Longitudinal trends in liquid laundry detergent packet exposures: 2014-2022

Alice M Zhang1, Gary A Smith1,2,3, Marcel J Casavant1,4,5

  • 1Center for Injury Research and Policy, The Abigail Wexner Research Institute at Nationwide Children's Hospital, Columbus, OH, USA.

Insights

Liquid laundry detergent packet exposures remain a concern, particularly for young children, despite some declines. Exposures have significantly increased in adolescents and adults, necessitating renewed safety measures.

Area of Science:

  • Toxicology
  • Public Health
  • Pediatrics

Background:

  • Liquid laundry detergent packet (LLDP) exposures in children under 6 decreased in the mid-2010s due to awareness and safety standards.
  • This study examines longitudinal trends in LLDP exposures across different age groups in the U.S.

Purpose of the Study:

  • To assess longitudinal trends in the incidence and rate of liquid laundry detergent packet exposures.
  • To analyze age-specific exposure patterns and outcomes from 2014 to 2022.

Main Methods:

  • Utilized data from the National Poison Data System (NPDS) for the period January 2014 to December 2022.
  • Analyzed single and polysubstance exposures to LLDPs, focusing on age demographics and trends.

Main Results:

  • Over 114,000 LLDP exposures occurred between 2014-2022, with 86.8% involving children under 6.
  • While exposures in children under 6 initially rose then declined, rates increased significantly for adolescents (85.4% from 2014-2017) and adults (147.1% from 2014-2022).
  • Serious medical outcomes and hospital admissions for young children decreased substantially between 2014 and 2018.

Conclusions:

  • Despite reductions in severity for young children, LLDP exposures remain a significant public health issue.
  • Increasing exposure rates in older children, adolescents, and adults highlight the need for updated safety initiatives.
  • Continued public health efforts are crucial to maintain past safety gains and further decrease LLDP exposures.
Abstract