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Part III - Historical Survey of the Porton Down Service Volunteer ...

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Figure 8.1. Variation <strong>of</strong> ChE Inhibition induced by GB on bare skin [66]<br />

Estimates <strong>of</strong> LD50 (clo<strong>the</strong>d skin) for man were made in <strong>the</strong> same report. For GB, <strong>the</strong><br />

evidence <strong>of</strong> <strong>the</strong> main study suggested it "cannot be greater and may be less" than <strong>the</strong> bare<br />

skin estimate. Liquid GD and GF had only been placed on <strong>the</strong> bare skin <strong>of</strong> man in <strong>the</strong> large<br />

study but work had been conducted with liquid GD and GF on clo<strong>the</strong>d animal skin. If <strong>the</strong><br />

clothing protected man in <strong>the</strong> same way as it protected animals, <strong>the</strong> LD50 (clo<strong>the</strong>d skin) for<br />

man could be estimated at 1200-1400 mg for GD and 1080 mg for GF [66].<br />

8.5.5. A case <strong>of</strong> severe poisoning and a fatality<br />

On <strong>the</strong> 27 th April 1953 one <strong>of</strong> <strong>the</strong> six men who received a 300mg dose <strong>of</strong> GB in <strong>the</strong> main<br />

human study suffered severe poisoning [69]. The dose was administered in 30 drops <strong>of</strong><br />

10mg on a layer <strong>of</strong> serge fixed to <strong>the</strong> upper forearm. The man was subsequently<br />

hospitalised, his breathing temporarily ceased and he suffered convulsions; but he recovered<br />

some days later. The points observed from <strong>the</strong> incident in <strong>Porton</strong> reports published<br />

afterwards [67, 69] were:<br />

• Three <strong>of</strong> <strong>the</strong> 26 men who had received this dose on serge had shown "mild and<br />

temporary systemic responses (nausea and vomiting)".<br />

• The man's pre-exposure RBC ChE activity was 82 Warburg units. This was<br />

described [69] as "low" and "may have been an important contributory factor" 4 .<br />

4 Lower normal limits cited in earlier <strong>Porton</strong> reports [43, 70] for RBC ChE varied between 84 and 92<br />

Warburg units; a value <strong>of</strong> 92 was cited in <strong>the</strong> report published in September 1953 [68].<br />

74

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