3. Poisons with definite _internal_ action, so-called remote or
specific effect. To this class belong the poisons which, after
being absorbed into the system, act upon definite organs or
tissues in a specific manner (nerve poisons, heart poisons, &c.).
It is indeed possible for one and the same poison to display two or all
three of these modes of action.
The effect of poison depends upon an interaction of the poison and the
organism, or its single organs. Selection as regards quality and quantity
is a property of the organism as well as of the poison: the nature and
amount of the poison taken in are determining factors on the one side,
and on the other the constitution, size, and weight of the affected
organism. The chemical constitution of the poisonous substance determines
the qualitative property of the poison.
Further, certain physical properties of the poison determine its action,
especially its form, solubility in water, and its power of dissolving
fat. These affect its susceptibility to absorption, to which point we
shall return shortly; the hygroscopic capacity of a poison produces a
highly irritant and corrosive action.
Industrial poisons can be absorbed (1) as solid substances, (2) as
liquids, and (3) as gases. Since industrial poisoning, as defined
above, is of course neither desired nor intended by the sufferer, who
unsuspectingly takes into his system poison used or developed in the
factory, solid substances in finely divided condition—in the form of
dust—can be considered as industrial poisons. Accordingly, industrial
poisons can be classed as due to dust, gases, and liquids.
The poison may be introduced into the body through the functional
activity of the organism by the lungs or alimentary tract, or it may
penetrate the uninjured or injured surface of the skin.
Industrial poisons which contaminate the air of the factory are
inhaled—these are consequently either poisonous dusts or gases and
vapours.
As a rule, only industrial poisons in a liquid form enter through the
skin, which may be either intact or wounded; gaseous poisons seldom do;
poisons in the form of fat or dust can only pass through the skin after
they have been first dissolved by the secretions of the skin or of a
wound, so that they come to be absorbed in solution. Most frequently
those liquid poisons which are capable of dissolving the fat of the skin
are thus absorbed, and next, such liquids as have a corrosive effect,
breaking down the resistance of the skin covering and producing an
inflamed raw surface. But such poisons much more easily enter through the
mucous membrane, as this naturally offers a much weaker resistance than
the skin.
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