[National poisoning registers and toxicovigilance in different countries as models for Germany]

As of 2019, Germany has still not been able to provide a national poisoning register and toxicovigilance for sufficient and reliable information on human exposure for the purpose of identification and assessment of toxic risk to the public. In particular, the USA acts as a special model, but France, the Netherlands, Switzerland, and Sweden also have efficient poisoning registers and toxicovigilance systems that deliver representative human exposure data as early warning systems for risk minimization and prevention. This contribution presents an overview of national poisoning registers and systems of toxicovigilance in different countries and describes the present situation in Germany where, from a public health point of view, insufficient political development in this area has so far been supplied.In Germany, the database for poisoning analysis is still insufficient because poisonings as an important medical entity does not find sufficient medical-statistical correspondence in the ICD Code. Cooperation between the Federal Institute for Risk Assessment (BfR) and the German Poison Centres (GIZ) has already led to significant progress and results in risk minimization, but due to the lack of representative data and the non-implementation of a national monitoring and toxicovigilance system, false estimations of poisoning situations can not be excluded.yIn the future, acute poisoning, and when appropriate chronic poisoning, can be competently assessed via human exposure in the German Poison Centres and through medical reports on poisoning at the BfR. This requires an effective national monitoring and toxicovigilance system supported and financed by government across the borders of the German federal states.