Sarin

From WikiMD's Wellness Encyclopedia

Sarin, also known as GB (G-series, 'B'), is a man-made compound that is used as a nerve gas and is considered a weapon of mass destruction (WMD). It is classified as a schedule 1 substance under the Chemical Weapons Convention due to its high toxicity and lack of any significant use outside of chemical warfare.[1]

History[edit | edit source]

Sarin was originally developed in Germany in 1938 as a pesticide. However, its potential for harm was quickly realized, and it was used by the Nazi regime during World War II. Since then, it has been used in several incidents of warfare and terrorism, including the Tokyo subway sarin attack in 1995.[2]

Chemical Structure and Mechanism of Action[edit | edit source]

Sarin is an organophosphorus compound, specifically a phosphonofluoridate, with the formula (CH3)2CHOCH3P(O)F. It is a volatile, colorless, and odorless liquid at room temperature that can evaporate into a gas and spread into the environment.[3]

Sarin inhibits the action of acetylcholinesterase, a key enzyme in the nervous system that breaks down acetylcholine, a neurotransmitter that sends signals in the body. Inhibition of acetylcholinesterase leads to an accumulation of acetylcholine in the body, causing overstimulation of muscles and glands.[4]

Symptoms of Exposure[edit | edit source]

Symptoms of sarin exposure can range from mild to severe, depending on the dose and route of exposure. Mild symptoms include a runny nose, watery eyes, small, pinpoint pupils, eye pain, blurred vision, drooling and excessive sweating, cough, chest tightness, rapid breathing, diarrhea, nausea, vomiting, and abdominal pain. More severe symptoms include loss of consciousness, seizures, paralysis, and respiratory failure leading to death.[5]

Treatment and Management[edit | edit source]

Immediate decontamination is crucial following sarin exposure. This involves removing clothing and washing the body with soap and water. Medical management is supportive and includes the administration of atropine, an anticholinergic medication that counteracts the effects of excess acetylcholine, and pralidoxime (2-PAM), which reactivates acetylcholinesterase. Benzodiazepines may also be used to control seizures.[6]

Detection and Protection[edit | edit source]

Detection of sarin in the environment is possible using specialized equipment that military and some civil emergency units possess. Individuals who are at risk of exposure, such as military personnel and first responders, may wear protective clothing and masks to prevent contact with the substance.[7]

Impact on Public Health[edit | edit source]

The use of sarin poses a significant threat to public health, particularly in situations of warfare or terrorism. As a nerve gas, it can cause mass casualties with even a small amount. The threat of sarin and other chemical weapons has led to international efforts to ban their production and use, such as the Chemical Weapons Convention.[8]

See Also[edit | edit source]

References[edit | edit source]

  1. "Sarin". Centers for Disease Control and Prevention. Retrieved 2021-07-08.
  2. "Sarin". PubChem. Retrieved 2021-07-08.
  3. "Facts About Sarin". Centers for Disease Control and Prevention. Retrieved 2021-07-08.
  4. "Sarin". Centers for Disease Control and Prevention. Retrieved 2021-07-08.
  5. "Sarin". Centers for Disease Control and Prevention. Retrieved 2021-07-08.
  6. "Chemical Weapons Convention". Organisation for the Prohibition of Chemical Weapons. Retrieved 2021-07-08.
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Contributors: Prab R. Tumpati, MD