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America's Poison Centers (formerly known as American Association of Poison Control Centers - AAPCC) is a national nonprofit organization founded in 1958 that represents the nation's 55 poison centers. America's Poison Centers supports Poison Centers in their public health mission to prevent poisonings, provide education, conduct scientific research and treat individuals exposed to poisoning from medications, environmental events, plants, animals, and household products or toxins. America's Poison Centers also supports the efforts of poison centers and interested individuals to reduce morbidity and mortality from unintentional poisonings. America's Poison Centers sets standards for Poison Center operations and certifies specialists in poison information who are available 24/7 to respond to public, health-care provider and emergency medical service personnel requests for assistance. In addition, America's Poison Centers maintains the National Poison Data System (NPDS), the only near real-time poison information and surveillance database in the United States.
Poison Centers have been providing vital poison exposure and information services in the United States for more than 60 years. Answering close to three million calls a year, centers save countless lives and millions of tax dollars.
Currently, there are 55 Poison Centers in the U.S. that collectively serve all 50 states, the District of Columbia, Puerto Rico, the Federated States of Micronesia, American Samoa, the U.S. Virgin Islands, and Guam.
Poison Centers provide free, confidential, and expert medical advice via the Poison Help hotline: 1-800-222-1222. Each center answers calls to Poison Help from a designated geographic area, including calls from the public, hospitals, EMTs, and other health care providers. All calls are answered by physicians, pharmacists, nurses, and other medical professionals with specific training in toxicology. This free and confidential service operates 24 hours a day, every day of the year.
Poison Center services are accessible to all populations, including under-served and undocumented groups, and is available in over 150 languages. More than 70 percent of all cases received by Poison Centers can be safely and effectively treated at home.
Poison Centers provide free, confidential, the 24-hour national toll-free Poison Help line provides immediate poison information and emergency instructions to all callers regardless of health insurance, immigration status, or language preference from any U.S. telephone or cell phone. Calls are answered by physicians, nurses and pharmacists with highly specialized training in poison management. Poison Center services are accessible to all populations, including under-served and undocumented groups, those speaking one of 150 languages and those utilizing telecommunication devices for the hearing-impaired (TDD/TTY). More than 70 percent of all cases received by Poison Centers can be safely and effectively treated at home, without need for further medical care. [1]
Substantial cost savings have been attributed to Poison Center reductions in unnecessary emergency department (ED) care through accurate assessment and triage of poisoning exposures. The public health and cost benefits from Poison Center pre-hospital management of patients not needing ED visits favorably impacts the self-pay or co-paying general public, the health-care institution supporting the costs of indigent care, the commercial insurance companies and governmental health-care funding agencies. Poison Centers assess and manage more than 70 percent of poison exposures over the phone, eliminating the need for callers to seek further medical care. This reduction in medically unnecessary ED visits decreases hospital overcrowding and minimizes unnecessary ambulance runs, freeing critical emergency staff to handle true emergencies more effectively. [2]
America's Poison Centers owns and manages a large database of information from all poison exposure and information case phone calls to all Poison Centers across the country. It is the only near real-time, comprehensive poisoning surveillance database in the United States.
NPDS holds more than 50 million poison exposure case records, with more than 2 million new records added each year. It is also a robust and modern system – holding technical medical information that is searchable in many ways. NPDS contains exposure cases dating back to 1985. Today, information and exposure case data is continually uploaded to NPDS from all the Poison Centers in near “real time.”
NPDS can:
Key regulatory agencies that rely on NPDS data: [4]
NPDS data is also frequently used by pharmaceutical manufacturers.
A drug overdose is the ingestion or application of a drug or other substance in quantities much greater than are recommended. Typically it is used for cases when a risk to health will potentially result. An overdose may result in a toxic state or death.
The Agency for Toxic Substances and Disease Registry (ATSDR) is a federal public health agency within the United States Department of Health and Human Services. The agency focuses on minimizing human health risks associated with exposure to hazardous substances. It works closely with other federal, state, and local agencies; tribal governments; local communities; and healthcare providers. Its mission is to "Serve the public through responsive public health actions to promote healthy and safe environments and prevent harmful exposures." ATSDR was created as an advisory, nonregulatory agency by the Superfund legislation and was formally organized in 1985.
The United States National Library of Medicine (NLM), operated by the United States federal government, is the world's largest medical library.
Carbon monoxide poisoning typically occurs from breathing in carbon monoxide (CO) at excessive levels. Symptoms are often described as "flu-like" and commonly include headache, dizziness, weakness, vomiting, chest pain, and confusion. Large exposures can result in loss of consciousness, arrhythmias, seizures, or death. The classically described "cherry red skin" rarely occurs. Long-term complications may include chronic fatigue, trouble with memory, and movement problems.
Chelation therapy is a medical procedure that involves the administration of chelating agents to remove heavy metals from the body. Chelation therapy has a long history of use in clinical toxicology and remains in use for some very specific medical treatments, although it is administered under very careful medical supervision due to various inherent risks, including the mobilization of mercury and other metals through the brain and other parts of the body by the use of weak chelating agents that unbind with metals before elimination, exacerbating existing damage. To avoid mobilization, some practitioners of chelation use strong chelators, such as selenium, taken at low doses over a long period of time.
Hypervitaminosis is a condition of abnormally high storage levels of vitamins, which can lead to various symptoms as over excitement, irritability, or even toxicity. Specific medical names of the different conditions are derived from the given vitamin involved: an excess of vitamin A, for example, is called hypervitaminosis A. Hypervitaminoses are primarily caused by fat-soluble vitamins, as these are stored by the body for longer than the water-soluble vitamins.
Nicotine poisoning describes the symptoms of the toxic effects of nicotine following ingestion, inhalation, or skin contact. Nicotine poisoning can potentially be deadly, though serious or fatal overdoses are rare. Historically, most cases of nicotine poisoning have been the result of use of nicotine as an insecticide. More recent cases of poisoning typically appear to be in the form of Green Tobacco Sickness, or due to unintended ingestion of tobacco or tobacco products or consumption of nicotine-containing plants.
A poison control center is a medical service that is able to provide immediate, free, and expert treatment advice and assistance over the telephone in case of exposure to poisonous or hazardous substances. Poison control centers answer questions about potential poisons in addition to providing treatment management advice about household products, medicines, pesticides, plants, bites and stings, food poisoning, and fumes. In the US, more than 72% of poison exposure cases are managed by phone, greatly reducing the need for costly emergency department and doctor visits.
Metal fume fever, also known as brass founders' ague, brass shakes, zinc shakes, galvie flu, galvo poisoning, metal dust fever, welding shivers, or Monday morning fever, is an illness primarily caused by exposure to chemicals such as zinc oxide (ZnO), aluminium oxide (Al2O3), or magnesium oxide (MgO) which are produced as byproducts in the fumes that result when certain metals are heated. Other common sources are fuming silver, gold, platinum, chromium (from stainless steel), nickel, arsenic, manganese, beryllium, cadmium, cobalt, lead, selenium, and zinc.
The Massachusetts Department of Public Health is a governmental agency of the Commonwealth of Massachusetts with various responsibilities related to public health within that state. It is headquartered in Boston and headed by Commissioner Monica Bharel.
Right to know is a human right enshrined in law in several countries. UNESCO defines it as the right for people to "participate in an informed way in decisions that affect them, while also holding governments and others accountable". It pursues universal access to information as essential foundation of inclusive knowledge societies. It is often defined in the context of the right for people to know about their potential exposure to environmental conditions or substances that may cause illness or injury, but it can also refer more generally to freedom of information or informed consent.
The Healthcare Systems Bureau is part of the Health Resources and Services Administration (HRSA), of the United States Department of Health and Human Services.
Ethylene glycol poisoning is poisoning caused by drinking ethylene glycol. Early symptoms include intoxication, vomiting and abdominal pain. Later symptoms may include a decreased level of consciousness, headache, and seizures. Long term outcomes may include kidney failure and brain damage. Toxicity and death may occur after drinking even in a small amount as ethylene glycol is more toxic than other diols.
Medical toxicology is a subspecialty of medicine focusing on toxicology and providing the diagnosis, management, and prevention of poisoning and other adverse effects due to medications, occupational and environmental toxicants, and biological agents. Medical toxicologists are involved in the assessment and treatment of a wide variety of problems, including acute or chronic poisoning, adverse drug reactions (ADRs), drug overdoses, envenomations, substance abuse, industrial accidents, and other chemical exposures.
Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides is a U.S. state-based surveillance program that monitors pesticide-related illness and injury. It is administered by the National Institute for Occupational Safety and Health (NIOSH), twelve state health agencies participate. NIOSH provides technical support to all participating states. It also provides funding to some states, in conjunction with the US Environmental Protection Agency.
National Poison Prevention Week is observed in the United States the third week of March. The goal of the week is to raise awareness of the risk of being poisoned by household products, medicines, pesticides, plants, bites and stings, food poisoning, and fumes. Awareness being duly raised, it is hoped that this will prevent poisoning.
Laundry detergent pods are water-soluble pouches containing highly concentrated laundry detergent, softener and other laundry products. Notable brands of these packs include All, Arm & Hammer, Gain, Purex, Persil and Tide. They first became popular in February 2012 when they were introduced by Procter & Gamble as Tide Pods.
Chlorine gas poisoning is an illness resulting from the effects of exposure to chlorine beyond the threshold limit value.
Barry H. Rumack is an American medical toxicologist and pediatrician. His primary clinical and research interest has been in clinical toxicology with a special interest in acetaminophen poisoning. Since 2014 he is emeritus professor of emergency medicine and pediatrics at the University of Colorado School of Medicine.
The American Board of Applied Toxicology (ABAT) was established in 1985 as a standing committee by the American Academy of Clinical Toxicology. The board functions to recognize and credential clinical toxicologists who have demonstrated competence in the management of toxicity related to poisoning, overdose, chemical exposure, envenomation, or environmental exposures. Candidates for board certification are health professionals with minimum perquisite experience in poisoning and overdose management as well as satisfactory experience in other core areas such as toxicology research, public health, and outreach. The ABAT establishes minimum competency for clinical toxicologists via administering examinations and maintaining certification renewal of diplomates. Successfully passing the ABAT board certification exam provides the taker a designation of Diplomate of the American Board of Applied Toxicology (DABAT). A DABAT designation privileges the clinical toxicologist to provide medical back up and consultation on poisoning, drug overdoses, or toxicity, often via poison centers. The DABAT designation also has legal implication in allowing credentialed toxicologists to manage a poison center in the United States. Credentialed DABAT members must recertify every 5 years via an application demonstrating continued competence and activity in clinical toxicology.