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Veterans at Risk: The Health Effects of Mustard Gas and Lewisite (1993)
Institute of Medicine (IOM)

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. "7 Nonmalignant Respiratory Effects of Mustard Agents and Lewisite." Veterans at Risk: The Health Effects of Mustard Gas and Lewisite. Washington, DC: The National Academies Press, 1993.

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Veterans at Risk: The Health Effects of Mustard Gas and Lewisite

TABLE 7-1 Effects of Acute Sulfur Mustard Vapor Exposure on the Human Respiratory Tract (at 16°C-27°C unless otherwise noted)

Estimated Exposure

Effects

Latency

Reference

12-70 mg·min/m3

Hoarseness; nasal mucosa irritation; nondisabling; recovery in approximately 2 weeks

12 hours to 2 days

Project Coordination Staff, 1946

100-500 mgmin/m3

Pulmonary effects evident (very little data)

Not available

Sidell, 1990

200 mg·min/m3

Median incapacitating Ct (ICt50). Upper airway effects of sneezing, lacrimation, rhinorrhea, sore throat, hoarseness, nosebleed, from which recovery usually occurs after two weeks. Lower airway effects of tracheobronchitis, hacking cough, rapid breathing, and pseudomembrane formation. Pulmonary edema, bronchial pneumonia, and other secondary infections may develop after 36-48 hours. Prolonged recovery (1-2 months), particularly after infections.

4 to 6 hours

Ganas, 1969; Stepanov and Popov, 1962

1,000-1,500 mg·min/m3

1,500 mg·min/m3 is estimated median lethal Ct (LCt50). Injuries as for ICt50 above, progressing to edema in pharynx and tracheobronchial tree; death due to severe edema, secondary infection or necrotic bronchopneumonia. Incapacitating for survivors; recovery over period of several mnths.

24 to 48 hours

Robinson, 1967; Sidell, 1990; Stepanov and Popov, 1962; U.S. Army, 1974; U.S. Army CRDEC, 1990; U.S. Army and U.S. Air Force, 1975; WHO, 1970

150 mg/m3 (10 min) 1,500 mg·min/m3

Reported human lethal concentration; no temperature data

Not available

Back et al., 1972

70 mg/m3 (30 min) 2,100 mg·min/m3

Reported human lethal concentration; no temperature data

Not available

Inada et al., 1972

 

SOURCE: Adapted from Papirmeister et al., 1991; Watson and Griffin, 1992.

Page
116
Front Matter (R1-R20)
Executive Summary (1-8)
1 Introduction (9-13)
2 Methods of Literature Collection and Survey (14-20)
3 History and Analysis of Mustard Agent and Lewisite Research Programs in the United States (21-60)
4 Findings from the Public Hearing Process (61-70)
5 Chemistry of Sulfur Mustard and Lewisite (71-80)
6 Relationship of Mustard Agent and Lewisite Exposure to Carcinogenesis (81-111)
7 Nonmalignant Respiratory Effects of Mustard Agents and Lewisite (112-130)
8 Ocular Effects of Mustard Agents and Lewisite (131-147)
9 Dermatological Effects of Mustard Agents and Lewisite (148-178)
10 Other Physiological Effects of Mustard Agents and Lewisite (179-198)
11 Relationship of Mustard Agent and Lewisite Exposure to Psychological Dysfunction (199-213)
12 Summary of Findings and Recommendations (214-226)
Bibliography (227-330)
A. Scientific and Background Presentations Made to the Committee (331-334)
B. Excerpt from The Residual Effects of Warfare Gases (335-337)
C. Involvement of the National Academy of Sciences Complex in World War II Research Programs: A Summary (338-339)
D. Excerpts from Chamber Tests with Human Subjects I, II, and IX. Naval Research Laboratory Reports Nos. P-2208 and P-2579 (340-369)
E. Interim Report and Addendum: Feasibility of Developing a Cohort of Veterans Exposed to Mustard Gas During WWII Testing Programs (370-377)
F. Summary of the Department of the Army Report: Use of Volunteers in Chemical Agent Research (378-381)
G. Public Hearing Announcement (382-385)
H. Letter from Dr. Jay Katz to Dr. David P. Rall (386-389)
I. Risk Assessment Considerations for Sulfur Mustard (390-398)
J. Examination of the Effects of Certain Acute Environmental Exposures on Future Respiratory Health Consequences (399-416)
List of Acronyms and Abbreviations (417-420)
Index (421-428)