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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 27<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 />

Case 3: A Gas Smell<br />

• A gas odor is noted in a school classroom<br />

• The teacher complains <strong>of</strong> headache, nausea, shortness <strong>of</strong><br />

breath and dizziness<br />

• 80 students, 19 staff, 1 family member go to the ED<br />

– 38 hospitalized <strong>for</strong> unclear reasons<br />

• Scene investigation: no environmental cause<br />

– 5 days later school reopened<br />

• 71 people return to the ED <strong>for</strong> similar symptoms<br />

• Exhaustive investigation: no environmental cause<br />

Module One – Observed Behaviors during Mass <strong>Chemical</strong> Exposures<br />

27<br />

The last case we will discuss highlights some <strong>of</strong> the difficulties in ruling-out a toxic<br />

exposure and the resulting problems that situation creates. In November 1998, a teacher<br />

at the Warren County High School in McMinnville, Tennessee noticed a "gasoline-like"<br />

smell in her classroom, and soon thereafter she had a headache, nausea, shortness <strong>of</strong><br />

breath, and dizziness. The school was evacuated, and 80 students and 19 staff<br />

members went to the emergency room at the local hospital; 38 persons were<br />

hospitalized overnight. An investigation did not identify any problems with spills, gas<br />

leaks or the like; and the school was reopened. However, symptoms reoccurred.<br />

Despite several intensive investigations, no contamination or toxin was identified.<br />

December 2008 Version 2.0 Page 453

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