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Journal of Epidemiology and Community Health logoLink to Journal of Epidemiology and Community Health
. 1983 Dec;37(4):291–295. doi: 10.1136/jech.37.4.291

Epidemiology of accidental home poisoning in Riyadh (Saudi Arabia).

A H Mahdi, S A Taha, M R Al Rifai
PMCID: PMC1052927  PMID: 6655419

Abstract

In a prospective study on 178 cases of accidental home poisoning admitted to the main children's hospital in Riyadh poisoning was found to account for 5.6% of the total annual admissions--greater than any other developing country and approaching Western proportions. The commonest ages were between 1 and 5 years. Drugs accounted for 52% of cases and household products for 46%. This picture also differs from the pattern of poisoning in developing countries and is more akin to that of industrialised countries. The most important factors in aetiology, besides the age of the patient and the underprivileged social class, were the abundance of drugs and household chemicals in the Saudi home, none of them in child proof containers; inappropriate storage; and lack of supervision of children. Cultural factors also contributed. The frequency of poisoning in childhood may be decreased in the long run by improved housing, socioeconomic status, and education. The place and methods of health education, also a long term objective, is discussed. For immediate primary prevention two important legislative measures are proposed: (1) provision of childproof containers of drugs and other chemicals used in the home and (2) banning of over the counter sales of drugs. For more accurate epidemiological data collection, and thereby better preventative planning, a national register of accidental poisoning and other accidents is recommended. Poison information centres are also deemed necessary.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. BALDACHIN B. J., MELMED R. N. CLINICAL AND THERAPEUTIC ASPECTS OF KEROSENE POISONING: A SERIES OF 200 CASES. Br Med J. 1964 Jul 4;2(5400):28–30. [PMC free article] [PubMed] [Google Scholar]
  2. Baltimore C. L., Meyer R. J. A study of storage, child behavioral traits, and mother's knowledge of toxicology in 52 poisoned families and 52 comparison families. Pediatrics. 1968 Aug;42(2):312–317. [PubMed] [Google Scholar]
  3. Bwibo N. O. Accidental poisoning in children in Uganda. Br Med J. 1969 Dec 6;4(5683):601–602. doi: 10.1136/bmj.4.5683.601. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. CLEMENTS F. W., SOUTHBY R., ROWLANDS J. B., VEUTHEY P. AN ANALYSIS OF DEATHS FROM ACCIDENTAL POISONINGS IN CHILDREN AGED UNDER FIVE YEARS. Med J Aust. 1963 Oct 19;2:649–652. [PubMed] [Google Scholar]
  5. Calnan M. W., Dale J. W., de Fonseka C. P. Suspected poisoning in children. Study of the incidence of true poisoning and poisoning scare in a defined population in North East Bristol. Arch Dis Child. 1976 Mar;51(3):180–185. doi: 10.1136/adc.51.3.180. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Colver A. F., Hutchinson P. J., Judson E. C. Promoting children's home safety. Br Med J (Clin Res Ed) 1982 Oct 23;285(6349):1177–1180. doi: 10.1136/bmj.285.6349.1177. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Craft A. W., Sibert J. R. Accidental poisoning in children. Br J Hosp Med. 1977 May;17(5):469-70, 472, 477-8. [PubMed] [Google Scholar]
  8. Done A. K., Jung A. L., Wood M. C., Klauber M. R. Evaluations of safety packaging for the protection of children. Pediatrics. 1971 Oct;48(4):613–628. [PubMed] [Google Scholar]
  9. Done A. K., Jung A. L., Wood M. C., Klauber M. R. Evaluations of safety packaging for the protection of children. Pediatrics. 1971 Oct;48(4):613–628. [PubMed] [Google Scholar]
  10. Graham J. D. Poisoning in the home. Br Med J. 1967 Apr 15;2(5545):157–159. doi: 10.1136/bmj.2.5545.157. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. ISBISTER C. POISONING IN CHILDHOOD, WITH PARTICULAR REFERENCE TO KEROSENE POISONING. Med J Aust. 1963 Oct 19;2:652–656. [PubMed] [Google Scholar]
  12. Jackson R. H., Walker J. H., Wynne N. A. Circumstances of accidental poisoning in childhood. Br Med J. 1968 Oct 26;4(5625):245–248. doi: 10.1136/bmj.4.5625.245. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Julyan M., Kuzemko J. A. Accidental poisoning in children: the "sick family". Practitioner. 1975 Jun;214(1284):813–815. [PubMed] [Google Scholar]
  14. Julyan M., Kuzemko J. A. Parents and their children in accidental poisoning. Practitioner. 1972 Feb;208(244):252–253. [PubMed] [Google Scholar]
  15. Kimati V. P. Childhood accidents in Dar es Salaam. Trop Geogr Med. 1977 Mar;29(1):91–94. [PubMed] [Google Scholar]
  16. Margolis J. A. Psychosocial study of childhood poisoning: a 5-year follow-up. Pediatrics. 1971 Feb;47(2):439–444. [PubMed] [Google Scholar]
  17. Matthew H. Poisoning in the home by medicaments. Br Med J. 1966 Oct 1;2(5517):788–790. doi: 10.1136/bmj.2.5517.788. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Reid D. H. Treatment of the poisoned child. Arch Dis Child. 1970 Jun;45(241):428–433. doi: 10.1136/adc.45.241.428. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. Sibert J. R. Poisoning in children. Br Med J. 1973 Mar 31;1(5856):803–803. doi: 10.1136/bmj.1.5856.803-a. [DOI] [PMC free article] [PubMed] [Google Scholar]
  20. Sibert R. Stress in families of children who have ingested poisons. Br Med J. 1975 Jul 12;3(5975):87–89. doi: 10.1136/bmj.3.5975.87. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Sobel R. Traditional safety measures and accidental poisoning in childhood. Pediatrics. 1969 Nov;44(5 Suppl):811–816. [PubMed] [Google Scholar]

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