Chemical warfare agent simulants for human volunteer trials of emergency decontamination: A systematic review

James, T; Wyke, S; Marczylo, T; Collins, S; Gaulton, T; Foxall, K; Amlôt, R; Duarte-Davidson, R

HERO ID

4923473

Reference Type

Journal Article

Subtype

Review

Year

2018

Language

English

PMID

28990191

HERO ID 4923473
Material Type Review
In Press No
Year 2018
Title Chemical warfare agent simulants for human volunteer trials of emergency decontamination: A systematic review
Authors James, T; Wyke, S; Marczylo, T; Collins, S; Gaulton, T; Foxall, K; Amlôt, R; Duarte-Davidson, R
Journal Journal of Applied Toxicology
Volume 38
Issue 1
Page Numbers 113-121
Abstract Incidents involving the release of chemical agents can pose significant risks to public health. In such an event, emergency decontamination of affected casualties may need to be undertaken to reduce injury and possible loss of life. To ensure these methods are effective, human volunteer trials (HVTs) of decontamination protocols, using simulant contaminants, have been conducted. Simulants must be used to mimic the physicochemical properties of more harmful chemicals, while remaining non-toxic at the dose applied. This review focuses on studies that employed chemical warfare agent simulants in decontamination contexts, to identify those simulants most suitable for use in HVTs of emergency decontamination. Twenty-two simulants were identified, of which 17 were determined unsuitable for use in HVTs. The remaining simulants (n = 5) were further scrutinized for potential suitability according to toxicity, physicochemical properties and similarities to their equivalent toxic counterparts. Three suitable simulants, for use in HVTs were identified; methyl salicylate (simulant for sulphur mustard), diethyl malonate (simulant for soman) and malathion (simulant for VX or toxic industrial chemicals). All have been safely used in previous HVTs, and have a range of physicochemical properties that would allow useful inference to more toxic chemicals when employed in future studies of emergency decontamination systems.
Doi 10.1002/jat.3527
Pmid 28990191
Wosid WOS:000416225100008
Is Certified Translation No
Dupe Override No
Is Public Yes
Language Text English