________
Ginny Riley, Director of Department of Human Services Date

________________________________________________________________________
Angela Mead, MSW- Deputy Division Manager, Department of Human Services Date

________________________________________________________________________
Chief Dennis Harrison, Fort Collins Police Services Date

________________________________________________________________________
Lt. Craig Dodd, Larimer County Drug Task Force Date

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Protocol for investigating Child Protection Referrals involving the operation of “Clandestine Labs.”

Screening Procedures – Intake Specialists in the Hub

A) Information needs

  • Basic identifying information and household composition. Regular screening criteria applies.
  • Other Information needs:
    • Specific description of condition of household – fires? Safety hazards?
    • Squalor like conditions?
    • High degree of adult traffic at home?
    • Drug paraphernalia? Chemicals? (See checklist)
    • Adult Drug abuse? Witnessed and by whom? Exposure to kids?
    • Weapons in the home?
    • Evidence of surveillance equipment?
    • Behavioral description of adult who is abusing drug ( paranoia, abnormal sleeping patterns, aggression, tweaking).
    • Prior law enforcement involvement or contact with family?
    • Location of kids at point of referral and at time of anticipated raid.
    • Adult Employment?
    • How does the referring party have this information, direct observer or was informed and by whom?

B) Historical Information

  • Check all Child Protection priors – assigned or filed for future reference – look for chronic pattern of lack of supervision, neglect complaints, poor school attendance, parental drug abuse, physical abuse and sex abuse
  • Drug related criminal offenses as reported in Child Youth and Family database
  • Legal Involvement as reported in Child Youth and Family database.

C) Placement considerations, including traditional and non-traditional KIN(family members)

Case Assignor Duties

Screen referrals and forward to appropriate unit and assign worker. Designate response time as further risk assessment. Supervisor determines response time beyond initial case assigning.
Any cases that are filed for future reference, we can call the Larimer County Drug Task Force (LCDTF) phone line and forward information.

Drug Task Force involvement will be determined by Caseworker if cases are assigned.
Assigned caseworker will consult with LCDTF to determine if task force involvement is needed immediately. Response time will be discussed and coordinated with caseworker, their supervisor and LCDTF.

Intake Caseworker

The Larimer County Drug Task Force will take lead on any investigations. Caseworkers will not respond to lab site without the presence of law enforcement. The lab site has to be secured by the task force before caseworkers are allowed to enter. Although caseworkers respond to scene they are required to stay in the holding zone until they’ve been advised to enter. Law enforcement secures the area and removes the children. In a confirmed lab, if a child has been exposed, they have to go through a decontamination process facilitated by law enforcement and are required to be physically examined by a doctor/EMT or emergency room doctor at a hospital. Since their clothing may be contaminated it may be necessary to provide a change of clothing. This process occurs before the child is physically seen by Caseworker. Caseworkers should come prepared with a change in clothing (Child Comfort Supplies). Do not bring any personal possessions from the home environment with the child. Caseworkers are allowed to transport children after they have been decontaminated and released to DHS custody under an "Authorization to place in protective custody form".

Investigation procedures:

  • Review Child Protection prior referrals
  • Check criminal history including contact/info from LCDTF.
  • Consult all caseworkers known to have previous investigations with same suspect(s)
  • Staff case with supervisor or leadworker
  • Contact Patrol for designated Law Enforcement Agency (decision made on a case – by case basis)
  • Contact Drug Task Force and relay pertinent information

All methamphetamine cases require police assistance regardless if they’re suspected or confirmed. First call goes to the LCDTF for screening and determination if they need to respond. Cases appropriate to be referred to regular patrol will be determined at that time.

If there are disagreements between agencies on response times, consult with an intake supervisor. Appropriate steps will be taken by the supervisor.

Coordinate response in consideration of safety of children, adults and DHS staff regarding a confirmed clandestine lab:

Employee safety is of utmost concern in the handling of these cases. Law enforcement takes the lead on this type of investigation. No staff are allowed to enter a crime scene until it has been secured and determined safe by law enforcement. Caseworkers will be advised by Law Enforcement as to the protective gear they would be required to wear to prevent residual contamination. Protective gear will be provided. Caseworkers will not be allowed to enter a crime scene when risk cannot be managed by protective gear. Law Enforcement will continue with investigation and provide necessary information regarding the dwelling to the caseworker. If you’re allowed to enter a dwelling, proceed with the following:

  1. Examine home inside and outside, unattached dwellings – take photos and document observations on sight. Observation only, do not physically handle any evidence.
  2. Visual inspection of children after they’ve been de-contaminated if exposure is confirmed.
  3. Interview children away from adults/parent (determined by caseworker and lead investigator). Timing and location of interviewing children is determined on a case by case basis.
  4. Interview adults – separately (determined by caseworker and lead investigator).
    Caseworkers can participate in the interview with the perpetrator at the discretion of the law enforcement investigator. Be sure to inform the investigator of your information needs.
  5. Medical assessment of children – follow medical protocol for confirmed labs and medical evaluation on children placed. In confirmed lab cases, an ambulance will be called to the scene. (See attached medical protocol)
  6. Emergency placement on all kids when we’ve confirmed a lab – Out of Home Placement criteria applies.

Documentation – evidence gathering

  • Document proximity of lab, drugs, drug paraphernalia, chemicals to area child occupies (bedroom, playroom, bathroom, living room or kitchen).
  • Take photographs and measure proximity.
  • Record direct observations – transcribe into report, audio recording on scene is strongly recommended.

Additional information gathering for case:

  • Photographs
  • Police Report
  • Medical Report
  • Drug test findings
  • Disclosure Statements
  • Child Drawings if applicable

Initial Case Management Services:

  • Safety considerations – protective orders
    1. Substance Free – random urinary analysis
    2. Non-threatening/harassing behavior
    3. Supervised visits in controlled setting by C/W and Case Service Aide
  • Interim Treatment Plan elements in Dependency and Neglect Petition
  • Substance Abuse Evaluation
  • Random Urinary Analysis
  • Decontamination of home or alternative living arrangements

Case coordination – debriefings with Law Enforcement Agency/District Attorney/Probation and other Treatment collateral's

Please be advised if you are investigating another type of child maltreatment and discover strong indications of a Clandestine Lab, remove yourself immediately and report back to your supervisor. The Larimer County Drug Task Force is to be contacted and appropriate information relayed.

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