Poisoning after Ingestion of Spartium junceum Seeds: Dose-Dependent Effects in Three Boys.

BACKGROUND: Spanish broom (Spartium junceum L.) is an ornamental, medicinal, and potentially poisonous plant. CASE REPORT: Three children, aged 5-6 years, were accidentally poisoned from ingesting a variable number of seeds of Spanish broom. This plant contains several quinolizidine alkaloids as cytisine, which act as an agonist of nicotinic acetylcholine receptors. The potential danger varies, depending on the dose. After having ingested one to two seeds, one of the boys was asymptomatic. A second boy ingested four to five seeds and presented some digestive problems with favorable clinical evolution. A third boy ingested seven to eight seeds, and presented with digestive and neurologic symptoms, as well as minor metabolic acidosis. In this case there was vomiting with remains of the seeds. He responded well to a gastric lavage and activated charcoal. He was discharged 24 h post ingestion. The intake within one to eight seeds was accompanied by moderate symptoms, with good response to treatment. Children poisoned by plants with nicotine-like symptomatology usually fully recover, but some fatal cases have been reported. Prevention is always a key aspect to consider so as to reduce the risk of poisoning. There is a lack of legislative measures, based on lists provided by experts, to regulate real or potentially poisonous plants in children's areas. WHY SHOULD AN EMERGENCY PHYSICIAN BE AWARE OF THIS?: This case serves as an example of accidental plant poisoning. For emergency physicians, it is usually complicated to identify the specific plant involved, so initial treatment often starts with basic measures (airway, breathing, and circulation).

Reducing Pb poisoning in birds and Pb exposure in game meat consumers: the dual benefit of effective Pb shot regulation.

The use of lead (Pb) ammunition in the form of shot pellets has been identified as a Pb exposure risk in wildlife and their human consumers. We explore the hypothesis that Pb shot ban enforcement reduces the risk of avian Pb poisoning as well as Pb exposure in game meat consumers. We assessed compliance with a partial ban on Pb shot commencing in 2003 by examination of 937 waterbirds harvested by hunters between 2007 and 2012 in the Ebro delta (Spain). Prevalence of Pb shot ingestion was determined, as were Pb concentrations in liver and muscle tissue to evaluate the potential for Pb exposure in game meat consumers. Hunted birds with only embedded Pb shot (no steel) declined from 26.9% in 2007-08 to <2% over the following three hunting seasons after ban reinforcement. Pb shot ingestion in mallards decreased from a pre-ban value of 30.2% to 15.5% in the post-ban period. Liver Pb levels were predominantly defined by the presence of ingested shot, whereas muscle levels were defined by the presence of both ingested and embedded shot. Only 2.5% of mallard muscle tissue had Pb levels above European Union regulations for meat (0.1µg/g wet weight) in the 2008-09 season, when Pb shot ingestion prevalence was also at a minimum (5.1%). Effective restrictions in Pb ammunition use have a dual benefit since this reduces Pb exposure for game meat consumers due to embedded ammunition as well as reducing Pb poisoning in waterbirds.

Control of the Asian tiger mosquito (Aedes albopictus) in a firmly established area in Spain: risk factors and people's involvement.

BACKGROUND: The tiger mosquito is a competent vector of dengue and chikungunya in Europe. Therefore, evaluating control strategies is a priority. In this work we aimed to determine the key factors affecting Aedes albopictus production, the preferred larval habitats, and we explored the involvement of the citizens in Sant Cugat, Spain. METHODS: A source-reduction campaign including door-to-door visits and interviews to local inhabitants (2008-2010) and larval surveys (2010) was carried out. RESULTS: Civil workers inspected 3720 premises and interviewed 820 local inhabitants. Larval habitats, detected in 7.2% of the premises (n=266), were negatively associated with primary residence OR=0.4 (95% CI 0.3-0.6); and positively associated with schools OR=2.4 (95% CI 1.1-5.0), solid waste OR=5.1 (95% CI 3.0-8.9), scuppers OR=5.0 (95% CI 3.5-7.3) among other variables. Preventive measures were taken by 83.2% of householders (n=682). In 2010, 10.3% more citizens claimed to avoid having stagnant water compared with 2008. Simultaneously another 10.3% stopped using insecticides. CONCLUSION: Solid waste, scuppers and vegetable gardens were found to be important factors characterizing premises with larval habitats. People claimed to know about this insect and they considered it to be an important issue that diminished their quality of life.

Transition to non-toxic gunshot use in Olympic shooting: policy implications for IOC and UNEP in resolving an environmental problem.

Olympic shooters discharge, annually, thousands of tons of lead shot which pose toxic risks to animals and may pollute both surface and ground waters. Non-toxic steel shot is an acceptable and effective substitute, but International Shooting Sports Federation (ISSF) rules prevent its adoption. The present policy and rules of the ISSF on lead shot use contravene the International Olympic Committee (IOC) Charter position on environmental protection. The United Nations Environment Programme (UNEP), a formal Olympic partner on environmental protection, has no stated policy on contamination from lead ammunition, despite having declared lead a Priority Area for remedial action, and is pressing to remove lead from the global human environment. The IOC Sport and Environment Commission and UNEP could examine the continued use of lead shot ammunition and advise the IOC Executive Board on appropriate changes in policy and rules that could halt the massive lead shot contamination of shooting range environments world-wide.

Respuesta: ¿Hace falta una nueva definición de «tóxico»? / Reply: Do we need a new definition of «toxic»?

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¿Qué es un «tóxico»? Una propuesta de definición / What is a "poison"? Proposal of definition

Se discuten diversas interpretaciones del término tóxico y la necesidad de actualizar la definición adaptándola a los cambios producidos por los avances científicos. Tras analizar los factores que contribuyen a la relatividad del término y sus fronteras, se propone una definición clara y precisa, que pretende ajustarse al concepto más ampliamente extendido de su significado. La nueva definición dice: «tóxico es, para los seres humanos y su entorno biológico no patógeno o dañino, toda radiación electromagnética o corpuscular y todo agente químico no infeccioso, de tamaño no superior a una pequeña partícula o fibra, que, tras generarse internamente o entrar en contacto, penetrar y/o ser absorbido por un organismo vivo, en dosis suficientemente alta, puede producir o produce un efecto adverso directo o indirecto en el mismo no manifiestamente relacionado con su temperatura o con una diferencia mensurable de potencial eléctrico». El conocimiento científico precisa definiciones exactas que eviten ambigüedades (AU)

We discuss different interpretations of the term poison as well as the need of bringing up to date the changes in this matter according to the science progress. A clear and exact definition is proposed after analysing the factors that affect the relativity of the concept and its boundaries. The proposal for a definition is presented taking into account the most broadly extended concepts concerning its significance. That is to say: "a poison is, for human beings and their non-pathogenic and non-harmful biological environment, an electromagnetic or corpuscular radiation, or a non-infectious chemical agent, structured no larger in size than a small particle or fibre that, after being generated internally or after contact, penetration and/or absorption by a live organism, in sufficiently high dose, can produce or produces a direct or indirect adverse effect unrelated to its temperature or measurable electrical potential difference". The scientific knowledge needs accurate definitions to avoid ambiguities (AU)

[What is a "poison"? Proposal of definition]. / ¿Qué es un «tóxico¼? Una propuesta de definición.

We discuss different interpretations of the term poison as well as the need of bringing up to date the changes in this matter according to the science progress. A clear and exact definition is proposed after analysing the factors that affect the relativity of the concept and its boundaries. The proposal for a definition is presented taking into account the most broadly extended concepts concerning its significance. That is to say: "a poison is, for human beings and their non-pathogenic and non-harmful biological environment, an electromagnetic or corpuscular radiation, or a non-infectious chemical agent, structured no larger in size than a small particle or fibre that, after being generated internally or after contact, penetration and/or absorption by a live organism, in sufficiently high dose, can produce or produces a direct or indirect adverse effect unrelated to its temperature or measurable electrical potential difference". The scientific knowledge needs accurate definitions to avoid ambiguities.

Melia azedarach como ejemplo de intoxicación accidental evitable / Melia azedarach as an example of avoidable accidental poisoning

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Effectiveness of a multiple intervention strategy for the control of the tiger mosquito (Aedes albopictus) in Spain.

This study was undertaken to evaluate the effectiveness of four complementary and combined strategies to minimize the presence of the invasive mosquito Aedes albopictus, firmly established in Sant Cugat del Vallès, Catalonia, Spain. A quasi-experimental design including six neighbourhoods was performed in 2008-2009. The abundance of mosquitoes was monitored through ovitraps. The multiple intervention strategy consisted of four actions: source reduction; larvicide treatments (Bacillus thuringiensis israelensis and diflubenzuron); adulticide treatments (alfacipermetrin); and cleaning up uncontrolled landfills. The results showed the number of eggs significantly reduced in the areas with intervention. In 2008, the accumulate median of eggs was 175 and 272 in the intervention and control areas, respectively. In 2009, these medians were 884 and 1668 eggs. In total, 3104 households were visited and 683 people were interviewed. During inspections inside the houses, the cooperation of citizens in 2009 was 16% higher than that in 2008 (95% CI 13-19%). These findings suggest that the strategy was effective in reducing the number of eggs. Citizen cooperation, an essential factor for success, was observed through a high level of collaboration by the home owners, who allowed entry into their private dwellings. This study could be a model for controlling the populations of Ae. albopictus in the Mediterranean region.

Nitrates and herbicides cause higher mortality than the traditional organic fertilizers on the grain beetle, Tenebrio molitor.

We examined experimentally whether fertilizers or herbicides commonly used by farmers affect mortality of the adult grain beetle Tenebrio molitor. After a period of 4 weeks in direct contact with all treatments, a higher percentage of mortality occurred in contact with nitrates than with pig manure or turkey litter. Herbicides (a mixture of glyphosate and 2,4-D: ) caused 100% mortality. Our results also indicate that more beetles escaped from the herbicides and nitrate treatments than from the others, suggesting some kind of behavioural avoidance of toxic environments. The traditional organic fertilizers appear to be less toxic than inorganic fertilizers for Tenebrio molitor.

Animal poisoning in Europe. Part 1: Farm livestock and poultry.

The lack of a reference Veterinary Poison Control Centre for the European Union (EU) means that clinicians find it difficult to obtain information on poisoning episodes. This three-part review collates published and unpublished data obtained from Belgium, France, Greece, Italy and Spain over the last decade in order to provide a broader toxicoepidemiological perspective. The first article critically evaluates the national situation in the five European countries and concludes that information for livestock and poultry is limited and fragmentary compared to other animal groups. The analysis has revealed that clinical cases of poisoning are only occasionally studied in depth and that cattle are the species most frequently reported. Several plants and mycotoxins, a few pesticides and metals, together with contaminants of industrial origin, such as dioxins, are responsible for most of the recorded cases.

Animal poisoning in Europe. Part 2: Companion animals.

This is the second in a series of three review articles on animal poisoning in Europe and focuses on cases in pet animals and horses in five European countries (Belgium, France, Greece, Italy and Spain) reported over the last decade. In the participating countries, dogs were the most commonly poisoned species, particularly younger animals. The majority of cases in companion animals resulted from exposure to insecticides, although rodenticides (especially anticoagulants and strychnine) posed a significant risk. In all five countries, horses and cats appeared to be more susceptible to plant toxins. Intoxications with herbicides, metals, household products and drugs for veterinary and human use were reported sporadically. The review demonstrates the importance of increased awareness so as to minimise poisoning episodes and emphasises the need to establish a European system for the recording of poisoning data.

Animal poisoning in Europe. Part 3: Wildlife.

This review article is the third in a series on animal poisoning in Europe and represents a collation of published and non-published wildlife poisoning data from Belgium, France, Greece, Italy and Spain over the last 10 years. Birds, particularly waterfowl and raptors, were more commonly reported as victims of poisoning than wild mammals. In addition to specific but important toxicological disasters, deliberate primary or secondary poisonings are of concern to all countries. Metals (particularly lead arising from sporting/hunting activities) and pesticides (mainly anticholinesterases and anticoagulants) are frequent causes of poisoning, and often have fatal consequences. A more unified and consistent approach throughout European countries to improve the reporting and the analytical confirmation of wildlife poisoning would help to reduce the number of cases of malicious or negligent animal poisoning.

Relationship of the toxicity of pesticide formulations and their commercial restrictions with the frequency of animal poisonings.

Deliberate poisoning of domestic animals and wildlife with commercial formulations of pesticides has been documented worldwide. We have compiled the analytical results obtained by four Spanish Laboratories of Veterinary Toxicology since 1990. The frequency of poisonings and the intentional use of pesticides were compared between formulations with restricted and unrestricted use, including the toxicity of the commercial formulations as a covariant in the model. The frequency of poisoning was inversely related with the lethal dose of specific formulations, but not with the amounts consumed in agriculture in Spain. The intentional illegal use of some pesticides as poisons was not affected by the commercial restriction of their formulations, but was inversely correlated with their LD(50). The examination of the data permits us to detect three highly toxic compounds (aldicarb, carbofuran, and strychnine), more widely implicated in animal poisonings than other compounds of similar toxicity.

Organochlorine residue levels in livers of birds of prey from Spain: inter-species comparison in relation with diet and migratory patterns.

Livers from 130 specimens corresponding to 18 species of raptors from Spain were analysed for persistent organochlorine (OC) residues. In all species, p,p'-DDE was the most abundant individual OC compound detected, with geometric means ranging from 61 to 40,086 ng/g ww. The geometric mean for summation operator PCB ranged from 225 to 9184 ng/g ww. Migration to Africa, south of Sahara, where p,p'-DDT is still in use, was not associated with higher liver concentrations of its metabolite, p,p'-DDE. The presence of birds in the diet of the species was an important species-specific factor determining the mean liver concentrations of p,p'-DDE and summation operator PCB. The effect of the diet on OC concentrations in liver is explained by the lower metabolising capacity of OC compounds in birds, especially for p,p'-DDE.

¿Es el plomo empleado en deportes (caza, tiro y pesca deportiva) un problema de salud pública infravalorado? / Is lead used in sports (hunting, shooting and angling) an underestimated public health problem?

La munición y los pesos empleados en actividades recreativascomo la caza, el tiro y la pesca deportiva han sido fabricados tradicionalmentecon plomo. En España la caza y el tiro son responsablesde la dispersión en la naturaleza de cerca de 6.000 toneladas anualesdel metal pesado, mientras que podemos estimar en 100 las aportadaspor pescadores deportivos a las zonas acuáticas. Las pocas medidaslegales que varios países han adoptado en contra del uso del plomoen esos deportes se han basado en las pruebas irrefutables queindicaban que cada año fallecían intoxicadas millones de aves, queingerían inadvertidamente esos pequeños objetos de plomo halladosabandonados en sus hábitats naturales. En este trabajo se discute si elenfoque conservacionista que se ha dado hasta ahora al problemaresulta adecuado, y si las evidencias de los daños sobre los sereshumanos son o no suficientes para extender todavía más esas medidasde prohibición, en especial teniendo en cuenta que en niños seconsidera que no hay dosis de exposición segura. Se concluye que enalgunos aspectos los datos ya existen, aunque en otros los estudiostóxico-epidemiológicos son todavía escasos, sugiriendo que al temase le ha prestado poca atención. En cualquier caso, resulta preocupanteconstatar que el principio de precaución no se ha aplicado parasolucionar un problema cuyos efectos sanitarios serán más a largoplazo que inmediatos

Ammunition and fishing weights used in recreational hunting,shooting and fishing sports have been made traditionally with lead.In Spain, for example, hunters and shooters are responsible for thedispersion of some 6.000 tonnes of the heavy metal yearly, intowetland and dryland areas, and an estimated 100 tonnes are contributedby anglers to the aquatic zones. The few legal measures thatseveral countries have adopted banning the use of the lead in thesesports are based on the irrefutable proof that every year millions ofbirds were poisoned lethally, due to the inadvertent ingestion of leadshot and sinkers found in their habitats. We analyzed whether thepresent conservationist approach to the problem is suitable, and if theevidence of damage to human beings is, or is not, sufficient towarrant even more prohibitive measures, especially because, in children,there is no safe exposure to lead. We conclude that in some areasadequate information already exists, although in others the toxicological-epidemiological studies are still scanty, suggesting that thetopic has been given little attention. We are concerned that the PrecautionaryPrinciple has not been applied to solve this problem whosehealth effects will be more long-term than immediate, especiallygiven the array of lead substitutes available

Levels of persistent organochlorine residues in eggs of greater flamingos from the Guadalquivir marshes (Doñana), Spain.

Organochlorine pesticides (OCPs) and polychlorinated biphenyls (PCBs) residue levels were determined in 53 unhatched eggs from greater roseus flamingos (Phoenicopterus ruber). Eggs were collected in 1996 from the National Park of Doñana (Guadalquivir marshes, Southwest Spain), immediately after one breeding colony abandoned the nesting site due to predator attacks. The main metabolite of p,p'-DDT, p,p'-DDE, was the OCP residue found at higher concentrations, with a geometric mean of 721 ng/g wet weight. Residues of other pesticides, including some hexachlorocyclohexane isomers, hexachlorobenzene, aldrin, heptachlor, and heptachlor-epoxide, were detected at much lower concentrations. The sum of PCBs was 528 ng/g, with PCB congeners #187 and #153 being the most prominent in eggs. The pattern observed in these compounds of industrial origin corresponded more to Aroclor 1260 than to any other commercial mixture. Levels of organochlorine residues indicate a medium degree of exposure, and they are not considered of any concern for the flamingo population. In particular, neither p,p'-DDE nor PCB levels were found to be correlated with the eggshell thickness.

[Is lead used in sports (hunting, shooting and angling) an underestimated public health problem?]. / Es el plomo empleado en deportes (caza, tiro y pesca deportiva) un problema de salud pública infravalorado?

Ammunition and fishing weights used in recreational hunting, shooting and fishing sports have been made traditionally with lead. In Spain, for example, hunters and shooters are responsible for the dispersion of some 6000 tonnes of the heavy metal yearly, into wetland and dryland areas, and an estimated 100 tonnes are contributed by anglers to the aquatic zones. The few legal measures that several countries have adopted banning the use of the lead in these sports are based on the irrefutable proof that every year millions of birds were poisoned lethally, due to the inadvertent ingestion of lead shot and sinkers found in their habitats. We analyzed whether the present conservationist approach to the problem is suitable, and if the evidence of damage to human beings is, or is not, sufficient to warrant even more prohibitive measures, especially because, in children, there is no safe exposure to lead. We conclude that in some areas adequate information already exists, although in others the toxicological-epidemiological studies are still scanty, suggesting that the topic has been given little attention. We are concerned that the Precautionary Principle has not been applied to solve this problem whose health effects will be more long-term than immediate, especially given the array of lead substitutes available.

Use of fatty acids to explain variability of organochlorine concentrations in eggs and plasma of common terns (Sterna hirundo).

We have studied the breeding parameters, organochlorine compounds (OCs) concentrations, and fatty acid (FA) composition of egg yolks (n = 47) and plasma (n = 90) of common terns (Sterna hirundo) from two colonies (Banya and Fangar) in the Ebro delta, NE Spain. Terns from Banya tend to have smaller clutch size and lower hatching success than terns from Fangar. p,p'-DDE and polychlorinated biphenyls (PCBs) concentrations were almost 2-fold higher in yolks from Banya in 1998 than from Fangar in 1999, and the percentage of n-6 PUFA was positively correlated with these contaminants. Differences between samplings in OCs concentrations in plasma were less evident, and were affected by breeding chronology. The highest OCs concentrations in yolks from Banya may be explained by two processes involving the increased deposition of n-6 PUFA: (1) higher mobilization of endogenous fat due to lower food resources, or (2) differences in the diet between colonies. Birds from Banya may have been feeding at a higher degree on discards of trawling fisheries composed of demersal and benthic fish species that are more exposed to contaminants from sediment and have lower n-3/n-6 ratio, whereas birds from Fangar would feed mostly on pelagic species of small clupeiformes that are less polluted and have higher n-3/n-6 ratios.