Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 53 Chemical Agents of Opportunity for Terrorism: TICs & TIMs Phosphine: Case Study • 5-year-old girl suddenly develops difficulty breathing at home • Has a cardiac arrest - Unable to resuscitate • Family members were ill as well – Developed acutely after a period of heavy rainfall – Odor noted in basement • Investigation: a cupful of aluminum phosphide pellets had been placed in a hole adjacent to the basement foundation • Child’s father was a professional exterminator Module Four – Cyanide & Fumigants 53 As indicated by this case study, mishandling and misuse are the most common causes of phosphine exposure. In this case a young girl developed difficulty breathing and suffered a cardiac arrest, and several other family members were ill. The investigation identified aluminum phosphide pellets, which had been placed by the father (an exterminator) in a potential site of rodent entry in the basement had become wet, and likely released the phosphine gas. December 2008 Version 2.0 Page 240
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 54 The illicit synthesis of methamphetamine also produces phosphine and has resulted in toxic exposures for both the “cooks” and first responders. The Willers paper describes three dead victims in a hotel room where methamphetamine was being synthesized. The Burgess paper detailed a law enforcement agent who was exposed to phosphine during a methamphetamine raid. He developed chronic lung disease following this initial exposure. December 2008 Version 2.0 Page 241
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