Well before this, Australia had been well advanced in meeting the measures agreed upon under the Convention. Production, import and use of aldrin, chlordane , DDT, dieldrin, hexachlorobenzene (HCB), heptachlor , endrin, and toxaphene are not permitted in Australia. Production and importation of polychlorinated biphenyls (PCBs) are not permitted in Australia, with the phase-out of existing PCBs being managed under the National Strategy for the Management of Scheduled Waste. This strategy also addresses how Australia will manage HCB waste and organochlorine pesticides.
A very typical case of severe cholestasis due to anabolic steroid use. Because the steroids were being used without medical supervision, the dose and actual duration of use of each preparation was unclear, but cholestasis usually arises within 4 to 12 weeks of starting a C-17 alkylated androgenic steroid. The jaundice can be severe and prolonged and accompanied by severe pruritus and marked weight loss. The serum enzymes are typically minimally elevated except for a short period immediately after stopping therapy. The pattern of enzyme elevations can be hepatocellular, cholestatic or mixed. Liver biopsy shows a “bland” cholestasis with minimal inflammation and hepatocellular necrosis. Ma Huang has also been implicated in cases of drug induced liver injury, but is associated with an acute hepatocellular pattern of injury.