INTRODUCTION

Toxicology is the study of harmful effect of drugs and poisons on living things. Forensic toxicology is the scientific study of poison in relations to law in criminal and civil cases; mostly used in criminal justice system cases. The role of Forensic toxicologist is to identify, quantify and confirm the presence of drugs in relevant case materials, i.e. they study the relationship between dose and its effect. A toxicologist is also responsible for the interpretation of drug levels and presenting their opinion court. (Siegel 2007, pg 409)

Toxicity is the ability of a chemical to cause a deleterious effect when an organism is exposed to it. It is the degree to which a substance is poisonous. Poisonous refer to any substance that can cause injury or have fatal effect when introduced into, or taken up by a living organism. (Hodgson et al, 1998. pg 469) The severity of toxicity produced by a chemical is directly proportional to the exposure of concentration and the time of exposure.  Toxicity can either be acute or chronic. Acute toxicity is the adverse effects occurring within a relatively short time interval after toxicant exposure (i.e. as short as a few minutes to as long as several days), usually caused by single exposure to the toxicant.  In the past, the LD50 or LC50 test was used to test acute toxicity. LD50 (median lethal dose) is the quantity of chemical pounds that when applied directly to test organism; is estimated to be fatal to 50% of those organism under the stated condition of the test. It is standard for comparison of acute toxicity, between toxicant and species. LC50 (median lethal concentration) is the concentration of a chemical that when in the environment of a test organism is estimated to be fatal to 50% of those organism under the stated condition of the test.  Now acute test include those for the eye, skin irritation, sensitization and changes in autonomic and cardiovascular function. A comprehensive test includes gathering cause of death, specific organ effects, metabolism and mode of toxic action. (Klaassen, 1996)

Chronic toxicity is “the adverse effect occurring as a result of a repeated dosage with a chemical on a daily basis, or exposure to the chemical, for a large part of an organism's lifespan (usually more than 50%) (Hodgson et al, 1998). Toxicity can be divided into chemical (these are inorganic substances like lead , and organic substance like methyl alcohol), biological (these are bacteria and viruses that causes disease to living organism) and physical (these are direct blow, sounds, vibration, etc.) factors affecting toxicity includes species, age, diet, environment, hygiene, housing, etc. (Rena, 2007) an example of a toxic substance is quinine.

Quinine was the first effective treatment for malaria caused by Plasmodium falciparum (a protozoan parasite transmitted by mosquitoes) in the 17th century. Until the 19 centuries, when chloroquin and other drugs were developed, quinine continued to be the only anti-malarial drug. Since then, many effective anti-malarial have been introduced, although quinine is still used to treat illness in certain critical situations (it is a drug of choice). For example, quinine present in some prescribed medication and tonic water. Quinine is a white powder that is obtained from the bark of the cinchona tree. (Nievweld et al, (1982) cited in Anderson & conning, 1993. pg 541) today, quinine has established a place in the pharmacology world, in the past, the availability of quinine allows excessive dosage for intended abortion and intended suicide. Hence quinine poisoning is still in use and poorly understood eye effects.

There are two dosage level at which quinine may be toxic; the first stage is a very low level caused by a single dose of as little as 12mg. (Belkin, (1967) citied in Anderson & Conning, 1993. pg 541) the symptoms are those of thrombocytopenic purpura (a systemic illness characterized by extensive ecchymoses and haemorrhages from mucous membranes and very low platelet counts; resulting from platelet destruction by macrophages due to an anti platelet factor; childhood cases are usually brief and rarely present with intracranial haemorrhage, but adult cases are often recurrent and have a higher incidence of grave bleeding, especially intracranial. Dirckx, 1997) the cause is an immune reaction, in which the drug acts as a haptene (A small molecule that reacts with a specific antibody but cannot induce the formation of antibodies unless bound to a carrier protein or other large antigenic molecule.)

The second stage is the visual system; it is affected as much or as little as it would be purpura caused by any other haptene. The blood vessels are subject to haemorrhage secondary to thrombocytopenia as any set of vessel would be, but there is no specific selectively for the eye. The usual therapeutic regime for malaria is 1.3g per day in for divided doses for 7day. (Klaasen, 1996)

The structure of quinine is shown below.

C20 H24 N2 O2

(Harrison, 1998)

Quinine is a natural white   with a bitter taste; it can be found in tonic water, bitter lemon and some medication. Quinine posses many mechanisms of action, which includes reduction of oxygen intake and carbohydrate metabolism, disruption of DNA replication and transcription via DNA intercalation; and reduction of the excitability of muscle fibres via alteration of calcium distribution. (NCI, 2007) Quinine is also used as an adulterant in illegal drug preparation. It is often used to determine the presence of heroin in blood or urine. But this only proves that quinine has been taken, it doesn’t prove that it was taken illegally because quinine is present in other substances like tonic water, and some medications. The present of diamorphin or 6-monoacetylmorphine in the body fluid is used to prove that a person has taken heroin. However, Heroin (diamorphin) is quickly metabolized into another substance and then to morphine, therefore investigation into factors such as injection marks and chemical purity are necessary to confirm diagnosis. (Rena, 2007). Also, the presence of morphine only proves that a morphine substance had been consumed and some morphine substances are legally available. This means that a case of heroin ingestion can be strengthen by the presence of adulterant rather than legal morphine derivatives.

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Heroin is an illegal odourless, bitter crystalline compound { C17H17NO(C2H3O2)2 }. It is a highly addictive narcotic and rapidly acting opiate (a drug that is derived from opium). Heroin is processed from morphine, which is the major component of opium. Opium is natural substance that is extracted from the seed pod of certain varieties of poppy plants. Heroin is also called diamorphin. Pure heroin is a white powder, but the street heroin is a brownish-white powder that can be smoked, snorted or dissolved and injected.  Heroin is rapidly metabolized into morphine by removal of the acetyl groups. It is the ...

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