Next Article in Journal
“She Has the Japanese Style”: Parenting by Japanese Immigrant Women in Korea from the Perspective of Their Children
Previous Article in Journal
Pain-Related Worrying and Goal Preferences Determine Walking Persistence in Women with Fibromyalgia
Article

Policies and Toxicological Screenings for No Drug Addiction: An Example from the Civil Aviation Workforce

1
Section of Legal Medicine, Social Security and Forensic Toxicology, Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy
2
Department of Biomedicine and Prevention, University of Rome “Tor Vergata”, 00133 Rome, Italy
3
Substance Abuse and Mental Health Services (Ser.D)—Local Health Authority (ASL) RM2, 00133 Rome, Italy
*
Author to whom correspondence should be addressed.
Academic Editor: Paul B. Tchounwou
Int. J. Environ. Res. Public Health 2022, 19(3), 1501; https://doi.org/10.3390/ijerph19031501
Received: 24 November 2021 / Revised: 14 January 2022 / Accepted: 24 January 2022 / Published: 28 January 2022
Introduction: Since 2008, Italian legislators, with the aim of ensuring public safety, have made it mandatory for an occupational doctor (OD) to assess specific categories of workers to exclude those who may have consumed drugs of abuse. Due to the relevance of work activities relating to the civil aviation and airport sector, a policy based on the use of training and information tools, as well as a health surveillance protocol, has been undertaken since 2009. Materials and methods: A total of 61,008 workers at a commercial airline underwent health surveillance between 2009 and 2019. Following ≤24 h notification, their urine was screened for opiates, cocaine, cannabinoids, amphetamines, methamphetamines, and methylenedioxymethamphetamine (MDMA) using an immunochemical test. Positive results were confirmed using Gas Chromatography-Mass Spectrometry (GC/MS) or Liquid Chromatography -Mass Spectrometry (LC/MS). In confirmed cases, the workers were declared unfit and sent to a specialized laboratory for a second level analysis. Results: Positive results, initially >1%, have halved in the last four years (<0.5%). The percentage of positive results was consistently very low among pilots and, moreover, the rare positive cases detected were due to a cross-reactivity phenomena. The highest and most discontinuous percentages seen occurred in the population undergoing a pre-employment examination. Regarding the types of substance used, a prevalence of cannabis (58.52%) and cocaine (35.2%) use was observed. Conclusions: The data presented indicate that the air transport sector, in all its components (ground workers and air crews), has a very limited number of substance abusers, and this number tends to decrease over time and with work seniority. Another aspect of particular interest, and which is more specific to toxicology, concerns the detection of cross-reactivity in urinary immunochemical screening between the antibodies to drugs of abuse and certain other drugs, such as anti-inflammatories or antibiotics; as well as foods, and other commonly used substances. View Full-Text
Keywords: substance-related disorders; substance abuse; toxicology; occupational health; occupational medicine; health policy substance-related disorders; substance abuse; toxicology; occupational health; occupational medicine; health policy
Show Figures

Figure 1

MDPI and ACS Style

Treglia, M.; Pallocci, M.; Ricciardi-Tenore, G.; Baretti, F.; Bianco, G.; Castellani, P.; Pizzuti, F.; Ottaviano, V.; Passalacqua, P.; Leonardi, C.; Coppeta, L.; Messineo, A.; Tittarelli, R. Policies and Toxicological Screenings for No Drug Addiction: An Example from the Civil Aviation Workforce. Int. J. Environ. Res. Public Health 2022, 19, 1501. https://doi.org/10.3390/ijerph19031501

AMA Style

Treglia M, Pallocci M, Ricciardi-Tenore G, Baretti F, Bianco G, Castellani P, Pizzuti F, Ottaviano V, Passalacqua P, Leonardi C, Coppeta L, Messineo A, Tittarelli R. Policies and Toxicological Screenings for No Drug Addiction: An Example from the Civil Aviation Workforce. International Journal of Environmental Research and Public Health. 2022; 19(3):1501. https://doi.org/10.3390/ijerph19031501

Chicago/Turabian Style

Treglia, Michele, Margherita Pallocci, Giorgio Ricciardi-Tenore, Flavio Baretti, Giovanna Bianco, Paola Castellani, Fabrizio Pizzuti, Valeria Ottaviano, Pierluigi Passalacqua, Claudio Leonardi, Luca Coppeta, Agostino Messineo, and Roberta Tittarelli. 2022. "Policies and Toxicological Screenings for No Drug Addiction: An Example from the Civil Aviation Workforce" International Journal of Environmental Research and Public Health 19, no. 3: 1501. https://doi.org/10.3390/ijerph19031501

Find Other Styles
Note that from the first issue of 2016, MDPI journals use article numbers instead of page numbers. See further details here.

Article Access Map by Country/Region

1
Back to TopTop