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

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With the United Kingdom populati<strong>on</strong> <str<strong>on</strong>g>of</str<strong>on</strong>g> about 5.0 milli<strong>on</strong> youngsters<br />

aged between 12 and 19, there may be as many as 590,000 who could<br />

have experimented with volatile substances, and up to 59,000 could be<br />

regular users (Gossop 1993).<br />

VSA IN UNITED KINGDOM INDUSTRY<br />

The Health and Safety Executive data <strong>on</strong> workplace exposure show that<br />

industry generally c<strong>on</strong>trols solvent exposure <str<strong>on</strong>g>of</str<strong>on</strong>g> workers quite well. High<br />

pers<strong>on</strong>al exposures are not widespread and tend to occur in a fairly small<br />

number <str<strong>on</strong>g>of</str<strong>on</strong>g> cases involving “end user” processes (e.g., mixing or spraying)<br />

and usually involve mixtures <str<strong>on</strong>g>of</str<strong>on</strong>g> solvents rather than single substances.<br />

The degree to which VSA is a c<strong>on</strong>tributory factor in exposure is<br />

uncertain, but there probably is greater opportunity for abuse to occur in<br />

these same end user processes. It is acknowledged that there is evidence<br />

for the occurrence <str<strong>on</strong>g>of</str<strong>on</strong>g> VSA in industry, but the extent <str<strong>on</strong>g>of</str<strong>on</strong>g> the practice is<br />

not known. The C<strong>on</strong>trol <str<strong>on</strong>g>of</str<strong>on</strong>g> Substances Hazardous to Health Regulati<strong>on</strong>s<br />

1988 put great emphasis <strong>on</strong> the assessment <str<strong>on</strong>g>of</str<strong>on</strong>g> risks from the industrial use<br />

<str<strong>on</strong>g>of</str<strong>on</strong>g> chemicals. This includes assessment <str<strong>on</strong>g>of</str<strong>on</strong>g> the potential for abuse,<br />

together with appropriate training and supervisi<strong>on</strong> in the proper use <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

chemicals (Parker 1989). In the United States, Suruda and McGlothlin<br />

(1990) reported 11 workplace deaths from nitrous oxide abuse, six <str<strong>on</strong>g>of</str<strong>on</strong>g><br />

which were restaurants using nitrous oxide to whip cream; the remainder<br />

were hospital or dental workers.<br />

LEGISLATION<br />

Legislati<strong>on</strong> to limit the sale <str<strong>on</strong>g>of</str<strong>on</strong>g> diethyl ether was introduced in Ireland at<br />

the turn <str<strong>on</strong>g>of</str<strong>on</strong>g> the century by a Government under pressure from the<br />

temperance societies and faced with the loss <str<strong>on</strong>g>of</str<strong>on</strong>g> tax revenues from alcohol<br />

(Nagle 1968). In England and Wales various acts, statutes, and bylaws<br />

have been used—some dating from the mid-19th century to address<br />

problems caused by intoxicated youngsters (Gossop 1993). These<br />

include:<br />

Ecclesiastical Courts Jurisdicti<strong>on</strong> Act 1860<br />

Offences Against the Pers<strong>on</strong> Act 1861<br />

Town and Gardens Protecti<strong>on</strong> Act 1863<br />

235

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