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Children poisoning in Taiwan
Insights
Pediatric poisoning exposures in Taiwan, primarily accidental ingestions of household products and medications, are a significant concern. Prevention efforts should focus on education and child-resistant packaging for young children.
Area of Science:
- Toxicology
- Pediatrics
- Public Health
Background:
- Poisoning is a major cause of child morbidity and mortality globally.
- Limited data exists on pediatric poisoning exposures in Taiwan.
Purpose of the Study:
- To analyze pediatric poisoning exposure data from Taiwan's National Poison Centre (NPC).
- To inform poison prevention strategies for children under 19.
Main Methods:
- Retrospective analysis of 5,812 telephone inquiries to NPC-Taiwan (July 1985 - December 1993).
- Data analyzed included age, sex, exposure reason, route, substances, and outcomes.
Main Results:
- Males accounted for 59% of exposures.
- Accidental oral exposures (77.7%) involved household products, benzodiazepines, and pesticides.
- Mortality rate was 1.4%, with household products and drugs posing risks for children under 6.
Conclusions:
- Accidental poisoning from household products and medications is a significant issue for young children.
- Enhanced parent education and child-resistant containers are crucial for prevention.
- Adolescent amphetamine abuse requires increased attention.
Abstract:
Poisoning is a well known cause of morbidity and mortality in children. In Taiwan, little information has been published regarding the status of pediatric poisoning exposures. To provide more information on pediatric poisoning exposures for the purpose of poison prevention, a retrospective study was designed and conducted to analyse the data of National Poison Centre (NPC), Taiwan. All telephone inquiries concerning poisoning exposures in those under 19 years of age, received by NPC-Taiwan from July 1985 through December 1993, were included in this study. The age, sex, reason for exposure, route of exposure, substances involved and clinical outcome of those telephone calls were then analyzed. A total of 5,812 inquiries concerning poisoning exposures in children were recorded. Male exposures were more prevalent than females (59%) Vs. 41%) Accidental exposures accounted for 77.7% of the cases and most were exposed by the oral route. Substances most frequently ingested were household products, benzodiazepines and pesticides. The data revealed a mortality rate of 1.4%. Accidental poisoning exposures from household products and drugs remain a significant problem for those younger than 6 years of age. Further education of parents and care takers and the employment of child-resistant containers are needed to prevent cases of pediatric poisoning. Reduction of amphetamine abuse in adolescents is also of major concern and deserves more attention.