06.02.2013 Views

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

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

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

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

9.3 Human studies <strong>of</strong> <strong>the</strong> penetration <strong>of</strong> liquid GB<br />

No human studies involving <strong>Service</strong> volunteers having liquid GB placed on <strong>the</strong>ir skin (or on<br />

clothing on <strong>the</strong>ir skin) were carried out between 1954 and 1989. However, much effort was<br />

devoted to understanding better skin and clothing penetration. Excised or resected human<br />

skin was used in studies in 1954 [21, 22] with radioactively-labelled GB. Human skin<br />

samples from <strong>the</strong> back, forehead and hand were used in <strong>the</strong> first half <strong>of</strong> 1960 to measure <strong>the</strong><br />

rate <strong>of</strong> penetration <strong>of</strong> liquid GF [23].<br />

The part played by skin fat was studied in animals in 1956 and 1957 [24]. This work<br />

continued with excised human and animal skin in 1960 [25]. The results prompted volunteers<br />

to contribute to studies <strong>of</strong> skin penetrability, as described below:<br />

• One <strong>of</strong> <strong>the</strong> conclusions <strong>of</strong> <strong>the</strong> work in 1960 was that dead skin cells (called<br />

keratin) seemed to be a barrier to <strong>the</strong> penetration into <strong>the</strong> skin <strong>of</strong> liquid GB.<br />

However, it was not known how much keratin was normally present on human<br />

skin.<br />

• A method was found in 1960 to measure <strong>the</strong> weight <strong>of</strong> keratin stripped from<br />

human skin [23] and a ma<strong>the</strong>matical model was produced which related <strong>the</strong><br />

penetration rate <strong>of</strong> GB to <strong>the</strong> amount <strong>of</strong> keratin and <strong>the</strong> electrical conductivity <strong>of</strong><br />

<strong>the</strong> skin.<br />

• As a consequence, during 1960 and 1961, <strong>Service</strong> volunteers had keratin<br />

stripped from <strong>the</strong>ir skin [26] so it could be weighed. Typically, <strong>the</strong> keratin was<br />

removed by placing a piece <strong>of</strong> adhesive tape on <strong>the</strong> skin and <strong>the</strong>n peeling <strong>of</strong>f <strong>the</strong><br />

tape to remove dead skin cells. Sometimes "massive keratin-stripping" was<br />

carried out. Here, <strong>the</strong> forearm was <strong>of</strong>ten used. A site was shaved, and <strong>the</strong>n<br />

pieces <strong>of</strong> adhesive tape were applied and removed from <strong>the</strong> same site several<br />

times. Keratin was removed also from <strong>the</strong> shoulder blade region <strong>of</strong> <strong>the</strong> back [27].<br />

Seven women volunteers from <strong>the</strong> <strong>Porton</strong> staff contributed keratin in this manner<br />

[27] and it was found that <strong>the</strong> amount removed from <strong>the</strong>m differed only slightly<br />

from <strong>the</strong> amount <strong>of</strong> keratin stripped from men.<br />

• In 1961 [26], after keratin had been stripped by adhesive tape from parts <strong>of</strong> <strong>the</strong><br />

skin <strong>of</strong> human volunteers, <strong>the</strong> electrical conductivity <strong>of</strong> <strong>the</strong> keratin-stripped skin<br />

was measured. Typically, that was carried out by placing electrodes on <strong>the</strong> skin.<br />

This contribution <strong>of</strong> <strong>Service</strong> volunteers in skin penetration work did not involve <strong>the</strong>ir being<br />

exposed to nerve agents. <strong>Volunteer</strong>s took part in fur<strong>the</strong>r studies <strong>of</strong> skin penetration, none <strong>of</strong><br />

which involved nerve agents:<br />

78<br />

• In 1960/61 [28] volunteers took part in studies with radioactively-labelled tri-npropyl<br />

phosphate (TPP). TPP was at that time a simulant for GF, that is to say it<br />

had <strong>the</strong> physical properties <strong>of</strong> GD but did not induce <strong>the</strong> effects <strong>of</strong> it. Typically, a<br />

volunteer would have a small drop <strong>of</strong> one <strong>of</strong> <strong>the</strong>se liquids placed on <strong>the</strong> bare skin<br />

<strong>of</strong> <strong>the</strong> forearm. The drop was covered and <strong>the</strong> penetration into <strong>the</strong> skin<br />

measured by a Geiger counter. Work was conducted on normal skin and on a<br />

patch <strong>of</strong> skin from which keratin had been stripped [28].<br />

• From <strong>the</strong> work with keratin and by measuring <strong>the</strong> electrical conductivity <strong>of</strong> skin,<br />

<strong>Porton</strong> built up a picture <strong>of</strong> how liquid penetrated <strong>the</strong> skin. It became apparent<br />

that penetration might depend on <strong>the</strong> electrical charge <strong>of</strong> ions in <strong>the</strong> liquid placed<br />

on <strong>the</strong> skin. In 1961/62 [29] volunteers took part in studies <strong>of</strong> <strong>the</strong> penetration <strong>of</strong><br />

sodium, potassium, phosphate and bromide ions through <strong>the</strong> skin. No report<br />

specifically on this work has been found but it appears that drops <strong>of</strong> water<br />

containing <strong>the</strong>se ions were placed on <strong>the</strong> arms <strong>of</strong> volunteers [29]. This type <strong>of</strong><br />

study was conducted periodically up to June 1965 [30]. The electrical charge <strong>of</strong><br />

<strong>the</strong> ions was not found to influence <strong>the</strong> penetration rate [29].

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!