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Epidemiology of Inhalant Abuse - Archives - National Institute on ...

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propellant. In the United Kingdom, products with a high propellant<br />

c<strong>on</strong>tent, principally deodorants, pain relief spray, and air fresheners,<br />

are preferred (table 3). There is a potential hazard from exposure to<br />

aluminum chlorhydrate in deodorants. Based <strong>on</strong> the mortality data,<br />

abuse <str<strong>on</strong>g>of</str<strong>on</strong>g> spray paint is rare in the United Kingdom, in marked<br />

c<strong>on</strong>trast to the United States (Goodwin 1988; Streicher et al. 1981;<br />

Voigts and Kaufman 1983) and Japanese experience (Suwaki, this<br />

volume).<br />

3. Solvents from adhesives: C<strong>on</strong>tact adhesives c<strong>on</strong>taining toluene are<br />

resp<strong>on</strong>sible for most <str<strong>on</strong>g>of</str<strong>on</strong>g> the deaths from the abuse <str<strong>on</strong>g>of</str<strong>on</strong>g> glue in the<br />

United Kingdom (table 4). The adhesives c<strong>on</strong>tain many other<br />

volatile comp<strong>on</strong>ents in additi<strong>on</strong> to toluene, which, although probably<br />

not resp<strong>on</strong>sible for intoxicati<strong>on</strong>, are important when assessing<br />

possible toxicity from chr<strong>on</strong>ic VSA.<br />

4. Other products: A wide range <str<strong>on</strong>g>of</str<strong>on</strong>g> other products are misused<br />

(table 5). A major cause <str<strong>on</strong>g>of</str<strong>on</strong>g> death is misuse <str<strong>on</strong>g>of</str<strong>on</strong>g> typewriter correcti<strong>on</strong><br />

fluid or its thinner, which <strong>on</strong>ce c<strong>on</strong>tained 1, 1, 1-trichloroethane.<br />

<str<strong>on</strong>g>Abuse</str<strong>on</strong>g> <str<strong>on</strong>g>of</str<strong>on</strong>g> fire extinguishers c<strong>on</strong>taining BCF is an important if highly<br />

TABLE 3. United Kingdom VSA-related deaths from aerosols.<br />

Product Deaths<br />

Deodorant 111<br />

Pain relief spray 53<br />

Air freshener 24<br />

Hair spray 16<br />

Cleaning fluid 12<br />

Paint 5<br />

Glue 3<br />

Unspecified aerosol 27<br />

Total 255<br />

217

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