Epidemiological survey of intentional and non- intentional poisoning cases in iraq during 2014-2016

Wrood Salim Alkhfajy, Inam Sameh Arif, Munaf Hashim Zalzala

Abstract

Background:  Poisoning is a major global public health problem and one of the most common deaths in many societies. The goal of this study was to detect the percentage of patients with intentional and unintentional poisonings, and to define demographic factors, major toxic agents related to the occurrence of poisoning recorded by The Poisoning Consultation Center (PCC).

Methods: This was a retrospective -epidemiological study covering data collected between 2014 and 2016 records of The Poisoning Consultation Center (PCC) / the Ghazi Hariri Specialized Surgery Hospital in the Baghdad medical city, Baghdad, Iraq.

Results: Totally, 3213 cases associated with poisoning were evaluated. Among these cases, 3181 were reported as unintentional and only 32 cases as intentional poisoning. Females predominated among intentional cases (81%), and the majority of them belonged to the age group of 15-24 years. While, the 0-9-year age group was the most common among accidental cases. Metal poisonings, mostly copper, were found most frequently within accidental poisoning cases (74%). Carbamazepine ingestion was found to be the major toxic agent for committing suicides, followed by Paracetamol.

Conclusion: Females had a greater propensity to commit intentional poisoning, and the housewives, the age group of 15–24 years and drug medications were more related with suicidal poisonings. A large scale of metal accidental poisoning are appearing in Iraqi cities where, bombing, military events, and waste incineration have led to increased public exposures. The results of this study may serve as evidence for new strategies in Iraq to prevent poisoning.

 

Keywords: Accidental poisoning, Suicide, Epidemiology, retrospective analysis, public health.

Full Text:

PDF

References

REFERENCES

World Health Organization. Poisoning Prevention and Management. http:// www.who.int/ipcs/poisons/en/ (accessed August 2017).

Binetti R, Costamagna FM, Marcello I: Exponential growth of new chemicals and evolution of information relevant to risk control. Ann Ist Super Sanita 2008, 44(1):13-15.

CAS REGISTRY- the gold standard for chemical substance information. 2016.

Mahdizadeh GH, Manouchehri AA, Zarghami A, Moghadamnia AA. Prevalence and Causes of Poisoning in Patients Admitted to Shahid Beheshti Hospital of Babol in 2011–2012. J Babol Univ Med Sci. 2015;17(7):22–8.

Faris H. Maedie HA, Hussain S. Evaluation of poisoning cases in the poisoning consultation center and forensic medicine institute within Baghdad area. Iraqi J Pharm Sci. 2015;24(2):22-9.

Dilek Battal, Ayca Aktas, Mehmet Ali Sungur. Evaluation of poisoning deaths in the Cukurova Region, Turkey, 2007-2011. Toxicol Ind Health. 2016 Mar;32(3):476-84.

Azizpour Y, Asadollahi K, Sayehmiri K, Kaikhavani S, Abangah G. Epidemiological survey of intentional poisoning suicide during 1993-2013 in Ilam Province, Iran. Bmc Public Health. 2016;16.

Xiang Y, Zhao W, Xiang H, Smith GA. ED visits for drug-related poisoning in the United States, 2007. Am J Emerg Med 2012; 30:293

Zyoud SH, Awang R, Sulaiman SA, Al-Jabi SW. A cross-sectional observation of the factors associated with deliberate self-poisoning with acetaminophen: impact of gender differences and psychiatric intervention. Hum Psychopharmacol. 2010;25:500–8. doi:10.1002/hup.140

Rezaeian M. Suicide prevention in developing countries: a prioritized requirement issue. J Health Syst Res. 2013;9:441–8.

Macondo’s Filho W, Mezzaroba L, Turini CA, Koike A, Moto Matsu Junior A, Shibayama EEM, et al. Attempts to commit suicide by chemical substances in adolescence and. Adolesc Latinoam 2002;3:0-0.

Pires MC, da Silva TP, dos Passos MP, Sougey EB, Bastos Filho OC. Risk factors of suicide attempts by poisoning: review. Trends Psychiatry Psychother. 2014; 36:63–74.

Akbari Zardkhaneh S, Jafari S, Dowlatshahi B, Mamaghanieh M. Relationship of suicide with personality characteristics and life events. J Behavior Sci. 2009;3:151–7.

Kashef S, Harati H. Annual surveying of Acute poisoning in children referred to Shiraz Namazi hospital,Journal of Shaheed Sadoughi university of Medical Sciences and health Services. 2002;10(2):42-6.

Ramos CLJ, Targa MBM, Stein AT. Profile of intoxication in childhood attended by the Toxicological Information Center of Rio Grande do Sul, Brazil. Cad Saúde Pública 2005; 21.

Margonato, Fabiana Burdini; Thomson, Zuleika and Paoliello, Monica Maria Bastos. Acute intentional and accidental poisoning with medications in a southern Brazilian city. Cad. Saúde Pública [online]. 2009, vol.25, n.4, pp.849-856. ISSN 1678-4464

Rahimi A, Mohammad K, Razzaghi EM. Trend of Drug abuse situation in Iran:a three decade survey, Hakim Research Journal. 2002;5(3):171-82.

Alhaddad H. Patterns of Poisoning Cases Reported in the Baghdad Poisoning Control Center during 2014. AJPS, 2017, Vol. 17, No.1.

Van der Voet G.B., Todorov T.I., Centeno J.A., Jonas W., Ives J., Mullick F.G. Metals and health: A clinical toxicological perspective on tungsten and review of the literature. Mil. Med. 2007;179:1002–1005

Szema, A. M., Reeder, R. J., Harrington, A. D., Schmidt, M., Liu, J., Golightly, M., Rueb, T., Hamidi, S. A., et al. (2014). Iraq dust is respirable, sharp, and metal-laden and induces lung inflammation with fibrosis in mice via IL-2 upregulation and depletion of regulatory T cells. Journal of Occupational and Environmental Medicine, 56(3), 243–251.

Bushuyev OS, Brown P, Maiti A, Gee RH, Peterson GR, Weeks BL, Hope-Weeks LJ, et al. Ionic polymers as a new structural motif for high-energy-density materials. Journal of the American Chemical Society. 2012;134(3):1422–1425. doi: 10.1021/ja209640k.

Cameron KS, Buchner V, Tchounwou PB, et al. Exploring the molecular mechanisms of nickel-induced genotoxicity and carcinogenicity: a literature review. Reviews on Environmental Health. 2011;26(2):81–92. doi: 10.1515/reveh.2011.012. [PMC free article]

Savabieasfahani M, Alaani S, Tafash M, Dastgiri S, Al-Sabbak M. Elevated titanium levels in Iraqi children with neurodevelopmental disorders echo findings in occupation soldiers. Environmental Monitoring and Assessment. 2015;187:4127. doi:10.1007/s10661-014-4127-5.

Calvert GM, Plate DK, Das R, Rosales R, Shafey O, Thomsen C, et al., et al. Acute occupational pesticide-related illness in the US, 1998-1999: surveillance findings from the SENSOR-pesticides program. Am J Ind Med 2004; 45: 14-23

Mula M, Bell GS, Sander JW. Assessing suicidal risk with antiepileptic drugs. Neuropsychiatric Disease and Treatment. 2010;6:613-618. doi:10.2147/NDT.S11999.

Kominek K, Pawlowska-Kamieniak A, Mroczkowska-Juchkiewicz A, Krawiec P, Pac-Kozuchowska E. Intentional and accidental paracetamol poisoning in childhood - a retrospective analysis. Postep Hig Med Dosw. 2015;69:452-6.

Martins SS, Sampson L, Cerdá M, Galea S. Worldwide Prevalence and Trends in Unintentional Drug Overdose: A Systematic Review of the Literature. American Journal of Public Health. 2015;105(11):e29-e49. doi:10.2105/AJPH.2015.302843.

Cerdá M, Ransome Y, Keyes KM et al. Prescription opioid mortality trends in New York City, 1990–2006: examining the emergence of an epidemic. Drug Alcohol Depend. 2013;132(1-2):53–62.

Yang CC. Acute Poisoning in the Elderly: An Increasingly Recognized But Still Overlooked Problem. J Chin Med Assoc. 2010 Apr;73(4):183-5.

Buchanich JM, Balmert LC, Pringle JL, Williams KE, Burke DS, Marsh GM. Patterns and trends in accidental poisoning death rates in the US, 1979-2014. Prev Med. 2016 Aug;89:317-23.

Refbacks

  • There are currently no refbacks.