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FORENSICS DRUG EVIDENCE Drugs • 1. A drug can be defined as a natural or synthetic substance that is used to produce physiological or psychological effects in humans or other higher order animals. • 2. –a. Drug dependence exists in numerous patterns and in all degrees of intensity depending on several factors. •There are two types of dependence – psychological dependence and physical dependence. • b. Psychological dependence – drug abuse is caused by an underlying psychological need and the desire to fulfill them. • Ex. To escape reality, relief from personal problems, stress. • Drugs with high potential for BOTH psychological and physical dependency. • Narcotics – Morphine, Heroin, Methadone. • Depressants – Barbiturates, Alcohol, Quaalude, Valium • Stimulants – Amphetamines, nicotine • Hallucinogens – Phencyclidine (PCP) • The social impact of drug dependence is directly related to the extent to which the user has become preoccupied with the drug. • The more frequently the drug satisfies the person’s need, the greater the likelihood that he or she will become preoccupied with its use, with a consequence of neglect of individual and social responsibilities. • 3. NARCOTIC DRUGS –a. Narcotic is derived from the Greek word “narkotikos” which means a state of sluggishness or lethargy. • Pharmacologist classify narcotics drugs as analgesics. Analgesics relieve pain by exerting a depressing action on the central nervous system. • The regular use of narcotic drugs will lead to physical dependence. • b. The source of most analgesic narcotics is opium. It is a gummy, milky juice from the unripe pod of the poppy plant. • Poppy plants (Papaver somniferium) is grown primarily in Asia. • Opium has a morphine content from 4 – 21%. • Most addicts prefer a derivative of morphine heroin. • Heroin is made by reacting morphine with acetic anhydride or acetyl chloride. • c. Codeine is also present in opium but is usually prepared synthetically from morphine. Commonly used as a cough suppressant in cough syrup. • It is 1/6 as strong as morphine. • d. There are other narcotics not derived from opium. These are referred to as opiates. The most common is the drug Oxycontin whose main ingredient is oxycodone. • Seven million Oxycontin prescriptions are written each year for the treatment of pain. • It is estimated that here are 250,000 people currently abusing the drug. • Another synthetic opiate is methadone. It is often used as a treatment / substitute for heroin addiction because it neutralizes its effect. • 4. Hallucinogens – drugs that can cause marked alterations in normal thought processes, perceptions, and moods. • The most common drug in this category is marijuana. • Derived from the plant Cannabis satira. The plant secretes a sticky resin known as hashish. • Marijuana's medical use has been documented as far back as 2737 B.C. in China. • It was also used as the main source of rope making fiber. • In 1964 scientist isolated the chemical substance responsible for its hallucinogenic properties. • It is tetrahydrocannabinol (THC) • Medical marijuana has uses for the treatment of glaucoma (it reduces the internal pressure of the eye) and the lessening of nausea caused by anticancer drugs. • 5. Other Hallucinogens – a. LSD is synthesized from lysergic acid, a substance derived from ergot, a type of fungus that attacks grasses and grains. • 25 micrograms is sufficient to produce visual hallucinations for 12 hours along with intense feelings of anxiety and tension. • b. PCP (phencyclidine) • Is easily synthesized by anyone with a “recipe”. • PCP is often mixed with LSD or amphetamines and is sold as a powder (angel dust), capsule, or tablet. • Effects produced are unresponsiveness, confusion, agitation, depression, and paranoia. • 6. Depressants –a. The most commonly used depressant is alcohol. In the U.S. the alcohol industry has an annual income of 40 billion dollars. • Alcohol acts to suppress the brain’s control of thought processes and muscle coordination. • It also inhibits judgment, memory, and concentration. • b. Barbiturates are derived from barbituric acid by a German chemist Adolf Von Bayer about 100 years ago. • c. Tranquilizers – used to reduce anxiety and tension. • Most common is Valium. These have a high potential for both physical and psychological dependency. • • d. Glue-sniffing –Began in the 1960’s by inhaling volatile solvents like model glue. –Recently added to this category are aerosol gas propellants such as freon. • Toluene, naphtha, gasoline, and ethyl keytone are also used. • Users suffer from liver, heart, and brain damage from the chemicals. • 7. Stimulants – a. Amphetamines are a group of synthetic drugs that stimulate the central nervous system. • Effects are increased alertness followed by an increase in fatigue, loss of appetite, and depression. • Chronic users exhibit violent destructive behavior and acute psychosis similar to paranoid schizophrenia. • The repeated use of amphetamines leads to a strong psychological dependency which encourages their continued administration. • b. Cocaine is a drug extracted from the leaves of Erythroxylon coca. Once used as pain medication and anesthetic. • c. Club drugs are synthetic drugs that are used at nightclubs, bars, and raves. • Many are central nervous system depressants that are often connected with drugfacilitated sexual assault, rape, and robbery. • Effects are muscle relaxation, sedation, loss of consciousness, and the inability to remember what happened during the hours after ingestion. • Most are odorless, colorless, and tasteless and will remain undetected when slipped into a drink. • Methylenedioxymethamphetamine (ecstasy) • Chronic use leads to seizures, stroke, kidney failure, cardiovascular system failure, brain damage, nausea, confusion, paranoia, and anxiety. • 8. Anabolic steroids are synthetic compounds that are chemically related to the male sex hormone testosterone. • One of the effects of testosterone is that it accelerates muscle growth. This is called an anabolic effect. • Often taken by athletes to increase performance. • Liver cancer, infertility, diminished sex drive, halting of bone growth, mood swings, and depression are side effects of its use. • 9. Drug Control Laws –The severity of a penalty associated with the manufacture, distribution, possession, and use of a drug is dependent on the weight of the drug or its concentration in a mixture. • It is the forensic chemists responsibility to make sure all the information is correct in order to properly charge the suspect. • Controlled Substance Act - The federal government divides drugs into five categories or classifications. These are based on a drug’s potential for abuse, potential for physical and psychological dependence, and medical value. They are grouped into Schedules I, II, III, IV, V. • The most severe penalties are associated with schedule I and II drugs. First offence can be punished by 20 years and/or fines up to $1 – 5 million. • The Controlled Substance Act also includes provisions for substances that are chemically similar to or copies of drugs. These are designer drugs and carry the same penalty as the drug they are copying. • The Act also has the authority to control and regulate the manufacture and sale of precursor chemicals to make it harder for illegal drug labs to make the illegal drug. • 10. DRUG IDENTIFCATION • a. The forensic chemist will be given a sample of unknown origin and composition. Her job is to identify this substance. • Their plan to accomplish this has two parts. • The first part includes screening tests to reduce the possibilities to a manageable number. Usually based on physical appearance. • Once the possibilities have been reduced the second phase, determining exactly the identity and concentration of the drug begins. • b. There are many test that can be conducted to confirm a drugs identity. • These include color test, microcrystalline test, chromatography, spectrophotometry, and mass spectrometry. • c. Color tests –Many drugs will turn a specific color when brought into contact with specific chemical reagents. –Color tests are usually used in the first phase for screening purposes. –There are five primary color test reagents. •1. MARQUIS made with formaldehyde and H2SO4 •Turns purple when in contact with heroin, morphine and most opium derivatives. –Turns orange when in contact with amphetamines and methamphetamines. –2. DILLIE – KOPPANYI •Turns violet/blue when in contact with barbiturates. • 3. DUQUENOIS – LEVINE –Turns purple in contact with marijuana. 4. VAN URK – turns purple/blue with contact with LSD. • 5. SCOTT TEST – turns blue in contact with cocaine. • d. Microcrystalline Test –Is more specific than color tests. –A chemical reagent is added to a small quantity of the drug placed on a microscope slide. • Crystals will begin to form after the chemical reaction takes place between the drug and the reagent. • The shape and size of these crystals are highly characteristic of each drug. • Chromatography – helpful because it separates drugs from other substance that may be present in a sample. • Spectrophotometry – Different drugs absorb different wavelengths of light in the UV and IR region. • The pattern of absorption of each drug is characteristic of that drug. • Identification of Marijuana –Different because it is plant material with identifiable characteristics. –The upper side of the leaf has short, distinctively shaped hairs called cystolithic hairs. • The opposite side of the leaf has longer, distinct hairs. • Forensic Toxicology • 1. Toxicologist look for the presence or absence of drugs and poisons in the bodies fluids and organs. • 2. Toxicologist work for crime labs and medical examiners offices. They also work for hospitals and other health facilities. • A. TOXICOLOGY OF ALCOHOL • 1. Alcohol is the most widely abused drug in Western countries. In the U.S. 12,500 automobile deaths (40%) are alcohol related, with 2 million people per year hospitalized from injuries. B. What happens to alcohol in the body? 1. There are many factors that must be taken into account when considering the effects of alcohol on a person. • 2. Alcohol is a depressant that effects the central nervous system, especially the brain. • 3. The extent of the depression is directly proportional to the concentration of alcohol within the nerve cells. • The first part of the brain to be effected is the forebrain (movement, behavior, emotion, problem solving). • Then the central (orientation, visual processing) and rear portions (memory, perception) are effected. •Last is the medulla region. This is the area responsible for controlling breathing and heart function. • 4. How can you determine how much alcohol is effecting an individual? • It is the blood that distributes the alcohol around the body • 5. Blood-alcohol concentration is directly proportional to the alcohol concentration of alcohol in the brain. • 6. Alcohol is absorbed from the stomach and intestine minutes after being ingested. When all the alcohol has been absorbed the maximum level is reached. Then the post absorption period begins and the alcohol concentration level drops to zero again. • 7. Several factors influence the rate at which alcohol is absorbed including: –Total time taken to consume alcohol. –Amount of alcohol consumed. –Quantity and type of food in the stomach. • 8. During the absorption phase blood distributes the alcohol throughout the body. When the absorption phase is complete the alcohol is distributed evenly throughout the watery parts of the body (2/3 of it). • 9. The body begins to rid itself of alcohol shortly after it is absorbed. Elimination is accomplished by 2 mechanisms – oxidation and excretion. • 10. Oxidation is the combination of oxygen with other substances to produce new products. 95 to 98% of the alcohol is oxidized into CO2 and H2O. Oxidation happens in the liver. • 12. The rest of the alcohol is excreted in the breath, urine, and sweat. The amount of alcohol exhaled is directly proportional to the concentration of alcohol in the blood. This fact has led to the development of test that confirm alcohol content. • C. Alcohol in The Circulatory System. 1. Remember humans have a closed circulatory system consisting of heart, arteries, capillaries, and veins. Arteries carry blood away from the heart. • Veins carry blood ` toward the heart. Capillaries are very small vessels connecting arteries and veins. Diffusion happens in the capillaries. • 2. After alcohol is consumed it moves down the esophagus into the stomach. About 20% of the alcohol is absorbed through the stomach wall into the blood system. • The remaining alcohol passes into the blood through the walls of the small intestine. • Once in the blood the alcohol is carried through the liver to the heart. • Blood enters the upper right atrium then is forced into the right ventricle. • Then to the lungs where CO2 can be exchanged for O2. The pulmonary artery branches into capillaries that are very close to the alveoli (small sacs in the lungs through whose walls air is exchanged between breath and blood). • There are about 250 million alveoli in the lungs. They are connected to the bronchial tubes that are connected to the trachea (windpipe). • If there is alcohol in the blood it will be exchanged with the CO2 for O2 and exhaled. • The freshly oxygenated blood is taken back to the left atrium then to the left ventricle then into arteries which distribute blood throughout the body. • These arteries pass into smaller ones then into capillaries. It is here that the alcohol in the blood diffuses into the tissues. • D. Breath –Test Instruments • 1. The breathalyzer is used to determine the amount of alcohol in the breath. • The air that is trapped in the machine is combined with potassium dichromate, sulfuric acid and water. • The alcohol dissolves into the potassium dichromate and is oxidized into acetic acid. In this oxidation process the potassium dichromate is destroyed. The amount that is destroyed is proportional to the amount of alcohol present. • 2. Field Sobriety Tests are normally performed to ascertain the degree of the suspect’s physical impairment and whether or not other test are needed. a. Horizontal Gaze Nystagmus – the involuntary jerking of the eye as it moves to the side. A person experiencing nystagmus is unaware of the jerking and unable to stop or control it. • They are asked to follow an object with their eyes as far as they can. With a blood-alcohol level of 0.10 percent the jerking motion will begin around 45 degrees. Higher blood-alcohol content and the jerking begins at smaller angles. • b. The walk-and-turn requires walking heel-to-toe for nine steps then turning and repeating the process. • C. The one-leg stand requires the suspect to maintain balance while standing with heels together then standing with one foot off the ground balancing on the other and counting to 30. • E. The analysis of blood for • alcohol • 1. Gas chromatography can be used on blood samples to determine the alcohol level in blood. • F. Collection and Preservation of Blood 1. Once blood is removed from an individual it should be kept in a sealed air-tight container after an anticoagulant and preservative are added. • The anticoagulant keeps the blood from clotting and the preservative stops the growth of microorganisms. • G. Alcohol and the Law • 1. In 1992 the U.S. Department of Transportation recommended that states adopt a 0.08 percent bloodalcohol concentration as the legal measure of drunk driving. • If states chose not to adopt this level they will lose Federal funds for highway construction. • For commercial truck drivers the limit is 0.04. • 2. Can a person refuse to take a test for alcohol levels? • Yes. In 1973 states adopted an “implied consent” law. This law says the operation of a motor vehicle on a public road automatically carries with it the stipulation that the driver will have the choice of either submitting to a test or be subject to losing their license. • 3. The 5th Amendment refers to self-incrimination. In Schmerber v. California the Supreme Court ruled that the 5th Amendment applies only to testimonial evidence and not to physical evidence such as fingerprints, DNA, and blood samples. • H. The Role of the Toxicologist • 1. How does the toxicologist go about determining the toxin or poison in a sample? • First they look for clues in personal effects like pill bottles, containers etc. If these are not available they begin a screening process. • They must use samples that have been extracted from bodily fluids and organs for testing. The amounts of the drugs may be very small (nanograms or micrograms). • Another problem toxicologist face is that most drugs change to something else when they enter the body because they are metabolized. • I. Techniques Used in Toxicology • 1. The process of extracting a drug from a biological specimen is complex. • 2. Most drugs fall into categories of acids or bases. • An acid is a compound capable of donating a hydrogen ion to another compound. • A base is a compound capable of accepting a hydrogen ion. • Acids and bases are measured on a pH scale. • The pH scales goes from 0 to 14. • A pH of 7 is neutral. • Below 7 is acidic with 0 being the most acidic. • Above 7 is basic with 14 being the most basic. • By controlling the pH of a water solution into which a sample is dissolved the toxicologist can tell if the extracted drug falls into the acid or base categories. • 3. Then they begin the process of screening and confirmation. • The three most widely used screening tests are –Thin-layer chromatography –Gas chromatography –Immunoassay • Immunoassay is a process based on specific drug antibody reactions. Its primary advantage is its ability to detect small concentrations of drugs in body fluids and organs. • Gas chromatography/mass spectrometry is the most commonly used method of confirming a drug. • 4. Forensic toxicologist also must test for heavy metals. These include arsenic, bismuth, antimony, mercury, and thallium. • This is done by dissolving the sample in hydrochloric acid and inserting a copper strip. • If a silvery or dark coating appears on the strip it indicates the presence of a heavy metal. • This is called the Reinsch Test. • Another poison frequently encountered is carbon monoxide. When it enters the body it is absorbed by the red blood cells where it combines with hemoglobin to form carboxyhemoglobin. • An average red blood cell contains about 280 million molecules of hemoglobin. The hemoglobin is what carries oxygen around the body to the tissues. • If a high percentage of hemoglobin is carrying carbon monoxide instead of oxygen death by asphyxiation will occur. • The amount of carbon monoxide in blood is expressed as percent saturation. • This represents the extent to which the available hemoglobin has been converted to carboxyhemoglobin. • A level of 50 – 60 percent is usually fatal. • A level of 35 – 40 percent may be fatal if the blood-alcohol level is elevated. • Suicide by automobile is common. • Carbon monoxide levels are also measured in victims of fires. The presence of high levels of carbon monoxide in the blood indicated they were alive when the fire began. Absence means? • Common poisons and their symptoms. –Arsenic, mercury, copper, metals; severe unexplained diarrhea, vomiting –Atropine; dilated pupil of the eye –Carbon monoxide; skin is bright cherry red –Cyanide; quick death, red skin, odor of peaches. –Food poisoning; vomiting, abdominal pain –Nicotine; convulsions –Strychnine; convulsions, dark face and neck • There are about 700 deaths by poisoning reported each year. • Children under 6 account for the majority of poisons reported but adults account for the majority of deaths. • Most frequently reported poisonings –household cleaning supplies –aspirin –cosmetics –cough and cold medicine –plant scrapes and insect bites - pesticides - gasoline and kerosene - sedatives, antipsychotics - food poisonings - alcohol • Most frequent deaths by poisoning – Antidepressants – Street drugs – Cardiovascular drugs – Alcohol – Gases and fumes - Industrial chemicals - Pesticides - Household cleaning supplies