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RE: Emergency Preparedness





Today Brazil is one of the countries with large experience gained in the

use of Prussian Blue Therapy in the treatment of contaminated persons due

Cs-137. 

To those interested it is possible download the IAEA doc. describing the

Brazilian experience on Dosimetric and Medical Aspects in Goiania,

especially:In Vitro and In Vivo Bioassay, Cesium Biokinetic Model Efficacy

of Prussian Blue Therapy for decorporation of Cesium, Cesium Metabolism in

Pregnant Women Internal Dose Assessment, Dose Assessment and Cytogenetic

Follow-Up Clinical Aspects and Treatment of Localized Radiation-Induced

Lesions, The infectious complications and Hematological Disorders in the

Goiania Radiation Accident Victims, The Medical Follow-Up   to the present.

Please GO TO http://www-pub.iaea.org/MTCD/publications/PDF/te_1009_prn.pdf

to download the Dosimetric and Medical Aspects of the Radiological Accident

in Goiânia in 1997 Details IAEA TECDOC Series No. 1009 1998

If colleagues wish to discuss technically materials, please select the

subject, send me e-mail and I’ll provide the e-mail to communicate with the

Brazilian group on the topic.



Jose Julio Rozental

joseroze@netvision.net.il

Brazil until January 28





Original Message:

-----------------

From: Engelbretson, David A. DEngelbret@TMH.TMC.EDU

Date: Mon, 06 Jan 2003 13:43:40 -0600

To: radsafe@list.vanderbilt.edu

Subject: Emergency Preparedness





Dear Colleagues,

 

In regard to chemical agents used for treating certain types of RAM

exposures, are there any substitutes available for the following two

chemicals ?

 

Ferric ferrocyanide (Prussian Blue), a blocking agent for Cs-137, is not

recognized by the U.S. Pharmacopeia and is not approved by the FDA.

 

DTPA, a chelating agent, is not commercially available either. I believe it

is only available under Investigational New Drug (IND) permits for treatment

of persons contaminated internally with plutonium. However, calcium EDTA is

available and has effectiveness for the transuranium metals, but DTPA is

generally more effective.

 

Any assistance or direction would be appreciated. Thank you.

 

David Engelbretson

Radiation Safety Dept.

Methodist Hospital, Houston, Texas

 

dengelbret@tmh.tmc.edu <mailto:dengelbret@tmh.tmc.edu> 

 

 

 





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