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Tear gas

Chemical weapon

  • 10 min read
  • 3 chapters

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Through Tears, World War I and Respiratory disease

While lachrymatory agents are commonly deployed for riot control by law enforcement and military personnel, their use in warfare is prohibited by various international treaties. During World War I, increasingly toxic and deadly lachrymatory agents were used.

The short and long-term effects of tear gas are not well studied. The published peer-reviewed literature consists of lower quality evidence that do not establish causality. Exposure to tear gas agents may produce numerous short-term and long-term health effects, including development of respiratory illnesses, severe eye injuries and diseases (such as traumatic optic neuropathy, keratitis, glaucoma, and cataracts), dermatitis, damage of cardiovascular and gastrointestinal systems, and death, especially in cases with exposure to high concentrations of tear gas or application of the tear gases in enclosed spaces.

Effects

Tear gas generally consists of aerosolized solid or liquid compounds (bromoacetone or xylyl bromide), not gas. Tear gas works by irritating mucous membranes in the eyes, nose, mouth and lungs. It causes crying, coughing, difficulty breathing, pain in the eyes, and temporary blindness.

With CS gas, symptoms of irritation typically appear after 20 to 60 seconds of exposure and commonly resolve within 30 minutes of leaving the area.

Risks

As with all non-lethal or less-lethal weapons, there is a risk of serious permanent injury or death when tear gas is used. Risks include from being hit by tear gas cartridges that may cause severe bruising, loss of eyesight, or skull fracture, resulting in immediate death. A case of serious vascular injury from tear gas shells occurred in Iran, with high rates of associated nerve injury (44%) and amputation (17%), and instances of head injuries in young people. Novel findings suggest that menstrual changes are one of the most commonly reported health issues in women.

While the medical consequences of the gases are typically limited to minor skin inflammation, delayed complications are also possible. People with pre-existing respiratory conditions such as asthma are particularly at risk. They are likely to need medical attention and may sometimes require hospitalization or even ventilation support.

Skin exposure to CS gas may cause chemical burns or induce allergic contact dermatitis. When people are hit at close range or are severely exposed, eye injuries involving scarring of the cornea can lead to a permanent loss in visual acuity. Frequent or high levels of exposure carry increased risks of respiratory illness.

Venezuelan chemist Mónica Kräuter studied thousands of tear gas canisters fired by Venezuelan authorities since 2014. She concluded that the majority of canisters used the main component CS gas, and that 72% of the tear gas used was expired. She noted that expired tear gas "breaks down into cyanide oxide, phosgenes and nitrogens that are extremely dangerous".

In the 2019–20 Chilean protests, people have had complete and permanent loss of vision in one or both eyes as result of the impact of tear gas grenades.

The majority (2,116; 93.8%) of protestors exposed to tear gas during the 2020 protests in Portland, Oregon, reported physical (2,114; 93.7%) or psychological (1,635; 72.4%) health issues experienced immediately after (2,105; 93.3%) or days following (1,944; 86.1%) the exposure. The majority (1,233; 54.6%) of respondents exposed to tear gas received or planned to seek medical or mental healthcare for their tear gas-related health issues. Health issues associated with exposure to tear gas often require medical attention.

Site of action

TRPA1 ion channels expressed on nociceptors have been implicated as the site of action for CS gas, CR gas, CN gas (phenacyl chloride), chloropicrin and bromoacetone in rodent models.

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