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Tear gas, also known as a lachrymator agent or lachrymator (), sometimes colloquially known as "mace" after the early commercial aerosol, is a chemical weapon that stimulates the nerves of the lacrimal gland in the eye to produce tears. In addition, it can cause severe eye and respiratory pain, skin irritation, bleeding, and blindness. Common lachrymators both currently and formerly used as tear gas include pepper spray (OC gas), PAVA spray ( nonivamide), CS gas, CR gas,
CN gas Phenacyl chloride, also commonly known as chloroacetophenone, is a substituted acetophenone. It is a useful building block in organic chemistry. Apart from that, it has been historically used as a riot control agent, where it is designated CN. It ...
(phenacyl chloride),
bromoacetone Bromoacetone is an organic compound with the formula . It is a colorless liquid although impure samples appear yellow or even brown. It is a lachrymatory agent and a precursor to other organic compounds. Occurrence in nature Bromoacetone is ...
, xylyl bromide and Mace (a branded mixture). While lachrymatory agents are commonly deployed for riot control by law enforcement and military personnel, its use in warfare is prohibited by various international treaties.E.g. the Geneva Protocol of 1925 prohibited the use of "asphyxiating gas, or any other kind of gas, liquids, substances or similar materials". During
World War I World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was List of wars and anthropogenic disasters by death toll, one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, ...
, 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 does not establish causality. More rigorous research is needed. 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 Bromoacetone is an organic compound with the formula . It is a colorless liquid although impure samples appear yellow or even brown. It is a lachrymatory agent and a precursor to other organic compounds. Occurrence in nature Bromoacetone is ...
or xylyl bromide), not gas. Tear gas works by irritating mucous membranes in the eyes, nose, mouth and lungs. It causes crying, sneezing, 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 (or being removed from) 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. This includes risks 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 has also been reported from Iran, with high rates of associated nerve injury (44%) and amputation (17%), as well as 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 themselves are typically limited to minor skin inflammation, delayed complications are also possible. People with pre-existing respiratory conditions such as
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, co ...
are particularly at risk. They are likely to need medical attention and may sometimes require hospitalization or even ventilation support. Skin exposure to CS 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 The cornea is the transparent front part of the eye that covers the iris, pupil, and anterior chamber. Along with the anterior chamber and lens, the cornea refracts light, accounting for approximately two-thirds of the eye's total optical ...
can lead to a permanent loss in visual acuity. Frequent or high levels of exposure carry increased risks of respiratory illness. In the 2019–20 Chilean protests various 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 (2116; 93.8%) of protestors who reported exposure to tear gas during the 2020 protests in Portland, Oregon (USA) reported physical (2114; 93.7%) or psychological (1635; 72.4%) health issues experienced immediately after (2105; 93.3%) or days following (1944; 86.1%) the exposure. The majority (1233; 54.6%) of respondents who reported exposure to tear gas during the 2020 protests in Portland, Oregon (USA) have also reported receiving or planning to seek medical or mental healthcare for their tear gas-related health issues. It has been shown that health issues associated with the exposure to tear gas are 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, also commonly known as chloroacetophenone, is a substituted acetophenone. It is a useful building block in organic chemistry. Apart from that, it has been historically used as a riot control agent, where it is designated CN. It ...
(phenacyl chloride) and
bromoacetone Bromoacetone is an organic compound with the formula . It is a colorless liquid although impure samples appear yellow or even brown. It is a lachrymatory agent and a precursor to other organic compounds. Occurrence in nature Bromoacetone is ...
in rodent models.


Use


Warfare

During
World War I World War I (28 July 1914 11 November 1918), often abbreviated as WWI, was List of wars and anthropogenic disasters by death toll, one of the deadliest global conflicts in history. Belligerents included much of Europe, the Russian Empire, ...
, various forms of tear gas were used in combat and tear gas was the most common form of chemical weapon used. None of the belligerents believed that the use of irritant gases violated the
Hague Convention of 1899 The Hague Conventions of 1899 and 1907 are a series of international treaties and declarations negotiated at two international peace conferences at The Hague in the Netherlands. Along with the Geneva Conventions, the Hague Conventions were amon ...
which prohibited the use of "poison or poisoned weapons" in warfare. Use of chemical weapons escalated during the war to lethal gases, after 1914 (during which only tear gas was used). The US Chemical Warfare Service developed tear gas grenades for use in riot control in 1919. Use of tear gas in warfare, as with all other chemical weapons, was prohibited by the Geneva Protocol of 1925: it prohibited the use of "asphyxiating gas, or any other kind of gas, liquids, substances or similar materials", a treaty that most states have signed. Police and civilian self-defense use is not banned in the same manner. Tear gas was used in combat by Italy in the Second Italo-Ethiopian War, by Japan in the
Second Sino-Japanese War The Second Sino-Japanese War (1937–1945) or War of Resistance (Chinese term) was a military conflict that was primarily waged between the Republic of China and the Empire of Japan. The war made up the Chinese theater of the wider Pacific T ...
, by Spain in the Rif War and by the United States in the Vietnam War, and the Israel-Palestine conflict. Tear gas exposure is an element of military training programs, typically as a means of improving trainees' tolerance to tear gas and encouraging confidence in the ability of their issued protective equipment to prevent chemical weapons exposure.


Riot control

Certain lachrymatory agents, most notably tear gas, are often used by police to force compliance. In some countries (e.g., Finland, Australia, and United States), another common substance is mace. The self-defense weapon form of mace is based on pepper spray which comes in small spray cans. Versions including CS are manufactured for police use. Xylyl bromide, CN and CS are the oldest of these agents. CS is the most widely used. CN has the most recorded toxicity. Typical manufacturer warnings on tear gas cartridges state "Danger: Do not fire directly at person(s). Severe injury or death may result." Tear gas guns do not have a manual setting to adjust the range of fire. The only way to adjust the projectile's range is to aim towards the ground at the correct angle. Incorrect aim will send the capsules away from the targets, causing risk for non-targets instead.


Counter-measures

A variety of protective equipment may be used, including gas masks and respirators. In riot control situations, protesters sometimes use equipment (aside from simple rags or clothing over the mouth) such as swimming goggles and adapted water bottles, as well as covering as much skin as possible. Activists in United States, the Czech Republic, Venezuela and Turkey have reported using antacid solutions such as Maalox diluted with water to repel effects of tear gas attacks, with Venezuelan chemist Mónica Kräuter recommending the usage of diluted antacids as well as baking soda. There have also been reports of these antacids being helpful for tear gas, and for capsaicin-induced skin pain. During the 2019 Hong Kong protests, frontline protesters became adept at extinguishing tear gas: they formed special teams that spring into action as soon as it is fired. These individuals generally wear protective clothing, including heat-proof gloves, or cover their arms and legs with cling film to prevent the painful skin irritation. Canisters are sometimes picked up and lobbed back at police or extinguished straight away with water, or neutralized using objects such as traffic cones. They share information about models of 3M respirator filters which have been found to be most effective against tear gas, and where those models could be purchased. Other volunteers carry saline solutions to rinse the eyes of those affected. Similarly, Chilean protesters of
Primera Línea ''Primera Línea'' (lit. ''First line'' or ''Frontline'') is the name for a loose collective of protesters dedicated to physically confronting Chilean riot police, that is, through acts of civil disobedience, in the context of the 2019–2022 Chi ...
have specialized individuals collecting and extinguishing the tear gas grenades. Others act as tear gas medics, while yet another group, the so-called shield-bearers, protect the protesters from the direct physical impact of the grenades.


Treatment

There is no specific antidote to common tear gases. At the first sign of exposure or potential exposure, masks are applied when available. People are removed from the affected area when possible. Immediate removal of contact lenses has also been recommended, as they can retain particles. Decontamination is by physical or mechanical removal (brushing, washing, rinsing) of solid or liquid agents. Water may transiently exacerbate the pain caused by CS gas and pepper spray but is still effective, although fat-containing oils or soaps may be more effective against pepper spray. Eyes are decontaminated by copious flushing with sterile water or saline or (with OC) open-eye exposure to wind from a fan. Referral to an ophthalmologist is needed if slit-lamp examination shows impaction of solid particles of agent. Blowing the nose to get rid of the chemicals is recommended, as is avoiding rubbing of the eyes. There are reports that water may increase pain from CS gas, but the balance of limited evidence currently suggests water or saline are the best options. Some evidence suggests that Diphoterine, a hypertonic amphoteric salt solution, a first aid product for chemical splashes, may help with ocular burns or chemicals in the eye. Bathing and washing the body vigorously with soap and water can remove particles that adhere to the skin. Clothes, shoes and accessories that come into contact with vapors must be washed well since all untreated particles can remain active for up to a week. Some advocate using fans or hair dryers to evaporate the spray, but this has not been shown to be better than washing out the eyes and it may spread contamination. Anticholinergics can work like some
antihistamine Antihistamines are drugs which treat allergic rhinitis, common cold, influenza, and other allergies. Typically, people take antihistamines as an inexpensive, generic (not patented) drug that can be bought without a prescription and provide ...
s as they reduce lacrymation and decrease salivation, acting as an antisialagogue, and for overall nose discomfort as they are used to treat allergic reactions in the nose (e.g., itching, runny nose, and sneezing). Oral analgesics may help relieve eye pain. Most effects resulting from riot-control agents are transient and do not require treatment beyond decontamination, and most patients do not need observation beyond 4 hours. However, patients should be instructed to return if they develop effects such as
blistering A blister is a small pocket of fluid in the upper layer of the skin caused by heat, electricity, chemicals, light, radiation, or friction Blister(s) or Blistering may also refer to: * Anti-torpedo bulge, also known as an anti-torpedo blister * '' ...
or delayed-onset shortness of breath.


Home remedies

Vinegar, petroleum jelly, milk and lemon juice solutions have also been used by activists. It is unclear how effective these remedies are. In particular, vinegar itself can burn the eyes and prolonged inhalation can also irritate the airways. Though vegetable oil and vinegar have also been reported as helping relieve burning caused by pepper spray, Kräuter suggests the usage of baking soda or toothpaste, stating that they trap the particles emanating from the gas near the airways that are more feasible to inhale. A small trial of baby shampoo for washing out the eyes did not show any benefit.


See also

* Law of war * Baton (law enforcement) * Nerve gas * Rubber bullet


Notes


References


Further reading

* * Feigenbaum, Anna, "Tear Gas Design and Dissent" in Tom Bieling (Ed.) (2019): Design (&) Activism: Perspectives on Design as Activism and Activism as Design, Milano: Mimesis, p. 97–104. *


External links

{{Authority control Articles containing video clips Chemical safety Chemical weapons Lachrymatory agents Non-lethal weapons