Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 2 This module introduces a very interesting group of chemicals – those that do not cause immediate symptoms. The concept of delayed onset chemicals may be particularly attractive to some terrorists as they mimic the time course of some biological agents. This module will go through examples of toxic industrial chemicals that present in very characteristic fashion, but days, weeks or even years following exposure, rather than those with immediate onset as we have been discussing for much of the morning. December 2008 Version 2.0 Page 310
Chemical Agents of Opportunity for Terrorism Training Support Package Participant Guide Slide 3 Unlike the general concept of chemical poisoning, in which the onset of symptoms is rapid and the source identifiable, exposure to some chemicals present with a delayed onset of symptoms. This unique property could contribute to their use as a covert weapon. Allowing time to escape may not have an immediate impact (as is commonly seen with explosive terrorist events)., However, this delayed onset complicates the epidemiology (figuring out the cause of the problem and source) and makes clinical management more difficult. More exposures may occur because there are no warning properties of exposure. In acute onset toxins, most people will escape when everyone around them develops symptoms. But if nobody gets ill….nobody realizes they are being poisoned….and nobody escapes. For toxins with particularly long latency (delay to onset of symptoms or disease), such as those chemicals that may cause cancer, the long-term psychological effects may be very consequential, even in the absence of any physical disease. This is a reasonably good definition of terror. Delayed onset toxins may mimic biological agents (particularly non-contagious ones such as anthrax), both because of the time to symptom development (often measured in days-weeks) and the somewhat non-specific nature of initial symptoms. This further complicates the diagnosis. December 2008 Version 2.0 Page 311
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Chemical Agents of Opportunity for Terrorism: TICs & TIMs

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