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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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<strong>Chemical</strong> <strong>Agents</strong> <strong>of</strong> <strong>Opportunity</strong> <strong>for</strong> <strong>Terrorism</strong><br />

Training Support Package<br />

Participant Guide<br />

Slide 11<br />

<strong>Chemical</strong> <strong>Agents</strong> <strong>of</strong> <strong>Opportunity</strong> <strong>for</strong> <strong>Terrorism</strong>:<br />

<strong>TICs</strong> & <strong>TIMs</strong><br />

Reactive Airways Dysfunction<br />

Syndrome (RADS)<br />

• Non-immunologic asthmatic condition following large<br />

exposure to certain irritants<br />

• Syndrome diagnosis requiring:<br />

– No prior chronic respiratory illness (including asthma)<br />

– Documented exposure to chemical irritant in significant amount<br />

– Onset <strong>of</strong> symptoms (cough, dyspnea , wheezing) within 24 hours and<br />

persistence <strong>for</strong> >3 months<br />

– Demonstrated airway obstruction and bronchial hyper -responsiveness<br />

by pulmonary function testing<br />

– Lack <strong>of</strong> other competing pulmonary diagnosis<br />

Module One – Toxic Industrial Gases as Terrorist Threats<br />

11<br />

Reactive airways dysfunction syndrome (RADS) is a chronic condition that sometimes<br />

develops after an exposure to a “sensitizing” irritant such as methyl isocyanate. The<br />

symptoms resemble asthma. Prior to the exposure to the irritant, the patient may not<br />

have had any preexisting pulmonary condition such as asthma. The symptoms <strong>of</strong> RADS<br />

– cough, shortness <strong>of</strong> breath and/or wheezing – typically develop within 24 hours <strong>of</strong> the<br />

exposure. These symptoms may last <strong>for</strong> months (or even longer).<br />

December 2008 Version 2.0 Page 135

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