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Deaths from poisoning in New Zealand: 2001-2002
Rebecca McDowell1, Jeff Fowles, David Phillips
1Population and Environmental Health, Institute of Environmental Science and Research (ESR) Limited, Porirua, New Zealand. rebecca.mcdowell@esr.cri.nz
Aims:
To describe the epidemiology and toxicology of poisoning deaths in New Zealand for 2001 and 2002.
Methods:
Poisoning mortality data for 2001 and 2002 were collected from the Coronial Service Office (CSO) as part of the New Zealand chemical injury surveillance system.
Results:
There was 235 and 234 poisoning deaths in 2001 and 2002 respectively, an annual rate of 6.3 [95% CI of 5.5 to 7.1] deaths per 100,000 population for both years. Two-thirds (67.0%) of the deaths were intentional. The 25-44 year age group had the largest number of cases and highest age-specific rate (123 deaths, 11.1 [95% CI: 9.3-13.2] per 100,000 in 2001 and 119 deaths, 10.7 [(95% CI: 9.0-12.8] per 100,000 in 2002). Over two-thirds (68.9%) of the deaths were male. In 2001, the European rate was slightly higher than that for Maori but rates for the two ethnicities were similar in 2002. Geographically, West Coast District Health Board (DHB) had the highest rates. Rates increased with increasing deprivation. Nearly two-thirds (64.3%) of the intentional deaths were attributed to carbon monoxide. Methadone, morphine or heroin, and ethanol were the leading causes of the unintentional deaths.
Conclusions:
The rate of poisoning deaths in New Zealand is comparable with other industrial countries as is the prominence of poisoning as a leading method of suicide.
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