Unknown Poisoning Amongst Serving Personnel

Prakash, Jyoti; Pk, Singh; Kotwal, Atul; Ramakrishnan, T.S.

doi:10.1016/s0377-1237(09)80053-1

Cited by 5 publications

(4 citation statements)

References 6 publications

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“…The burden of poisoning cases was high even in this short sphere of time frame. The highest number of poisoning (6)(7)(8)(9)(10). Indeed, this crime increases during the months of festival as during this period people used to carry money or goods and other valuable belongings while travelling from office or market places toward their home.…”

Section: Discussionmentioning

confidence: 99%

“…In a prior national study, the mean age of victims was 28.8 ± 2.5 years (3). In one study in India, it revealed that even Indian army personnel become the victims of commuter related poisoning and mean age was found 30.29 years (7) In Pakistan, most victims were males aged 26 to 35 years (16). Suicide is a major public health concern in Bangladesh.…”

Section: Discussionmentioning

confidence: 99%

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Pattern and risk factors of acute poisoning in a tertiary hospital of Central Bangladesh

Islam

Biswas

Hossain³

et al. 2018

J Emerg Pract Trauma

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Objective: Acute poisoning is a common cause of hospital admission in Bangladesh. But, risk factors and characteristics of victims of different modes of poisoning have not been evaluated for possible intervention strategies. So, in this study we aimed to describe the pattern of acute poisoning in central Bangladesh as well as identifying risk factors for various mode of poisoning. Methods: A prospective observational study was undertaken in Dhaka Medical College Hospital in 2015. Consenting adult acute poisoning victims were included as study subjects. A pretested structured case record form was used to systematically record the cases. The poisoning cases were defined by clinical toxidrome (sympathomimetic, antimuscarinic, opioids, cholinergic, sedative, etc) during acute presentation with suspected poisoning and groups accordingly. SPSS 20 was used for data analysis and statistical tests including mean ± standard division (SD), percentage, t test and chi-square were used accordingly. Results: Total poisoning cases were 1155. Suicidal (62.25%, n=719), commuter poisoning (24.16%, n=279) and accidental poisoning (12.38%, n=143) were main types of poisoning. Risk factors of suicidal poisoning were young females of 11 to 30 years, married, housewives and students (P<0.0001). Stressful relationship was the commonest reason of suicidal poisoning. Pesticides and sedatives were frequently chosen for easy availability. Commuter poisoning was common in males and urban areas (P<0.0001). Accidental poisoning was more in males and rural areas (P<0.0001) and snake envenomation was the main cause. Conclusion: Poisoning burden is high in central Bangladesh. Identified risk factors will help develop poisoning prevention strategies.

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Section: Discussionmentioning

confidence: 99%

Section: Discussionmentioning

confidence: 99%

Pattern and risk factors of acute poisoning in a tertiary hospital of Central Bangladesh

Islam

Biswas

Hossain³

et al. 2018

J Emerg Pract Trauma

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“…Unfortunately, by 2016 the situation had not improved, with 67,454 more unintentional poisoning deaths in 2016 than in 2015, according to WHO ( https://www.who.int/data/gho/publications/world-health-statistics ). Poisoning was also an important health problem, especially in the developing countries ( 10 , 11 ).…”

Section: Introductionmentioning

confidence: 99%

Disease Burden Evaluation of Injury and Poisoning in China from 2009 to 2019

Hu¹,

Qi²,

Yuan³

et al. 2023

ijph

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Background: We aimed to analyze the differences and changing trends of mortality of Injury and Poisoning (IP) between urban and rural areas and gender in China to find out the influencing factors and to propose improvement measures. Methods: IP mortality, population, economy, medical and health information data came from the official website of the National Bureau of Statistics, and basic data on education level came from the Chinese Ministry of Education. Then the differences of the mortality of IP were compared between different areas and gender in China from 2009 to 2019, and the relationships between the mortality changes of IP and education level, GDP per capita, the numbers of practicing physicians, health institutions and urbanization rate were also explored by establishing a ridge regression model. Results: The mortality of IP in rural areas was significantly higher than that of urban areas, and in male was higher than that of female (both P<0.001). Primary school graduates, GDP per capita, the number of practicing physicians, health institutions and urbanization rate had strong correlations (rmin=-0.622) with the mortality of IP. Ridge regression model showed that there was a quantitative relationship between primary school graduates, GDP per capita, the number of practising physicians, health institutions, urbanization rate and the mortality of IP in China. Conclusion: As the difference of working nature, economic development imbalance, psychological and gender, the mortality of IP was significantly different, so the state should take more effective measures to develop the urban and rural areas balanced, and reduce the IP risk in some particular occupations.

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“…7 The data from poison information centre of All India Institute of Medical Sciences (AIIMS) reveals that highest incidence of poisoning cases was found in the age group of 14-40 years, with a preponderance of males affected. 8 According to the World Health Organization (WHO), 99% of the fatal poisoning cases occur in developing countries, predominantly among farmers. 4,9,10 Implementing a poisoning registry database in hospitals will enhance the quality of clinical management by allowing access to information about all poisoning cases previously treated there.…”

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confidence: 99%

Need for an acute poisoning registry data base in India

et al. 2014

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Acute poisoning is one of the common reasons for hospitalisation in developing countries. 1 In countries like India, where the economy is linked substantially to agriculture, the number of cases of acute poisoning increase every year. While in developed countries, the rate of mortality from poisoning ranges from 1% to 2% in developing countries like India, it varies between 15% and 30% and is the fourth most common cause of mortality, especially in rural India. 2 The rapid increase in the use of newer chemicals with potentially harmful effects is a matter of concern to the physician and makes the management more challenging. 3 The monsoon-dependent agricultural practice and socioeconomic factors related to it also play a role in the incidence of acute poisonings. 4 Insufficient regulation for the sale and use of pesticides, lack of surveillance systems, insufficient enforcement regarding safe use of pesticides, lack of training of healthcare professionals regarding the management aspects, inadequate access to information system, and poorly maintained or non-existent personal protective equipment are the major factors responsible for higher incidence rate of poisoning. 5 Early diagnosis, treatment and prevention are crucial in reducing the burden of poisoning-related injury in any country. 6 A thorough knowledge about the nature and magnitude of the problem in a particular area is essential for the doctors in hospital practice.In India the exact incidence of acute poisoning cannot be defined properly due to under-reporting of cases to Government authorities. India has an over-usage of pesticides, and in particular organophosphate poisoning is most commonly reported in the emergency departments of Indian hospitals. 7 The data from poison information centre of All India Institute of Medical Sciences (AIIMS) reveals that highest incidence of poisoning cases was found in the age group of 14-40 years, with a preponderance of males affected. 8 According to the World Health Organization (WHO), 99% of the fatal poisoning cases occur in developing countries, predominantly among farmers. 4,9,10 Implementing a poisoning registry database in hospitals will enhance the quality of clinical management by allowing access to information about all poisoning cases previously treated there. This approach would also help to disseminate information about newer antidotes or treatment modalities in the management of poisoning.There is a growing need for such a database to be developed and implemented in the hospital setting. The information would not only provide the information regarding signs and symptoms of poisoning, but will also help in identifying the risk factors and newer management options. Finally, it is expected that this type of approach will also help in identifying the areas and communities that are prone to frequent poisoning cases. This will help in developing educational guidelines for the different sectors regarding the harmful effects of poison.

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Unknown Poisoning Amongst Serving Personnel

Cited by 5 publications

References 6 publications

Pattern and risk factors of acute poisoning in a tertiary hospital of Central Bangladesh

Pattern and risk factors of acute poisoning in a tertiary hospital of Central Bangladesh

Disease Burden Evaluation of Injury and Poisoning in China from 2009 to 2019

Need for an acute poisoning registry data base in India

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