Cocktail of poisons may have been used to kill dozens in Syria's Douma

Smoke rises after the Syrian army's shelling targeted the Douma district in Eastern Ghouta. Picture: Ammar Safarjalani/Xinhua

Smoke rises after the Syrian army's shelling targeted the Douma district in Eastern Ghouta. Picture: Ammar Safarjalani/Xinhua

Published Apr 9, 2018

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Amsterdam - The international chemical

weapons watchdog opened an investigation on Monday to determine

whether dozens of people were gassed to death in an attack near

the Syrian capital, possibly by a poisonous cocktail of sarin

and chlorine.

The Organisation for the Prohibition of Chemical Weapons

(OPCW) chief, Ahmet Uzumcu, said it was responding with "grave

concern" to the suspected chemical weapons attack on Saturday in

the town of Douma, in the Ghouta region.

Witnesses and medical workers reported as many as 60 deaths,

with nearly a thousand injured after at least two bombs hit a

hospital and nearby buildings. Around 500 people received

treatment for breathing problems.

Many of the victims were sheltering underground after

government forces launched an air and ground assault on Douma,

the last rebel-held town in the eastern Ghouta district. Poison

gas can seep down into the hiding places bombs cannot reach.

OPCW inspectors have been attacked on two previous missions

to the sites of chemical weapons attacks in Syria and were not

expected to try to get to Douma.

Instead they will interview witnesses, collect samples of

blood from survivors and gather data on military flights,

methods that have been successful in past investigations.

The OPCW's fact-finding mission, which was already

investigating the use of chemical weapons in Syria's civil war,

was gathering all available material to establish whether

chemical weapons were used, it said in a statement.

Part of the Hague-based OPCW's work will be to clarify what

chemical agent may have been used, including the possibility

that a cocktail of toxins may have been dropped on the

neighbourhood using aerial bombs, sources told Reuters.

The Syrian government denied its forces had launched any

chemical assault and Russian Foreign Minister Sergei Lavrov said

such allegations were false and a provocation.

In Douma, witnesses spoke of smelling chlorine, while

doctors said the symptoms looked more like those of a nerve

agent.

Professor Raphael Pitti, a doctor who viewed videos taken at

the scene, said patients appeared to have had convulsions more

typical of sarin poisoning.

"Everything suggests that during the second attack, chlorine

was used to conceal the use of sarin at the same time," Pitti

said.

A doctor at the scene said some patients had suffered from

hemoptysis, or coughing up blood, a symptom that has never been

seen in previous chemical attacks in Syria.

A joint United Nations-OPCW investigation determined in 2016

and 2017 that Syrian government forces used chlorine and sarin

repeatedly throughout the civil war.

The World Health Organisation said limited access has

prevented it from training health workers in the Douma enclave

on chemical weapons preparedness and response.

It did manage to deliver Atropine ampoules, a medicine used

to save lives after exposure to nerve agents. "However, no

antidote for chlorine exists, if its use is confirmed, and

treatment is symptomatic," said WHO spokesman Tarik Jasarevic.

Reuters

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