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1st Responders
Understanding the Risks of Exposure

Note: The following includes information on many of the routes of exposure and associated risks.  It is not all inclusive, but is provided as a basic guide.

The chemicals associated with Meth labs have various routes of entry into your system: Inhalation; Absorption (through skin or mucous membrane); Ingestion (either intentional or after inhalation); or Injection (intentional or unintentional needle stick).
No matter the method of entry, once these chemicals are in your system, they start to be metabolized – some rapidly and some over time.  Once they are metabolized, they are either excreted (through urine, feces, breath or perspiration) or stored in a person’s liver or bones.  Chemicals that are stored can slowly be released back into the body.  Generally, water-soluble chemicals are often excreted and fat-soluble ones are often stored.

The effects of exposure will depend on the duration and route of exposure, the chemical properties of what you are exposed to and individual variances in the people exposed, including variables like height, weight, age, gender, etc. 

Both acute (short in duration, high concentration) and chronic (occurring over a long period of time and usually low concentration) exposure can lead to severe health problems.  This is especially troublesome for first responders who repeatedly deal with Meth labs.  Some effects are felt immediately; others may occur weeks, months or even years after exposure.

Meth labs may include some or all classes of chemicals: corrosive, flammable, reactive and toxic.  
Examples of corrosive chemicals in Meth labs include Hydrochloric acid or anhydrous ammonia.  These chemicals primarily affect skin, mucous membranes, or lungs.  Splashes will cause burns. Vapors will burn nasal tissue, lungs, eyes.
Flammable chemicals at Meth labs may include ether, Coleman fuel or methanol. The danger of fire is, obviously, high.  The most common route of exposure to these chemicals is inhalation, but they may also be absorbed. 
Reactive chemicals associated with Meth manufacturing include lithium and sodium.  These are chemicals that will spontaneously ignite on exposure to air or water.
The primary danger they pose to first responders is the risk of injury from an explosion or fire; they may also be toxic through absorption or ingestion.

Toxic
chemicals, those that in relatively small amounts may cause serious health problems, include Meth itself.  The most common exposure comes through inhalation and ingestion, but may also be absorbed.  These chemicals will affect liver, kidneys and the central nervous system.

Signs of acute exposure include
Inhaled: respiratory irritation, headache.
Absorbed: local skin irritation, ulceration
Ingested: nausea, vomiting.
Signs of chronic exposure include
Inhaled: pulmonary edema, bronchitis, nervous system damage
Absorbed: allergies, chronic skin irritation
Ingested: cancer, liver/kidney necrosis.

To reduce Exposure:
First, avoid exposure as much as possible.  Ventilate labs and ID sources of contamination.  Don’t enter a lab area unless necessary. 
To minimize exposure, use personal protective equipment as available and exercise good work practices. 
To cut down on inhalation exposure, make use of air-purifying respirators, disposable masks and powered air-purifying respirators, and self-contained breathing apparatus (SCBA).
Ways to minimize ingestion exposure include no eating, drinking or smoking while in the lab.  No chewing gum, handling contacts or applying make up.
Methods of minimizing absorption exposure include: Using approved suits/coats/boots; latex or nitrile gloves.  Protect your eyes with glasses, goggles or face shields.  Do not sit or lean on potentially contaminated surfaces, avoid touching anything you do not have to.  Remember that chemicals are spread throughout the environment when Meth is being cooked – and residue is found on floors, walls, furniture, inside appliances and rooms far away from the cook.

Remember to document any exposure and seek medical treatment.
Thanks to the Center for Environmental Health and Safety/Southern Illinois University, Ami Ruffing.


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