scholarly journals Pharmaceuticals poisoning: Reported by the National Poison Centre in Malaysia between 2010 and 2015

2020 ◽  
Vol 12 (4) ◽  
pp. 475
Author(s):  
IqdamAbdulmaged Alwan ◽  
AmmarIhsan Awadh ◽  
Balamurugan Tangiisuran ◽  
HalilolRahman Mohamed Khan ◽  
Noorfatimah Yahaya ◽  
...  
Author(s):  
Nur Azzalia Kamaruzaman ◽  
Adilah Mohamed Ariff ◽  
Noor Afiza Md Rani ◽  
Mohd Fadhli Razali ◽  
Mazlin Mohideen ◽  
...  

Data from the National Poison Centre (NPC) showed that the highest number of poisoning incidents in Malaysia were caused by pharmaceutical products, whereby psychiatric drugs contributed to the most number of cases. While intentional poisoning receives more attention, unintentional poisoning is often overlooked. Therefore, the study designs to evaluate the unintentional poisoning of psychiatric drugs in Malaysia. Telephone enquiries regarding psychiatric drug poisoning were made by healthcare providers to the NPC. Information received was entered into a retrievable database by Drugs and Poison Information Service in the form of a standardized Poison Case Report Form as adapted from the World Health Organization. A retrospective analysis was performed, and data on unintentional poisoning were extracted and evaluated. A total of 619 poisoning cases of psychiatric drugs were reported, whereby 28% (n=133) were caused unintentionally. Demographic analysis showed Perak to record the highest number of cases at 16.5% (n=22), followed by Johor (13.5%, n=18) and Sabah (12.8%, n=17). Unintentional psychiatric poisoning showed almost equal distribution between genders, and Malays reported the highest number at 47.4% (n=63). More than half of the cases (58.6%) occurred among toddlers between 1-4 years old, followed by 17.3% cases among children and adolescents between 5-14 years old. Most of the incidents (99.2%) happened at home, and 88% were due to accidental ingestions. Unintentional poisoning in the household of psychiatric patients has been underestimated, and toddlers and children have been majorly implicated. Therefore, proper education and awareness must be established to ensure human safety.


2018 ◽  
Vol 56 ◽  
pp. 16-20 ◽  
Author(s):  
Yin-Hui Leong ◽  
Adilah Mohamed Ariff ◽  
Halilol Rahman Mohamed Khan ◽  
Noor Afiza Abdul Rani ◽  
Mohamed Isa Abdul Majid

BMJ Open ◽  
2020 ◽  
Vol 10 (6) ◽  
pp. e036048
Author(s):  
Nur Azzalia Kamaruzaman ◽  
Yin-Hui Leong ◽  
Mohd Hafiidz Jaafar ◽  
Halilol Rahman Mohamed Khan ◽  
Noor Afiza Abdul Rani ◽  
...  

ObjectivePesticide poisoning is a global health problem, and its progressive deterioration is a major cause of concern. The objective of this study is to assess epidemiological characteristics and identify risk factors of pesticide poisoning in Malaysia.SettingPesticide poisoning database of Malaysia National Poison Centre (NPC) from 2006 to 2015.ParticipantsTelephone enquiries regarding pesticide poisoning were made by healthcare professionals. Information received by the NPC was entered into a retrievable database of standardised Poison Case Report Form, as adapted from the World Health Organization (WHO).OutcomesThe outcome of the study is to provide an overview of national epidemiological profile of pesticide poisoning. High-risk groups of people and their circumstances were also identified to ensure that appropriate measures are strategised.ResultsWithin the study period, a total of 11 087 pesticide poisoning cases were recorded. Sixty per cent of these cases were intentional in nature and most were found among male individuals (57%) of the Indian race (36.4%) aged between 20 and 29 years (25.5%), which occurred at home (90%) through the route of ingestion (94%). The highest number of poisoning was due to herbicides (44%) followed by agricultural insecticides (34%), rodenticides (9.9%), household insecticides (9.5%) and fungicides (0.5%). In addition, 93.6% of intentional pesticide poisoning cases were caused by suicide attempts. The results of this study show that there was an increasing trend in pesticide poisoning incidents over the 10-year duration. This indicates that pesticide poisoning is a prevalent public health problem in Malaysia, resulting in an average incidence rate of 3.8 per 100 000 population.ConclusionsDeliberate pesticide ingestion as a method of suicide has become a disturbing trend among Malaysians. Therefore, regulation of highly hazardous pesticides must be enforced to ensure controlled and limited access to these chemicals by the public.


PLoS ONE ◽  
2014 ◽  
Vol 9 (1) ◽  
pp. e86390 ◽  
Author(s):  
Claudia Gregoriano ◽  
Alessandro Ceschi ◽  
Christine Rauber-Lüthy ◽  
Hugo Kupferschmidt ◽  
Nicholas R. Banner ◽  
...  

BMJ Open ◽  
2018 ◽  
Vol 8 (12) ◽  
pp. e024162 ◽  
Author(s):  
Balamurugan Tangiisuran ◽  
Maryam Jiva ◽  
Adilah Mohamed Ariff ◽  
Noor Afiza Abdul Rani ◽  
Asdariah Misnan ◽  
...  

ObjectiveAccidental or intentional poisoning is a public health concern requiring intervention. The current study designs to evaluate the types of poisoning exposure calls received by the Malaysia National Poison Centre (NPC) over a 10-year period.Settings and data sourcesThe poisoning enquiries database (2006–2015) from the Malaysia NPC was used for the analysis.ParticipantsThe NPC records all telephone calls that it manages using a validated and standardised form. Demographics and types of the poisoning exposure calls were extracted and descriptive analysis was applied.Primary and secondary outcomesThe primary outcome of this study is to evaluate NPC data for trends in the poisoning exposure calls based on the types and modes of poisoning over a 10-year period. The secondary outcome is to evaluate the characteristics of human exposure cases based on the calls received by the NPC.ResultsThere was a notable increase in the number of poisoning exposure calls noticed during the 10-year period but dropped significantly in 2012. The highest number of poisoning exposure calls came from Selangor (21.0%), Perak (18.0%) and Negeri Sembilan (9.8%). More than half of the exposure was intentional (53.8%) involving more women (50.3%) as compared with men (41.9%), and in the 20–29 years age group category (33.5%). Exposure mostly occurred at home (96%) through the ingestion route (94.1%). Pharmaceutical products (40.5%), pesticides (31.7%) and household products (20.1%) were the common agents implicated for intentional exposure.ConclusionsThere is an increasing trend in enquiries on poisoning exposure calls made to the NPC. Most of the intentional poisoning exposures occurred among younger women and involved pharmaceuticals, pesticides or household products. Poisoning safety education and other interventions are needed to curb poisoning incidents.


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