Sumary of Poisoning exposures appear to be increasing in Australian schools:
- Reviewed by Emily Henderson, B.Sc.Nov 3 2020 New research from the University of Sydney has found poisoning exposures in children and adolescents while at school are relatively common and appear to be increasing, highlighting the need for more robust prevention measures..
- The authors state that by focusing on improved safety strategies, the incidence of poisonings in schools could decrease..
- Published today in the Archives of Disease in Childhood, it is the most up-to date study to investigate poisonings in schools in New South Wales, Australian Capital Territory and Tasmania, with data revealing the types of exposures and substances involved..
- The researchers studied cases reported to the New South Wales Poisons Information Centre (NSWPIC) over a 4 and-a-half-year period (January 2014 to June 2018)..
- Poisoning is the third leading source of hospitalized childhood injury in Australia and is largely preventable..
- The study found 1751 calls relating to exposures at school made to the Poisons Information Centre, with 61 percent concerning accidental exposures, 12 percent concerning deliberate self-poisonings and 12 percent from medication dosing errors..
- Most self-poisoning exposures were from over-the-counter products such as paracetamol, and most accidental exposures occurred from stings and bites, exposures to plants and in science class..
- Poisoning exposures at school appear to be increasing, with 81 calls per quarter in 2014-2016, and 129 calls per quarter in 2017-2018..
- Deliberate self-poisoning (self-harm exposures/overdose) is increasing in children and adolescents in Australia, and elsewhere.”.
- Dr. Rose Cairns, senior author from Sydney School of Pharmacy, Faculty of Medicine and Health, and senior poisons specialist at the NSW Poisons Information Centre Study findings The median age was 12 years old and exposure peaked in children 14 years 55 percent of cases were male Deliberate self-poisoning was predominantly reported in girls (79 percent) More than 25 percent of poisoning cases were hospitalized, with deliberate self-poisoning exposures being the most common reason (92 percent), recreational exposures (57 percent) and other intentional exposures (33 percent) Accidental exposures (15 percent) and medication errors (11 percent) had low hospital referral rates Over-the-counter medicines such as paracetamol and ibuprofen were most commonly taken in self-poisoning incidents Medication errors occurring at school accounted for nearly 12 percent of cases with the most common medications involved being methylphenidate and clonidine (ADHD medications), and paracetamol..
- Where recorded, 150 cases involved a dosing error with a medication prescribed for the child involved, while 40 cases were prescription medication administered to the wrong child Science class poisoning exposures accounted for 19 percent of accidental exposures, and a range of substances were involved..
- Copper sulfate was responsible for approximately one-quarter of all science class exposures, of which 45 percent resulted in hospitalization..
- Accidental exposures, dares, pranks and recreational exposures occurred more frequently in boys Poisons calls were not just about medicines, but included everything from insect bites, mushrooms and hand sanitizer, to glow sticks, soap and disinfectant..
- Strategies needed to stop preventable poison exposures Related Stories “Many of these poison exposures were likely preventable, so we need to focus on strategies for prevention and school-based initiatives and programmes to make the school environment safer for students,”.
- “A better understanding of reasons for poisonings, and circumstances surrounding exposures, is key to guiding public health strategies for poisoning prevention…