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Forensic Toxicology. Deaths Investigated by Forensic Toxicologists. Accidental Poisonings Drug Abuse Cases Suicidal Poisonings Homicidal Poisonings. Main Questions Addressed by Forensic Toxicologist. Is a drug or poison present? If so, what is the substance?
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Deaths Investigated by Forensic Toxicologists • Accidental Poisonings • Drug Abuse Cases • Suicidal Poisonings • Homicidal Poisonings
Main Questions Addressed by Forensic Toxicologist • Is a drug or poison present? If so, what is the substance? • How much of the substance is present? Is the concentration great enough to cause or contribute to death? • How was the drug/poison administered?
Properties of Ideal Poison • Undetectable by senses • Soluble in water • Delayed effect • Easily obtained • Non-traceable • Symptoms mimic actual disease • Undetectable by scientific instruments • Potent
Agent Botulinum toxin Ricin Strychnine Sodium arsenite Sodium cyanide Thallium Lethal Dose 0.05 mg 0.5 mg 100 mg 200 mg 250 mg 1000 mg Potencies of Various Poisons *As measured by the LD50 – the lethal dose that would kill 50% of people
General Classes of Poisons • Gases – HCN, CO • Metallic Poisons – As, Sb, Pb, Li, Hg, Tl • Non-volatile organics • Corrosive poisons – strong acids/bases • Salts – NaCN • Alkaloids • Pesticides
Carbon Monoxide (CO) • Normal level of 1-3% in body (up to 10% in smokers) • Fatal level at autopsy considered to be >50% for a healthy middle-aged male • CO prevents Oxygen binding to hemoglobin (red blood cells) • Leads to suffocation • CO victims have “cherry pink color”
Metal Poisons • Most common – As2O3 (arsenic) • Death within 24 hours • Can be given in trace amounts over long periods of time • Symptoms: • Vomiting • Diarrhea
Alkaloids • Nitrogen-containing organic base • Found in Plants and fungi • Strychnine most common • Death from muscle over-contraction, leading to respiratory system failure • Spasms and convulsions
Pesticides • Many (most?) of the pesticides we spray on our lawns, gardens, etc. are poisonous • Growing in popularity • Easy to obtain • Common enough that it won’t raise suspicions as quickly if traces found
Toxicological Analysis of Tissues • Collect sample of all body fluids • Collect samples from organs and tissues • Begin analysis as quickly as possible after death due to quick metabolism of toxins • Look for traces of poison OR their metabolic product (what toxin is changed into when broken down)
Fluids Soft Tissue Samples Collected at Autopsy
Fluids Blood – up to 100mL Urine – 100 mL Bile – all available Vitreous – all available Gastric contents – 50g Soft Tissue Liver – 100g Brain – 100-200g Kidney – 50g Lung – 50g Spleen – 50g Samples Collected at Autopsy
Perpetrator Profile Gender Intentional Poisoning Trends
Perpetrator Profile Caucasian Male Average or above IQ Underachiever Personality defect Non-confrontational Non-athletic Neat, orderly, meticulous Loner Gender Male – 46% Female – 39% Unknown – 15% Intentional Poisoning Trends
Top 5 Homicidal Poisons • Arsenic – 31% • Cyanide – 9% • Strychnine – 6% • Morphine – 3% • Chloroform – 3%
Possible Symptoms • Constricted/dilated pupils (opioids, organic phosphates) • Breath odor (arsenic – smells of garlic) • Hair loss (Thallium) • Convulsions (strychnine) • Paralysis (botulism) • Coma (depressants, hypnotics) • Skin color (CO=red, nitrites=blue) • Skin appearance • (arsenic – hyperkeratosis, warts) • (dioxin – chloracne)
TCDD (dioxin) – Chloracne Poisoning of Victor Yushchenko just before Ukraine presidential election