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Q. At my understanding, the rapid test kits industry is a new and very modern. Could you please tell me more about it?
A. The development of rapid diagnostic testing has become a valuable tool in the healthcare industry for both the provider and the public. Rapid diagnostic tests can provide results that are up to 99 percent accurate if used correctly for the testing of pregnancy, ovulation, drug use, blood sugar levels, various proteins, sexually transmitted diseases, hormones, and other various conditions in the body in which a quick turn-around in results is important. For a clinician, rapid testing is particularly valuable because it offers quick and reliable results. This is especially important in low-resource settings, where patients frequently do not return for the follow-up of their test results. This scenario can be not only frustrating for the health care provider, but also possibly consequential to the patient if the test indicates that the person is at risks for a specific health condition as specified by the results of the rapid testing. Thus, accurate, easy to use tests, that require little, or no processing, and are cost-effective, may not only save lives, but also on the whole contribute to the overall well-being of the individual and the community at large. Rapid Diagnostic testing is a valuable tool for identifying or ruling-out diseases in asymptomatic patients, making an initial diagnosis, recommending further testing based on results, and monitor existing treatments. Rapid diagnostic testing, regardless of the specific test, is regulated by an outside agency such as the Food and Drug Administration (FDA) and thus can be relied upon for accurate, quick, easy to use test results.
Q. Are there legal drugs that I could list as taken which would cause a false positive?
A. There are more than 250 over-the-counter medications and prescription drugs that could cause a False Positive. Filling out the lab test form to include over the counter medications that cause the same positive results as the illegal drug that might be consumed would be a good idea. If a positive result occurs on the test, a basis will have been laid for an appeal. Remember that the negative error rate is just as large or larger than the positive error rate. Many people using drugs escape detection. Pain relievers such as Advil, Nuprin, Motrin, Midol, Trendar and Ibuprofen are known to cause false positives for Marijuana use. Second hand smoke inhalation from a rock concert or from being with someone who is smoking marijuana could also cause a false positive for THC. Hemp seed products, such as hemp burgers or food products containing hemp oil will also cause false positives for THC. Twelve ounces of hemp seed products ingested before a test will cause you to fail your test and has held up as a defense in at least two federal court cases. Dristan Nasal Spray, Neosynephren, Vicks Nasal Spray, Sudafed and other medications containing ephedrine or phenypropanolamine could cause a false positive reading for Amphetamines. Vicks Formula 44M containing Dextromethorphan, and Primatene-M containing perylamine as well as the pain reliever Demerol, Quinine water, poppy seeds and prescription anti-depressant Elavil will cause a false positive for opiates. Nyquil Nighttime Cold Medicine will cause a false positive for Methadone. Antibiotics such as Ampicillin and Amoxicillin will cause a false positive for cocaine. Diasepam as well as Dextromethorophan (an ingredient in some cough medicines) will cause a false positive for PCP.

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School officials not surprised to see opposition to drug-testing policy
8/5/2005
By Tippi Rasp
Staff Writer

Neither Enid Public Schools superintendent nor the board president were surprised to learn some students are protesting the school’s new drug testing policy.
“I’m not a bit surprised,” Superintendent Kem Keithly said, adding members of the drug testing committee, made up of parents, students, teachers and one administrator and board member, took its time studying the issue and settled on what they thought was the best model for testing.

Board President David Meara also wasn’t surprised at the timing of the protests.

“It’s America, we wait until we get slapped in the face,” before we react, he said.

The board commissioned a group to study the issue nearly a year ago and asked for public input at a hearing in May. No one opposed to the policy voiced an opinion or asked questions about the policy during the meeting.

This week, the district be-gan testing students involved in activities governed by Okla-homa Second-ary School Ac-tivities Associa-tion — about 1,300 eighth- through 12th-grade students in all.

Keithly and Meara both said administrators and board members have an obligation to students to try and find the most effective method of helping students deal with destructive behaviors.

“We’ve just got to keep trying,” Keithly said. “I’m not sure it’s going to work for everyone.”

Keithly said he also wasn’t surprised to hear rumors of students trying a number of tricks to “beat the test.”

“We talked about it,” he said. “There’s not a whole lot you can do (about that).”

Meara said the committee had great resources and talked to administrators at schools already implementing a program before they settled on policy. He said one administrator said his school saw a 50 percent reduction in positive tests.

Meara said the district uses a number of drug prevention and education programs in the classroom, but the new policy is “simply another tool to employ to help these young people.”

And, Meara said, he doesn’t want to diminish the concerns of students and parents. There are pros and cons to testing, and he said he understands the difficulties associated with the policy and the method of testing.

But, he said he also believes the policy is important because many times parents don’t want to believe their child is doing drugs. The district is simply trying another tool because the funds became available and the board was willing to pursue the opportunity, he said.

But some parents are upset because they be-lieve the testing is jeopardizing their children’s futures.

Doris Longley said her daughter, Allura, 15, an A-plus student who is on the speech and debate team, takes a number of medications that could make her test positive. Her severe asthma is combated by daily doses of steroids.

“Her medicines are going to make her test dirty,” Doris Longley said.

Longley said it isn’t fair for only a select group of students to be tested and wants all students tested if any at all. However, federal law only allows testing students participating in the outlined extracurricular activities.

The policy governs tobacco, alcohol, illegal and performance-enhancing drugs use by students participating in extracurricular activities, according to the policy. Just because the policy governs those drugs doesn’t necessarily mean the district is testing for those particular drugs. Keithly said the first baseline test includes a nine-panel test.

Students can be tested up to 12 times per year. Punishment for a positive drug test is suspension from participation in all scheduled games, competitions, performances or scrimmages for 10 to 88 days.

First- and second-offense suspensions are subject to reduction if the student adheres to certain conditions, including substance abuse counseling. The third offense — an 88-day suspension — requires the student’s suspension in all activities, including meetings, practices, performances and competition and may carry over to the next school year.

The district cannot require students to take counseling, Keithly has said, but a student’s suspension for first and second offenses can be reduced if they agree to and follow through with counseling.

The policy this year is being funded by a $25,000 donation to the district from Champlin Foundation.

Hiram Champlin, one of four Champlin Foundation trustees, has said he realizes drug testing doesn’t provide an end-all solution to the problem, but it might add another excuse to the list of reasons students should stay drug-free.

Students against the new policy contend research posted on Web sites such as www.drugtestingfails.org and www.drugpolicy.org shows drug testing not only doesn’t work but it puts more students at risk.

Some students who are unhappy with the policy have said they feel like they are being punished for something they haven’t done.

 

 

 

 

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