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In 1996, in Curacao, a small island in the Netherlands Antilles, ten patients of a hemodialysis center died because of an outbreak of subacute aluminum intoxication. Two aspects were responsible for this intoxication. First, no water purification system was used in the dialysis center. In hemodialysis treatment many liters water are used. The water has to be pure because substances dissolved in the water can enter the blood compartiment of the patients. Because very pure distilled seawater was used for the distribution of drinking water in those island it was common practice not to use…mehr

Produktbeschreibung
In 1996, in Curacao, a small island in the
Netherlands Antilles, ten patients of a hemodialysis
center died because of an outbreak of subacute
aluminum intoxication. Two aspects were responsible
for this intoxication. First, no water purification
system was used in the dialysis center. In
hemodialysis treatment many liters water are used.
The water has to be pure because substances
dissolved in the water can enter the blood
compartiment of the patients. Because very pure
distilled seawater was used for the distribution of
drinking water in those island it was common
practice not to use extended water purification
systems. Second, a new drinking water pipe with an
inner cement coating was installed. Cement contains
aluminum. Due to the purity of the drinking water,
aluminum leached from this cement layer into the
water used for hemodialysis treatment. This book
discusses aspects of drinking water production and
distribution, the symptoms of subacute aluminum
intoxication, the post-mortem toxicological
findings, the treatment of aluminum intoxication and
the judicial implications of the tragic incident.
Autorenporträt
Kenrick Berend, was born 21-3-1955 on Curaçao. He did his
Medical graduation and the internal medicine specialization at
the University of Utrecht, The Netherlands in 1983. He is the
Head of the Internal medicine department St. Elisabeth Hospital
and works in the dialysis department.