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Alcohol problems are not limited to the workplace. The US Department of Health and Human Services reports that alcohol was involved in half of all highway deaths last year, resulting in 25,000 fatalities. It is also a factor in 50 to 70 percent of all murders, fatal accidents, and fire deaths and in over half of all arrests. Considering alcohol's dramatic impact on our nation and businesses, any responsible substance abuse program should screen for it.

Why alcohol is not routinely tested for is unclear. However, there are probable causes for its omission. Urinalysis is legally acceptable for drug testing but is not a good test for alcohol. Alcohol evaporates from urine during shipment, causing the final reported content to be less than it was at collection. Also, because alcohol eventually moves to the kidneys and is held there until expelled, a urine test can report an alcohol level consistent with being legally intoxicated even though the person providing the sample is no longer affected by the intoxicant.

Intoximeters, or breath-testing machines, are an excellent means of alcohol detection and constitute legally acceptable evidence. However, they are costly, require certified operators, and must be calibrated continually. These drawbacks make them difficult for the average company to use in substance screening programs.

Saliva tests are inexpensive. They are, also generally acceptable for establishing probable cause to move forward to a confirmatory urine or blood test. Unfortunately, the test materials have a limited shelf life and must be kept cool.

Blood testing is the only accurate method of proving alcohol intoxication, but it is intrusive and costly. Blood tests are practical only when there is a reasonable suspicion that the person being tested has alcohol in his or her system.

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