Related Experiment Video
Updated: Feb 20, 2026

A Modified QuEChERS-HPLC Method for Detection of Polycyclic Aromatic Hydrocarbons in Zebrafish Embryos Exposed to Fine Particulate Matter
Published on: June 13, 2025
Predictors of unintentional poisoning among children under 5 years of age in Karachi: a matched case-control study
Bilal Ahmed1, Zafar Fatmi, Amna R Siddiqui
1Department of Community Health Sciences, Aga Khan University, Karachi, Pakistan. bilal.ahmed@aku.edu
Insights
Unsafe storage of hazardous substances and child
Area of Science:
- Pediatric Emergency Medicine
- Public Health
- Toxicology
Background:
- Poisoning is a significant cause of unintentional injury and pediatric emergencies in children under five.
- Identifying risk factors is crucial for developing effective prevention strategies.
Purpose of the Study:
- To determine factors associated with unintentional poisoning in children under five presenting to emergency rooms in Karachi, Pakistan.
Main Methods:
- A matched case-control study involving 120 cases and 360 controls was conducted.
- Data was collected via interviews with parents using a structured questionnaire.
- Conditional logistic regression analysis was performed.
Main Results:
- Unsafe storage of chemicals/medicines (aOR=5.6), aggressive child behavior (aOR=8.2), storing fuel in bottles (aOR=3.8), low socioeconomic status (aOR=9.2), low maternal education (aOR=4.2), and prior poisoning history (aOR=8.6) were significant risk factors.
- These factors were independently associated with unintentional poisoning.
Conclusions:
- Modifiable factors include unsafe storage of kerosene/petroleum and accessibility of chemicals/medicines.
- Health education on safe storage and child-resistant containers can reduce childhood poisoning.
Objective:
Poisoning is the fourth leading cause of unintentional injury and a common paediatric emergency in children under 5 years of age. The objective of this study was to determine the factors associated with unintentional poisoning among children under 5 years of age presenting to emergency rooms at tertiary care hospitals in Karachi, Pakistan.
Setting:
Children were recruited from the emergency rooms of the three biggest tertiary care hospitals in Karachi.
Design:
A matched case-control study was conducted on 120 cases and 360 controls, with matching done on gender and age. Parents were interviewed using a structured questionnaire containing information on sociodemographic factors, the child's behaviour, and the storage practices of hazardous substances of caregivers in the homes. Conditional logistic regression was performed to analyse the data.
Results:
Accessibility to hazardous chemicals and medicines due to unsafe storage (adj mOR=5.6, 95% CI 1.9 to 16.7), child's behaviour reported as usually aggressive (adj mOR=8.2, 95% CI 4.6 to 16.1), storage of kerosene oil and petrol in soft drink bottles (adj mOR=3.8, 95% CI 2.0 to 7.3), low socioeconomic status (adj mOR=9.2, 95% CI 2.8 to 30.1), low level of mother's education (adj mOR=4.2, 95% CI 1.8 to 9.6), and history of previous poisoning (adj mOR=8.6, 95% CI 1.7 to 43.5) were independently related to unintentional poisoning.
Conclusion:
The practice of storing kerosene and petroleum in soft drink bottles and the easy accessibility of chemicals and medicines are potentially modifiable. Health messages focusing on the safe storage of chemicals and medicines and the use of child resistant containers may play a key role in decreasing the burden of childhood poisoning in Karachi, Pakistan.
More Related Videos
09:33Visualizing Field Data Collection Procedures of Exposure and Biomarker Assessments for the Household Air Pollution Intervention Network Trial in India
Published on: December 23, 2022
04:55Handheld Metal Detector Screening for Metallic Foreign Body Ingestion in Children
Published on: September 11, 2018
Related Concept Videos
Drug Toxicity: Risk factors
Pharmaceutical Poisoning: Potential Scenarios
Pharmaceutical Poisoning: Treatment Strategies
Pharmacokinetics in Pediatric Patients: Overview and Drug Absorption
Prevention of Further Absorption of Poison
Types of Toxins
Air pollutants, primarily gases, pose significant threats to respiratory health, leading to conditions like hypoxia, lung cancer, and in extreme cases, death.
Environmental pollutants like...