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Background: The Hong Kong Poison Information Centre has provided consultation service to healthcare professionals and collected epidemiological data on poisoning in Hong Kong since 2005. Objective: To analyse and report the poisoning data of Hong Kong Poison Information Centre in 2020 during the COVID-19 pandemic. Methods: A retrospective review of all poisoning cases recorded in the Poison Information and Clinical Management System of Hong Kong Poison Information Centre in 2020. Results: A total of 3633 poisoning cases were analysed. Compared to 2019 (pre-COVID era), there was a reduction of ~10% of total poisoning cases recorded (383 cases), with a majority (> 90%) of reduction from poisoning cases with no clinical effect (353 cases). A greater proportion of reduction was observed among the children (0–12 years), patients with general unintentional poisoning, poisoning due to therapeutic error and food poisoning. An increased number of cases was noted from abusive use, adverse herb/proprietary Chinese medicine reaction and poisoning related to household bleaches. Teenage (13–19 years) poisoning seemed to be unaffected by the COVID-19 pandemic and the previously observed increasing trend continued (up to 11.8% of total poisoning cases this year). Despite a total reduction in poisoning cases recorded, the number of deaths increased by 37% from 35 in 2019 to 48 in 2020 (mortality rate 1.5%). A total of seven interesting cases were discussed. Conclusion: This 15th annual report provides updated epidemiological information on poisoning patterns in Hong Kong during the COVID-19 pandemic. It also highlighted important changes and possible effects of the COVID-19 pandemic on poisoning in Hong Kong in comparison with our previous reports.
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This study describes the exposures and suspected intoxications in children (0-14 years) managed by an Italian reference poison control center (PCC). A seven-year observational retrospective study was performed on the medical records of the Toxicology Unit and PCC, Careggi University Hospital, Florence (Italy). During the study period (2015-2021), a total of 27,212 phone call consultations were managed by the PCC, of which 11,996 (44%) involved subjects aged 0-14 years. Most cases occurred in males (54%) aged 1-5 years (73.8%), mainly at home (97.4%), and with an oral route of intoxication (93%). Cases mainly occurred involuntarily. Consultations were generally requested by caregivers; however, in the age group 12-14 years, 70% were requested by healthcare professionals due to voluntary intoxications. Cleaners (19.44%) and household products (10.90%) were the most represented suspected agents. Pharmacological agents accounted for 28.80% of exposures. Covariates associated with a higher risk of emergency department visit or hospitalization were voluntary intoxication (OR 29.18 [11.76-72.38]), inhalation route (OR 1.87 [1.09-3.23]), and pharmacological agents (OR 1.34 [1.23-1.46]), particularly central nervous system medications. Overall, consultations do not burden national and regional healthcare facilities, revealing the activity of PCCs as having a strategic role in reducing public health spending, even during the COVID-19 pandemic.
ABSTRACT
Background: The Hong Kong Poison Information Centre has provided consultation service to healthcare professionals and collected epidemiological data on poisoning in Hong Kong since 2005. Objective(s): To analyse and report the poisoning data of Hong Kong Poison Information Centre in 2020 during the COVID-19 pandemic. Method(s): A retrospective review of all poisoning cases recorded in the Poison Information and Clinical Management System of Hong Kong Poison Information Centre in 2020. Result(s): A total of 3633 poisoning cases were analysed. Compared to 2019 (pre-COVID era), there was a reduction of ~10% of total poisoning cases recorded (383 cases), with a majority (> 90%) of reduction from poisoning cases with no clinical effect (353 cases). A greater proportion of reduction was observed among the children (0-12 years), patients with general unintentional poisoning, poisoning due to therapeutic error and food poisoning. An increased number of cases was noted from abusive use, adverse herb/proprietary Chinese medicine reaction and poisoning related to household bleaches. Teenage (13-19 years) poisoning seemed to be unaffected by the COVID-19 pandemic and the previously observed increasing trend continued (up to 11.8% of total poisoning cases this year). Despite a total reduction in poisoning cases recorded, the number of deaths increased by 37% from 35 in 2019 to 48 in 2020 (mortality rate 1.5%). A total of seven interesting cases were discussed. Conclusion(s): This 15th annual report provides updated epidemiological information on poisoning patterns in Hong Kong during the COVID-19 pandemic. It also highlighted important changes and possible effects of the COVID-19 pandemic on poisoning in Hong Kong in comparison with our previous reports. Copyright © The Author(s) 2022.
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Since the outbreak of the COVID-19, comprehensive and thorough environmental disinfection is a very important issue. In order to reduce personnel contact and reduce the risk of cross-infection, this paper designs an indoor disinfecting intelligent robot that can realize large-scale combined disinfection of disinfectant and ultraviolet. The whole system comprises of five main parts: control center, running control module, disinfection module, information processing module, and power module. The control center mainly adopts ESP32micro-controller to achieve the connection and control of all parts of the system. The running control module mainly controls the forward, backward, and rotation of the device and ensures that the system follows the expected path during the disinfection. The disinfection module uses liquid disinfectant and ultraviolet irradiation to inhibit the bacteria and kill COVID-19. Information processing module is responsible for the information interaction between the system and the data center. The proposed system transmits data through Wi-Fi and MQTT protocol, and realizes basic functions such as positioning, path planning, and disinfection. The proposed system can effectively solve the problem of personal contact and infection in the process of manual disinfection and have nice application value. © 2022 IEEE.
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With the onset of the COVID pandemic in 2020 all outreach and educational activities with in-person participation had to stop. The ALICE Collaboration adapted to the new situation and continued reaching out to the public using the multitude of online tools and platforms available. Here we focus on two of our main outreach activities, virtual visits and masterclasses. With the cancellation of all in-person visits, virtual visits became the only way to explore the experiment. ALICE had already been offering virtual visits for remote audiences with equipment installed in the ALICE Run Control Centre (ARC). We recently acquired dedicated mobile equipment for the virtual visits to the cavern and developed a scenario which includes both the cavern and the ARC as well as a Q&A session. In this way, visitors from many countries have the opportunity to interact with scientists and to see parts of the experiment that they would never be able to see during a real visit. Concerning the International Masterclasses (IMC) programme, ALICE has been participating ever since measurements based on LHC data were introduced in it. The packages used had been developed by simplifying the ALICE event display and were based on ROOT. With the spreading of the COVID pandemic the 2020 IMC programme was interrupted. In 2021, with most activities taking place remotely, it was obvious that web-based versions were needed. The implementation of such versions allowed us to hold remote masterclasses for high-school students, thus ensuring the continuity of this important outreach activity of our community. In addition we reached new countries and also involved high-school teachers in this global effort. © 2022 Institute of Physics Publishing. All rights reserved.
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CONTEXT: In June 2019, a paralytic shellfish poisoning (PSP) case related to the consumption of mussels contaminated by saxitoxins at a concentration below the regulatory threshold came to the attention of the French Agency for Food, Environmental and Occupational Health and Safety (ANSES). This pointed to probable undetected human cases of poisoning by neurotoxic phycotoxins. METHODS: We conducted a retrospective study of poisoning cases by bivalve shellfish (oysters, mussels and scallops) recorded by the French Poison Control Centres (PCC) from 2012 to 2019. All medical records were reviewed by a toxicologist.Cases that could be related to neurotoxic phycotoxins were selected and described. Diagnosis was based on symptoms compatible with ingestion of contaminated shellfish and on contamination data for the shellfish production area (analysed by the French Research Institute for Exploitation of the Sea, Ifremer), or notifications to the European Rapid Alert System for Food and Feed when the origin of the shellfish was known. RESULTS: Among the 619 shellfish poisoning cases recorded by the PCCs from 2012 to 2019, 22% (n = 134) had reported at least one neurological symptom (headache, dizziness or paraesthesia). Review of medical records for the 134 patients led to suspicion of 14 cases of PSP and one case of amnesic shellfish poisoning. Five patients experienced persistent neurological symptoms. Marine toxins were not tested for in the blood or urine of these patients. CONCLUSION: This retrospective identification of cases strongly suspected of being related to neurotoxic phycotoxins led ANSES, PCCs and Ifremer to develop a specific questionnaire and to recommend actions to take when neurological symptoms related to shellfish consumption are reported to a PCC. Daily monitoring of shellfish poisoning cases registered in the national PCCs database was also implemented in order to rapidly detect any suspicious cases, alert the competent authorities, and warn the general population.
Subject(s)
Bivalvia , Shellfish Poisoning , Animals , Humans , Marine Toxins/analysis , Poison Control Centers , Retrospective Studies , Shellfish/analysis , Shellfish Poisoning/diagnosis , Shellfish Poisoning/epidemiologyABSTRACT
With the onset of the COVID pandemic in 2020 all outreach and educational activities with in-person participation had to stop. The ALICE Collaboration adapted to the new situation and continued reaching out to the public using the multitude of online tools and platforms available. Here we focus on two of our main outreach activities, virtual visits and masterclasses. With the cancellation of all in-person visits, virtual visits became the only way to explore the experiment. ALICE had already been offering virtual visits for remote audiences with equipment installed in the ALICE Run Control Centre (ARC). We recently acquired dedicated mobile equipment for the virtual visits to the cavern and developed a scenario which includes both the cavern and the ARC as well as a Q&A session. In this way, visitors from many countries have the opportunity to interact with scientists and to see parts of the experiment that they would never be able to see during a real visit. ALICE has been participating in the International Masterclasses (IMC) programme ever since measurements based on LHC data were introduced in it. The packages used had been developed by simplifying the ALICE event display and were based on ROOT. With the spreading of the COVID pandemic the 2020 IMC programme was interrupted. In 2021, with most activities taking place remotely, it was obvious that web-based versions were needed. The implementation of such versions allowed us to hold remote masterclasses for high-school students, thus ensuring the continuity of this important outreach activity of our community. In addition we reached new countries and also involved high-school teachers in this global effort. © Copyright owned by the author(s) under the terms of the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND 4.0)
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Managing the ongoing COVID-19 (aka Coronavirus) pandemic has presented both challenges and new opportunities for urban local body administrators. With the Indian government's Smart City mission taking firm roots in some of the Indian cities, the authors share their learnings and experiences of how a Smart City Integrated Command and Control Centre (ICCC) can be extended to become the nerve centre of pandemic-related operations and management, leveraging the Smart City IoT infrastructure such as surveillance cameras for monitoring and enforcement. The authors are of the opinion that the lessons learned and experiences gained from these cities are extremely valuable and can easily be replicated in other cities in a relatively short time period, thus providing a standard and uniform method across the nation for handling epidemics in the future. © 2020 ACM.
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Poisoning is a major global health concern. Every year, unintentional poisoning contributes to 106,683 deaths globally. In Kuwait, paediatric poisoning cases comprise approximately 50% of total poisoning cases. Despite the extensive importance and the long history of poison control centres (PCCs) and the emphasis of the World Health Organization (WHO) to establish a PCC in Kuwait, no functional PCC exists in Kuwait. Here we reported 82 poisoning cases between July and December 2020, revealing a 100% increase in comparison to the official figures published in 2004 and 2005. No fatalities were reported, and all cases were discharged home within 12 h of their visit to the casualty. Children aged 2 to < 4 years comprised the most reported poisoning cases with approximately 45% of the total. The number of male child poisoning cases was approximately two-fold of female children. The most common poisoning agent was silica gel granules (9%) followed by medicines - reported as paracetamol (7%), diclofenac (7%), multivitamin gummies (7%) and vitamin C (5%). Among other causes of poisoning were ingestion of salbutamol nebulizer solution (4%), oral contraceptives and insecticides (4%). These findings reveal the importance of establishing a functional PCC in Kuwait to minimise the unnecessary visits following ingestion of expired orange juice and henna, that may encounter further contraction of infections, especially with the current state of the COVID-19 pandemic. Moreover, a functional PCC would provide comprehensive data and hence further intervention such as shifting the dosage form of salbutamol from nebulizer solution to metered dose inhaler with a spacer, in addition to increasing public awareness towards minimizing such a dramatic increase in casualty visits because of -suspected poisoning.
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The transfer of a chemical product from its original container to an unlabelled secondary container by consumers is a potential health hazard that may result in unintentional exposures and intoxications. The aim of this study was to describe the pattern of prevalence of exposures to transferred products in Italy from year 2017, when the new European labelling regulation for chemicals became fully operative, to 2020, year of the coronavirus 19 disease first outbreak. Calls to the Poison Control Centre (PCC) of Policlinico Umberto I Hospital - Sapienza University of Rome were analysed retrospectively for characteristics, clinical presentation and circumstances related to the event. We registered 198 cases of interest. There was a reduction in cases from 2017 (4.9%) to 2019 (2.2%), followed by an increased prevalence in 2020 (4.2%) mainly due to the months "post-lockdown." The transferred product was very frequently diluted, and an empty drinking bottle was usually used as secondary container. Exposures were mostly of minor severity, and no deaths occurred. The study highlights the importance of PCCs data in the evaluation of the hazard communication to users through labels and advises for public campaigns to promote safe behaviours during future lockdowns to prevent exposures at a later period.
Subject(s)
COVID-19/epidemiology , Environmental Exposure/statistics & numerical data , Hazardous Substances/toxicity , Poisoning/epidemiology , Product Labeling/legislation & jurisprudence , Adolescent , Adult , Aged , Aged, 80 and over , Child , Child, Preschool , Female , Humans , Infant , Infant, Newborn , Italy/epidemiology , Male , Middle Aged , Poison Control Centers , Product Packaging , Retrospective Studies , RomeABSTRACT
Data on cleaner and disinfectant exposure and misuse-related acute intoxications in Italy during SARS-CoV-2 pandemic are still lacking. The aim of the present study was to analyse and describe cleaner and disinfectant-related intoxications during SARS-CoV-2 pandemic in an Italian poison control centre. Data were obtained from the toxicological consultations requested to the Toxicology Unit and Poison Centre, Careggi University Hospital, Florence (Italy). We compared data from January 1st to April 30th of 2019 and 2020. Data concerning probable or acute intoxication from any causative agent in the general population (all age groups), from private individuals or from Regional and National health structures, were included in the analysis. A toxicological evaluation was also performed to calculate the Poisoning Severity Score.In 2019, 451 phone counselling sessions were performed and compared to a total of 410 calls received during the same period of 2020. In both periods, the majority of events occurred in paediatric (0-17 years) and adult (18-65 years) patients, who were mainly exposed to one toxic agent, and intoxications took place principally at home due to domestic accidents. The oral route of intoxication was the most frequently observed one, followed by inhalation of toxic agents, which increased by 4.7% in 2020. In 2020, sanitizers and cleaners were reported in 21.6% of cases compared to 12.5% in 2019. This is the first study describing cleaner and disinfectant-related intoxications in Italy. Our results suggested a possible misuse of these products during the SARS-CoV-2 pandemic, underling the effects of home isolation on mental health and unintentional toxic exposures.