Evidentiary false positives are caused by passive exposure to drugs in
the environment rather than by active use of drugs. The avoidance of
such positives is essential for both hair and urine analysis. Hair ana
lysis enjoys the advantage over urinalysis in having a number of appro
aches for making this distinction. These include: methylene blue stain
ing of the hair specimen for selecting the appropriate wash solvent; a
pplication of hair digestion techniques for the complete release of ch
emically unaltered analytes; the determination of three diagnostic rat
ios from wash and digestion data; the measurement of metabolite:drug r
atios; the use of cut-off levels setting the limits for passive endoge
nous drug exposure; reproducibility of results (including segmental an
alysis) with a newly collected hair specimen; and the reporting of res
ults as either negative, positive, or contaminated. Our sample prepara
tion procedures have been effectively applied to the analyses of nearl
y 200 000 specimens, i.e. to approximately one million drug analyses f
or cocaine, opiates, methamphetamine, phencyclidine or marijuana. On t
he basis of this experience we conclude that hair analysis is a safe a
nd effective method for workplace drug testing.