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RA 9165
The Comprehensive Dangerous Drugs Act of 2002 and its
implementing rules and regulations Introduction One of the greatest current concerns of the government is the high incidence of the use of prohibited drugs in the country. The threat posed by prohibited drugs against human dignity and the integrity of society is malevolent and incessant. Such pernicious effect is felt not only by the addicts themselves but also by their families. As a result, society's survival is endangered because its basic unit, the family, is the ultimate victim of the drug menace. In pursuing an intensive and unrelenting campaign against this social dilemma, the government legislated R.A. No. 9165, otherwise known as the Comprehensive Dangerous Drugs Act of 2002. This law mandates the Department of Health (DOH) to license, accredit, establish and maintain a drug test network and laboratory, initiate, conduct, and support scientific research on drugs and drug control. What is R.A. 9165? It is a special penal law and consist of 102 sections. Approved on June 7,2003. Has repealed R.A. 6425( Dangerous Drugs Act of 1972). About R.A. 9165 RepublicAct No. 9165 is a special penal law and consists of 102 sections. However, only certain sections that affect the practice of medical technology will be discussed, such as those covered by Article III of this law, as amended. One of the most important mandates of this law to the DOH is to license, accredit, establish, and maintain the drug test network and laboratory, and to initiate, conduct, and support scientific research on drugs and drug control. About 9165 Thus, in carrying out this task, the DOH promulgated the Implementing Rules and Regulations Governing the Accreditation of Drug Testing Laboratories in the Philippines. At present, this is the governing IRR with respect to the licensing and accreditation of drug testing laboratories (DTLs). The objective of this IRR is to standardize the procedure of drug testing services in the Philippines among all stakeholders. It must also implement a quality assurance program in DTLs nationwide. The scope of this IRR covers both government and private DTLs. DTLs and their classifications DTLis a private or government facility that is capable of testing a specimen to determine the presence of dangerous drugs therein. DLTmay be classified into: ownership, institutional character and service capability. Ownership- government or private Institutional character- institution-based or freestanding Servicecapability- screening laboratory or confirmatory laboratory Who is required to undergo drug testing? Drug test is no longer a requirement when applying for a driver's license Under R.A. No. 10586, otherwise known as the Anti-Drunk and Drugged Driving Act of 2013, it amended R.A. No. 9165 and expressly revoked the requirement of a drug test as a prerequisite when applying for a driver's license. Republic Act No. 10586 further states that only drivers in vehicular accidents and persons believed to be driving under the influence of alcohol, dangerous drugs and/or other similar substances by apparent indications and manifestations will be subjected to a mandatory drug test as well as an alcohol test. Supervision, management and staffing Who may head a DTL? Cont’d How many DTLs is a licensed physician allowed to supervise? a licensed physician is allowed to supervise at least 10 DTLs Who is qualified to become a drug analyst? qualifiedprofessionals such as chemists, MTs, pharmacists, or chemical engineers may perform the tasks of a drug analyst. Who is an authorized specimen collector? a specimen collector is a member of the laboratory personnel who collects specimens from a patient, client or subject. Technical requirements and Laboratory Equipment DTL must comply with the technical requirements, including the necessary laboratory equipment to acquire a Certificate of Accreditation. Screening laboratory Under Section 6, subsection 4-Technical requirements for accreditation (see annex A) of the IRR governing accreditation of drug testing laboratories, as revised. For laboratory equipment, a screening laboratory must haveConfirmatory Screening test at least Examination - Immunoassay equipment ;or Basic equipment:
BFAD-registered drug testing kit; or -Refrigerator/freezer
a thin layer chromatography (TLC)
confirmatory laboratory Screening test Confirmatory examination Immunoassay equipment Gas Chromatography-Mass Spectrometer(GC-MS), ;or BFAD-registered drug High-performance liquid chromatography- ass testing kit; or spectrometer (HPLC-MS) a thin layer or some such modern and accepted equipment chromatography (TLC) Basic equipment: -laboratory oven -analytical balance -refrigerator -freezer -fumehood -other necessary equipment based on the procedure used Floor area and Work area of a Drug Testing Laboratory Specimen and Specimen Collection and Handling What are the types of specimen that may be submitted for a drug testing?
The following Blood,
specimens Fingernails, maybe Saliva, submitted for Scalp hair, drug test: Sweat(patch) Urine, And tissue What is chain of custody? Chain of custody refers to procedures to account for each specimen by tracking its handling and storage from point to point of collection to final disposal. These steps require the confirmation of the applicant’s identity and a custody and control form(CCF) must be used from the time of collection to receipt by the laboratory. Within the laboratory, an appropriate chain of custody record must account for samples until disposal. URINE AS A MOST COMMON TYPE OF SAMPLE SPECIMEN It is mainly used for it is readily available in conducting drug test. Quantity of urine to be collected: Atleast 60ml- if single container is used OR 30ml in two (2) separate containers for split specimen. BASIC STEPS IN COLLECTING URINE SPECIMEN FOR DRUG TESTING a. The Client/Donor/Subject removes all unnecessary outer garments (sush as coat or jacket, after which, he/she will be subjected to a bodily search. b. The Authorized Specimen collector directs the Client/Donor/Subject to empty his/her pockets and check items that may be used to adulterate the specimen. c. The Client/Donor/Subject washes and dries hands prior to collection. After washing hands, the Client/Donor/Subject must remain in the presence of the Authorized Sppecimen Collector and must not have access to anything that could be used to affect the specimen. d. The Authorized Specimen Collector either gives or allows the Client/Donor/Subject to select the collection container from available supplies. The specimen is opened in full view of the Client/Donor/Subject. e. The Authorized Specimen Collector directs the Client/Donor/Subject to go to the toilet facility for urination and to provide at least 60-ml either collected in single or split specimen. f.The Authorized Specimen Collector shall observe closely the entire collection procedure and take note of the conduct and demeanor of the Client/Donor/Subject for attempts of substitution, adulteration and dilution of specimen. g. A tampered specimen is sent to the laboratory for validity testing and the Authorized Specimen Collector shall document the tampering on the CCF with appropriate remarks. The Authorized Specimen Collector shall instruct the Client/Donor/Subject to provide another urine sample immediately under direct observed collection. The second specimen shall also be sent for examination h. After the Client/Donor/Subject hands the specimen, the Authorized Specimen collector must measure the temperature, check volume and inspect its characteristics. i. The Atuhorized Specimen collector and Client/Donor/Subject must keep the specimen in full view at all times prior to sealing of all specimen containers. j. A tamper-evident label must be used to secure the entire specimen container. k. Both Authorized Specimen Collector and Client/Donor/Subject must affix their signature on the seal together with the date and time of collection. l. The Authorized Specimen Collector must complete steps 1 and 2 and initiates step 4 of CCF. m. The Client/Donor/Subject must affix his/her signature at step 5 of the CCF. The Authorized Specimen Collector may ask the Client/Donor/Subject to list any prescription, medication he/she may have taken for the past two weeks at the back of the CCF (Analyst copy). Authorized Specimen Collector shall distribute each copy asrequired. n. In case of specimen collection at a remote site and transport via a courier/mail, the specimen container together with the CCF chall be placed ina a sealed, labeled and secured transparent plastic bag. CRITERIA FOR SPECIMEN REJECTION THAT ARE NON-CORRECTABLE
a.Incompatibility of the ID number on the specimen
received by the laboratory with the number on the CCF b. Absence of ID number on the specimen c.No printed Authorized Specimen Collector’s name and signature on the CCF. d.Broken or tampered seal on the specimen container. e. Insufficient quantity of specimen. Reporting What is a Screening Test? A rapid test performed to establish potential/presumptive positive result. A test to eliminate negative specimens from further consideration and to identify the presumptively positive specimens that requires confirmatory testing. What is a Confirmatory Test? An analytical procedure used to identify and quantify the presence of a specific drug or metabolite, which is independent of the initial test and which uses a different technique and chemical principle from that of the screening test in order to ensure reliability and accuracy.
NOTE: the 2 most abused prohibited
drugs in the Philippines are shabu and marijuana. Accreditation Accreditation refers to the formal authorization issued by the DOH to an individual, partnership, corporation, or association which has complied with all licensing requirements and accreditation requirements as prescribed In manual of operations for drug testing laboratories released by the DOH. Authorized drug testing shall be done by any government forensic laboratories or by any of the drug testing laboratories accredited and monitored by the DOH to safeguard the quality of test results. As the mandate of law, it follows that all DTLs must first be accredited before performing drug tests. *confirmatory laboratory- valid for 2years. *screening laboratory- valid for 1 year. * for renewal of certificate- must be file within 90days before the expiry date Owners must file DOH will check the Issuance of the the minimum due compliance of Certificate of requirements to the owner of the Accreditation the DOH laboratory *theHFSRB or CHD has the authority to monitor accredited DTLs *HFSRB has the authority to investigate and may suspend and revoke the accreditation of DTLs. Iffound to be in violation of the rules and regulations during the survey or on a monitoring visit, the HFSRB may immediately preventively suspend the operation of the said laboratory. The preventive suspension shall not be more than 60 days. ifthe penalty imposed by the HFSRB is revocation of accreditation, a DTL whose COA has been revoked may re- apply for a new one upon compliance with the requirements and/or the correction of the deficiency or violation that caused the revocation. * may file the appeal to the secretary of health within 15days from receipt. violations
Issuance of a false or fraudulent
drug test result may be a ground for suspension or revocation of license. Imprisonment: 6years and 1 day to 12 years Fine: 100,000.00 to 500,000.00