Capsicum spray has also been named as a possible influence in the SICDS victim, without being the sole agent of the death. In 1991, the International Association of Chiefs of Police (IACF) issued an executive brief, 'Responding to the need for a less than lethal alternative, police departments throughout the country have adopted Oleoresin Capsicum (OC) or pepper spray as a force option. When deaths began to occur after the use of OC spray, a task force was formed to provide data regarding the use of OC by police, and its influence in the death of persons in the excitable manic state. The IACF studied 30 cases over the period of 1990 to 1993 (Fig 2).
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