Criminal poisonings are among the least frequently detected crimes in the world. Lack of suspicion of this type of event by police officers and prosecutors, clinical symptoms imitating many somatic diseases and technical difficulties in diagnostics, as well as high research costs make the actual frequency of these events difficult to estimate. The substance used for criminal poisoning is often characterized by: lack of taste, color and smell, delayed action, easy availability and difficulty to detect. The aim of the study was to analyze selected cases of political poisoning that took place in the years 1978–2020, to describe the mechanisms of action of the substances used and to evaluate the diagnosis and treatment. The analyzed cases of criminal poisoning concerned: Georgi Markov (ricin), Khalid Maszal (fentanyl), Wiktor Yushchenko (TCDD dioxin), Jasir Arafat (polonium 210Po isotope), Alexander Litvinenko (polonium 210Po isotope), Kim Jong-Nam (VX), Sergei Skripal (Novichok) and Alexei Navalny (Novichok). Contemporary poisons, to a greater extent than in the past, are based on the use of synthetic substances from the group of organophosphorus compounds and radioactive substances. The possibility of taking appropriate and effective treatment in such cases is the result of many factors, including the possibility of quick and competent rescue intervention, quick and reliable detection of the toxic substance and the possibility of using an antidote.
There is a need for a reliable and independent evaluation and confirmation of the postmortem interval (PMI) based on objective factors other than only postmortem changes or temperature measurements. Estimating the PMI by examining the concentration of potassium ions in the vitreous humor (VH) has a tradition in forensic toxicology dating back to the mid-20th century. So far, the methods for determining the presence of potassium ions have not been characterized in terms of the measurement uncertainty of types A and B, which directly affect the estimation of time of death uncertainty. The study evaluated the uncertainty of the determination of potassium ion concentrations using potentiometric ion-selective electrode (ISE) and microwave-induced plasma with optical emission spectrometry (MIP-OES) methods. In addition, the influence of the estimated measurement uncertainty on the results of the analysis of potassium ions in the VH was investigated. The estimated values of the expanded uncertainty determined by the type A experimental method indicate lower uncertainty in the determination of potassium ion concentration in the case of MIP-OES than ISE; that is, for concentrations of 2, 10, and 25 mg/L of potassium ions, the expanded uncertainties by MIP-OES were 1.2%, 2.2%, and 2.5% and the uncertainties by ISE were 12.2%, 6.1%, and 3.1%, respectively. Similarly, in the case of estimating the uncertainty of type B, the MIP-OES method compared to ISE was characterized by almost two times lower expanded uncertainty; that is, for MIP-OES, it was 2.53%, and for ISE, it was 4.75%. Both methods of uncertainty estimation, types A and B, can be used interchangeably, as they provide comparable results.