
72 TOXIC CHEMICALS
A summary of the more common corrosive chemicals is given in Table 5.4. Note that this
includes many primary irritants, such as:
• Chemicals which give strong acid reactions, often on interaction with water, e.g. mineral acids.
Some organic acids can also be corrosive. Phenolics can result in local anaesthesia so that the
pain will be absent for a time, i.e. contact may go unheeded.
• Halogen compounds.
• Acid anhydrides/halides which react with water to form their parent acids.
• Common bases, which render aqueous solutions alkaline.
• Certain oxidizing/reducing compounds and salts which, in the form of solid (bulk or dust) or
as solution, can produce irritation by thermal burns.
Strong acids and alkalis produce effects within moments: e.g. sulphuric and nitric acids quickly
become hydrated by the water content of the skin/mucous membranes and combine with skin
protein to form albuminates, sometimes with charring. Some substances, e.g. certain organotins
or hydrofluoric acid, produce a more delayed reaction. Thus on the skin hydrofluoric acid produces
an effect which varies, depending on concentration and duration of exposure, from mild erythema
to severe burns and intense pain, sometimes delayed by several hours after the initial exposure. A
tough white lump forms over the area of skin damage under which progressive destruction of cell
tissue continues. Burns under the finger nails are notable in this respect because of the difficulties
of treatment. Similarly, inhalation of the vapour can cause corrosion of the respiratory system and
pulmonary oedema. If hydrofluoric acid is swallowed, burns to the mouth and pharynx can occur
with vomiting and ultimate collapse.
Sensitizers
Generally sensitizers may not on first contact result in any ill effects, although cellular changes
can be induced and the body’s immune system affected. (Some chemicals may act as primary
irritants as well as sensitizers.) Subsequent exposures to the same, or related, chemicals may
bring about violent allergic responses: the person has become sensitized. Generally there is no
mathematical relationship between the degree of exposure and the extent of the response. Sensitization
to a compound is usually highly specific and normally occurs within about 10 days, although
there have been cases of workers using a chemical for years without untoward effects before
developing an allergic dermatitis. Sensitization is usually for life. Depending upon the toxic
mechanism, atopics may be most vulnerable.
Thus with industrial skin sensitizers, e.g. chromates or amine curing agents, no effect is usually
observed on first exposure; subsequent exposure results in inflammation of the skin, not restricted
to the areas of contact. Refer to Table 5.5.
Respiratory sensitizers, e.g. isocyanates or formaldehyde, result, in mild cases, in a sense of
tightness of the chest and occasionally a troublesome cough. Severe cases involve bronchial
asthma. Refer to Table 5.6. With such sensitizers, complete cessation of contact is often followed
by rapid recovery but no further exposure is generally permitted.
Asphyxiants
Asphyxiants interfere with the body’s oxygen uptake mechanisms. Air normally contains 21%
oxygen. Oxygen deficiency in inhaled air, e.g. due to the presence of nitrogen, argon, or carbon
dioxide in a confined space, depending on the concentration and duration, may affect the body
and ultimately cause death from simple anoxia (Table 5.7).