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Tobacco-related Poison Events Involving Young Children in the US, 2001-2016
Baoguang Wang1, Brian Rostron1
1Office of Science, Center for Tobacco Products, US Food and Drug Administration, Silver Spring, MD.
Insights
Tobacco poison exposure calls in young children surged, especially from e-cigarettes. Over 123,000 calls were reported from 2001-2016, highlighting the need for prevention strategies.
Area of Science:
- Toxicology
- Pediatric Poisoning
- Public Health Surveillance
Background:
- Tobacco product poisonings are a significant public health concern in the United States.
- Young children are particularly vulnerable to the adverse effects of accidental tobacco exposure.
Purpose of the Study:
- To analyze trends in tobacco-related poison exposure calls involving children under 5 years old in the US.
- To identify patterns in call frequency related to age, product type, and outcomes.
Main Methods:
- Utilized data from the National Poison Data System (2001-2016).
- Analyzed poison exposure calls involving children younger than 5 years old.
- Examined trends over time and call characteristics, including product type and level of care.
Main Results:
- Over 123,000 tobacco-related poison calls involving young children were reported between 2001 and 2016.
- E-cigarette-related calls dramatically increased from 7 in 2010 to 2,558 in 2015.
- Of calls with outcome data, a significant number required intensive care unit (278) or hospital admission (497), while many were treated and released (19,834).
Conclusions:
- Tobacco-related poisonings are common among young children in the US and can lead to severe health issues.
- The reported numbers likely underestimate the true incidence of tobacco-related poisonings due to underreporting.
- Continuous monitoring and preventative strategies are crucial to mitigate tobacco-related harm in children.
Objective:
In this paper, we describe trends in tobacco-related poison exposure calls (calls) involving young children in the US.
Methods:
Data were from the National Poison Data System between January 1, 2001 and October 31, 2016. We analyzed data on calls involving children younger than 5 years old. We describe trends in calls over time and call frequency by age, tobacco product type, level of care, and other characteristics of calls.
Results:
During 2001-2016, there were 123,876 calls involving young children. During the study period, calls increased for most product types; e-cigarette-related calls increased from 7 in 2010 to 2558 in 2015. In calls with information on level of care (92.2%), 278 children were admitted to an intensive care unit, 497 were admitted to a hospital noncritical care unit, and 19,834 were treated and released.
Conclusions:
Tobacco-related poison events commonly occur in the US and can have serious health consequences. More than 123,000 events among young children were reported during 2001-2016, but this likely represents a small portion of actual tobacco-related poison events due to underreporting. It is critical to continue to monitor tobacco-related poison events and develop strategies to prevent tobacco-related harm.
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