This study is about a population of 528 truck drivers from two countries from the North of France, who have been screened concerning psychoactive substances during the first medical examination for the hiring. First of all, we tried to do the statement situation, analyzed by some graphic. We find 13% patients are positive, for one or two drugs. The social and economical context of this population, increasing requests from carriers (concerning industrial injuries) and discussions about the French depenalization of cannabis make this topic a very actual problem. This screening has been made since 1996 in our medical service. After this study, some mistake can be found concerning the collection of urine before the screening. That's why we then tried to develop a better protocol of collection. Secondly we talk of juridical or legal problems (validity of positivity of screenings, validity of decision of aptitude, interest of laboratory confirmation, patient's professional following. It seems important to release previous information about drug addict behavior in professional world, with screening; and so open the enterprise's door at the prevention of drug addict behavior. In conclusion it is necessary to sharpen the screening, but simultaneously we should improve prevention and social medical following. In this idea we release a film on this subject for personal staff and trainers. (Author/publisher) For the covering abstract of the conference see ITRD Abstract No. E201067.
Abstract