Sunday, July 8, 2012

Yasser Arafat Murdered?

Some interesting news has surfaced theorizing that Yasser Arafat may have been poisoned. Examination of his clothing, toothbrush, bedding and favorite kaffiyeh revealed high levels of polonium-210. What the heck is that? Well, I'm going to try and tell you. It just so happens that not only am I a forensic pathologist, but I am an 'armchair' radiation biologist! During my training conducted experiments for NASA trying to determine the effects of cosmic radiation on the brain and I was forced to learn as much as I could about the magical world of radiation.

So, what is polonium-210 and why use it as a poison?

Before we can dive into the details of how murder by radiation poison occurs, it is important to understand a few principals of radiation biology. First, what is radiation? There are many different forms of radiation. What I am going to be talking about is commonly referred to as ‘ionizing radiation’. Ionizing radiation happens when a particle moves though a particular medium with enough energy to knock an electron off an atom within that medium. The loss of an electron leaves the atom with a positive charge. This positively charged atom is called an ion, thus, the term ‘ionizing radiation’. If someone is exposed to high levels or ionizing radiation they will become ill due to the ionization of their tissues and cells.

The more energy a radioactive particle has, the more damage it can do. The energy of radiation is expressed as electron volts (eV). As the particle passes through tissue it’s energy is transferred in the form of ionization. This process is called ‘Linear Energy Transfer’ or LET.

The most important factor to consider in regards to adverse biological effects is not the energy of the radiation, but the amount of radiation that is absorbed by the body. The absorbed dose of radiation is the amount of energy available to cause tissue damage. The more radiation you absorb, the more ionizations occur. The more ionization, the more tissue is damaged. The SI unit for the dose of absorbed ionizing radiation is the Gray (Gy). The Gy is defined as the absorption of one joule of ionizing radiation per one kilogram of matter. Older literature will refer to the Rad. Don’t use that word, it’s not cool anymore. But if you see it, know that 100 rad equals 1 Gy.

The Gy doesn’t take into account the biological effectiveness of different types of radiation. To understand how different forms of radiation affect the body everything is compared to a standard x-ray. Here all forms of radiation are compared to the level of x-ray radiation that would be required to cause the same amount of damage. The results of these studies give a correction factor by which the various forms of radiation are multiplied. After multiplying by the correction factor, the levels of radiation are expressed in Sieverts (Sv).

To give an example, just so you can see how all of these terms relate to one another let’s pretend that a high LET particle has a lot of energy, say 200 eV. Someone exposed to this high-LET particle absorbs maybe 2 Gy of this radiation. The damage caused by this process will be the equivalent of 2000 x-rays. We get our correction and multiply the amount absorbed (the Gy) by it and give the answer in Sv. So, in our pretend, inaccurate, made up example, the result would be 2000 x 2 Gy = 4000Sv. It’s certainly more complicated than that, but you get the picture and understand the terms.

There are many different types of ionizing radiation, and I could go on forever about each of them. But for the purpose of our discussion, I will stick to polonium-210, a 'harmless' little alpha-particle.

Polonium-210 was discovered in 1898 by Marie and Pierre Curie while working on their 'baby' uranium. Marie decided to name the element after her country of origin, Poland. Polonium can be found naturally in the Earth's crust, but in very low concentrations because it has a short half-life. It is most commonly found in nuclear reactors as a by product or energy production. Polonium has been used in industry to measure the thickness of very thin things and as an insulator in space probes as a way to eliminate static electricity.  This means that access to polonium is very restricted and only a few people on Earth have access to it.

Polonium is an alpha particle, meaning it decays by releasing two protons and two neutrons. It's a heavy particle with high energy. However, because of its large mass, it is pretty weak in that it can't penetrate skin. You could carry it around in a vial or paper envelope and no radiation would be detected. Which is why it would be an excellent poison: it's safe to carry around and it can go undetected! BUT if ingested, it can be lethal. If you ingested a grain of salt-sized portion of polonium-210 it would be lethal. This is because of its high relative biological effectiveness. Once ingested it can injure all the vital organs, including bone marrow. After some time the individual would experience the signs and symptoms of radiation poisoning. Keep in mind that these symptoms can vary from person to person and be dose-dependent. Sometimes the symptoms would be vague with no distinguishing feature screaming out 'radiation poisoning!'. Could Arafat's mysterious wasting illness be the result of radiation poisoning? Hummmm....

The odd thing about using polonium as a poison is its scarcity. Only a few nations have access to it and if detected sometimes scientists can get enough information to establish a 'chemical fingerprint' allowing them to trace it back to the county of origin. In the case of former KGB agent Alexander Litvinenko, the origin of the polonium-210 poison was traced to the USSR. Thus, if discovered, there is a chance you might get caught!

Was Arafat poisoned with polonium-210? Preliminary news reports are concerning. Why would he have it on his clothes and personal affects? After 8 years, a high proportion of the polonium-210 would have decayed but would still be higher than any background levels, and that appears to be the case. Would an autopsy help? YES! After exhuming his body scientists could get a much more accurate reading of how much radiation is emitting from the corpse. They could also study his tissues and bone marrow looking for signs of radiation injury. Time will tell. It will be interesting to watch how this plays out. If in fact Arafat was poisoned, will we ever learn the origin of the poloium-210? Imagine that political hot potato!




Friday, August 12, 2011

Colby-- the end

I was sad to see the conference come to a close. It was the best Colby meeting I've been to ever.

The last day I gave a talk about sudden death in epilepsy and Cliff Nelson gave a very interesting talk on the issues surrounding religious objections to health care and the medical examiner (think Christian Scientist).

The day ended with Greg (Kentucky) Davis giving an overview of toxicology related deaths.

I learned quite a bit this week and enjoyed meeting some wonderful new people.

Next year Colby is Aug 5 to 9, so book your vacations now!

Now back to the real world. With summer beginning to come to a close I suspect that my blog posts will become more frequent!

Wednesday, August 10, 2011

Colby day 3 and 4

Not much to say about day 3. I had to leave after my talk on child abuse. I think it went well. It's such a difficult area now, all bets are off.

Today was great. It started off with Richard Callery going over psych/suicide cases. That was followed by two amazing talks by Dr. Bill Smock. His talk on car accidents and determining the driver was fantastic, I will use a lot of that.

Dr. Tom Gilson did a review of homicide and opened up some debate over the use of 'homicide by unspecified means'. He also a gave a cool review of recent serial killers.

At lunch we had a brief faculty meeting and discussed topics for next year. It's already shaping up to be a good meeting. Come if you can.

Tomorrow is the final day. I have a talk on epilepsy related deaths in the a.m..

So far, this is one of the best Colby meetings I have been to. It has been fun being a faculty member after sitting in the audience for some many years. I feel like a grown up!











Monday, August 8, 2011

Colby Day2

The highlight of the course: Dr. Richard Callery's exercises. Always worth the trip to Waterville to see Dr. Callery talk. Always informative, interesting, and hysterical. The man should do stand-up. All fun aside, there were a number of useful cases that stimulated debate. So far the theme for the weeks seems to be 'what's the manner'. I also learned quite a bit more than I needed to about cement and quicksand porn. Yes, it really exists. Google it if you're not at work.
Dr. Greenwald gave a nice talk on in-custody deaths. These are always difficult. The best part of her talk were the huge list of great references. I will use those for sure.
My talk on abusive head trauma is tomorrow. One hour. Seems like I could take 10 hours. We'll see if I can squeeze it all in. 122 slides though, it's going to be tough. But I talk fast....
Still, I had time this evening for a great canoe trip with the fam to the little island in the middle of the lake were we are staying. We encountered many pirates we had to fight off, hope they didn't follow us home...

Sunday, August 7, 2011

Colby Day One

I can't say enough nice things about this meeting. If you've never been, you need to come.

The first talk was by Dr. Bill Smock from KY. He's an ER doctor who did a forensic path fellowship. He had the most amazing collection of pattern injury photos I have ever seen. If you can name an object someone has used to hit another person with, he had a photo of it. Dr. Smock also gave some great advice on how to opine about the origin of the wounds to juries. Wonderful talk. It reminded me of a couple of weeks ago when my son nailed me with a lightsaber and I had a perfect tram-line contusion on my leg.

Dr. Greg Davis (also from KY) gave a good talk on manner of death. Nothing really new, just good food for thought. Manner seems to be the thing we argue about the most. What would you call a 20-year-old-woman with no psych history, good student, star athlete, who does acid, tells her friends she can fly and then jumps out the window? Accident? Suicide?

The last talk was by Dr. Thomas Gilson now of Cleveland. He discussed drafting a clear and understandable autopsy report.

I ended the day with dinner in the caf with the family. There were no sprinkles for the ice cream so we had to use fruit loops. Oh yeah.

Tomorrow Dr. Peggy Greenwald (the Chief of the State of Maine is giving a talk on in custody deaths. That's going to be good!

Colby College forensics

I'm at the 38th annual New England Seminar in Forensic Science. This is my favorite meeting of the year. I'm going to try and post cool stuff from each day. Keep checking in. It's about time I got back to blogging after most of the summer off!

First up this afternoon is Dr. Smock's talk on pattern injuries in victims of interpersonal violence. I'm looking forward to that!


- Posted using BlogPress from my iPhone

Monday, May 2, 2011

The ID of Bin Laden

The forensic issues surrounding this case are numerous. Most important is identification. How do we know this is in fact Osama Bin Laden?

I doubt there will be an accurate visual ID, especially if he was struck in the head with a high velocity round from an automatic rifle. Also, one has to wonder if he may have altered his appearance in some way while living in such a populated area. Visual ID is presumptive and in a case like this, I doubt anyone would release news of this magnitude on a presumptive ID.

Presumptive ID's identify someone was a subset it does not as a unique individual. Presumptive ID's include scars, drivers licenses, passports and tattoos. Islam does not allow tattoos, so if Bin Laden has any scars, it may be helpful. But again, this is not a positive ID

A positive ID relies on unique characteristics attributed only to that individual. DNA, X-ray, dental and fingerprints result in a positive ID.

DNA has become a useful tool in forensic ID, but it takes time. If the raid occurred yesterday at 3:30 pm EST, and the news broke around 5 hours later, I doubt there was enough time to run a sample from the body. DNA will most likely be used to confirm whatever means was used for the ID.

Fingerprints are another excellent means if positive ID as everyone's fingerprints are unique, even among identical twins. The major problem with fingerprints is obtaining antemortem samples. Less than 20% of the US population has fingerprints on file. However, I bet the CIA has Bin Laden's fingerprints on file.

X-ray is also a possibility. I don't know if Bin Laden has any antemortem records on file, but if he does, X-ray can be quick and easy.

My money is on dental. From photographs, it looks like he has well kept dentition, and I would wager he has a dental record sitting on the desk of some CIA agent!

It is often best to use more than one method. Maybe the military used fingerprints and dental and will 100% confirm it with DNA.

Regardless of the methodology, they must have been pretty damn sure it was him before they buried his body at sea (at least I hope they were!).


- Posted using BlogPress from my iPhone