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1.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi ; 37(10): 789-792, 2019 Oct 20.
Artigo em Chinês | MEDLINE | ID: mdl-31726514

RESUMO

Objective: To analyze the epidemiological characteristics of occupational diseases in Gansu Province, China in 2010-2017, and to provide a scientific basis for the prevention and control of occupational diseases. Methods: The cluster sampling method was adopted to make statistical analysis of 1339 cases of occupational disease reported by "occupational disease and occupational health information monitoring system" in Gansu province from 2010 to 2017, to investigate the diseases, regions and industries of occupational diseases in June 2018. Results: A total of 1339 cases of occupational diseases (39 types, 8 classes) were diagnosed and reposed in 2010-2017. The three most frequent diseases were pneumoconiosis (87.53%, 1172/1339), occupational poisonings (5.83%, 78/1339), and occupational ear, nose, and throat (ENT) diseases (3.14%, 42/1339). The cases of silicosis accounted for 54.61% (640/1172) of all cases of pneumoconiosis, the second was coalworker pneumoconiosis, which accounted for 38.57% (452/1172). In the cases of occupational poisonings, 32.05% (25/78) suffered from carbon monoxide poisoning. Patients with occupational diseases were reported in 14 districts of Gansu, mostly in Lanzhou (27.52%, 347/1261), Jinchang (16.57%, 209/1261), and Baiyin (14.20%, 179/1261). The reported cases are mainly concentrated in mining (71.56%, 468/654) and manufacturing (21.87%, 143/654), the types of state-owned economy (55.63%, 692/1244) and private economy (33.68%, 419/1244), large (43.41%, 540/1244) and small enterprises (35.21%, 438/1244) in 2010-2017 in Gansu. Conclusion: The pneumoconiosis caused by silicious and coal dust and the occupational poisonings caused by carbon monoxide seem to be the main occupational hazards in Gansu province. Occupational diseases occur in all districts of Guangzhou and in various industries. The state-owned economy and private sector, large and small enterprises should be the focuses of occupational health supervision.


Assuntos
Doenças Profissionais/epidemiologia , Pneumoconiose/epidemiologia , Envenenamento/epidemiologia , Intoxicação por Monóxido de Carbono/epidemiologia , China/epidemiologia , Estudos Epidemiológicos , Humanos , Incidência
2.
Artigo em Alemão | MEDLINE | ID: mdl-31578620

RESUMO

As of 2019, Germany has still not been able to provide a national poisoning register and toxicovigilance for sufficient and reliable information on human exposure for the purpose of identification and assessment of toxic risk to the public. In particular, the USA acts as a special model, but France, the Netherlands, Switzerland, and Sweden also have efficient poisoning registers and toxicovigilance systems that deliver representative human exposure data as early warning systems for risk minimization and prevention. This contribution presents an overview of national poisoning registers and systems of toxicovigilance in different countries and describes the present situation in Germany where, from a public health point of view, insufficient political development in this area has so far been supplied.In Germany, the database for poisoning analysis is still insufficient because poisonings as an important medical entity does not find sufficient medical-statistical correspondence in the ICD Code. Cooperation between the Federal Institute for Risk Assessment (BfR) and the German Poison Centres (GIZ) has already led to significant progress and results in risk minimization, but due to the lack of representative data and the non-implementation of a national monitoring and toxicovigilance system, false estimations of poisoning situations can not be excluded.yIn the future, acute poisoning, and when appropriate chronic poisoning, can be competently assessed via human exposure in the German Poison Centres and through medical reports on poisoning at the BfR. This requires an effective national monitoring and toxicovigilance system supported and financed by government across the borders of the German federal states.


Assuntos
Envenenamento , Sistema de Registros , Bases de Dados Factuais , Alemanha/epidemiologia , Humanos , Envenenamento/epidemiologia , Sistema de Registros/estatística & dados numéricos , Medição de Risco , Suécia/epidemiologia , Suíça/epidemiologia
3.
Environ Sci Pollut Res Int ; 26(32): 33135-33145, 2019 Nov.
Artigo em Inglês | MEDLINE | ID: mdl-31520378

RESUMO

Aluminum phosphide (AlP) is considered now one of the most common causes of poisoning among agricultural pesticides. Poisoning with AlP is extremely toxic to humans with high mortality rate. The aim of this work was to evaluate the prognostic factors and outcome of acute aluminum phosphide poisoning in Alexandria Main University Hospital during a period of 6 months from 1 November 2017 until the end of April 2018, highlighting the role of SOFA score and echocardiography in predicting the mortality. The prospective study was conducted on all patients admitted with acute AlP poisoning to Alexandria Main University Hospital for those 6 months. Patients' data were collected in a special sheet and included biosocial data, medical history, poisoning history, complete medical examination, investigations, duration of hospital stay, and the outcome. All patients were assessed according to SOFA score on admission. Thirty patients were admitted during the period of the current study. Females outnumbered males in all age groups with a sex ratio of 2.75:1. The mean age of patients was 22.77 ± 12.79 years. 96.6% of patients came from rural areas. 93.3% of the cases were exposed to poisoning at home, where suicidal poisoning accounted for (86.7%) of cases. 43.3% of patients died (n = 13), and the median value of SOFA score among non-survivors was 10, versus 1 among survivors. The median value of ejection fraction among non-survivors (25%) was half its value in survivors (50%). Although there were many predictors of severity of AlP poisoning, SOFA score was the most predictive factor of mortality detected by multivariate analysis.


Assuntos
Compostos de Alumínio/envenenamento , Praguicidas/envenenamento , Fosfinas/envenenamento , Envenenamento/diagnóstico , Adolescente , Adulto , Criança , Ecocardiografia , Feminino , Hospitalização , Humanos , Masculino , Pessoa de Meia-Idade , Escores de Disfunção Orgânica , Envenenamento/epidemiologia , Envenenamento/etiologia , Estudos Prospectivos , Adulto Jovem
4.
Tidsskr Nor Laegeforen ; 139(13)2019 Sep 24.
Artigo em Norueguês, Inglês | MEDLINE | ID: mdl-31556525

RESUMO

BACKGROUND: Self-inflicted poisoning is common in adolescents and is a risk factor for suicide. The aim of this study was to survey the circumstances surrounding hospitalisations due to acute poisoning in patients aged up to 18 years. MATERIAL AND METHOD: All hospitalisations in the Departments of Paediatric and Adolescent Medicine, Sørlandet Hospital Trust (Arendal and Kristiansand) due to acute poisoning in the period 1 August 2014-31 July 2015 were prospectively recorded with the aid of a form completed during the admission. RESULTS: There were 88 hospitalisations distributed among 68 adolescents (mean age 15.5 years, SD 1.5) and 13 children (mean age 2.8 years, SD 2.8). The poisoning was categorised as self-harm behaviour in 32 (47 %) of the adolescents, and as substance misuse-related in 35 (52 %). In total, 37 (54 %) of the adolescents had been or were under treatment at the Department of Child and Adolescent Psychiatry. Fifteen (22 %) of the adolescents were deemed to be suicidal. Thirty (94 %) of the adolescents who reported self-harm as the intention behind their poisoning were offered further follow-up at the Department of Child and Adolescent Psychiatry, along with 7 (20 %) of the group with substance misuse-related poisoning. INTERPRETATION: Adolescents who reported self-harm as their intention were usually offered further follow-up, whereas adolescents with substance misuse-related poisoning were rarely offered follow-up.


Assuntos
Envenenamento/epidemiologia , Doença Aguda , Adolescente , Assistência ao Convalescente , Intoxicação Alcoólica/epidemiologia , Criança , Orientação Infantil , Pré-Escolar , Drogas Desenhadas/envenenamento , Feminino , Humanos , Lactente , Masculino , Noruega/epidemiologia , Admissão do Paciente , Estudos Prospectivos , Características de Residência , Comportamento Autodestrutivo/epidemiologia , Transtornos Relacionados ao Uso de Substâncias/epidemiologia , Ideação Suicida
6.
Pan Afr Med J ; 33: 108, 2019.
Artigo em Francês | MEDLINE | ID: mdl-31489086

RESUMO

Home accidents are a serious public health problem in Pediatrics. They are responsible for heavy morbidity and mortality in the paediatric population. We conducted a retrospective study of 231 cases of domestic accidents in childhood in the Division of General Pediatrics at the Hedi Chaker Hospital, Sfax over a period of 5 years (2008-2012). During the study period, we collected data from 231 domestic accidents. The study involved 124 boys (53.7 %) and 107 girls (46.3%). The average age of patients was 2 years, ranging from 1 day to 14 years; children under 4 years were the most exposed to home accidents (88.7%). Accidental poisonings were the most common accidents (105 cases). Caustics were the most common toxic agents (33 cases), followed by drugs (28 cases) and hydrocarbons (16 cases). Foreign body accidents were the second most common mechanism of injury (64 cases). They included 43 cases of inhalation of foreign bodies and 21 cases of foreign body ingestion. We recorded 28 cases of trauma, 25 cases were caused by a fall from a certain height. We noted 26 cases of scorpion envenomation, 5 cases of drowning, 2 cases of burn and a single case of electric shock. Accidental poisonings and foreign body accidents were the main home accidents noted during our study and the age group 1 -4 years was the most exposed to home accidents.


Assuntos
Acidentes por Quedas/estatística & dados numéricos , Acidentes Domésticos/estatística & dados numéricos , Corpos Estranhos/epidemiologia , Envenenamento/epidemiologia , Adolescente , Fatores Etários , Queimaduras/epidemiologia , Criança , Pré-Escolar , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Envenenamento/etiologia , Estudos Retrospectivos , Picadas de Escorpião/epidemiologia , Tunísia/epidemiologia
7.
Ann Saudi Med ; 39(4): 229-235, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31381368

RESUMO

BACKGROUND: Poisoning among the pediatric population is an important public health concern that is responsible for frequent pediatric emergency department visits and hospital admissions. Surveillance of poisoning cases is essential for designing and implementing effective preventive strategies. OBJECTIVE: Describe the characteristics of acute poison exposure and related therapeutic interventions in children aged 12 years and younger. DESIGN: Prospective, descriptive cross-sectional study. SETTING: Two pediatric emergency departments in Riyadh. PATIENTS AND METHODS: We prospectively reviewed pediatric poisonings that presented to emergency departments over a period of two years. MAIN OUTCOME MEASURES: Epidemiological aspects of pediatric poisoning Riyadh. SAMPLE SIZE: 1035 patients. RESULTS: The median (IQR) age at the time of exposure was 27 (23-42) months. The most frequently involved substance class was toxic household products in children younger than 6 years and pesticides in children 6 years or older. A frequently involved single agent was paracetamol in younger and older children. The majority of patients (78.7%) were completely asymptomatic at the time of presentation and during the observation period. Almost half of the exposure incidents (47.8%) needed no intervention. Most exposure incidents (95%) did not require any pharmacological support and most (87%) did not require nonpharmacological intervention. Eight (0.7%) patients required intubation and mechanical ventilation. Activated charcoal was administered for 27% of cases. Gastric lavage, whole bowel irrigation, and ipecac were used in a few cases (1%, 0.3%, and 0.1%, respectively). Enhanced elimination interventions were performed for only 0.5% of exposure cases. Only two patients died. CONCLUSIONS: Household products were the commonest reason for pediatric poisonings in Saudi Arabia and most of them were asymptomatic. Our results suggest a need for strategic plans for prevention and care. LIMITATIONS: May not be representative of the experiences and practices of smaller hospitals in remote regions of the country. CONFLICT OF INTEREST: None.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Produtos Domésticos/envenenamento , Praguicidas/envenenamento , Envenenamento/epidemiologia , Fatores Etários , Criança , Pré-Escolar , Estudos Transversais , Feminino , Humanos , Lactente , Masculino , Envenenamento/terapia , Estudos Prospectivos , Arábia Saudita/epidemiologia
8.
Artigo em Inglês | MEDLINE | ID: mdl-31331061

RESUMO

BACKGROUND: Pesticide poisoning is an important issue in rural China, and is also a major public health problem that affects the health of farmers. The purpose of this paper is to explore the epidemiology of pesticide poisoning in Jiangsu Province, and to put forward the relevant suggestions on the logical and discerning utilization of the pesticides. METHODS: According to the data of the pesticide poisoning report card established by the health hazard detection information system, the cases of pesticide poisoning in Jiangsu Province from 2006 to 2018 were exported to Excel, and the database of pesticide poisoning was established. Furthermore, the imported data was screened and collected. A descriptive statistical analysis had been employed on this data utilizing SPSS 20.0. RESULTS: Between the years 2006 and 2018, 38,513 pesticide poisoning cases were registered in Jiangsu Province, with a downward trend. Meanwhile, 77.83% of poisoning cases involved insecticide poisoning, followed by herbicide and rodenticide. The greater part of the diverse sorts of studied insecticide poisoning cases involved people aged between 30 and 59 years (57.51%). Poisoning cases caused by rodenticide accounted for a large proportion of people aged between 0 and 14 years (23.72%) in non-occupational pesticide poisoning. Regarding seasons, it was distinguished that more insecticide cases were reported in autumn (46.95% of the total number of cases). Pesticide poisoning was reported in 13 cities of Jiangsu Province, and among these, insecticide poisoning was reported mainly from the northern Jiangsu area, which was the same as rodenticide and herbicide. CONCLUSIONS: Although there is a decreased risk for pesticide poisoning among farmworkers in Jiangsu Province, the number of farmworkers with pesticide poisoning is still high. Further management of the pesticide utilization is necessary, especially insecticide. More attention ought to be paid to the protection of vulnerable groups, including children and the elderly.


Assuntos
Praguicidas/envenenamento , Envenenamento/epidemiologia , Adolescente , Adulto , Criança , Pré-Escolar , China/epidemiologia , Fazendeiros , Feminino , Humanos , Lactente , Recém-Nascido , Masculino , Pessoa de Meia-Idade , Exposição Ocupacional , População Rural , Estações do Ano , Adulto Jovem
9.
J Assoc Physicians India ; 67(3): 64-66, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-31304709

RESUMO

Introduction: Suicide is a major public health challenge in Kerala. Majority of adult poisoning is intentional. Most of those who attempt 'deliberate self harm' are young adults and many a time the reason is trivial. Objectives: To find out the pattern of poisoning, prognostic factors in different type of poisoning, precipitating factors for deliberate self harm and to suggest preventive measures. Methodology: This was a prospective observational study conducted among patients admitted with history of poisoning in a tertiary care centre in Kerala. Detailed history, physical examination, relevant lab investigations were done in all the patients. Psychiatric assessment and counselling was done in all survivors. Results: A total of 195 patients were included in this study-109 males and 86 females. The intention of poisoning was suicidal in 98.82% of cases. The mortality rate was 13.33%. Common poisons consumed were odollam, drugs, pesticides and rodenticides. Majority of deaths were due to organophosphorous compounds (42.31%) followed by odollam (38.46%). The common precipitating factors were family problems, personal stressors and marital discord in both sexes. Psychiatric assessment showed adjustment disorder as the commonest problem followed by impulsive act. Conclusion: The common poisons ingested are organophosphorous compounds, drugs and odollam. Organophosphorous and odollam carries higher mortality. Pesticide regulation, use of less toxic pesticides in agriculture, early management and quick referral to well equipped hospitals will help in reducing mortality. Suicide prevention programmes like psychosocial support and counselling, raising public awareness about deliberate self harm and alcohol de-addiction programmes will help in reducing the incidence of deliberate self harm.


Assuntos
Apocynaceae , Praguicidas , Extratos Vegetais/envenenamento , Envenenamento/epidemiologia , Suicídio , Feminino , Humanos , Masculino , Estudos Prospectivos , Ideação Suicida , Centros de Atenção Terciária , Adulto Jovem
10.
West J Emerg Med ; 20(4): 557-572, 2019 Jul.
Artigo em Inglês | MEDLINE | ID: mdl-31316694

RESUMO

Cannabis legalization has led to significant health consequences, particularly to patients in emergency departments and hospitals in Colorado. The most concerning include psychosis, suicide, and other substance abuse. Deleterious effects on the brain include decrements in complex decision-making, which may not be reversible with abstinence. Increases in fatal motor vehicle collisions, adverse effects on cardiovascular and pulmonary systems, inadvertent pediatric exposures, cannabis contaminants exposing users to infectious agents, heavy metals, and pesticides, and hash-oil burn injuries in preparation of drug concentrates have been documented. Cannabis dispensary workers ("budtenders") without medical training are giving medical advice that may be harmful to patients. Cannabis research may offer novel treatment of seizures, spasticity from multiple sclerosis, nausea and vomiting from chemotherapy, chronic pain, improvements in cardiovascular outcomes, and sleep disorders. Progress has been slow due to absent standards for chemical composition of cannabis products and limitations on research imposed by federal classification of cannabis as illegal. Given these factors and the Colorado experience, other states should carefully evaluate whether and how to decriminalize or legalize non-medical cannabis use.


Assuntos
Serviço Hospitalar de Emergência/estatística & dados numéricos , Uso da Maconha/efeitos adversos , Uso da Maconha/tendências , Acidentes de Trânsito/tendências , Sintomas Comportamentais/induzido quimicamente , Cannabis/química , Colorado/epidemiologia , Dirigir sob a Influência/tendências , Contaminação de Medicamentos , Overdose de Drogas/epidemiologia , Hospitalização/tendências , Humanos , Legislação de Medicamentos , Transtornos Mentais/induzido quimicamente , Serviços de Saúde Mental/tendências , Envenenamento/epidemiologia , Vômito/epidemiologia
11.
J Assoc Physicians India ; 67(4): 57-61, 2019 Apr.
Artigo em Inglês | MEDLINE | ID: mdl-31311221

RESUMO

Background: Poisoning are common emergencies associated with high mortality and morbidity in India. This study aims to analyse the pattern of poisoning, clinico-epidemiological features, course and outcome of patients and factors affecting the outcome. Methodology: This was an observational, prospective study conducted at a tertiary care, teaching, public, urban hospital. We noted demographic profile, nature and class of poison, clinical manifestations, duration of stay in ICU and hospital, investigations, management and outcome. Association between qualitative variables was assessed by Chi-Square test, Fisher's exact test and Binary Logistic Regression. Results: Among 250 patients mortality was 24%. Common agents of poisoning used were chemicals seen in 102 patients (41%), followed by pesticides (52 patients, 21%) and rodenticides (33 patients, 13%). Ventilator support was needed in 63 patients (25%) and mean hospital stay of patients was 3.7 days with range being 5-15 days. Deranged liver function test was present in 22 (41.51%) cases of rodenticides poisoning, Deranged renal function test was present in 44 (59.46%) cases of Chemicals. Conclusions: Poisoning was predominant in unmarried young males from lower economic class. The most common type of poisoning was suicidal, route was oral and agent was chemicals. Vomiting and pain in abdomen were the most common clinical features. Chemical poisoning was highly associated with renal failure and aspiration chemical pneumonitis requiring ventilator support and high mortality. Chemical agent of poisoning, Intravenous route of poisoning, requirement of mechanical ventilation, duration of hospital stay were significantly associated with mortality.


Assuntos
Envenenamento/epidemiologia , Humanos , Índia/epidemiologia , Tempo de Internação , Praguicidas , Estudos Prospectivos , Respiração Artificial
12.
Pediatrics ; 144(1)2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-31160344

RESUMO

OBJECTIVES: To investigate exposures to liquid laundry detergent packets among children <6 years old in the United States and to evaluate the impact of the American Society for Testing and Materials voluntary product safety standard. METHODS: Data from the National Poison Data System involving exposures to liquid laundry detergent packets from 2012 to 2017 were analyzed. RESULTS: From January 2012 to December 2017, there were 72 947 single and polysubstance exposures to liquid laundry detergent packets. Most exposures (91.7%) were documented among children <6 years old. The annual number and rate of exposures for children <6 years old increased by 110.4% and 111.9%, respectively, from 2012 to 2015. From 2015 to 2017, the number and rate of exposures in this age group decreased by 18.0%. Among individuals ≥6 years old, the annual number and rate of exposures increased by 292.7% and 276.7%, respectively, from 2012 to 2017. Annual hospital admissions among children <6 years old increased by 63.4% from 2012 to 2015 and declined by 55.5% from 2015 to 2017. Serious outcomes among children <6 years old increased by 78.5% from 2012 to 2015 and declined by 32.9% from 2015 to 2017. CONCLUSIONS: The number, rate, and severity of liquid laundry detergent packet exposures have decreased modestly in recent years among children <6 years old, likely attributable, in part, to the voluntary product safety standard and public awareness efforts. Exposures among older children and adults are increasing. Opportunities exist to strengthen the current product safety standard to further reduce exposures.


Assuntos
Qualidade de Produtos para o Consumidor , Detergentes/envenenamento , Lavanderia , Acidentes Domésticos/prevenção & controle , Criança , Pré-Escolar , Feminino , Hospitalização/estatística & dados numéricos , Humanos , Masculino , Envenenamento/epidemiologia , Envenenamento/prevenção & controle , Rotulagem de Produtos , Embalagem de Produtos , Estados Unidos/epidemiologia
13.
Artigo em Chinês | MEDLINE | ID: mdl-31177692

RESUMO

Objective: To analysis the epidemic and spatial characteristics of pesticide poisoning in Quzhou during 2013-2017, and to provide scientific basis for the prevention and control of influenza in Quzhou in the future. Methods: The incidence data of pesticide poisoning from January 1, 2013 to December 31, 2017 in Quzhou collected from China Information System For Disease Control And Prevention. The descriptive analysis conducted by using SPSS18.0 software, and the Sa T Scan 9.2 software was used to complete space-time scan. Finally, ArcMap10.2 software was used to visualize the results. Results: There were 1819 cases of pesticide poisoning in Quzhou from 2007 to 2016, among which 298 cases were reported for productive poisoning, the incidence peak was from August to September, the highest number of patients in productive poisoning was in the age group of 46-60 years old and over 61 years old, with 109 patients in each group, and the number of male patients was significantly higher than that of female (χ(2)=63.857, P<0.01) . 1521 cases of non-productive pesticide poisoning were reported, among which the proportion of suicide poisoning (57.65%) was far higher than that of accidental poisoning (28.97%) , the number of female suicide poisoning was higher than that of male (χ(2)=5.510, P=0.019) , the proportion of accidental poisoning was the highest in the ≤15 years age group (89.00%, 89/100) , furthermore the number of suicide poisoning was the highest in the ≥61 years age group (314) . The incidence of pesticide poisoning could be detected by temporal-spatial scanning statistics, the time clustering is from August to September, the spatial clustering is in Jiangshan city, there are consistent with the descriptive of pesticide poisoning. Conclusion: The pesticide poisoning in Quzhou is mainly caused by non-productive suicide poisoning, and the spatial clustering is in Jiangshan city. Relevant departments should carry out targeted prevention and control measures according to the different characteristics of pesticide poisoning in clustered and non-clustered areas.


Assuntos
Praguicidas , Envenenamento , Suicídio , China/epidemiologia , Cidades , Feminino , Humanos , Incidência , Masculino , Pessoa de Meia-Idade , Praguicidas/envenenamento , Envenenamento/epidemiologia , Suicídio/estatística & dados numéricos
14.
Artigo em Chinês | MEDLINE | ID: mdl-31177693

RESUMO

Objective: To conduct a characteristic analysis of the case of acute hydrogen sulfide poisoning in fishing boats for nearly ten years in a city, and to research on prevention and control measures, so as to provide scientific basis for formulating prevention strategies. Methods: In July 2018, collecting the data of acute hydrogen sulfide poisoning in fishing boats recorded by the Oceanic and Fishery Department & Health Sector from January 1, 2009 to June 30, 2018, the accident characteristics of acute hydrogen sulfide poisoning in fishing boats was analyzed, and compared the differences of hydrogen sulfide poisoning under different classification statistics. Results: In the past ten years, there were 14 acute poisonings in the city, 34 people were poisoned and 12 deaths (the case fatality rate was 35.3%) . According to the types of fishing vessels, the majority number of acute hydrogen sulfide poisoning incidents, poisoned persons and deaths occurred on fishing boats, accounted for 71.4% (10/14) , 76.5% (26/34) and 75.0% (9/12) respectively. From the location of the accident, 85.7% (12/14) of the acute hydrogen sulfide poisoning incidents occurred outside the fishing port. Fisher's exact test showed that the case fatality rate in within the fishing port was higher than that outside the fishing port (P=0.008) . From the cause of direct poisoning, the first three reasons were enter the fish room to rescue, enter the fish room to move fresh catch, to clean the fish room. The poisoning showed seasonal changes, Fisher's exact test showed that the fatality rate in summer was significantly higher than that in spring (P=0.044) , but there was no statistical significance in other seasons (P>0.05) . Conclusion: The acute hydrogen sulfide poisoning of fishing boats in this city has a high case fatality rate, frequent collective poisoning, and showed seasonal changes. Blind rescue, incomplete facilities, and inadequate system are important factors leading to poisoning, so daily measures and rescue measures should be strengthened to reduce the occurrence of poisoning and casualties.


Assuntos
Sulfeto de Hidrogênio , Envenenamento , Animais , Cidades , Pesqueiros , Sulfeto de Hidrogênio/envenenamento , Envenenamento/epidemiologia , Envenenamento/terapia , Estações do Ano , Navios
15.
Artigo em Chinês | MEDLINE | ID: mdl-31177720

RESUMO

Three female workers in a golf club production company in Guangzhou were diagnosed with occupational chronic mild benzene poisoning. Two of the female workers were assessed as Grade 7 disabilities. One female worker showed the symptoms of the decline of whole blood cells for unknown reasons in the later stages of the medical period. The final assessment was a Class 5 disability. The problems in this work ability appraisal include: the injury condition of the patient who has not been stable during the work ability appraisal, and the contradiction between the disability grade and the occupational disease diagnosis conclusion. In order to avoid similar situations, the following recommendations are recommended: after the worker's injury situation is relatively stable, the assessment will be conducted, the employer will actively exercise the right to review and appraisal, and the diagnosis of occupational diseases will be included in the evaluation criteria for disability grade.


Assuntos
Benzeno , Doenças Profissionais , Benzeno/envenenamento , Doença Crônica , Avaliação da Deficiência , Feminino , Humanos , Incidência , Doenças Profissionais/epidemiologia , Envenenamento/epidemiologia
16.
Zhonghua Liu Xing Bing Xue Za Zhi ; 40(5): 571-573, 2019 May 10.
Artigo em Chinês | MEDLINE | ID: mdl-31177740

RESUMO

Objective: To analyze the epidemiological characteristics and response process of an acute poisoning event caused by carbofuran in buttered tea and provide scientific evidence for the investigation of similar events in the future. Methods: Field epidemiological survey, animal experiments and laboratory tests were conducted for an acute poisoning event occurred in Suopo township of Danba county of Sichuan province in 2018. Descriptive epidemiological method was used to analyze the epidemiological characteristics of the acute poisoning event. Results: A total of 26 poisoning cases occurred in 3 villages. The total attack rate was 41.27%. No death cases were reported. The 26 cases occurred in a few minutes after drinking buttered tea, the main symptoms were vomit, dizziness, miosis and nausea. A dog showed the same symptoms after drinking a sample of buttered tea. Carbofuran was detected in buttered tea, vomitus and zanba samples. Conclusions: The acute poisoning was caused by carbofuran in buttered tea, the transmission mode was point source spread. Effective epidemiological investigation and simple animal experiment can provide evidence for the rapid sample detection and clinical treatment of cases in emergency response. Timely case treatment and strict poisoning source control are the key measures to reduce casualty and prevent the spread of poisoning.


Assuntos
Carbofurano/envenenamento , Inseticidas/envenenamento , Envenenamento/epidemiologia , Chá/efeitos adversos , Doença Aguda , Animais , Tontura/etiologia , Métodos Epidemiológicos , Humanos , Miose/etiologia , Náusea/etiologia , Vômito/etiologia
17.
Int J Occup Med Environ Health ; 32(4): 489-501, 2019 Jul 15.
Artigo em Inglês | MEDLINE | ID: mdl-31241049

RESUMO

OBJECTIVES: Many research studies conducted in various toxicology centers point to drugs as the most common cause of intoxication. Long-term observations make it possible to clarify the nature of these poisonings. The aim of this study was to examine the trends and reasons of intoxication in patients hospitalized over a 10-year observation period (2005-2015), as well as to compare the number of patients poisoned with nonsteroidal anti-inflammatory drugs (NSAIDs), mainly over-the-counter (OTC) drugs. MATERIAL AND METHODS: A retrospective observational study examined the medical documentation of patients hospitalized in the Department of Toxicology and Internal Diseases of the T. Marciniak Lower Silesian Specialist Hospital in Wroclaw in 2005-2015, including the analysis of the causes of intoxication as well as total poisoning-related death statistics. Quarterly and annual analyses of the numerical data, and comparisons of the frequency of poisonings were included. The patient population from the area of Lower Silesia, Poland, was examined. RESULTS: The number of hospitalized patients has increased, with attempted suicide being the leading cause of death. Male intoxication and mortality have been found to predominate. Drugs are the most common cause of poisoning, and among these the most common are sedatives and psychotropic drugs. Intoxication due to NSAIDs, especially OTC drugs, increased significantly in the observation period. In 2005 no fatal cases were reported as a result of NSAID intoxication, while in 2015 mortality significantly increased to 43%. CONCLUSIONS: The lack of a common trend in poisonings is observed but the number of hospitalized patients has increased, especially among young people, which is consistent with global trends. Drugs are the most common cause of mortality, and a significant increase in NSAID (mainly OTC) poisonings in particular indicates the growing prevalence of an uncontrolled use of these drugs. Int J Occup Med Environ Health. 2019;32(4):489-501.


Assuntos
Uso Indevido de Medicamentos/estatística & dados numéricos , Envenenamento/epidemiologia , Adolescente , Adulto , Anti-Inflamatórios não Esteroides/envenenamento , Uso Indevido de Medicamentos/mortalidade , Feminino , Humanos , Hipnóticos e Sedativos/envenenamento , Masculino , Pessoa de Meia-Idade , Envenenamento/mortalidade , Polônia/epidemiologia , Psicotrópicos/envenenamento , Estudos Retrospectivos , Suicídio/estatística & dados numéricos , Tentativa de Suicídio/estatística & dados numéricos , Xenobióticos/envenenamento
19.
Indian Pediatr ; 56(4): 329-330, 2019 04 15.
Artigo em Inglês | MEDLINE | ID: mdl-31064906

RESUMO

The prevalence of poisoning and bites was 0.76% (48/6308) and 1.24% (78/6308), respectively in a community-based survey in Ujjain district, Madhya Pradesh. Household cleansing agents and medicines, and-dog bite and bee-sting were the most common poisons and bites, respectively. Most parents (59%) reported lack of appropriate first-aid knowledge. Educational interventions and implementing the medicine take-back program are suggested.


Assuntos
Mordeduras e Picadas/epidemiologia , Envenenamento/epidemiologia , Adolescente , Animais , Abelhas , Criança , Pré-Escolar , Estudos Transversais , Cães , Feminino , Produtos Domésticos/envenenamento , Humanos , Índia/epidemiologia , Lactente , Masculino , Pobreza , Prevalência
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