Drug testing has evolved into a high-technology industry in the
United States, one that has produced dramatic advances that allow easier
and more accurate, sensitive, and specific testing. There are many
settings in which the identification of drug use is important to enhance
public health and safety, including the transportation industry, law
enforcement, health care, the military, the nuclear power industry, and
many other “safety-sensitive” industries.
Workplace drug testing also has expanded to non-safety sensitive
industries, such as retail and commercial workplaces, to reduce theft,
accidents, and lost productivity. Drug testing is vital for
identification, treatment, and monitoring of those with addictions.
Drug testing became common in the workplace with the implementation
of federal drug test requirements of the late 1980s. Although these
regulations applied only to federally mandated drug and alcohol testing,
they were widely used as a model for unregulated workplace programs.
They focused on testing for five illegal drugs of abuse in urine:
opiates/heroin, cocaine, marijuana, PCP, and amphetamines. While these
federal regulations have been useful, it is past time to update
workplace drug testing in the face of rapidly changing drug epidemic and
rapidly evolving testing technology.
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