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Ricin:
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Symptoms and Treatment, Toxicity,
Chemistry, Site of Action,
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| Symptoms, Treatment, Decontamination | |
| Syndrome Name | None |
| Symptoms |
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| Onset of Symptoms | Within a few hours by ingestion and within 18-24 hours by inhalation. If a lethal dose is experienced, time to death is a matter of a few days. |
| Rapid diagnostic assay | ELISA's are available for the detection of ricin. In the event of its
use as a weapon, clustering of patients with similar symptoms may be the
first and only clue. Particular attention in a BW environment must be
paid to the lungs as inhalation toxicity will be the most likely form
of poisoning, diagnosis may be by elimination of other possibilities,
including:
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| Antidote | None available. Possible antidotes include sugar analogs that prevent ricin binding to its target and the AIDS drug AZT that may inhibit the catalytic subunit. |
| Supportive Care | Symptoms are treated. For inhalation exposure, breathing is supported and pulmonary edema is treated. Exposure by ingestion is treated by absorbing the toxin onto generous quantities of superactivated charcoal and the digestive tract is then cleared out with a cathartic. |
| Inactivation | Decontamination with dilute bleach or soap and water. |
| Route | LD50(micrograms/kg) |
|---|---|
| Intravenous | 3.0 |
| Intraperitoneal | 2.6 |
Castor oil manufacturers are to be encouraged to use hot-press rather than cold-press methods to extract castor oil to minimize the recovery of ricin from the waste.
The protein is relatively robust and when freeze-dried, it forms a powder that disperses readily. Researchers are instructed not to freeze dry ricin because of this hazard.
Ricin is a valuable research tool and the catalytic subunit is being investigated for use in the treatment of cancers. When it is bound to an antibody that recognizes cancer cells, then it may be taken up by the cancer cells and ultimately kill them. This is known as an immunotoxin and the Australia group makes specific exclusions in the monitoring of ricin for such use.
There have been at least two prosecutions in the United States under the Biological Weapons Anti-Terrorism act of 1989 for illegal possession of ricin powder. Ricin is seen as attractive as a terror weapon to fringe groups and a number of books and videos describe the small scale preparation of the protein. Some web sites describing the synthesis have been taken down.
Beginning in October 2003, someone known only as "Fallen Angel" started sending small quantities of crude ricin preparations to US politicians, including the President. Fallen Angel was objecting to new laws that required truckers to take longer rest breaks.
| Disease | ICD-9-CM | ICD-10 |
|---|---|---|
| Toxic effect of berries & other plants eaten as food | 988.2 | T62.1 |
Two Bulgarian dissidents who had been close to Communist President Todor Shivkov before disillusionment and defection fell prey to a bizarre assassination plot that is often compared to something out of James Bond or the Avengers.
The first effort: against Vladimir Kostov in Paris in August 1978 failed, although he was very ill for some time. The second, against BBC World Service commentator Georgi Markov, was successful. In September 1978, as he was walking across Waterloo Bridge in London on his way to Bush House (BBC World Service headquarters) when he was bumped by a man carrying an umbrella and felt a sharp pain. The man apologized and walked off and Markov fell ill within hours.
Markov told doctors what had happened and after his death a minute metal ball was recovered from his right thigh. The tiny sphere, 0.6 millimeters across (smaller than the ball of a ballpoint pen), had been exquisitely engineered as a carrier for poison with two holes 0.2 millimeters across (each made using a different technology) and traces of ricin were found in them.
A re-examination of Kostov found a similar ball in his back. He had been protected at the time of the attack by a heavy sweater that gave enough resistance to prevent complete penetration of the ball.
The interpretation placed on events, and subsequently confirmed, was that technicians at the Soviet KGB had modified an umbrella to turn it into a syringe that could deliver the poison. The KGB had previously used a version of this technique with briefcases as the delivery vehicle.
Zhivkov was unforgiving of those who betrayed him, especially the voluble and passionate Markov, but he did his regime as much damage as Markov could have done had he lived.
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