Unintentional childhood poisoning in the Sharon area in Israel: a prospective 5-year study

Y Uziel1, A Adler, G Aharonowitz

  • 1Department of Pediatrics, Meir Hospital, Kfar Saba, Israel. uziely@zahav.net.il

Insights

Unintentional poisoning in children is common, especially in those under 5. Pesticide exposure, more frequent in Arab children, leads to severe outcomes, highlighting the need for targeted educational programs.

Area of Science:

  • Pediatric Emergency Medicine
  • Public Health
  • Toxicology

Background:

  • Unintentional poisoning is a significant concern in pediatric populations.
  • Understanding epidemiological patterns and risk factors is crucial for prevention.

Purpose of the Study:

  • To investigate the epidemiology and risk factors of unintentional poisoning exposures in Jewish and Arab children in Israel's Sharon area.
  • To compare the clinical outcomes between different ethnic groups.

Main Methods:

  • Prospective evaluation of pediatric emergency department visits for unintentional poisoning.
  • Collection of demographic, substance exposure, and clinical outcome data.
  • Analysis of poisoning cases over a 5-year period at Meir General Hospital.

Main Results:

  • 502 children were evaluated; 84% were Jewish, 16% Arab. 88.5% of poisonings occurred in children under 5 years old.
  • Medications (hormones, vitamins, antibiotics) were the most common exposure. Most children had mild or no symptoms.
  • Arab children experienced more severe manifestations, particularly from pesticide poisoning, including one fatality from organic phosphate poisoning.

Conclusions:

  • Poisoning is a frequent pediatric issue, with a higher incidence in children under 5.
  • Pesticide exposure poses a greater risk and leads to more severe outcomes in the Arab community.
  • Targeted educational and preventive programs are essential to reduce childhood poisoning incidents.
Abstract