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Potential Applicability of Assembled Chemical Weapons Assessment Technologies to RCRA Waste Streams and Contaminated Media EPA 542-R-00-004 August 2000
United States Solid Waste and EPA 542-R-00-004 Environmental Protection Emergency Response August 2000 Agency (5102G) www.epa.gov clu-in.org EPA Potential Applicability of Assembled Chemical Weapons Assessment Technologies to RCRA Waste Streams and Contaminated Media EPA 542-R-00-004 August 2000 POTENTIAL APPLICABILITY OF ASSEMBLED CHEMICAL WEAPONS ASSESSMENT TECHNOLOGIES TO RCRA WASTE STREAMS AND CONTAMINATED MEDIA U.S. Environmental Protection Agency Office of Solid Waste and Emergency Response Technology Innovation Office Washington, DC 20460 Potential Applicability of ACWA Technologies to RCRA Waste Streams and Contaminated Media NOTICE AND DISCLAIMER This document was prepared by the U.S. Environmental Protection Agency’s Technology Innovation Office with support under EPA Contract Number 68-W-99-003. It is intended to raise the awareness of the technologies included in the Assembled Chemical Weapons Assessment (ACWA) program, and presents an overview of each technology, including its applicability, performance, and other factors. Information about the technologies was obtained from the technology providers. No testing or evaluation was conducted by EPA during preparation of this document, and an independent assessment of this information was beyond EPA’s scope. Mention of trade names or commercial products does not constitute endorsement or recommendation for use. For more information about this project, please contact: John Kingscott, U.S. Environmental Protection Agency, Technology Innovation Office, Ariel Rios Building, 1200 Pennsylvania Avenue, N.W. (MS 5102G), Washington, D.C., 20460; (703) 603-7189; e-mail: [email protected]. This document may be obtained from EPA’s web site at www.epa.gov/tio, or at clu-in.org. -
AASLD PRACTICE GUIDELINES Diagnosis and Management of Autoimmune Hepatitis
AASLD PRACTICE GUIDELINES Diagnosis and Management of Autoimmune Hepatitis Michael P. Manns,1 Albert J. Czaja,2 James D. Gorham,3 Edward L. Krawitt,4 Giorgina Mieli-Vergani,5 Diego Vergani,6 and John M. Vierling7 This guideline has been approved by the American ment on Guidelines;3 and (4) the experience of the Association for the Study of Liver Diseases (AASLD) authors in the specified topic. and represents the position of the Association. These recommendations, intended for use by physi- cians, suggest preferred approaches to the diagnostic, 1. Preamble therapeutic and preventive aspects of care. They are intended to be flexible, in contrast to standards of Clinical practice guidelines are defined as ‘‘systemati- care, which are inflexible policies to be followed in ev- cally developed statements to assist practitioner and ery case. Specific recommendations are based on rele- patient decisions about appropriate heath care for spe- vant published information. To more fully characterize 1 cific clinical circumstances.’’ These guidelines on the quality of evidence supporting the recommenda- autoimmune hepatitis provide a data-supported tions, the Practice Guidelines Committee of the approach to the diagnosis and management of this dis- AASLD requires a class (reflecting benefit versus risk) ease. They are based on the following: (1) formal and level (assessing strength or certainty) of evidence review and analysis of the recently-published world lit- to be assigned and reported with each recommenda- erature on the topic [Medline search]; (2) American tion.4 The grading system applied to the recommenda- College of Physicians Manual for Assessing Health tions has been adapted from the American College of 2 Practices and Designing Practice Guidelines; (3) Cardiology and the American Heart Association Prac- guideline policies, including the AASLD Policy on the tice Guidelines, and it is given below (Table 1). -
Verification of Chemical Warfare Agent Exposure in Human Samples
Toxichem Krimtech 2013;80(Special Issue):288 Verification of chemical warfare agent exposure in human samples Paul W. Elsinghorst, Horst Thiermann, Marianne Koller Institut für Pharmakologie und Toxikologie der Bundeswehr, München Abstract Aim: This brief presentation provides an overview of methods that have been developed for the verification of human exposure to chemical warfare agents. Methods: GC–MS detection of nerve agents (V- and G-type) has been carried out with respect to unreacted agents as well as enzyme-bound species and metabolites. Methods involving di- rect SPE from plasma, fluoride-induced release of protein-bound nerve agents in plasma and analysis of their metabolites in plasma and urine have been developed. Exposure to blistering agents, i.e., sulfur mustard, has been verified by GC–MS detection of the unreacted agent in plasma and by LC– and GC–MS analysis of its metabolites in urine. Results: After incorporation nerve agents quickly bind to proteins, e.g., acetylcholinesterase, butyrylcholinesterase or serum albumin, and only small parts remain freely circulating for a few hours (G-type) or up to 2 days (V-type). Concurrently they are converted to O-alkyl methylphosphonic acids by phosphotriesterases and/or simply by aqueous hydrolysis. As a re- sult, different biomarkers can be detected depending on the time passed between exposure and sampling. Unreacted V-type agents can be detected in plasma for 2 days, the O-alkyl methyl- phosphonic acids in plasma for about 2–4 days and in urine for up to 1 week. Fluoride-indu- ced release of protein-bound nerve agents can be carried out until 3 weeks post exposure. -
Nerve Agent - Lntellipedia Page 1 Of9 Doc ID : 6637155 (U) Nerve Agent
This document is made available through the declassification efforts and research of John Greenewald, Jr., creator of: The Black Vault The Black Vault is the largest online Freedom of Information Act (FOIA) document clearinghouse in the world. The research efforts here are responsible for the declassification of MILLIONS of pages released by the U.S. Government & Military. Discover the Truth at: http://www.theblackvault.com Nerve Agent - lntellipedia Page 1 of9 Doc ID : 6637155 (U) Nerve Agent UNCLASSIFIED From lntellipedia Nerve Agents (also known as nerve gases, though these chemicals are liquid at room temperature) are a class of phosphorus-containing organic chemicals (organophosphates) that disrupt the mechanism by which nerves transfer messages to organs. The disruption is caused by blocking acetylcholinesterase, an enzyme that normally relaxes the activity of acetylcholine, a neurotransmitter. ...--------- --- -·---- - --- -·-- --- --- Contents • 1 Overview • 2 Biological Effects • 2.1 Mechanism of Action • 2.2 Antidotes • 3 Classes • 3.1 G-Series • 3.2 V-Series • 3.3 Novichok Agents • 3.4 Insecticides • 4 History • 4.1 The Discovery ofNerve Agents • 4.2 The Nazi Mass Production ofTabun • 4.3 Nerve Agents in Nazi Germany • 4.4 The Secret Gets Out • 4.5 Since World War II • 4.6 Ocean Disposal of Chemical Weapons • 5 Popular Culture • 6 References and External Links --------------- ----·-- - Overview As chemical weapons, they are classified as weapons of mass destruction by the United Nations according to UN Resolution 687, and their production and stockpiling was outlawed by the Chemical Weapons Convention of 1993; the Chemical Weapons Convention officially took effect on April 291997. Poisoning by a nerve agent leads to contraction of pupils, profuse salivation, convulsions, involuntary urination and defecation, and eventual death by asphyxiation as control is lost over respiratory muscles. -
Warning: the Following Lecture Contains Graphic Images
What the новичок (Novichok)? Why Chemical Warfare Agents Are More Relevant Than Ever Matt Sztajnkrycer, MD PHD Professor of Emergency Medicine, Mayo Clinic Medical Toxicologist, Minnesota Poison Control System Medical Director, RFD Chemical Assessment Team @NoobieMatt #ITLS2018 Disclosures In accordance with the Accreditation Council for Continuing Medical Education (ACCME) Standards, the American Nurses Credentialing Center’s Commission (ANCC) and the Commission on Accreditation for Pre-Hospital Continuing Education (CAPCE), states presenters must disclose the existence of significant financial interests in or relationships with manufacturers or commercial products that may have a direct interest in the subject matter of the presentation, and relationships with the commercial supporter of this CME activity. The presenter does not consider that it will influence their presentation. Dr. Sztajnkrycer does not have a significant financial relationship to report. Dr. Sztajnkrycer is on the Editorial Board of International Trauma Life Support. Specific CW Agents Classes of Chemical Agents: The Big 5 The “A” List Pulmonary Agents Phosgene Oxime, Chlorine Vesicants Mustard, Phosgene Blood Agents CN Nerve Agents G, V, Novel, T Incapacitating Agents Thinking Outside the Box - An Abbreviated List Ammonia Fluorine Chlorine Acrylonitrile Hydrogen Sulfide Phosphine Methyl Isocyanate Dibotane Hydrogen Selenide Allyl Alcohol Sulfur Dioxide TDI Acrolein Nitric Acid Arsine Hydrazine Compound 1080/1081 Nitrogen Dioxide Tetramine (TETS) Ethylene Oxide Chlorine Leaks Phosphine Chlorine Common Toxic Industrial Chemical (“TIC”). Why use it in war/terror? Chlorine Density of 3.21 g/L. Heavier than air (1.28 g/L) sinks. Concentrates in low-lying areas. Like basements and underground bunkers. Reacts with water: Hypochlorous acid (HClO) Hydrochloric acid (HCl). -
Nerve Agent Hydrolysis Activity Designed Into a Human Drug Metabolism Enzyme
Nerve Agent Hydrolysis Activity Designed into a Human Drug Metabolism Enzyme Andrew C. Hemmert1, Tamara C. Otto2, Roberto A. Chica3¤, Monika Wierdl4, Jonathan S. Edwards1, Steven L. Lewis1, Carol C. Edwards4, Lyudmila Tsurkan4, C. Linn Cadieux2, Shane A. Kasten2, John R. Cashman5, Stephen L. Mayo3, Philip M. Potter4, Douglas M. Cerasoli2, Matthew R. Redinbo1* 1 Department of Biochemistry/Biophysics and Chemistry, University of North Carolina at Chapel Hill, Chapel Hill, North Carolina, United States of America, 2 United States Army Medical Research Institute for Chemical Defense, Aberdeen Proving Ground, Maryland, United States of America, 3 Department of Biology and Chemistry, California Institute of Technology, Pasadena, California, United States of America, 4 Department of Chemical Biology and Therapeutics, St. Jude Children’s Research Hospital, Memphis, Tennessee, United States of America, 5 Human BioMolecular Research Institute, San Diego, California, United States of America Abstract Organophosphorus (OP) nerve agents are potent suicide inhibitors of the essential neurotransmitter-regulating enzyme acetylcholinesterase. Due to their acute toxicity, there is significant interest in developing effective countermeasures to OP poisoning. Here we impart nerve agent hydrolysis activity into the human drug metabolism enzyme carboxylesterase 1. Using crystal structures of the target enzyme in complex with nerve agent as a guide, a pair of histidine and glutamic acid residues were designed proximal to the enzyme’s native catalytic triad. The resultant variant protein demonstrated significantly increased rates of reactivation following exposure to sarin, soman, and cyclosarin. Importantly, the addition of these residues did not alter the high affinity binding of nerve agents to this protein. Thus, using two amino acid substitutions, a novel enzyme was created that efficiently converted a group of hemisubstrates, compounds that can start but not complete a reaction cycle, into bona fide substrates. -
Organic & Biomolecular Chemistry
Organic & Biomolecular Chemistry Accepted Manuscript This is an Accepted Manuscript, which has been through the Royal Society of Chemistry peer review process and has been accepted for publication. Accepted Manuscripts are published online shortly after acceptance, before technical editing, formatting and proof reading. Using this free service, authors can make their results available to the community, in citable form, before we publish the edited article. We will replace this Accepted Manuscript with the edited and formatted Advance Article as soon as it is available. You can find more information about Accepted Manuscripts in the Information for Authors. Please note that technical editing may introduce minor changes to the text and/or graphics, which may alter content. The journal’s standard Terms & Conditions and the Ethical guidelines still apply. In no event shall the Royal Society of Chemistry be held responsible for any errors or omissions in this Accepted Manuscript or any consequences arising from the use of any information it contains. www.rsc.org/obc Page 1 of 7 Organic & Biomolecular Chemistry Journal Name RSCPublishing ARTICLE Selective chromo-fluorogenic detection of DFP (a Sarin and Soman mimic) and DCNP (a Tabun mimic) Cite this: DOI: 10.1039/x0xx00000x with a unique probe based on a boron dipyrromethene (BODIPY) dye Manuscript Received 00th January 2012, Accepted 00th January 2012 Andrea Barba-Bon,a,b Ana M. Costero,a,b* Salvador Gil,a,b Ramón Martínez- a,c,d a,c,d DOI: 10.1039/x0xx00000x Máñez, * and Félix Sancenón www.rsc.org/ A novel colorimetric probe (P4) for the selective differential detection of DFP (a Sarin and Soman mimic) and DCNP (a Tabun mimic) was prepared. -
Soman Is a Human-Made Chemical Warfare Agent Classified As a Nerve Agent
District Health Department #2 Soman Fact Sheet RCP-AP-06l SOMAN WHAT YOU SHOULD KNOW What is Soman? Soman is a human-made chemical warfare agent classified as a nerve agent. Nerve agents are the most toxic and rapidly acting of known chemical warfare agents. Soman is a tasteless, odorless, clear liquid with a slight camphor odor (similar to vapor rub). How Can People Be Exposed to Soman? Following a release of Soman into the air, people can be exposed through skin contact, eye contact, or inhalation. Soman also mixes easily with water so it is possible that it could be used as a poison through the water. What Are The Symptoms of Soman? Individuals who are exposed to a low or moderate dose of soman by inhalation, ingestion, or skin absorption may experience some or all of the following symptoms within seconds to a few hours after exposure: runny nose, watery eyes, small pupils, eye pain, blurred vision, drooling and excessive sweating, cough, chest tightness, rapid breathing, diarrhea, increased urination, confusion, drowsiness, weakness, headache, nausea/vomiting, slow or fast heart rate, and abnormally high or low blood pressure. A large dose of Soman may lead to loss of consciousness, convulsions, paralysis, and respiratory failure leading to death. What are the Long-term Effects of Soman Exposure? Mild or moderately exposed people usually recover completely. Severely exposed people are not likely to survive. Can Soman Be Treated? Treatment consists of removing Soman as soon as possible and providing supportive medical care in a hospital setting. Antidotes are available for Soman. -
Chapter 6 PRETREATMENT for NERVE AGENT EXPOSURE
Pretreatment for Nerve Agent Exposure Chapter 6 PRETREATMENT FOR NERVE AGENT EXPOSURE MICHAEL A. DUNN, M.D., FACP*; BRENNIE E. HACKLEY, JR., PH.D.†; AND FREDERICK R. SIDELL, M.D.‡ INTRODUCTION AGING OF NERVE AGENT–BOUND ACETYLCHOLINESTERASE PYRIDOSTIGMINE, A PERIPHERALLY ACTING CARBAMATE COMPOUND Efficacy Safety Wartime Use Improved Delivery CENTRALLY ACTING NERVE AGENT PRETREATMENTS NEW DIRECTIONS: BIOTECHNOLOGICAL PRETREATMENTS SUMMARY *Colonel, Medical Corps, U.S. Army; Director, Clinical Consultation, Office of the Assistant Secretary of Defense (Health Affairs), Washing- ton, D.C. 20301-1200; formerly, Commander, U.S. Army Medical Research Institute of Chemical Defense, Aberdeen Proving Ground, Mary- land 21010-5425 †Scientific Advisor, U.S. Army Medical Research Institute of Chemical Defense, Aberdeen Proving Ground, Maryland 21010-5425 ‡Formerly, Chief, Chemical Casualty Care Office, and Director, Medical Management of Chemical Casualties Course, U.S. Army Medical Research Institute of Chemical Defense, Aberdeen Proving Ground, Maryland 21010-5425; currently, Chemical Casualty Consultant, 14 Brooks Road, Bel Air, Maryland 21014 181 Medical Aspects of Chemical and Biological Warfare INTRODUCTION Nerve agents are rapidly acting chemical com- cal as well and may impair physical and mental pounds that can cause respiratory arrest within performance. A pretreatment must be administered minutes of absorption. Their speed of action im- to an entire force under a nerve agent threat. Any poses a need for rapid and appropriate reaction by resulting performance decrement, even a compara- exposed soldiers, their buddies, or medics, who tively minor one, would make pretreatment use must administer antidotes quickly enough to save unacceptable in battlefield situations requiring lives. A medical defense against nerve agents that maximum alertness and performance for survival. -
Pesticides and Toxic Substances
UNITED STATES ENVIRONMENTAL PROTECTION AGENCY WASHINGTON D.C., 20460 OFFICE OF PREVENTION, PESTICIDES AND TOXIC SUBSTANCES MEMORANDUM DATE: July 31, 2006 SUBJECT: Finalization of Interim Reregistration Eligibility Decisions (IREDs) and Interim Tolerance Reassessment and Risk Management Decisions (TREDs) for the Organophosphate Pesticides, and Completion of the Tolerance Reassessment and Reregistration Eligibility Process for the Organophosphate Pesticides FROM: Debra Edwards, Director Special Review and Reregistration Division Office of Pesticide Programs TO: Jim Jones, Director Office of Pesticide Programs As you know, EPA has completed its assessment of the cumulative risks from the organophosphate (OP) class of pesticides as required by the Food Quality Protection Act of 1996. In addition, the individual OPs have also been subject to review through the individual- chemical review process. The Agency’s review of individual OPs has resulted in the issuance of Interim Reregistration Eligibility Decisions (IREDs) for 22 OPs, interim Tolerance Reassessment and Risk Management Decisions (TREDs) for 8 OPs, and a Reregistration Eligibility Decision (RED) for one OP, malathion.1 These 31 OPs are listed in Appendix A. EPA has concluded, after completing its assessment of the cumulative risks associated with exposures to all of the OPs, that: (1) the pesticides covered by the IREDs that were pending the results of the OP cumulative assessment (listed in Attachment A) are indeed eligible for reregistration; and 1 Malathion is included in the OP cumulative assessment. However, the Agency has issued a RED for malathion, rather than an IRED, because the decision was signed on the same day as the completion of the OP cumulative assessment. -
Efficacy of the Repon1 Mutant IIG1 to Prevent Cyclosarin Toxicity in Vivo and to Detoxify Structurally Different Nerve Agents in Vitro
Arch Toxicol (2014) 88:1257–1266 DOI 10.1007/s00204-014-1204-z MOLECULAR TOXICOLOGY Efficacy of the rePON1 mutant IIG1 to prevent cyclosarin toxicity in vivo and to detoxify structurally different nerve agents in vitro Franz Worek · Thomas Seeger · Moshe Goldsmith · Yacov Ashani · Haim Leader · Joel S. Sussman · Dan Tawfik · Horst Thiermann · Timo Wille Received: 30 September 2013 / Accepted: 16 January 2014 / Published online: 30 January 2014 © Springer-Verlag Berlin Heidelberg 2014 Abstract The potent human toxicity of organophos- alkylmethylfluorophosphonates but had low efficiency with phorus (OP) nerve agents calls for the development of the phosphoramidate tabun and was virtually ineffective effective antidotes. Standard treatment for nerve agent with the nerve agent VX. This quantitative analysis vali- poisoning with atropine and an oxime has a limited effi- dated the model for predicting in vivo protection by cata- cacy. An alternative approach is the development of cata- lytic bioscavengers based on their catalytic efficiency, the lytic bioscavengers using OP-hydrolyzing enzymes such level of circulating enzyme, and the dose of the intoxicat- as paraoxonases (PON1). Recently, a chimeric PON1 ing nerve agent. The in vitro and in vivo results indicate mutant, IIG1, was engineered toward the hydrolysis of the that IIG1 may be considered as a promising candidate toxic isomers of soman and cyclosarin with high in vitro bioscavenger to protect against the toxic effects of a range catalytic efficiency. In order to investigate the suitabil- of highly toxic nerve agents. ity of IIG1 as a catalytic bioscavenger, an in vivo guinea pig model was established to determine the protective Keywords Nerve agents · Paraoxonase · Mutant · effect of IIG1 against the highly toxic nerve agent cyclo- Detoxification · Protection · Bioscavenger sarin. -
Environmental Assessment Proposed Changes to the Sanitary Biosolids Land Application Program on the Oak Ridge Reservation, Oak Ridge, Tennessee
DOE/EA-1779 Environmental Assessment Proposed Changes to the Sanitary Biosolids Land Application Program on the Oak Ridge Reservation, Oak Ridge, Tennessee June 2011 U.S. Department of Energy Oak Ridge Office This page intentionally left blank. DOE/EA-1779 Environmental Assessment Proposed Changes to the Sanitary Biosolids Land Application Program on the Oak Ridge Reservation, Oak Ridge, Tennessee Date Issued—June 2011 Bechtel Jacobs Company, LLC and CDM Federal Services Inc. contributed to the preparation of this document and may not be considered for review of the document U.S. Department of Energy Office of Environmental Management This page intentionally left blank. CONTENTS FIGURES...................................................................................................................................................... v TABLES ....................................................................................................................................................... v ACRONYMS..............................................................................................................................................vii EXECUTIVE SUMMARY ......................................................................................................................... ix 1. INTRODUCTION.................................................................................................................................. 1 1.1 PURPOSE AND NEED FOR AGENCY ACTION.....................................................................