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Báo cáo khoa học: "The problem of secondary contamination following chemical agent releas"

Tuyển tập các báo cáo nghiên cứu về y học được đăng trên tạp chí y học Critical Care giúp cho các bạn có thêm kiến thức về ngành y học đề tài: The problem of secondary contamination following chemical agent release. | Available online http ccforum.eom content 9 4 323 Commentary The problem of secondary contamination following chemical agent release David Baker SAMU 75 Hopital Necker - Enfants Malades Paris France and Chemical Hazards and Poisons Division Health Protection Agency Guy s and St Thomas s Trust London UK Corresponding author David Baker david.baker@gstt.nhs.uk Published online 22 March 2005 This article is online at http ccforum.com content 9 4 323 2005 BioMed Central Ltd Critical Care 2005 9 323-324 DOI 10.1186 cc3509 See review by Okumura et al. page 397 http ccforum.com content 9 4 397 In the present issue of Critical Care an article by Okumura and colleagues has been published on the problem of secondary contamination following chemical agent release 1 . The authors draw on first-hand experience 2-5 of the secondary contamination experienced during the Tokyo sarin release in 1995. This experience is important both for the care of contaminated patients and for the safety of medical staff. The Tokyo terrorist attack in 1995 involved the release of the nerve agent sarin which produced nearly 1500 casualties but only 12 fatalities. The low number of fatalities may have been due to the impure nature of the sarin used but these figures underline the fact that chemical agent release does not necessarily produce the mass fatalities suggested by the term weapons of mass destruction . The large number of casualties from the terrorist attack and the analysis of secondary contamination casualties from the transmission of sarin gas formed a significant proportion of the injured in Japan. Of the responding fire workers who are professionally familiar with the management of released hazardous materials 9.9 suffered secondary contamination while the rate among medical personnel at St Luke s hospital where most of the casualties were received was 23 . The authors note that the rate of secondary exposure by occupation was 39.3 among nurse assistants was 26.5 among nurses was 25.5