Vitamin and mineral supplement exposures: cases reported to Australia’s largest Poisons Information Centre, 2014-15 to 2018-19

2021 ◽  
pp. 1-15
Author(s):  
Usha Luckock ◽  
Joanna Harnett ◽  
Rose Cairns
Keyword(s):  
New South ◽  
High Strength ◽  
Mineral Supplement ◽  
Information Centre ◽  
The Public ◽  
Mineral Supplements ◽  
South Wales ◽  
Unit Dose ◽  
Potential Risks ◽  
Poisons Information

ABSTRACT Vitamin and mineral supplements (VMS) are widely available and commonly used. Little is known about patterns of poisoning exposures to VMS in the Australian population. We performed a retrospective study of calls to the New South Wales Poisons Information Centre (NSWPIC), July 2014-June 2019. NSWPIC is Australia’s largest PIC, taking approximately 100,000 calls/year (50% of Australian poisoning calls) from healthcare professionals and members of the public. We conducted additional analyses on iron exposures due to their high risk of acute toxicity. There were 10 944 VMS exposures reported to NSWPIC during the study period, increasing 9.6% per annum over a five year period (95%CI, 7.2 – 12.1%). Toddlers (1-4 years) accounted for 41.5% (4546) of cases. Agents most commonly involved were multivitamins (n=3610), Vitamin D (n=2080), iron (n=1533), and magnesium (n=804). In 17.7% (1934) of cases the call originated from hospital or the patient was referred to hospital by NSWPIC. Iron exposures increased by 14.0% per year (95%CI, 9.5 – 18.5%), and most were associated with high strength products (>45 mg elemental iron per unit dose, n=1036). Iron exposures were hospitalised in 38% of cases (n=583). We conclude that vitamin and mineral supplement exposures are increasing in Australia. Although most exposures can be managed at home, many required hospitalisation. Iron exposures are increasing and had higher rates of hospitalisation than other agents. Vitamin and mineral supplements are often considered safe and without the potential for adverse effects, highlighting the importance of public education into the potential risks of misuse of these products.

Paediatric poisoning exposures in schools: reports to Australia’s largest poisons centre

2020 ◽  
pp. archdischild-2020-319919
Author(s):  
Jennifer Ly ◽  
Jared A Brown ◽  
Nicholas A Buckley ◽  
Rose Cairns
Keyword(s):  
Time Trends ◽  
Retrospective Cohort ◽  
New South ◽  
Population Based ◽  
Science Class ◽  
Information Centre ◽  
Preventative Measures ◽  
South Wales ◽  
Self Harm ◽  
Poisons Information

ObjectiveTo describe poisoning exposures occurring at school in a large sample of Australian children.DesignA population-based retrospective cohort study.SettingCases reported to the New South Wales Poisons Information Centre (NSWPIC), Australia’s largest poisons information centre, taking 50% of the nation’s poisoning calls.PatientsPoisoning exposures occurring in children and adolescents while at school were included, over a 4.5-year period (January 2014 to June 2018).Main outcome measuresTime trends in poisonings, demographics, exposure characteristics, substances involved, disposition.ResultsThere were 1751 calls relating to exposures at school made to NSWPIC. Most calls concerned accidental exposures (60.8%, n=1064), followed by deliberate self-poisonings (self-harm, 12.3%, n=216). Over a quarter of cases were hospitalised (n=468), where the call originated from hospital or patients referred to hospital by NSWPIC. Disposition varied by exposure type, and hospitalisation was highest with deliberate self-poisonings (92.6%, n=200), recreational exposures (57.1%, n=12) and other intentional exposures (32.6%, n=45). The median age was 12 (IQR 8–15 years), and 54.7% were male (n=958). The most common pharmaceutical exposures were to paracetamol (n=100), methylphenidate (n=78) and ibuprofen (n=53), with the majority being deliberate self-poisonings. Copper sulfate was responsible for 55 science class cases, 45% of which were hospitalised. Cases may be increasing, with 81.3 (±8.2) calls per quarter, 2014–2016, and 129.3 (±24.3) calls per quarter, 2017–2018.ConclusionsPoisoning exposures occurring at school are common, with disposition and substances involved varying considerably by exposure reason. The relatively high number of referrals to hospital highlights the need for investigation into preventative measures.

Up the Garden Path? Enterprise Bargaining and Decentralization in the NSW Public Sector

1995 ◽  
Vol 37 (2) ◽  
pp. 203-217 ◽  
Author(s):  
Michael O'Donnell
Keyword(s):  
Public Sector ◽  
New South ◽  
Industrial Relations ◽  
New South Wales ◽  
Green Paper ◽  
Garden Path ◽  
Reform Agenda ◽  
The Public ◽  
South Wales ◽  
The Impact

Decentralizing industrial relations within New South Wales is a central recom mendation of the Niland Green Paper (1989). Decentralism also represents the cornerstone of the New South Wales government's industrial relations reform agenda enshrined in the New South Wales Industrial Relations Act 1991. To date there has been little analysis of the impact o f this legislative change on industrial relations in the New South Wales public sector. This paper provides a case study that examines the degree to which responsibility for bargaining has been devolved within the Parks and Gardens of the New South Wales Ministry for the Environ ment. It argues that, in contrast to the rhetoric of the New South Wales Act, the central agency presiding over the introduction of enterprise bargaining in the public sector, the Public Employment and Industrial Relations Authority; has been reluctant to delegate responsibility to parties in the workplace.

‘Communicide’: The destruction of a vibrant public housing community in inner Sydney through a forced displacement

2018 ◽  
Vol 55 (2) ◽  
pp. 270-289
Author(s):  
Alan Morris
Keyword(s):  
Public Housing ◽  
Sense Of Community ◽  
New South ◽  
New South Wales ◽  
Global City ◽  
Forced Displacement ◽  
Structured Interviews ◽  
Late Modernity ◽  
The Public ◽  
South Wales

In 2014, the New South Wales government announced that all of the 465 public housing tenants in Millers Point in inner Sydney, are to be relocated and their homes sold. This article, drawing on 41 semi-structured interviews with tenants who were residents at the time of the announcement, has two main aims. First, to contribute to the debate as to the continuity or otherwise of community in a global city in late modernity by closely examining the sense of community among the public housing tenants in Millers Point at the time of the displacement announcement. The second aim is to examine what I have termed ‘communicide’. I argue that the displacement policy directed at Millers Point public housing tenants can be described as an act of communicide as it destroyed a vibrant community causing tremendous dislocation and stress. After the move, many tenants found themselves deeply isolated.

Retaining the Royal Prerogative of Mercy in New South Wales

2019 ◽  
Vol 42 (4) ◽  
Author(s):  
Catherine Dale Greentree
Keyword(s):  
New South ◽  
New South Wales ◽  
Executive Power ◽  
The Public ◽  
South Wales ◽  
Public Record ◽  
Conception Of The Good ◽  
Appeals Process ◽  
Considerable Doubt

This article argues that the prerogative of mercy should be retained in New South Wales as a necessary and appropriate power of the Executive. Historically, pardons have provided opportunities for redemption. Currently, the statutory appeals process is limited to cases involving a miscarriage of justice where there is considerable doubt as to a person’s guilt. In cases where a person is guilty but is nevertheless deserving of mercy, the prerogative of mercy is the only avenue available. As a purely executive power, the prerogative of mercy can achieve the aims of the criminal justice system by tempering justice with mercy. The role of the sovereign involves maintaining order, but also enacting some conception of the good, driven by compassion, love, and mercy. Finally, this article argues that grants of mercy should be a matter of public record, for transparency and as a means of demonstrating this compassion to the public.

Disclosing Lawyers: Questioning Law and Process in the Admission of Australian Lawyers

2013 ◽  
Vol 41 (2) ◽  
pp. 227-263 ◽  
Author(s):  
Francesca Bartlett ◽  
Linda Haller
Keyword(s):  
Mental Health ◽  
New South ◽  
Relevant Information ◽  
State Mental Health ◽  
The Public ◽  
Know How ◽  
South Wales ◽  
Personal Morality ◽  
Disclosure Patterns ◽  
State Mental

Australian lawyers are assessed and admitted to practise at a state and territory level. An important part of that assessment is an applicant's ‘suitability’ for professional practise; also referred to as the ‘character test’ of personal morality. This test requires applicants for admission to disclose relevant information about themselves including past conduct and (in at least one state) mental health status. Very little information about the process of admission is available. Around the country, we do not know how the character test is currently administered, how many applicants reveal past conduct, and how many are refused admission. This article focuses on the three largest jurisdictions of New South Wales, Victoria and Queensland. It traces their varying approaches to admission; from legislative provision, court interpretation to administrative approach. It also examines some rare data about disclosure patterns on applying for admission. The resulting analysis raises concerns about a range of matters relating to admission to legal practice in Australia. It is argued that the secrecy of process is unjustified; and there is lack of confidentiality, certainty, and possibly fairness, ensured for applicants, particularly where issues of mental health arise. Finally, it is argued that there is a great difference in law and process between the states considered. While the ostensible goal of protection of the public is the same, the approach is far from that.

Effect of fitting sheep covers and injection of a mineral supplement on the brightness, clean colour and photostability of wool grown by grazing Merino sheep

2016 ◽  
Vol 56 (1) ◽  
pp. 18
Author(s):  
S. Hatcher ◽  
J. W. V. Preston
Keyword(s):  
Factorial Design ◽  
Genetic Resource ◽  
New South ◽  
Genetic Selection ◽  
Combined Effect ◽  
Mineral Supplement ◽  
Merino Sheep ◽  
Treatment Groups ◽  
South Wales ◽  
Selection For

Wethers sourced from a Merino genetic resource flock, selected on the basis of their measured wool clean colour at 2 years of age, were stratified on the basis of clean colour and allocated to one of four treatment groups in a 2 × 2 factorial design. The aim was to investigate the effect of coating the fleece and administration of a commercial mineral supplement on brightness, clean colour and photostability over a 12-month period when run on the Central Tablelands of New South Wales. Coating the fleece significantly improved both the brightness and clean colour of the fleece (P<0.001, by 4 and 0.5 T units, respectively), but had no effect on the photostability of the two traits. The mineral supplement had no significant impact on the colour or photostability traits and there was no evidence of an interaction between coating the fleece and the mineral supplement. Although the improvements in brightness and colour arising from coating the fleece complemented the predicted responses to genetic selection for these two traits, the combined effect would not be sufficient to replace the routine use of oxidative bleaching during processing.

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