Sections involved in drugs of abuse analysis Controlled Drugs Sections Examining drugs seized by law enforcement departments Forensic Toxicology Sections Screening for drugs/poisons in Dr. TAM Wai-ming, Thomas Biological specimens Senior Chemist z Blood/urine/liver/stomach content Government laboratory Non-biological specimens z Syringes/tablets/drinks
Controlled Drugs Sections Forensic Toxicology Sections
Examination of drugs of abuse The Analytical Toxicology Unit Submitted by Customs and Excise Department Provide service to Submitted by Police Force z Police Dealing with the forensic drug analysis for z Forensic Pathologists offences in breach of z Clinical Pathologists The Dangerous Drugs Ordinance Screening for drugs and poisons in The Pharmacy and Poisons Ordinance biological specimens z Death inquiry The Control of Chemicals Ordinance z Criminal offences e.g. rape
Forensic Toxicology Sections Overview from different perspectives
The Urinalysis Unit Drug Seizures Provide service to Death incidents z Correctional Services Department
z Social Welfare Department Sexual Offences z Methadone Clinics Urinalysis Screening for drugs of abuse in urine samples
1 Drugs of Abuse Cases Examined in 2006 Controlled Drugs sections Drugs of Abuse in Hong Kong
Ketamine 25% Ketamine Methamphetamine Heroin 23% Heroin Ecstasy Tranquillisers 23% Tranquillizers Cocaine Cannabis 9 % Midazolam Methadone Methamphetamine 6 % Estazolam Ecstasy 6 % Zopiclone Cocaine 6 % Nimetazepam Methadone 2 % Cannabis
Ketamine (K仔) Appearance of Ketamine
Slang name : K, K仔,茄, Special K, Super K, Vitamin K, Ket, Kit Kat …
In form of Ketamine Hydrochloride
Almost 100% in purity for most seizures
Packaging of Street Level Ketamine Ketamine in paper packets
2 Street Level Heroin Inhalation apparatus for Ketamine (Purity at 25-35%)
Heroin Additives Commonly Abused Tranquillisers
Caffeine Midazolam Paracetamol Estazolam Antipyrine Zopiclone Carbetapentane Nimetazepam Theophylline Estazolam Phenobarbitone Nicotinamide
Tranquillisers Estazolam 舒樂安定 (艾司唑侖)
Midazolam
Zoplicone
Estazolam
3 Erimin 5 (Nimetazepam) Nimetazepam 硝甲西泮 五仔,黃飛鴻 Drug Classification a benzodiazepine not registered in Hong Kong
Street Names Give me Five 五仔 ,黃飛鴻 Imprints “5” - on one side “028” – on the other side
Genuine and fake Erimin 5 tablets Fake Erimin (green tablet)
Fake Genuine
6 milligrammes of nimetazepam
Cannabis plant 大麻植物 大麻捲煙 Cannabis Cigarette
Herbal cannabis THC content : 1-3 %
4 Cannabis Resin Cannabis bud 大麻樹脂(大麻精) 大麻花
THC content : 8-12 % THC content : 10-15 %
Methamphetamine HCl crystal (Ice) “Ice”smoking apparatus 甲基安非他明(冰) 吸食冰的工具
Almost 100 % in purity
Methamphetamine tablet Methamphetamine tablet “Ya ba” “Ya ba”
Popular in Thailand
5 Cocaine base Cocaine HCl (in block form) (in crack form)
Cocaine HCl (in block form) Cocaine snorting apparatus 可卡因吸食工具
Amphetamine Type Stimulant Tablets Amphetamine Type Stimulant (>500 collections since emergency) (tablets - difference in shapes) Coloured tablets with logo imprinted Mostly round in shape Mostly MDMA (~100 mg per tablets) May be laced with Methamphetamine MDA Amphetamine Caffeine Ketamine 2-CB
6 Amphetamine Type Stimulant Amphetamine Type Stimulant (tablets - interesting logo) (tablets - interesting logo)
Amphetamine Type Stimulant Amphetamine Type Stimulant (tablets - interesting logo) (tablets - interesting logo)
Amphetamine Type Stimulant Amphetamine Type Stimulant (tablets – same logo in different colours) (tablets – same logo in different colours)
7 Amphetamine Type Stimulant Strength of MDMA in ATS tablets (tablets – same logo in different colours) Most tablets (~200 mg in weight) MDMA : ~100 mg Some tablets with low level of MDMA MDMA : 50-70 mg MA : 3-4 mg 2-CB : present in low level High strength tablets (~300 mg in weight) 180 – 200 mg MDMA
Fatal cases with popular drugs of Methadone (美沙胴) abuse detected in 2006
Morphine (Heroin) 183 cases Methadone 85 cases Ketamine 21 cases Cannabis 0 case MDMA 14 cases Methamphetamine 22 cases Benzodiazepines 250 cases Zopiclone 74 cases
Sexual Offences Examined in 2006 Urinalysis/2006 29 out of 46 cases with alcohol/drugs of abuse detected (service to CSD, SWD & Police) 6 cases with alcohol detected only 1 case with alcohol and cocaine detected Morphine 11500 tests (8.5% positive) 1 case with alcohol and zopiclone detected Codeine 11500 tests (7.9% positive) 1 case with 7 drugs of abuse Methadone 11500 tests (10.6% positive) Cannabis, cocaine, ketamine, MDA, MDMA, methamphetamine & nimetazepam Ketamine 11496 tests (6.6% positive) 20 cases with drug(s) of abuse detected Amphetamine 10554 tests (9.0% positive) Cannabis Benzo 10060 tests (4.0% positive) Diazepam MDMA THC 10055 tests (3.0% positive) MDA Methamphetamine MDMA 9961 tests (1.3% positive) Ketamine Cocaine 576 tests (32.5% positive) Zopiclone Nimetazepam Zopiclone 89 tests (9.0% positive) Morphine
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