Does Mr Yuk Work?

PEDIATRICS ◽  
1982 ◽  
Vol 70 (6) ◽  
pp. 1012-1013
Author(s):  
EDWARD P. KRENZELOK

Fergusson et al stated that the use of Mr Yuk labels was not a deterrent to childhood poisoning incidents. Based upon their methodology the results of the study are not surprising. Mr Yuk labels and other poison warning labels such as the skull and crossbones and Officer Ugg represent a small aspect of a total poison prevention education and information system. The labels have two primary functions—to create awareness of a particular poison center and to serve as a deterrent.

PEDIATRICS ◽  
1984 ◽  
Vol 74 (5) ◽  
pp. 964-969
Author(s):  
Anthony R. Temple

Physicians can significantly decrease the frequency and severity of poisoning by educating parents and families in poison prevention. Appropriate strategies for poison prevention education require an examination of epidemiologic characteristics of exposures and potential intervention techniques. Parents should be taught immediate first-aid steps, such as initiating basic life-support measures and irrigation and dilution, that can be taken before seeking medical assistance. Other consumer actions, such as inducing emesis, require medical supervision. The poison control center is the best source for information and advice on treating poisoning. To decrease the frequency of poisoning, parents should be taught to purchase, store, and handle potentially toxic products appropriately. The purchase of household chemicals and drugs in child-resistant safety packaging should be encouraged. To decrease the severity of poisoning, parents should post the phone number of the local poison center, be able to initiate first-aid measures, and keep ipecac syrup on hand. Ideally, a physician should establish a preventive education schedule and discuss poison prevention with parents at regular well-child visits, beginning when the child is very young.


PEDIATRICS ◽  
1994 ◽  
Vol 94 (2) ◽  
pp. 220-224 ◽  
Author(s):  
Frederick H. Lovejoy ◽  
William O. Robertson ◽  
Alan D. Woolf

The first poison centers were established in the United States in the early 1950s, stimulated by an American Academy of Pediatrics' survey of office-based pediatric practices which ascertained that its members had no place to turn for ingredient information on medications and household products.1 With the help of the Academy, pediatrician Dr. Edward Press, the Illinois Department of Health, and several community hospitals, the first poison center emerged. Over the subsequent 40 years, remarkable progress has occurred in the fields of clinical toxicology, poison control, and poison prevention. Yet despite these accomplishments, challenging clouds are appearing on the horizon which threaten these gains. This commentary, by the authors who have viewed and participated in a large part of the history of this progress, will focus on these major accomplishments with an emphasis on (a) poison prevention utilizing the pre-event (primary prevention), (b) the event (secondary prevention), and (c) the postevent (tertiary prevention) model.2


PEDIATRICS ◽  
1985 ◽  
Vol 75 (6) ◽  
pp. 1105-1109
Author(s):  
Claire Chafee-Bahamon ◽  
Peter G. Lacouture ◽  
Frederick H. Lovejoy

To determine how frequently parents give ipecac syrup without medical consultation and what complications result from this practice, 8 months of telephone calls to a regional poison center for poisonings of children less than age 6 years (23,790 calls) and 3 years of medical records for children's poisonings from 21 hospitals (516 cases) were studied. The practice of using ipecac syrup without consultation ranged from 0.4% of poison center callers to 6.0% of hospital patients. Of the 137 parents who gave ipecac without consultation, only 4% gave ipecac syrup for a poisoning exposure for which its use was contraindicated. In none of these cases did medical complications such as aspiration, seizures, or gastrointestinal burns result. Hence, the practice of giving children ipecac syrup without medical advice was found to be relatively infrequent and rarely produced complications. The study pointed out the importance of educating parents about products for which ipecac syrup is contraindicated and about occasions when ipecac is unnecessary. In 61% of cases of poisonings, the parent gives ipecac before calling the poison center and learning that the child did not need the Ipecac. The study also suggested that improvements are needed in warning labels of particular products, and revisions and standardization of the labels found on different brands of ipecac syrup are essential for appropriate emergency care.


PEDIATRICS ◽  
1965 ◽  
Vol 35 (4) ◽  
pp. 641-651
Author(s):  
Raymond Sobel ◽  
James A. Margolis

The families of 20 poison repeaters, 19 single ingestors, and 13 controls were studied. Social class, religious affiliation, income, geographic setting, and family size do not seem to be correlated with repeated episodes of poisoning in children. The present study indicates that repetitive poisoning in children is not related to accident proneness, pica, environmental hazard, or lack of parental supervision. Ingestion of poisons seems to be the result of purposeful behavior on the pant of the child. Correlated with this behavior, especially in the case of the poison repeater, are: hyperactivity, negativism and other behavioral problems of the child, limited parent-child relationship, marital tension, and a tense and distant family atmosphere. The first ingestion may be the result of the child's negativism, imitation of the parent's pill-taking, or confusion with food and is rarely the result of chance alone. Subsequent ingestions seem to be inappropriate methods the child uses to gain more relatedness with his parents or to express anger or negativism. The physician's role in poison prevention should be to help parents of preschool children establish a cautious but confident attitude toward childhood poisoning and to realize that childhood poisoning may indicate family psychopathology which may require treatment.


Author(s):  
Héliton Silva Tanajura ◽  
Tânia Kobler Brazil ◽  
Ana Maria Souza Teles

A descriptive analysis of scorpion accidents in Bahia - Brazil over 2006 was carried out, based in the reports availables in the Disease Reporting Information System (SINAN), National Poison Information System (SINITOX) and register book of Anti-Poison Center of Bahia (CIAVE). Data were analyzed in simple and relative frequency. Underreportings for each county were estimated by the positive difference between the records of CIAVE and SINAN. We found 5.988 reports from SINAN, 676 from SINITOX and 652 from CIAVE. SINAN underreportings do exist and can be estimated in 4,35%, that means a loss of 261 cases in 54 counties, including Salvador and its metropolitan area that account for 67.4% of these cases.


PEDIATRICS ◽  
1987 ◽  
Vol 80 (3) ◽  
pp. 359-363 ◽  
Author(s):  
Alan Woolf ◽  
William Lewander ◽  
Gay Filippone ◽  
Fred Lovejoy

For many inner-city families, the emergency clinic is the most frequent and sometimes the only point of contact with medical services. We hypothesized that this setting could serve as an opportunity to direct a health promotion at a population that might not receive such a message elsewhere. The objectives of the program were (1) to remind parents of the telephone number of the Massachusetts Poison Center, (2) to ensure that parents have ipecac for use in an emergency, and (3) to counsel parents on how to use ipecac. Of 403 families recruited from the emergency clinic and divided randomly into intervention and nonintervention groups, 262 families completed the follow-up interview 6 months later (65%). Results showed that 68% of intervention families compared with 42% of control families reported ipecac storage at follow-up (χ2 = 7.65, P = .005) and that 40% of intervention families v 25% of control families reported familiarity with the use of ipecac (χ2 = 4.04, P = .04). Accessibility to the poison center's telephone number was reported by 62% of intervention families and by 49% of control families (χ2 = 4.60, P = .13). Finally, 42% of intervention families v 25% of control families reported that they had a sticker on their phone with the number of the poison center on it (χ2 = 4.60, P = .03). Our results suggest that a brief intervention, even in an emergency clinic, can introduce the topic of poisoning prevention to families and can encourage the storage of syrup of ipecac in the home.


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