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OLMSTED COUNTY, MN

Resolution No. 01-99 - PDF version (172 KB - 14 pages)

WHEREAS, chemicals used in the production of illicit drugs present a health risk to the occupants and neighbors of dwellings and other structures often used for such processes; and

WHEREAS, chemicals used in the production of illicit drugs can present severe and long lasting impact on the health of children and the reproductive health of adults; and

WHEREAS, chemicals used in the production of illicit drugs can contaminate structures and their furnishings, where they are stored, used, or discarded; and

WHEREAS, chemicals used in the production of illicit drugs may not be readily apparent and may cause harm to occupants and visitors of these structures without their awareness; and

WHEREAS, it is important to inform the public of the current and past existence of such facilities, typically referred to as "clandestine drug labs"; and

WHEREAS, Minnesota Statute Chapter 115B authorizes the Minnesota Pollution Control Agency and the Minnesota Department of Agriculture to address chemical spills, typically associated with outdoor environments such as water resources, geological features, and ambient air; and

WHEREAS, many of the public health risks are indoor drug lab exposures; and

WHEREAS, Minnesota Statute 145A.05 authorizes county boards to adopt and enforce ordinances related to control of public health nuisances; and

WHEREAS, Minnesota Statute 145A.04 requires a board of health or its agent to assure that public health nuisances are abated and removed; and

WHEREAS, Minnesota Statute 145A.08 allows counties to exercise a special assessment on a property to recover county expenses associated with assuring abatement and removal of public health nuisances; and

WHEREAS, a Notice of Public Hearing and Intent to Enact a "Cleanup of Clandestine Drug Lab Sites Ordinance" that can help address the public health threats existing after discovery and termination of clandestine drug lab operations, was duly published; and

WHEREAS, after due public notice, a public hearing was held on Sept 25, 2001, by the Olmsted County Board of Commissioners, pursuant to Minnesota Statute 375.51.

NOW, THEREFORE BE IT RESOLVED, that the Olmsted County Board of Commissioners adopts the "Cleanup of Clandestine Drug Lab Sites Ordinance", as on file in the County Administrator's office, on this 23rd day, of October, 2001.

Dated: October 23, 2001

BOARD OF COUNTY COMMISSIONER

__________________________________
Jean Michaels, Chairperson

ATTEST:

______________________________
Richard G. Devlin, Administrator

Article I. General Provisions

Section 1.10 Title. This ordinance shall be known and referenced as the "Cleanup of Clandestine Drug Lab Sites Ordinance."

Section 1.20 Purpose.

1.21 Professional reports, based on assessments, testing, and investigations, show that chemicals used in the production of illicit drugs can condense, penetrate, and contaminate surfaces, furnishings, and equipment of surrounding structures.

1.22 These conditions present health and safety risks to occupants and visitors of structures through fire, explosion, skin and respiratory exposure to chemicals.

1.23 This ordinance establishes responsibilities and guidelines for involved parties to assure the following:

1. people are not unnecessarily exposed to the dangers of these contaminated structures; and
    
2. proper steps are taken to remove contaminates and assure appropriate tests are done to demonstrate that affected structures are sufficiently cleaned for human contact.

1.24 This ordinance assists and guides appropriate authorities, property owners, and occupants to prevent injury and illness to members of the public, particularly children.

1.25 This ordinance is intended to help assure reduction of peoples exposure to chemicals associated with the site of a former clandestine drug lab operation at structures such as a dwelling, building, motor vehicle, trailer, or appliance.

Section 1.30 Jurisdiction.

1.31 This ordinance shall apply to all incorporated and unincorporated municipalities (city or township) within the boundaries of Olmsted County.

1.32 Where a municipality has lawfully passed an ordinance to regulate and enforce in an equivalent or more restrictive manner, the County's administrator of this ordinance shall coordinate regulation and enforcement with that municipality.

Section 1.40 Interpretation and Application.

1.41 The provisions of this ordinance shall be interpreted and applied as the minimum requirements necessary to protect public health, safety, and welfare.

1.42 Where the conditions imposed by any provision of this ordinance are either more restrictive or less restrictive than comparable provisions imposed by any other law, ordinance, statute, resolution, or regulation of any kind, the regulations which are more restrictive or which impose higher standards or requirements shall prevail.

Section 1.50 Disclaimer Of Liability. Liability on the part of, or a cause of action against, Olmsted County or any employee thereof for any damages that may result from reliance on this ordinance shall be eliminated or limited as provided by Minnesota law and the Olmsted County Environmental Services Administrative Ordinance.

Section 1.60 Fees. Fees for the administration of this ordinance may be established and amended periodically by resolution at the Olmsted County Board.

Section 1.70 Definitions, Rules, and Word Usage. For the purpose of this ordinance, the following terms or words shall be interpreted as follows:

1.71 Child means any person less than 18 years of age.

1.72 Chemical investigation site means a clandestine drug lab site that is under notice and order for cleanup and/or remediation as a public health nuisance, as authorized by Minnesota Statute Chapter 145A, and this ordinance.

1.73 Clandestine drug lab operation means the unlawful manufacture or attempt to manufacture a controlled substance within any area of a structure such as a dwelling, building, motor vehicle, trailer, boat, or other appliance.

1.74 Clandestine drug lab site means any parts of a structure such as a dwelling, building, motor vehicle, trailer, or appliance occupied or affected by conditions and/or chemicals, typically associated with a clandestine drug lab operation.

1.75 Cleanup means proper removal and/or containment of substances hazardous to humans and/or the environment at a chemical investigation site. Cleanup is a part of remediation.

1.76 Controlled substance means a drug, substance or immediate precursor in Schedules I. through V. of Minnesota Statute 152.02, as amended in the future. The term shall not include distilled spirits, wine, malt beverages, intoxicating liquors, or tobacco.

1.77 Owner means any person, firm, or corporation who owns, in whole or in part, the land and/or structures such as buildings, motor vehicle, trailer, boat or other appliance at a clandestine drug lab site.

1.80 Public health nuisance shall have the meaning attributed to it in Minnesota Statutes 145A.02, Subd. 17.

1.81 Remediation means methods such as assessment, evaluation, testing, venting, detergent scrubbing, enclosure, encapsulation, demolition, and/or removal of contaminated materials from a chemical investigation site.

1.82 Structure means a dwelling, building, motor vehicle, trailer, boat or other appliance.

Article II. Adimistration

Section 2.00 Declaration of Site as a Chemical Investigation Site Public Health Nuisance. Clandestine drug lab sites as defined above are declared by this ordinance to be "chemical investigation site public health nuisances".

Section 2.10 Medical protocol for assessing health status of exposed persons. A medical protocol for assessing the health status and determining medical care needs of persons – particularly children – that are found or known to be frequent visitors at a clandestine drug lab site, may be established by the Medical Consultant to Public Health, as a Standing Order that may be updated as necessary by the Medical Consultant.

Section 2.20 Law Enforcement notice to affected public, public health, and child protection authorities.

2.21 Law enforcement authorities who identify a, clandestine drug lab site, or clandestine drug lab operation shall promptly notify the Olmsted County departments responsible for public health and child protection.

2.22 The obligation to promptly notify may be delayed to accomplish appropriate law enforcement objectives, but only to the extent that public health and child protection responsibilities are not unnecessarily compromised.

2.23 When law enforcement completes their work and is prepared to leave such sites, they shall leave a warning sign posted on the entrance of the affected part of the structure. The warning sign shall be those that have been prepared in advance for such situations through the collaboration of County Law Enforcement and Public Health. The warning sign shall be of a size and contain information sufficient to alert visitors or returning occupants to the site that the area is a chemical investigation site, may be dangerous to enter, and must not be entered except by authorization of the Public Health and/or Law Enforcement agency identified on the sign.

2.24 The notices, referenced in Sec 2.21 above, shall include sufficient information to inform the recipients of the following:

1. property location by street address and other identifiable location;
    
2. property owner's and occupant's identities – especially the identities of any children and women of child-bearing age found or known to be associated with the site;
    
3. chemicals found and indications of chemical residues;
    
4. presumed duration of the lab;
    
5. equipment in a dwelling or structure that is typically associated with the manufacture of a controlled substance; and
    
6. conditions typically associated with a clandestine drug lab site or operation including, weapons, illicit drugs, filth, fire, or electrical shock and other harmful conditions as determined by Minnesota law.

Section 2.30 Notice of Chemical Investigation Site Public Health Nuisance to Owner and Occupant.

2.31 After Public Health receives adequate information from law enforcement that they have identified a clandestine drug lab site and posted the appropriate Chemical Investigation Site Public Health Nuisance sign, Public Health shall act to contact the lawful occupants and owners of the site to also inform them of their responsibilities relative to the chemical investigation site public health nuisance.

2.32 The public health authority shall notify and order the property owner and occupant to have the public health nuisance removed or abated as provided in Minnesota Statute 145A.04 and this ordinance. Public Health shall include the following as part of the notice and order:

1. A replica of the Chemical Investigation Site Public Health Nuisance declaration that is posted at the site's entrance(s).
    
2. Information about the potentially hazardous condition of the dwelling.
    
3. A summary of the property owner's and occupant's responsibilities under this ordinance.
    
4. Information that can help them locate appropriate services necessary to remove and resolve the chemical investigation site public health nuisance status as provided in this Ordinance and Minnesota Statute 145A.04.

2.33 The public health authority shall also provide information about the Chemical Investigation Site Public Health Nuisance declaration and potential hazard(s) to the following concerned parties:

1. Occupants of the affected structure;
    
2. Neighbors in proximity that can be reasonably affected by the conditions found;
    
3. The local municipal clerk;
    
4. Local law enforcement;
    
5. Other state and local authorities, such as the Minnesota Pollution Control Agency and Minnesota Department of Health, that may have public and environmental protection responsibilities applicable to the situation.

Section 2.40 Notice Filed with Property Record and/or Motor Vehicle Record.

2.41 If after 10 days notice and order, Public Health is unable to obtain any reasonable assurance or plan from the property owner or occupant that the dwelling or structure is being properly vacated, cleaned, remediated, and tested, Public Health is authorized to provide a copy of the Chemical Investigation Site Public Health Nuisance notice and order to the County Recorder and to the lien and mortgage holders of the affected structure and/or properties. The County Recorder is authorized to file that information with the property record, to help assure that persons with interest in the property have access to information about the property's chemical investigation site public health nuisance status.

2.42 Similarly when the affected property is a motor vehicle, boat, or trailer, Public Health shall notify the appropriate State and local agency that maintains motor vehicle, boat, or trailer records, and to the lien and mortgage holders of the affected properties.

Section 2.50 Property Owner's and Occupant's Responsibility to Act.

2.51 Property owner(s) and occupant(s) provided with a notice, which may include the posted warning notice informing them about the chemical investigation site public health nuisance, shall promptly act to vacate occupants from those parts of a structure that are a chemical investigation site public health nuisance. This includes dwellings, buildings, motor vehicles, trailers, boat, or appliances.

2.52 Within ten business days of receiving the Public Health notice and order to cleanup the Chemical Investigation Site Public Health Nuisance, the property owner(s) and/or occupant(s) shall act to accomplish the following:

1. Notify Public Health Authority that the affected parts of the dwellings, buildings, and/or motor vehicles have been and will remain vacated and secured until Public Health acts to remove the chemical hazard investigation public health nuisance declaration.
    
2. Contract with one or more acceptable environmental hazard testing and cleaning firms (acceptable firms are those that have provided the Minnesota and/or Olmsted County Departments of Health assurance of appropriate equipment, procedures, and personnel) to accomplish the following:
    
   1. Conduct a detailed on-site assessment,
       
   2. Determine the extent of contamination
       
   3. Carry out and/or direct remediation operations,
       
   4. Perform and/or direct follow-up sampling and testing, and
       
   5. Determine that the risks are sufficiently reduced, according to Minnesota Department of Health guidelines, to allow renewed occupancy of the dwelling.
       
3. Provide the Public Health Authority with the identity of the testing and cleaning firm the owner has contracted with, for remediation of the structure(s) as described above.
    
4. Provide the Public Health Authority with the contractor's plan and schedule for remediation leading to removal of the chemical investigation site public health nuisance declaration.
    
5. The property owner or occupant may also seek authorization for an extension of time to allow the owner time to consider options for arranging cleanup or removal of the affected parts of the structure. Owner or occupant must show good cause for any such extension. Any such extension shall be dependant on the owner's assurance that the affected parts of the structure will not be occupied pending appropriate cleanup or demolition.
    
6. The Public Health Authority may authorize extensions, up to 90 calendar days but will make extensions beyond 90 days only with approval of the Environmental Commission.

Section 2.60 Property Owner's Responsibility for Costs and Opportunity for Recovery.

2.61 Consistent with Minnesota Statutes Chapter 145A, the property owner shall be responsible for a) private contractor's fees, cleanup, remediation, and testing of chemical investigation site public health nuisance conditions; and b) Olmsted County's fees and costs of administering notices and enforcing vacating, cleanup, remediation, and testing of affected parts of the property.

2.62 Nothing in this ordinance is intended to limit the property owners, occupants, or the County's right to recover costs, referenced in this section, from persons contributing to the damage, such as the operators of the clandestine drug lab and/or other lawful sources.

2.63 The County's administrative and enforcement services, referenced in subsection 2.61, include but are not limited to, the following:

1. Posting the site,
    
2. Notification of concerned parties,
    
3. Remediation services,
    
4. Laboratory fees,
    
5. Expenses related to the recovery of costs, including the property assessment process,
    
6. Administrative fees, and
    
7. Other services associated with assessing, vacating, and remediation of the property.
    

2.64 The County will pay remediation costs that exceed the following:

1. Any applicable insurance damage recovery payments;
    
2. Any applicable security deposits;
    
3. Any applicable court awards, settlements, or payments made for damage recovery from the perpetrator. This includes those recoveries made according to the authority of Minnesota Statutes Chapters 115B and 611A and Minnesota Statute 561.01; and
    
4. The property owner's contribution of $ 2,000 (two thousand dollars).
    
5. An individual property owner's contribution amount may be adjusted down according to current poverty guidelines accepted by the County Board of Commissioners.

2.65 When a property owner transfers remediation costs to the County, the property owner agrees to provide the following to the County: 1) identity of all insurance companies, that have policies regarding the property, and pending court or contract enforcement actions, that may result in recovery of remediation costs; and 2) proceeds from pending recovery actions, including, but not limited to, insurance companies, applicable court actions, and enforcement of contracts. As a precondition to any County obligation to make any payments hereunder, the property owner shall make legally sufficient assignment to the County any of the foregoing which are applicable.

2.66 If there is still an unresolved cost, the County shall apply for applicable state and federal funding to offset the cost of remediation and associated eligible County expenses.

1. Such funding may include that authorized by federal programs such as the Environmental Protection Agency's "Local Government Reimbursement" program referenced in pages 8283 – 8296 of the Federal Register, dated February 18, 1998.
    
2. The County shall return amounts that exceed the County's applicable costs to the rightful parties.
    
3. Costs that exceed the financial sources, referenced in the above sections, will be recovered from the property owner as a special assessment on the property as provided in Minnesota Law and Section 2.70 below.

2.67 The County Board of Commissioners can periodically amend the considerations and financial contribution limits, referenced in section 2.64 through 2.66 by resolution.

2.68 Expenses, such as replacement of a structure's damaged furnishings, walls, floors, and ceilings; and equipment, vehicles, boats, and trailers are not eligible for County funding referenced in this ordinance.

Section 2.70 Special Assessment to Recover Public Costs.

2.71 The County is authorized to proceed within ten business days after mailing of notification, to initiate the assessment and cleanup when a) the property owner is not located, or b) is located but fails to respond appropriately, or c) notifies Public Health authority that he or she refuses to, or cannot pay the costs, or arrange timely assessment and cleanup that is acceptable to the designated Public Health authority.

2.72 The County Administrator (or the Administrator's formally identified designee) shall be fully authorized to act, consistent with Minnesota Law, on behalf of the County to direct funds to assure prompt remediation of chemical investigation sites.

2.73 When the estimated cost of testing, cleanup, and remediation exceeds seventy five percent of the County Assessor's market value of the structure, the County Administrator (or the Administrator's formally identified designee) is authorized to notify the property owner of the county's intent to remove and dispose of the affected property instead of proceeding with cleaning and remediation.

2.74 The property owner will be given up to ten business days to appeal to the County Administrator (or the Administrator's formally identified designee) and if appealed will be given the opportunity to show cause as to why such removal should not occur. The appeal is also the owner's opportunity to assume responsibility and provide acceptable plans and schedule for effectively cleaning, remediation, and testing of the structure. If within ten business days, of the administrator's notice, the owner fails to appropriately appeal or assume responsibility the administrator is authorized to arrange removal and disposition of the hazardous structure.

2.75 The property owner shall reimburse the county, for it's fees and costs of vacating, securing, and assuring cleanup and testing of the affected parts of the structure. Fees and costs not paid in any other way, may be collected through a special assessment on the property, as allowed by applicable Federal, State, and County Laws, Ordinances, and/or applicable County Board Resolution.

2.76 Payment, on the special assessment, shall be at the annual rate of at least one thousand dollars ($1000) or more as needed to assure full payment to the County within ten (10) years. This amount shall be collected at the time real estate taxes are due. The amount due and/or payment rate may be adjusted by action of the Olmsted County Board of Commissioners.

2.77 The County may also seek recovery of costs through other methods allowed by Federal or State law.

Section 2.80 Authority to Modify or Remove Declaration of Chemical Investigation Site Public Health Nuisance.

2.81 The designated Public Health authority may modify conditions of the declaration and order removal of the declaration of Chemical Investigation Site Public Health Nuisance.

2.82 Such modification or removal shall be only after the Public Health Authority has determined levels of contamination are sufficiently reduced through remediation to warrant modification or removal of the declaration. The Public Health Authority may rely on information from competent sources, including those supplied by the property owner and/or others such as state and local health, safety, and pollution control authorities to reach such decisions.

2.83 When the declaration is modified or removed the Public Health Authority shall forward that information to the County Recorder for addition to the property record if the Recorder has  been notified as described above. Similarly, notice shall be provided to the motor vehicle or other license records agency and lien holders if a notice had previously been provided to them.

Section 2.90 Waste generated from cleaning up a clandestine drug lab. Waste generated from chemical investigation site public health nuisances shall be treated, stored, transported, and disposed in accordance with applicable Minnesota Department of Health, Minnesota Pollution Control Agency, and Olmsted County rules and regulations for solid waste and for hazardous household and other hazardous wastes.

Article III. Exceptions, Appeals, and Penalties

Section 3.10 Exceptions, Appeals, and Penalties. Administration of this ordinance, including guidance for, challenges to, and penalties shall be according to the authorities provided in Minnesota Statute Chapter 145A, other applicable Minnesota law, and the Olmsted County Environmental Service's Administrative Ordinance.

Section 3.20 Severability And Savings Clause. If any section or portion of this ordinance shall be found unconstitutional or otherwise invalid or unenforceable by a court of competent jurisdiction, that finding shall not serve as an invalidation of, or affect the validity or enforceability of any other section or provision of this ordinance.

Article IV. Effective Date

This ordinance shall be in full force and effect upon adoption pursuant to Minnesota law. Dated this 23rd day of October, 2001.

OLMSTED COUNTY BOARD OF COMMISSIONERS

__________________________________________
Jean Michaels, Chairperson

ATTEST:

___________________________________
Richard G. Devlin, Clerk-Administrator

Medical Protocols for Children Found at Methamphetamine Lab Sites

Olmsted County, Minnesota

This protocol is intended specifically as a guide for managing the health issues of children who are found at a methamphetamine lab site at the time of an investigation. Any child found in an environment where methamphetamine is made or used is at risk for toxicity. Children with symptoms consistent with methamphetamine exposure or ingestion must have an emergency medical evaluation as soon as possible.

Children found in these settings may also be at risk for various types of abuse or neglect, which should be addressed in a medical as well as social services evaluation. The ongoing safety of the child must be considered when making a judgment about the need for an acute assessment. Personnel involved with acute care assessment of children must be familiar with the signs and symptoms of child abuse and neglect.

These protocols are intended to serve as guidelines and are in no way intended to replace the expertise and judgment of treating health professionals.

Protocol # 1: Field Medical Assessment

The field medical assessment is done to determine whether children discovered at the scene of a methamphetamine laboratory seizure are in need of emergency medical care. The assessment must be done by a medically trained person (EMT, paramedic, or qualified first responder). If no medical personnel are available on-site, ambulance personnel should be summoned to complete the assessment within 2 hours of discovering children at a methamphetamine lab site.

Steps

1. For children with obvious injury or illness, begin treatments according to local EMS guidelines or protocols and transport to the nearest appropriate hospital.
    
2. For all children who are not obviously injured or ill, perform a basic assessment consisting of:
    
   1. Vital signs (temperature, blood pressure, pulse, and respiration).
       
   2. Triangle of Assessment including airway, breathing, and circulation.
       
3. Should vital signs be found outside of normal parameters, the child must be cared for according to local EMS guidelines or protocols and transported to the nearest appropriate hospital.
    
4. If there are no obvious life threats and vital signs and initial assessment are within normal limits, the supervision and responsibility for the children should be passed to law enforcement or child welfare personnel and documented on the EMS Run Record or appropriate form.
    
5. Care should be taken with a child's personal possessions, which may contain chemical/drug contamination. Only in cases of gross chemical/drug contamination is it necessary to remove a child's clothing and provide clean attire prior to removing the child from scene. (Grossly soiled clothing must remain at the scene and should be handled as evidence by law enforcement.)

Protocol # 2: Immediate Care (within 12 hours)

The purpose of the immediate care evaluation is to address problems requiring care that cannot wait 24 hours to be treated at the baseline exam (Protocol #3). Immediate care must be provided as soon as possible after significant health problems or risks are identified in the child. Immediate care may be provided in a hospital emergency department or urgent care facility, depending on the severity/urgency of the problem and the time of day. If drug toxicity due to methamphetamine exposure is suspected, these children should be preferentially seen in a hospital emergency department. If a field medical assessment was not completed (Protocol #1), this should be completed at the time immediate care is provided. Immediate care and baseline assessment may be combined.

Steps

1. Perform the field medical assessment, if not already done in field (follow Protocol #1). Administer tests and procedures as indicated by clinical findings. If a urine or serum drug screen is required for legal purposes, it should be collected from each child within 12 hours of identification because some chemicals/drugs are eliminated in a short time.
    
2. Follow baseline assessment (see Protocol #3) if appropriate to medical site and time permitting or schedule baseline assessment exam to be completed within 24-48 hours of lab seizure.
    
3. Poison Control can be used as a resource if clinically indicated (800 222-1222).
    
4. Secure the release of a child's medical records to child welfare personnel to ensure ongoing continuity of care.
    
5. Child welfare personnel should evaluate placement options and implement short-term shelter for child.
    
6. The child will be released to parent/caretaker or appropriate social worker or will be admitted for observation.

Protocol # 3: Baseline Assessment and Ongoing Follow-up (all children within 24-48 hours)

All children, birth to age 18 years, who are found at meth lab sites, should have a baseline assessment within 24-48 hours as well as follow-up assessments at 30 days and 12 months. Children found in this environment should be considered "at risk" and the evaluation and follow up are intended to assure attention to possible sequelae of toxic exposure as well as identify and treat other health and welfare concerns. The qualified pediatric health care professional should plan the appropriate care based on clinical findings and use this protocol as a resource. Whenever possible, the child's own provider will provide the health services to enhance continuity of care. A qualified pediatric health care professional is, for the purposes of this document, a pediatrician, family physician, pediatric nurse practitioner, family practice nurse practitioner, or emergency medicine physician. Health information will be released to Child Protective Services according to current legal standards.

1. Obtain a complete medical history.
    
2. Perform a complete physical examination with special attention to
    
   • Vital Signs
   • Signs and symptoms of abuse
   • Developmental Screening
   • Neurologic Screening
   • Respiratory System
      
3. Consider laboratory evaluations (if there are abnormalities on history or physical exam).
    
   • Liver function testing: AST, ALT, alkaline phosphatase, total bilirubin
   • Kidney Function Testing: BUN, Creatinine
   • Electrolytes: sodium, potassium, chloride, and bicarbonate
   • CBC
   • Serum glucose
   • Pulmonary function tests
   • Oxygen saturation
   • Heavy metal screen (this should be considered when the method of methamphetamine production was not the ephedrine-reduction or cold cook methods; i.e.: the phenyl-2-propanone method was used or if the method is uncertain.)
      

For children living in direct contact with a methamphetamine lab, long-term follow up with rechecks at 30 days and one year is recommended.

Children with Limited Exposure

It is possible that some children may have had limited exposure either by living in proximity to a clandestine lab, such as in a multi-unit dwelling, or by having been a casual visitor. These children are encouraged to seek care from their provider and discuss the potential risk and need for evaluation. In instances of limited exposure, evaluation may be scheduled on a routine basis if the individual is asymptomatic.

Other Individuals with Potential Risk

This protocol is designed with the specific intent of caring for children found at the time of methamphetamine lab seizure. Others at risk, especially pregnant women and first responders, should consult with their provider regarding any symptoms or the need for ongoing evaluation.

Community Resources

Poison Control: 1-800-222-1222

Olmsted County Community Services
Child Protective Services
507-328-6400 (Business hours)
507-281-6248 (Non-business hours)

Children's Mental Health Resource Center 507-287-1522
(Olmsted County Community Services)

Olmsted County Public Health Services 507-328-7500
Public Health Nursing Services

The Medical Protocol was developed by a community task force made up of members representing Emergency Medical Services in Olmsted County, Mayo Clinic Department of Emergency Medicine and Department of Preventive Medicine, Olmsted Medical Center, Olmsted County Community Services, and Olmsted County Public Health Services.

We would like to credit the following sources for information used in the Protocol:

California Women's Commission on Addictions
Drug Endangered Children Project
Compton, CA 90220

Susan Webber-Brown
Butte Interagency Narcotics Task Force
Oroville, CA 95965

Thomas J. Ferguson, M.D., Ph.D.
Associate Clinical Professor, Internal Medicine
University of California, Davis
Consultant, UC Davis Regional Poison Control Center

For further information regarding this protocol, contact Robin Molella, M.D. at:
molella.robin@mayo.edu or phone 507 284-3211.