Assessment of Poisoning Incidences due to Use of Household Substances in Peshawar

Authors

  • Muhammad Yousaf, Dr. Northwest School of Medicine, Peshawar
  • Rizwan Zafar Ansari, Dr. Khyber Medical College
  • Aftab Alam Tanoli, Dr. Women Medical & Dental College
  • Inayat Ur Rehman, Dr. Northwest School of Medicine
  • Riaz Gul, Dr. Northwest School of Medicine

DOI:

https://doi.org/10.37762/jgmds.4-2.23

Keywords:

Poisoning incidences household substances

Abstract

OBJECTIVE:
The aim of this study is to determine the trend of poisoning due to household substances in Peshawar.
METHODOLOGY:
This was a retrospective observational study. All the information related to poisoning including mode of transmission, duration of poisoning, demographic information, duration of hospital stay, name of poison, amount of poison ingested, inhaled and intension of poisoning was from the medical record room of Khyber Teaching Hospital (KTH) casualty department. The cases reported with a history of household poisoning were recorded for a period of one year from February 2016 to January 2017.
RESULTS:
Among the total 217 patients, males female ratio was 1.3:1 where male 114 (51%) whereas 104 (49%) females, whereas intensity to commit suicide is more in females. Tablet overdose cases were 73 (34%) and poisoning due to common household poisons such as mosquito repellant, rat killer poison, kerosene oil, detol and detergents were 87 (36%). Victims inhaled and ingested Organophosphorous accidently and intentionally were 62 (28%). Suicidal tendency was determined to be a hallmark among females. The age group between 18 to 31 year were found highly motivated to harm themselves. It was showed 196 (91%) patients consume with intention of suicide and only 20 (9%)were found accidental victims of poisoning.
CONCLUSION:
It was concluded that easy accesses to anti psychotic drugs without registered doctor’s prescription, self medication, over dosage and rat killing pills were found the most prevalent cause of poisoning among victims belonging to low socioeconomic status. It was also indicated in the study that most of the accidental incidents happed at home when victim was either alone or left unattended.

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Author Biography

Muhammad Yousaf, Dr., Northwest School of Medicine, Peshawar

Associate Professor Head of Department Forensic Medicine & Toxicology

References

Vikram Patel et al. Suicide mortality in India: a nationally representative survey. Lancet 2012; 379: 2343–51 DOI: https://doi.org/10.1016/S0140-6736(12)60606-0

Jacob KS. The prevention of suicide in India and the developing world: the need for Population-based strategies. Crisis 2008; 29: 102–06 DOI: https://doi.org/10.1027/0227-5910.29.2.102

Mayer P, Ziaian T. Suicide, gender, and age variations in India are women in Indian society Protected from suicide Crisis 2002; 23: 98–103 DOI: https://doi.org/10.1027//0227-5910.23.3.98

Borges G, Nock MK, Haro Abad JM, et al. Twelve-month prevalence of and risk factors for Suicide attempts in the world health organization world mental health surveys. J Clin Psychiatry 2010; 71: 1617–28 DOI: https://doi.org/10.4088/JCP.08m04967blu

Das RK. Epidemiology of Insecticide poisoning at A.I.I.M.S Emergency services and role of its detection by gas liquid chromatography in diagnosis. Medico-legal update, 2007;7:49-60

Jamil H. Acute poisoning: A review of 1900 cases. J PakMed Assoc. 1990;40:131-3

The international program on chemical safety. Directory of poison center, south east asia region. Available from:URL:http://www.who.int/ipcs/en

Laborde A. New roles for poison control centres in the developing countries. Toxicology. 2004;198:273-7 DOI: https://doi.org/10.1016/j.tox.2004.02.002

Arbab, A.G. (1977) The role of drug information centres for improving patients care in Pakistan and other developing countries. JPMA, 27:300

Goto K, Endoh Y, Kuroki Y, Yoshioka T. Poisoning in children in Japan. Indian J Pediatr.1997; 64:461-468 DOI: https://doi.org/10.1007/BF02737750

Khan NU, Mir MU, Khan UR, Khan AR, Ara J, Raja K, et al. The Current State of Poison Control Centers in Pakistan and the Need for Capacity Building. Asia Pac J Med Toxicol. 2014;3:31-5

Yang CC, Wu JF, Ong HC, Kuo YP, Deng JF, Ger J. Children Poisoning in Taiwan. Indian J Paediatr.1997; 64: 469–83 DOI: https://doi.org/10.1007/BF02737751

Prasad Pratap Narayan, Karki Prakash, Poisoning Cases at TUTH Emergency, A one year view, Journal of the Institute of Medicine 1997; Vol.19, 18-24

Pore NE, Pujari KN, Jadkar SP, Organophosphorous poisoning . Int J Pharm Bio Sci 2011 Oct; 2(4): (P) 606-612

Ragia M Hegazy, Hala F.M. Kamel. Evaluation of the pattern of organophosphate poisoning, two years analysis, 2009 – 2011 Dammam poisoning control centre (PCC), KSA, Retrospective Cohort Community Study. Int. J Pharm Bio Sci 2015 Oct; 6(2): (P) 452-463

Unnikrishnan B, Singh B, Rajeev A. Trends of Acute poisoning in South Karnataka. Kathmandu Univ Med J (KUMJ). 2005; 3:149-154

Hussain AM, Sultan ST: Organophosphorus insecticide poisoning: management in surgical intensive care unit. Journal of the College of Physicians and Surgeons Pakistan 2005, 15(2):100-102

McClure GM. Suicide in children and adolescents in England and Wales 1970-1998. Br J Psychiatry. 2001;178:469–74 DOI: https://doi.org/10.1192/bjp.178.5.469

Srinivas Rao Ch, Venkateswarlu V, Surender T, Eddleston M, Buckley NA. Pesticide poisoning in south India: opportunities for prevention and improved medical management. Trop Med Int Health. 2005;10:581–8 DOI: https://doi.org/10.1111/j.1365-3156.2005.01412.x

Aaron R, Joseph A, Abraham S, Muliyil J, George K, Prasad J, et al. Suicides in young people in rural southern India. Lancet. 2004;363:1117–8 DOI: https://doi.org/10.1016/S0140-6736(04)15896-0

Roberts DM, Karunarathna A, Buckley NA, Manuweera G, Sheriff MH, Eddleston M. Influence of pesticide regulation on acute poisoning deaths in Sri Lanka. Bull World Health Organ. 2003;81:789–98

Gunnell J, Eddleston M. Suicide by intentional ingestion of pesticides: a continuing tragedy in developing countries. Int J Epidemiol. 2003;32:902–9 DOI: https://doi.org/10.1093/ije/dyg307

Chowdhary AN, Banerjee S, Brahma A, Biswas MK. Pesticide poisoning in nonfatal, deliberate self-harm: A public health issue. Indian J Psychiatry. 2007;49:117–20 DOI: https://doi.org/10.4103/0019-5545.33259

Thundiyil JG, Stober J, Besbelli N, Pronczuk J. Acute pesticide poisoning: a proposed classification tool. Bull World Health Organ. 2008;86:205–9 DOI: https://doi.org/10.2471/BLT.08.041814

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Published

2018-03-01

How to Cite

Yousaf, M., Ansari, R. Z., Tanoli, A. A., Rehman, I. U., & Gul, R. (2018). Assessment of Poisoning Incidences due to Use of Household Substances in Peshawar. Journal of Gandhara Medical and Dental Science, 4(2), 36–41. https://doi.org/10.37762/jgmds.4-2.23