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Speaker 1: Seven oh two Weekend Breakfast Your Health with Doctor fum Delineary.

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Speaker 2: It's twenty minutes before seven o'clock. Welcome back to seven

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Speaker 2: oh two Weekend Breakfast with Megogs and film turn for

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Speaker 2: us to talk health and the City of Joeberg's Emergency

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Speaker 2: Management Service recently issued quite a strong warning to parents

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Speaker 2: and schools after the publication of a video which it

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Speaker 2: then went viral and it showed pupils inhaling fire extinguisher contents,

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Speaker 2: which the city the emergency service said is a very

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Speaker 2: dangerous trend that poses severe health risks and could be deadly.

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Speaker 2: Here's part of that interview with the city's EMS.

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Speaker 3: There's a city of Joining's big emergency management services. We

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Speaker 3: are concerned about the video circulating on our social media

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Speaker 3: platforms where yeah, school lenerus as in inhaling or smoking

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Speaker 3: something which is coming out of a possible fire extinguisher.

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Speaker 3: We want to warn them that smoking or inhaling the

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Speaker 3: content of a fire extinguisher, it's extremely dangerous. It can

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Speaker 3: cause some serious health issues like respiratory distress, can cause seizures,

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Speaker 3: and also potentially it can also cause you know, death.

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Speaker 3: Your fire extinguisher is a fire safety device which is

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Speaker 3: not designed for human consumption or inalation, so it can

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Speaker 3: cause serious respiratory distress. So we are pleading with our

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Speaker 3: school lenders to refrain from smoking or deliberately inhaling a

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Speaker 3: content of a fire extinguisher.

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Speaker 2: So that was an interview with the Johannesburg, the City

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Speaker 2: of Joburg's emergency services spokesperson. It was an interview that

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Speaker 2: was done on the SAP scene. And so this morning,

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Speaker 2: that's what we're going to have a look at. What

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Speaker 2: are the risks associated with this new smoking trend, this

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Speaker 2: new trend called chuff where young people are smoking the

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Speaker 2: contents the fire extinguisher contents. We join on the line

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Speaker 2: by a resident GP. He's also the CEO of Active

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Speaker 2: Health Solution. Doctor Fundy Lagnacci joins us this morning. Doctorgnati

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Speaker 2: is always great to have you on the show.

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Speaker 1: Good morning, Books, and good morning to all of these

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Speaker 1: seven or two listeners.

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Speaker 4: So we have a new trend, so to speak.

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Speaker 2: It feels like there's always, you know, something new, whether

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Speaker 2: it is you know, there was a time where Hubley

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Speaker 2: was kind of the new thing. There's always a new

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Speaker 2: thing with regards to the kinds of drinks or the

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Speaker 2: kinds of things young people are consumed. Me the latest

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Speaker 2: one involving fire extinguisher powder.

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Speaker 4: Doctor Nati tell us about before.

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Speaker 2: We get to the impact of truth, when we inhale something,

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Speaker 2: whether it is tobacco or tobacco pass through water with

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Speaker 2: chiesha or hubly a cigarette, what happens to our body?

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Speaker 2: And I guess specifically our spirituy system that's most involved.

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Speaker 1: Well books, thank you for that question. So when one inhales,

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Speaker 1: you know, whatever you know from smoking and other kind

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Speaker 1: of practices, and that which one inhales will go through

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Speaker 1: the nose will also go into the lands and that

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Speaker 1: gets to be absorbed, you know, it gets to be

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Speaker 1: absorbed into the blood system, and that then quickly moves

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Speaker 1: you know, to you know, throughout the body. It may

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Speaker 1: also be taken to the brain quickly within seconds. But

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Speaker 1: there's also along the way irritation by that particular you

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Speaker 1: know chemical that is, you know, just being inhaled, which

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Speaker 1: can then cause swelling along the way from the nose

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Speaker 1: through the throat, through the airwaves and all the way

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Speaker 1: to the gut exchange. You know, sects that are you know,

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Speaker 1: in the lungs where oxygen carbon diypes that exchange takes place.

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Speaker 1: But I think so when we think about a situation

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Speaker 1: like this, we we are food systems really that at

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Speaker 1: big risk. One is the brain, you know, the central

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Speaker 1: nervous system in the brain, and also you know the

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Speaker 1: respiratory systems. Those are the two primary systems that are affected,

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Speaker 1: you know, by whatever that is being inhaled or smoked,

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Speaker 1: but then through the absorption through the blood, other systems

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Speaker 1: may secondarily get affected. So it may start locally with

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Speaker 1: the retreatory system and then you know, through through the brain,

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Speaker 1: but the rest of the body can get affected. So

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Speaker 1: even in this situation, we have to look at it

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Speaker 1: like that.

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Speaker 4: And so dat Nati.

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Speaker 2: When someone is inhaling or smoking, the contents of the

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Speaker 2: fire extinguisher, what is contained in that extinguisher. It's obviously

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Speaker 2: something that's meant to be able to contain a fire.

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Speaker 2: What are some of those components?

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Speaker 1: Yes, so I think before we get to the common

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Speaker 1: I think it's important to say there are different classes

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Speaker 1: of fire outdate which require different types of extinguishers. So,

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Speaker 1: for example, you know, if the fire is as a

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Speaker 1: result of flammable liquid like you know, gasoline or gas fires,

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Speaker 1: you may require a different type of an extinguisher as

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Speaker 1: opposed to what we call, you know, metal fire, which

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Speaker 1: may require certain specialized type of an extinguisher. But they

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Speaker 1: are also what are referred to as multi pepos extinguishes

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Speaker 1: which can be used to stop fires from solid combastibles, liquids,

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Speaker 1: and gases. So by understanding this then one must must

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Speaker 1: also then understand that different fire extinguished whi is will

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Speaker 1: contain different types of chemicals and now to be much

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Speaker 1: more specific, so when one looks at, you know, the

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Speaker 1: powder that comes from a fire extinguisher, there's one called

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Speaker 1: fire suppression powder. There is one big component there which

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Speaker 1: may contain sodium bi carbonate, which once it interacts with fire,

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Speaker 1: it releases carbon dioxide and therefore that causes a oxygen

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Speaker 1: deplishing effect. There may be something called ammonium dihydrogen forshate

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Speaker 1: that is phosphates which also they do the same thing

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Speaker 1: in trying to smother the fire of oxygen. And then

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Speaker 1: there may also be specialized agents like protagium chloride sodium sulfate,

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Speaker 1: and these are generally used to deal with fires that

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Speaker 1: are coming from metals. So basically that's that the fire

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Speaker 1: suppression powder with the different chemicals, but there's also propellant gases,

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Speaker 1: you know, so that when they press that can propel

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Speaker 1: that powder through the fire so that there's normally nitrogen

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Speaker 1: or try to compress. Sometimes there is what is called

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Speaker 1: moisture controlled gases that also again try to ensure that

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Speaker 1: that powder goes as fire as possible towards the fire.

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Speaker 1: And lastly, there may be some additives which you know,

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Speaker 1: can also be problematic, like silicon oil and what they

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Speaker 1: call anti caking agents like meca powder or silicate. So

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Speaker 1: if the powder, fire suppression powder, different chemicals, is the

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Speaker 1: propellant gases, is the additives. So when one inhales what

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Speaker 1: comes out of an extinguisher, you are inhaling all three

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Speaker 1: of these potentially dangerous chemicals and that can then become

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Speaker 1: you know, a problem depending on the amount of inhalation

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Speaker 1: or exposure.

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Speaker 2: Yeah, and so Doctornetti. Is there a difference in the

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Speaker 2: kind of impact of inhaling these different class of powders, gases,

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Speaker 2: et cetera. If you take in small amounts or regardless

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Speaker 2: of the amount with there are small amounts of large amounts,

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Speaker 2: there is this risk of you know, the Chinesesburg Emergency

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Speaker 2: Services were saying, there is the risk of death in

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Speaker 2: doing interesting in trooping, and so does it make a

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Speaker 2: difference if there's small quantities and large quantities, but or

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Speaker 2: is the risk always the same?

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Speaker 1: Well, there is always a risk. There's always a risk, yes,

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Speaker 1: I mean, if there's less exposure, they may be less effects,

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Speaker 1: that is, negative effects on the body, and if there's

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Speaker 1: a huge exposure or inhalation, they may be much more serious.

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Speaker 1: But I think what's important is that you know, different

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Speaker 1: people have got different levels of tolerance to you know,

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Speaker 1: potential irritant or poisons, and therefore it's best not to

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Speaker 1: even expose oneself to such things. So for example, and

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Speaker 1: if there's been minor exposure, there may be you know,

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Speaker 1: effects that range from mild discomfort, for example, just irritation

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Speaker 1: of the nose, throat and lungs, scratchy throat, pending sensation

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Speaker 1: and persistent coughing. That that may also lead to difficulty

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Speaker 1: in breathing, you know, if the amounts get to be

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Speaker 1: more inhaling life quantities can quote the lungs black oxygen

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Speaker 1: from entering the blood stream and may cause the shortness

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Speaker 1: of breast or tightness of the chest. People who are

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Speaker 1: already having respirat to problems like asthma or chronic obstructive

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Speaker 1: permonal disease may actually experience exacerbation of their symptoms through

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Speaker 1: this kind of thing. Now, if there's been a huge

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Speaker 1: amount of these contents of fire extinguishers that are in height,

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Speaker 1: that can cause what we call chemical numonities, that is,

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Speaker 1: inflammation of the airways and the lungs or them also

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Speaker 1: lead to what is referred to as aspiration pneumonia because

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Speaker 1: sometimes when it goes to the brain, some of these

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Speaker 1: contents go to the brain, there may be seizures or

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Speaker 1: what is called fits, and with those seizures of fits,

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Speaker 1: they may be vomiting and somebody may inhale the vomiteds,

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Speaker 1: leading to what is referred to as aspiration pneumonia. They

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Speaker 1: also the absorption of these chemicals like the monommonium forced

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Speaker 1: input the blood stream can cause severe metabolic imbalances whereby

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Speaker 1: the force for us is absorbed and is very high

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Speaker 1: in the blood system. As a result, and also the

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Speaker 1: calcium levels may actually drop too very low. With serious,

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Speaker 1: you know, problems in the function of the body, they

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Speaker 1: may also be critical emergencies as described by mister Robert Murad,

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Speaker 1: the spokesperson of the job at ems. They may decisions.

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Speaker 1: I've already mentioned that that it fits. They may be

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Speaker 1: irregular heartbeats or what is referred to as a with mea.

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Speaker 1: They may be kidney failure and even death. So that's

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Speaker 1: the west that can happen with inhaling huge quantities of

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Speaker 1: the contents of the fire exposition. So just beyond the

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Speaker 1: brain and the lungs that are spoke about, now, this

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Speaker 1: is across the body, affecting the kidneys, affecting their heart,

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Speaker 1: you know, and you know, it may even cause death

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Speaker 1: in some people. You know. They may also be symptoms

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Speaker 1: like you know, dizziness and headaches, because I mean, if

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Speaker 1: you're gonna have carbon diax, you know, high levels in

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Speaker 1: the body, the blood vessels, the a trees and the

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Speaker 1: capillaries will open up and that increases pressure within the

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Speaker 1: brain and therefore one met present with you know, headaches

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Speaker 1: and dizziness. And sometimes the eyes may also be affected,

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Speaker 1: and the skin may be affected, causing redness and stinging

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Speaker 1: of the skin and the you know, the congentizer of

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Speaker 1: the eyes. So those are just some of the major

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Speaker 1: major problems that may happen if somebody inhales the contents

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Speaker 1: of these fire extinishers in large.

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Speaker 2: Dosestinati, the conditions that you've spoken about, the seizures, the dizziness,

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Speaker 2: the headaches, the potential kidney failure, the rhythmia. Can those

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Speaker 2: things be treated when someone is diagnosed, and especially in

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Speaker 2: a young person, I guess body might still be developing

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Speaker 2: once diagnosed. What is the out local? How how does

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Speaker 2: treatment work of this kind of thing?

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Speaker 1: Look? I think the most important thing is that once

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Speaker 1: somebody has been found who has been exposed to inhaling

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Speaker 1: some of these contents of the cire extinguishes, they need

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Speaker 1: to be sent to emergency room as soon as possible.

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Speaker 1: So time is of essence because the longer it takes

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Speaker 1: for them to be taken to you know, emergency room

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Speaker 1: or even ice you, the more the chances that the

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Speaker 1: damage may actually be irreversible. So, but if they are

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Speaker 1: sent in earlier and then they are rushed to ice you,

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Speaker 1: some of these can actually be reversed.

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Speaker 2: What's a message here, doctor Nati coming through from Keta

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Speaker 2: in Kempton Park. It says how gogs A worked as

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Speaker 2: a facilities manager at a school environment for one of

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Speaker 2: the CURO schools. I'd like to take it upon myself

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Speaker 2: to train I would take it upon myself in to

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Speaker 2: train learners in assembly about the dangers of the fire

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Speaker 2: extinguisher and dangers from high pressure when it comes to

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Speaker 2: the chemicals inside. That's a message from Keta in Kempton Park.

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Speaker 2: We also have some mote voice notes only seventy seven

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Speaker 2: oh two one seven.

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Speaker 5: O two Morning googs, Morning doctor. I hear you very well,

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Speaker 5: but there is an underlying problem. It's either smoking or

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Speaker 5: the injections or whatever drug intake. There is an underlying program.

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Speaker 5: What is it that makes people go and look for

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Speaker 5: the pacifier?

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Speaker 1: You know?

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Speaker 5: You come across a person on the sidewalk. He's got

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Speaker 5: a syringe now the one that I saw. He was

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Speaker 5: injecting himself from under the chin. You come across them

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Speaker 5: in a group, they are exchanging syringes. It's from the syringe,

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Speaker 5: it's from the naobe, it's from the now it has

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Speaker 5: gone up to the fire extinguishing extinguish. What could the

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Speaker 5: underlying problem is, let's get the source of the ciling.

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Speaker 4: Thank you you went Buch for that.

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Speaker 2: What's a voice noted Lindi d'artagnant almost out of time.

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Speaker 2: But you know, the issue of the you know a

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Speaker 2: lot of the causes also, it's economics of the my health.

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Speaker 4: It is quite complicated. This issue of substance use or

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Speaker 4: substance abuse.

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Speaker 1: Is you write goops and the yes, we don't have

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Speaker 1: much time. The problem of substance abuse in our country

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Speaker 1: is actually sky rocketing, and some of the socio economic

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Speaker 1: factors are actually driving this, especially amongst adults. You know,

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Speaker 1: the issues of unemployment, poverty and all of that, and

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Speaker 1: you know the trauma and the violence you know that

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Speaker 1: people are exposed to, you know, in the in the communities.

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Speaker 1: So there are a lot of underlying you know, psychosocial

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Speaker 1: issues that they need to be addressed. But in this

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Speaker 1: age of school children, there's also just the the issue

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Speaker 1: of experimentation and peer pressure. So I think that's where

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Speaker 1: the problem is, you know, in schools, and it's important

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Speaker 1: that you know, parents, you speak to their children about

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Speaker 1: the dangers of you know, substance abuse, including the new

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Speaker 1: trends and the schools to invite the public education offices

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Speaker 1: to conduct safety programs because that is offered by by

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Speaker 1: emails and job and what is called a B say centers.

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Speaker 1: Their parents and residents can actually go to those de

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Speaker 1: safe centers in all the seven regions of Solovid so

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Speaker 1: that they can get more information.

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Speaker 2: Doctagnant has always a pleasure turing to you. Thank you

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Speaker 2: so much for your time.