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Safety Interventions and Liquid Laundry Detergent Packet Exposures
Christopher E Gaw1,2, Henry A Spiller3,4, Marcel J Casavant1,3,4
1Center for Injury Research and Policy, The Research Institute at Nationwide Children's Hospital, Columbus, Ohio.
Insights
Liquid laundry detergent packet exposures in young children decreased after 2015, possibly due to safety standards. However, exposures in older individuals are rising, indicating a need for improved safety measures.
Area of Science:
- Toxicology
- Public Health
- Consumer Product Safety
Background:
- Liquid laundry detergent packets (LLDPs) pose significant ingestion risks, particularly to young children.
- Previous data indicated a concerning rise in LLDP exposures among children under 6 years old.
Purpose of the Study:
- To investigate LLDP exposures in children under 6 in the US.
- To evaluate the impact of the American Society for Testing and Materials (ASTM) voluntary product safety standard on these exposures.
Main Methods:
- Analysis of data from the National Poison Data System (NPDS) from 2012 to 2017.
- Focus on single and polysubstance exposures to LLDPs.
Main Results:
- Over 72,000 LLDP exposures were recorded between 2012-2017, with 91.7% involving children under 6.
- Exposures in children under 6 increased from 2012-2015, then decreased by 18% from 2015-2017.
- Exposures in individuals aged 6 and older increased significantly (292.7%) over the study period.
- Hospital admissions and serious outcomes for young children initially rose, then declined post-2015.
Conclusions:
- A modest decrease in LLDP exposures and severity among young children is observed, likely linked to the ASTM standard and awareness campaigns.
- There is a concerning increase in exposures among older children and adults.
- Strengthening the current product safety standard is recommended to further mitigate LLDP-related incidents.
Objectives:
To investigate exposures to liquid laundry detergent packets among children <6 years old in the United States and to evaluate the impact of the American Society for Testing and Materials voluntary product safety standard.
Methods:
Data from the National Poison Data System involving exposures to liquid laundry detergent packets from 2012 to 2017 were analyzed.
Results:
From January 2012 to December 2017, there were 72 947 single and polysubstance exposures to liquid laundry detergent packets. Most exposures (91.7%) were documented among children <6 years old. The annual number and rate of exposures for children <6 years old increased by 110.4% and 111.9%, respectively, from 2012 to 2015. From 2015 to 2017, the number and rate of exposures in this age group decreased by 18.0%. Among individuals ≥6 years old, the annual number and rate of exposures increased by 292.7% and 276.7%, respectively, from 2012 to 2017. Annual hospital admissions among children <6 years old increased by 63.4% from 2012 to 2015 and declined by 55.5% from 2015 to 2017. Serious outcomes among children <6 years old increased by 78.5% from 2012 to 2015 and declined by 32.9% from 2015 to 2017.
Conclusions:
The number, rate, and severity of liquid laundry detergent packet exposures have decreased modestly in recent years among children <6 years old, likely attributable, in part, to the voluntary product safety standard and public awareness efforts. Exposures among older children and adults are increasing. Opportunities exist to strengthen the current product safety standard to further reduce exposures.
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