Toxicoepidemiology of fatal poisonings in Southern India

Kanchan, Tanuj; Menezes, Ritesh G.; Kumar, TK Susheel; Bakkannavar, Shankar M; Bukelo, Mario Joseph; Sharma, Priya; Rasquinha, Jitesh Marian; Shetty, B. Suresh Kumar

doi:10.1016/j.jflm.2010.05.006

Cited by 37 publications

(31 citation statements)

References 13 publications

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“…Most common ages in deaths cases were 7-18 years followed by age of >18-30 years. The same results were found in the study carried by Akhgari et al, (2011) and Yartire et al, (2014) in Iran but the reverse was with other studies Kanchan and Menezes (2008) and Kanchan et al, (2010) in Southern India and Sarkar et al, (2013) in northern Bangladesh. The majority of cases in this study was females 59%, the similar pattern was observed with other studies (Mostafazadeh and Farzaneh, 2013;Rhalem et al, 2013;Chala et al, 2015).…”

Section: Discussionsupporting

confidence: 85%

Prospective Study on Acute Poisoning Related Deaths in Menoufia Poisoning and Addiction Control Center (MPCC), Menoufia University Hospitals

Zanaty

2017

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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Introduction: Acute poisoning is a common medical emergency that causes morbidity and mortality. Acute poisoning fatality is of medical, legal and social significance. Aim of the work: The present work aimed at describing the demographic, characters of deaths due to acute poisoning (type and manner of poisoning), management and mechanism of death. Subjects and Methods: Prospective study on deaths due to acute poisoning which admitted to MPCC through a period from 1-1-2015 to 31-12-2016. Cases were evaluated. The results were further studied by statistical tests. Results: During the study period, 4,834 acute poisoned cases were admitted in MPCC. Among which 78 cases (1.6) % were died. The most common age of deaths was 7-18 years 41% followed, by age >18-30 years 33.3%. Females surpassed males (59%), students accounted 41% followed by farmers 23%. The majority of deaths were single and from rural areas. More than fifty percent of poisoned cases were due to Aluminum phosphide followed by insecticides 25%. Oral ingestion was the prominent method of intake 94.4%. Suicidal intention was more common than accidental cases (74.4 % versus 25.6%). Suicide was significantly common in females age groups (7-18) and (>18-30) years mainly in students and non-worker cases.. Metabolic acidosis was significantly correlated to Aluminum phosphide and insecticides, while hypoxia was significantly associated with Dormex and corrosive poisoning. ECG changes showed arrhythmia in Aluminum phosphide poisoning. Meanwhile bradycardia was associated to dormex and insecticides poisoning. Low blood cholinesterase level was significantly present in insecticides poisoned cases. There was significant relation to cardiac arrest as a cause of death to Aluminum phosphide cases. Conclusion and recommendation: Suicide was significantly common in females age groups (7-18) and (>18-30) years mainly in students and non-worker cases. The majority of cases were single and from rural areas. Most commonly used agents are aluminum phosphide and insecticides. Cardiac arrest was the main cause of death in aluminum phosphide poisoned cases. The mortality due to poisoning can be reduced by conducting educational programs in rural areas, restrict the availability of aluminum phosphide and insecticides, keep pesticides away from easy to use for suicide and providing needy people by poison information danger.

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Section: Discussionsupporting

confidence: 85%

Prospective Study on Acute Poisoning Related Deaths in Menoufia Poisoning and Addiction Control Center (MPCC), Menoufia University Hospitals

Zanaty

2017

Ain Shams Journal of Forensic Medicine and Clinical Toxicology

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“…Similar patterns, i.e. high intentional fatal self-poisoning is also reported by other studies [28][29][30]. Therefore, suicidal prevention plan in Rafsanjan should also focus on restriction of easy access to such poisons.…”

Section: Methodssupporting

confidence: 82%

Epidemiological characteristics of suicide cases in Rafsanjan from 2004 to 2009: the roles of family disputes and unemployment

Rezaeian

2012

JOHE

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Abstract:Received: May 2012, Accepted: August 2012Background: Suicide can be defined as an intentional act of self harm that leads to death. The aim of the present study was to determine the epidemiological characteristics of suicide cases which were recorded by Rafsanjan Legal Medical Organization from 2004 to 2009. Materials and Methods: This descriptive study was carried out in the year 2010 in Rafsanjan County of Kerman Province which is located in Southeast of Iran. Suicide data were gathered by applying a checklist in which gender, age, method of committing suicide as well as cause and the year of the event were recorded. Results: During the six years of our investigation, 20 cases of suicide were recorded. The mean age were 27.92±6.77 and 29.14±10.38 years for males and females, respectively. There were 13 (65%) males among the cases. Poison ingestion in 7 (35%) cases was the highest most frequent applied method of suicide. Family disputes in 16 (80%) cases and unemployment along with addiction in 4 (20%) cases were reported as the causes of suicide. Conclusion: Although it seems that suicide occurs less often in Rafsanjan, the possibility of underenumeration and under-reporting of it must also be taken into account. In addition, a comprehensive prevention plan should be designed and implemented in order to tackle the root causes of suicide i.e. family disputes, unemployment and addiction. Meanwhile, easy access to the most prominent method of suicide i.e. organophosphate poison and similar substances should be restricted.

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“…The duration of hospitalization in the case of people poisoned with pesticides, and at the same time poisoned with alcohol and often also addicted, is longer because of the influence of 2 toxic substances. In addition, pesticides dissolve in alcohol very well, hence the absorption from the gastrointestinal tract is facilitated [21].…”

Section: Hospitalization Lengthmentioning

confidence: 99%

Pesticide poisonings in 2004−2014 in Łódź, Poland − an analysis of selected clinical and sociodemographic parameters

Krakowiak

Zajdel

Kobza-Sindlewska

et al. 2019

Med Pr

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Background: Acute pesticide poisonings constitute an important toxicological problem in numerous countries. This report refers to patients treated for poisonings at the Toxicology Unit, Łódź, Poland, in the period 2004−2014. Material and Methods: Data to be analyzed were obtained from medical records of hospitalized people. A group of 24 301 patients aged ≥ 15 were selected. In the group of 149 people poisoned with pesticides (0.61% of all poisoning cases), there were 40 women and 109 men. Logistic regression analysis was used to evaluate the impact of age on suicide attempts using pesticides. Results: Suicide attempts significantly more frequently concerned younger people. In this type of behavior, coumarin derivatives were significantly more often used than organophosphorus compounds or pesticides classified as "others. " The patients with suicidal pesticide poisonings stayed in the ward significantly longer than those poisoned unintentionally. Conclusions: In the analyzed population inhabiting an area with a high degree of urbanization, in terms of the place of residence and employment, pesticide poisonings were more common in men than in women. Suicide attempts using pesticides more frequently concerned younger people. Information found in this study may prove useful for education purposes, and also in informing clinicians. Med Pr. 2019;70(6):655-67

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Toxicoepidemiology of fatal poisonings in Southern India

Cited by 37 publications

References 13 publications

Prospective Study on Acute Poisoning Related Deaths in Menoufia Poisoning and Addiction Control Center (MPCC), Menoufia University Hospitals

Prospective Study on Acute Poisoning Related Deaths in Menoufia Poisoning and Addiction Control Center (MPCC), Menoufia University Hospitals

Epidemiological characteristics of suicide cases in Rafsanjan from 2004 to 2009: the roles of family disputes and unemployment

Pesticide poisonings in 2004−2014 in Łódź, Poland − an analysis of selected clinical and sociodemographic parameters

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