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Review of Inhalants - ARCHIVES - National Institute on Drug Abuse

Review of Inhalants - ARCHIVES - National Institute on Drug Abuse

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Chapter 11<br />

NERVOUS SYSTEM DAMAGE FROM<br />

MIXED ORGANIC SOLVENTS<br />

Le<strong>on</strong> Prockop and Daniel Couri<br />

INTRODUCTION<br />

General Comments<br />

Epidemic inhalati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> the vapors <str<strong>on</strong>g>of</str<strong>on</strong>g> intoxicating hydrocarb<strong>on</strong>s has<br />

been known <strong>on</strong>ly during the past quarter century. In a 1973<br />

review, Cohen stated that the use <str<strong>on</strong>g>of</str<strong>on</strong>g> commercial solvents as a<br />

means <str<strong>on</strong>g>of</str<strong>on</strong>g> achieving an intoxicated state probably started in California<br />

during the late 1950’s. Since then, inhalant abuse has<br />

been quite widespread. For example, in an upper middle class<br />

high school in California, 7 percent <str<strong>on</strong>g>of</str<strong>on</strong>g> the boys and 2.5 percent<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> the girls have sniffed intoxicants. Other data derived from<br />

high schools throughout the country are similar. A 1975 study<br />

(Abels<strong>on</strong> and Atkins<strong>on</strong>) reported data <strong>on</strong> inhalant abuse gathered<br />

by means <str<strong>on</strong>g>of</str<strong>on</strong>g> a nati<strong>on</strong>wide probability sample designed to reach two<br />

parts <str<strong>on</strong>g>of</str<strong>on</strong>g> the United States populati<strong>on</strong>: adults over 18 and youths<br />

ages 12-17. Of the adults, 2.8 percent reported use <str<strong>on</strong>g>of</str<strong>on</strong>g> glue or<br />

other inhalants <strong>on</strong> <strong>on</strong>e or more occasi<strong>on</strong>s. In the youth experience,<br />

8.5 percent were involved.<br />

A wide variety <str<strong>on</strong>g>of</str<strong>on</strong>g> products are employed, including glues and<br />

cements, gasoline, cleaning soluti<strong>on</strong>s, lighter fluid, and paint and<br />

lacquer thinner (H<str<strong>on</strong>g>of</str<strong>on</strong>g>mann and H<str<strong>on</strong>g>of</str<strong>on</strong>g>mann, 1975). All <str<strong>on</strong>g>of</str<strong>on</strong>g> the products<br />

c<strong>on</strong>tain <strong>on</strong>e or more organic substances that have a generalized<br />

depressant effect <strong>on</strong> the central nervous system (CNS)<br />

similar to that <str<strong>on</strong>g>of</str<strong>on</strong>g> volatile general anesthetic agents. Other effects<br />

185

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