Current threats to the use of combat toxic nervous and paralytic action on the territory of Ukraine and features of medical protection

Keywords: chemical weapons, modern threats, combat poisons, organophosphorus poisons, medical protection, antidotes, personal protective equipment, indications

Abstract

The purpose: analysis of current threats of use of poisonous substances of neuro-paralytic action on the territory of Ukraine and scientific substantiation of directions of development of medical protection of personnel of the Armed Forces of Ukraine (hereinafter - the Armed Forces of Ukraine).

Materials and methods. An analysis of domestic and foreign sources of scientific information covering various aspects of the use of chemical weapons in modern wars and armed conflicts. Peculiarities of the striking effect of neurotopolitical warfare agents, their physicochemical properties, toxicity and medical protection are considered. The following research methods are used: analytical, historical, bibliographic, system and information approach.

Results. It is proved that there is an extremely high probability of use of chemical weapons by the Russian invader on the territory of Ukraine, in particular, poisonous substances (POR) of neuro-paralytic action - organophosphorus poisons (POPs), whose effects are high toxicity and rate of action. The lack of pharmaceutical facilities for the production of medical protection in the use of FOR and the inability of the military-industrial complex to renew obsolete and overdue military supply  used to protect personnel from toxic poisoning significantly complicates the provision of antidotes, modern personal protective equipment and means. In order to urgently create reserves of medical and logistical resources to protect personnel against organophosphorus poisons, it is proposed to purchase them in NATO countries or receive them as part of a "lease" or humanitarian aid. protection against organophosphorus toxic substances - development and approval of the state concept of providing medical protection, including antidotes, units of the Armed Forces of Ukraine and institutions of the Ministry of Health of Ukraine involved in providing emergency medical care at various stages, which should include approval of modern nomenclature of these funds, the order of creation, storage, distribution and use of their reserve, involving relevant scientific practical institutions and establishments of Ukraine.

Conclusions. The high risk of using neuro-paralytic warfare agents on the territory of Ukraine by the Russian aggressor has been proved. Unresolved issues have been identified regarding the provision of military personnel with antidotes, modern personal protective equipment and indications, such as lack of scientific developments and industrial (pharmaceutical, military-industrial) facilities for the production or upgrading of appropriate means of protection against personnel from toxic poisons. Ways of their solution are offered, both for urgent creation of reserves of medical and material and technical resources, and for the future for the decision of questions of development of domestic means of medical protection against organophosphorus toxic substances

Author Biographies

L. A. Ustinova, Ukrainian Military Medical Academy

Col MS, head of the department of Military toxicology, radiology and medical protection of the Ukrainian military medical academy, doctor of medical sciences, professor

V. L. Bohaienko, Ukrainian Military Medical Academy

LtC, senior lecturer, department of Military toxicology, radiology and medical protection of the Ukrainian military medical academy

M. I. Khizhniak, Ukrainian Military Medical Academy

professor of the department of Military preventive medicine of the Ukrainian military medical academy, doctor of medical sciences, professor

O. M. Vlasenko, Bogomolets National Medical University

Vice-rector for scientific, pedagogical and educational work of O.O. Bogomolets National medical university, doctor of medical sciences, professor

O. A. Kompaniets , Ukrainian Military Medical Academy

Professor of the department of Military surgery of the Ukrainian military medical academy, doctor of medical sciences, professor

V. I. Saglo, Ukrainian Military Medical Academy

Professor of the department of Military toxicology, radiology and medical protection of the Ukrainian military medical academy, candidate of medical sciences, senior researcher

V. A. Barkevych, Ukrainian Military Medical Academy

Associate professor of department of Military toxicology, radiology and medical protection of the Ukrainian military medical academy, candidate of medical sciences, associate professor

V. M. Shmigol, Ukrainian Military Medical Academy

Senior lecturer, department of Military toxicology, radiology and medical protection, Ukrainian military medical academy

O. A. Yevtodiev, Ukrainian Military Medical Academy

Lecturer, department of Military toxicology, radiology and medical protection of the Ukrainian military medical academy

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Published
2022-06-30
How to Cite
Ustinova, L. A., Bohaienko, V. L., Khizhniak, M. I., Vlasenko, O. M., Kompaniets , O. A., Saglo, V. I., Barkevych, V. A., Shmigol, V. M., & Yevtodiev, O. A. (2022). Current threats to the use of combat toxic nervous and paralytic action on the territory of Ukraine and features of medical protection. Ukrainian Journal of Military Medicine, 3(2), 81-91. https://doi.org/10.46847/ujmm.2022.2(3)-081
Section
Military preventive medicine