Public Health Response to the Methamphetamine Crisis

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Public Health Response to the Methamphetamine
Crisis

• MCHB Federal State Partnership Meeting
• October 16, 2007
• Judith Thierry, DO, MPH
• Judith.thierry_at_ihs.gov
• Maternal and Child Health Coordinator
• Indian Health Service
• Office of Clinical and Preventive Services

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Changing Traffic Patterns

• Now that Mexico has limited the amount of
  ephedrine that can be imported into Mexico, more
  ephedrine is being imported into the United
  States and then taken south across the border,
  manufactured into methamphetamine and then
  (brought) back into the United States,'' Gov.
  Janet Napolitano said. -Arizona

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Smarter Than Meth
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3,141 Counties in the US
US Counties
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NH3 / Anhydrous ammonia a farm
Fertilizer

• 99 counties in Iowa
• Meth labs to rural road side ditches/dump
• Farm cooperatives
• Agribusiness Association of Iowa
• 24,000 NH3 tanks
• Data collection Iowa Department of Public
  Safety's Division of Narcotics Enforcement
• Community Oriented Policing Services Meth Hot
  Spots program, money secured by Sen. Tom Harkin -
  work on the Senate Appropriations Committee
• University research Tank Additive
  (Calcium Nitrate Chemical Lock)

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Tank locks
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(No Transcript)
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Pseudoephedrinehttp//www.methresources.gov/MethB
yState.aspx
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Pseudoephedrine
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Pseudoephedrine
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http//www.legislature.mi.gov/documents/2005-2006/
billintroduced/Senate/htm/2005-SIB-0440.htmBehin
d the Counter

• MAINTAIN ALL PRODUCTS THAT CONTAIN ANY COMPOUND,
  MIXTURE, OR PREPARATION CONTAINING ANY DETECTABLE
  QUANTITY OF EPHEDRINE OR PSEUDOEPHEDRINE, A SALT
  OR OPTICAL ISOMER OF EPHEDRINE OR
  PSEUDOEPHEDRINE, OR A SALT OF AN OPTICAL ISOMER
  OF EPHEDRINE OR PSEUDOEPHEDRINE BEHIND A COUNTER
  WHERE THE PUBLIC IS NOT PERMITTED EVEN IF THE
  PRODUCT MAY BE LAWFULLY SOLD OVER THE COUNTER
  WITHOUT A PRESCRIPTION UNDER FEDERAL LAW.
•  
•      (B) REQUIRE THE PURCHASER OF A PRODUCT
  DESCRIBED UNDER
•  
• SUBDIVISION (A) TO PRODUCE A VALID PHOTO
  IDENTIFICATION THAT
•  
• INCLUDES THE INDIVIDUAL'S NAME AND DATE OF BIRTH
  AND RECORD THE
•  
• SAME IN A WRITTEN LOG ALONG WITH THE DATE OF THE
  TRANSACTION AND A
•  
• DESCRIPTION OF THE PRODUCT AND THE AMOUNT
  PURCHASED. 

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Anti-Meth Law March 9, 2006

• Single Standard Pseudoephedrine LawDoes it
  weaken state laws?
• The Combating Methamphetamine Epidemic Act,
  sponsored by Senators Feinstein and Jim Talent
  (R-Mo) requires cold medications containing
  pseudoephedrine to be placed behind a pharmacy
  counter, requires signature and proof of
  identification before purchase, and limits the
  amount of pseudoephedrine that one person can buy
  in a single day or month. It also provides
  funding for education, prevention and treatment
  programs. .part of the USA Patriot Act
  reauthorization,

http//www.fda.gov/CDER/news/methamphetamine.htm
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http//www.methresources.gov/Default.aspx
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Anti-meth Campaign 800-662-HELP
http//www.methresources.gov/antimeth/flash.html
TV RADIO PHOTO PRINT
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Congressional Caucus to Fight and Control
Methamphetamine
135 Members - 66 Rep and 69 Dem
http//www.house.gov/larsen/meth/
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http//www.healthdisparities.net/hdc/html/virtualO
ffice.aspx
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Thank You