Industrial poisoning which in respect of its duration stands midway
between acute and chronic is called sub-acute poisoning. This usually
means that more frequent absorption of greater quantities of poison has
taken place, though not in doses large enough to produce an immediately
acute effect. This is important legally because industrial poisonings
caused through the sudden absorption of poison in sufficient quantity
to act immediately or to bring about subsequent symptoms of poisoning,
are reckoned as accidents. Thus acute and many sub-acute industrial
poisonings are accounted accidents. Chronic industrial poisonings,
acquired gradually, count as illnesses. But as in certain cases it
cannot be decided whether sudden or gradual absorption of the industrial
poison is in question, this distinction is an unnatural one. It is also
unnatural in the legal sense, for there is often no material reason for
regarding as legally distinct cases of chronic and acute industrial
poisoning. To this we shall refer later in discussing the question of
insurance against industrial poisoning.
We have from the outset assumed that the effect of the poison depends
not only on the nature of the poison itself, but also on that of the
organism, considered both quantitatively and qualitatively.
Significant in a quantitative respect is the body weight of the organism,
and the fatal dose of the poison must be ascertained and stated in
connection with the body weight, calculated as a rule per kilo of the
live weight.
The qualitative point of view must reckon with the differing
susceptibility of organisms for poison. This varying susceptibility to
the action of poison, the causes of which are very obscure, is called
disposition.
Different species (of animals and men) exhibit often very different
degrees of susceptibility towards one and the same poison; the
differences in this respect are often very considerable, and one cannot
simply transfer the experience experimentally gained from one species of
animal to man or another species of animal, without further experiment.
Besides disposition, sex, and still more age, often determine within the
same species marked difference of susceptibility to a poison. Further,
there is an individual disposition due to qualities peculiar to the
individual, which makes some persons more than usually immune and others
specially susceptible. Individuals weakened by illness are particularly
susceptible to poisoning. Two diseases, in especial, favour the operation
of poison, influencing disastrously the capacity for assimilating
food, and reducing the general resisting power of the body; of these
tuberculosis stands first.
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