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Toxicol Appl Pharmacol. 2005 Sep 1;207(2 Suppl):471-6.

The Tokyo subway sarin attack--lessons learned.

Author information

1
Department of Acute and Disaster Medicine, Emergency Department, Jutendo University Hospital, Bunkyo-city, Tokyo 113-8431, Japan. xj2t-okmr@asahi-net.or.jp

Abstract

The sarin gas attack in the Tokyo subway system is reviewed from a clinical toxicology perspective. Based on the lessons learned from this attack, the following areas should be addressed on a global scale. First, an adequate supply of protective equipment is required, including level B protective equipment with a pressure demand breathing apparatus. In addition, a system should be established that enables a possible cause to be determined based on symptoms, physical findings, general laboratory tests, and a simple qualitative analysis for poisonous substances. If an antidote is needed, the system should enable it to be administered to the victims as quickly as possible. Preparation for a large-scale chemical attack by terrorists requires the prior establishment of a detailed decontamination plan that utilizes not only mass decontamination facilities but also public facilities in the area. A system should be established for summarizing, evaluating, and disseminating information on poisonous substances. Finally, a large-scale scientific investigation of the Tokyo sarin attack should be conducted to examine its long-term and subclinical effects and the effects of exposure to asymptomatic low levels of sarin.

PMID:
15979676
DOI:
10.1016/j.taap.2005.02.032
[Indexed for MEDLINE]

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