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Certified as a Regional Poison Center by the American Association of Poison Control Centers

WVPC Annual Report 2011 - Table of Contents

WVPC Administration & Staff

Our Mission StatementHistoryWho we serveTypes of calls managedResources utilized

COMMUNITY OUTREACH

Data Collection

Advisory Board

FundingBudget

PROFESSIONAL OUTREACH

Public Health Information & Data

Substance Categories Data (Drug)Substance Categories Data (Non-Drug)

PUBLIC HEALTH & HAZARDOUS MATERIALS

Reason for Exposures

County Call StatisticsWV County Penetrance Map

Top 10 Drug Exposures

Hazardous Materials Operations & Data

Our Contact Information

WVPC’s UNIFYING THEME

Medical Outcomes

Treatment SiteCaller Site

Call Volume/Types

Route of ExposureAge & Sex Distribution

National Poison Prevention Week

Program Expenses

DATA

FINANCES

STAFF & CONTACT INFORMATION

Hospital Call Statistics

ABOUT US

MEMBER TREATMENT HOSPITAL PROGRAM

Top 10 Non-Drug Exposures

Website

Professional EducationCommittee Representations

Activities

Description & Member Hospitals

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The West Virginia Poison Center is an information resource for both the public and health care professionals, whose two-fold purpose is to assist in the provision of optimal treatment of the poisoned patient and to reduce the number of accidental poisonings throughout all fifty five counties of West Virginia.

History•Established in 1979 by then WV Governor, U.S. Senator Jay Rockefeller

•Recognized by the State of West Virginia as West Virginia’s only poison center, April 1986

•Became a Certified Regional Poison Center, September 1986

•Moved from borrowed space to the Robert C. Byrd Health Sciences Center, West Virginia University - Charleston Division in 1993

•Re-certification granted in 1992, 1997, 2002, and 2007.


Those Served by the WVPC:•General public

•Health care professionals

•All ages (infants, children, adolescents, adults, senior citizens)

•All socioeconomic classes (rich, middle class, poor)

•All facilities (home, hospitals, schools, businesses, industry)

•All 55 counties in West Virginia

Hours of Operation:•24 hours a day (toll free number available, and TTY accessible)

•365 days a year


Types of Calls Managed:•Accidental poisonings in children & adults:

Medications, plants, mushrooms, household cleaners, etc.

•Misuse of drugs or chemicals

•Poisonings in pets

•Drug interactions/adverse reactions

•Self harm/suicide attempts

•Substance abuse toxicity (cocaine, LSD, etc.)

•Spider, snake and insect bites

•Hazardous material exposures

•Occupational exposure to chemicals

•Chronic lead poisoning


Resources Utilized:

•Trained and experienced medical experts

•Computer databases

•On-line databases

•An up-to-date comprehensive toxicology library

•Primary literature (updated weekly)

•Specialty consultants

•Internet

•Material Safety Data Sheets

•Language Line


Data Collection•The WVPC participates in the American Association of Poison Control Center’s National Poison Data System (NPDS); the largest poison exposure data base in the United States

•Data collected is used to:

•Target problem areas and adjust services

•Conduct research

•Teach health care professionals and students

•Assist in product regulation


West Virginia Poison CenterRobert C. Byrd Health Sciences Center-Charleston Division

(304) 347-1212 Administration

(304) 347-1379 Community Outreach Coordinator/Prevention Education

Web Site: www.wvpoisoncenter.org

1-800-222-1222 Emergency Service-Statewide(TTY accessible)

The West Virginia Poison Center is operated by the West Virginia University Health Sciences Center Charleston Division.

The WVPC is academically affiliated with the West Virginia University School of Pharmacy.


http://www.wvpoisoncenter.org/�

West Virginia Poison Center Staff January 1, 2011-December 31, 2011

Director: Elizabeth J. Scharman, Pharm.D., DABAT*, BCPS**, FAACT`

Professor, WVU School of Pharmacy, Dept. of Clinical Pharmacy

Medical Director: Anthony F. Pizon, M.D., ABMT^, ABEM^^

Back-up Medical Directors: Kenneth D. Katz, M.D., FAAEM+, ABMT^

Michael Lynch, M.D., ABMT^

Michael Abesamis, M.D. (Dec.-present)

Supervisor of Operations/ HazMat Supervisor: V. Dalton Noffsinger, RN, CSPI#, AHLS##

Specialists in Poison Information: Pamela J. Chase, RN, CSPI#

Willette K. Haught, RN, CSPI#

Kenneth G. Haught, RN, BSN, CSPI#

John R. Hersman, RN, CSPI#

Ryan S. Aliff, RN, CSPI#

Sue A. Acord, RN, BSN, CSPI#

Jamie R. Cook, RN, MSN

Community Outreach Coordinator: Carissa E. B. McBurney, MPA

Program Specialist: Diana K. Ramsey

*Diplomate: American Board of Applied Toxicology **Board Certified Pharmacotherapy Specialist `Fellow, American Academy of Clinical Toxicology ^American Board Medical Toxicology ^^ American Board Emergency Medicine +Fellow American Academy Emergency Medicine #Certified Specialist in Poison Information ##Advanced Hazmat Life Support

See Photo SectionReturn to Table of Contents

Elizabeth Scharman

Jamie CookSue Acord

Anthony Pizon

Dalton Noffsinger

Carissa McBurney Return to Table of Contents See next page

Sue Acord, Pam Chase & Anthony Pizon

Pam ChaseReturn to Table of Contents

West Virginia University HSC, Charleston Division: Clark Hansbarger, M.D., Chair

Office of Military Affairs and Public Safety: Cabinet Secretary Joseph Thornton

Designee: Joe DeLong

West Virginia Higher Education Policy: Brian Noland, Ph.D., Chancellor

Designee: Laura Boone, Program Coordinator

West Virginia Bureau for Public Health: Marian Swinker, M.D., MPH, FACOEM

Designee: Cathy Slemp, M.D., MPH

West Virginia Hospital Association: Joe Letnaunchuyn, President and CEO

Health Care Representatives: Harry K. Tweel, M.D.

Cabell Huntington Hospital

Teresa Calhoun, RN, MSN, CS-FNP

Bayer Crop Science

General Public Representative: Jack Rogers, Esquire

Ex-Officio: Elizabeth J. Scharman, Pharm.D.

Director, West Virginia Poison Center

West Virginia Poison Center Advisory Board


Funding Sources

42%

38%

11%

9%

WV Legislature

WVU Health Sciences

Outside Sources*

Federal Funding

*Member Treatment Hospitals, Donations, Grants


DOLLARS SAVED IN WEST VIRGINIA = approx. $ 5 million

WV Poison Center helps decrease:Unnecessary emergency department self-referralsUse of unnecessary ambulance servicesUse of unnecessary therapies

WV Poison Center budget: $ 1,408,813.00

WVU-Health Sciences (direct + indirect): $ 529,941.00Outside Sources/Grants: $ 153,939.00WV Legislature: $ 596,100.00Federal Dollars: $ 128,833.00 ($ 119,233.00 = Stabilization grant)


Program Expenses

Salaries 75.0%

Indirect Costs (office space, insurance, heating/cooling, cleaning, etc.)

14.0%

Office Equipment/Software/Educational Materials 6.5%

Emergency Toll Free Lines/Telecommunications 2.0%

Capitol Equipment/Maintenance 1.5%

Travel 1.0%



MEMBER TREATMENT HOSPITAL (MTH) PROGRAM

The West Virginia Poison Center’s (WVPC) Member Treatment Hospital (MTH) Program is designed toextend the services of the WVPC into local communities throughout West Virginia. The WVPC providesMember Hospitals with: 1) current information for poisoned patient management, and 2) tools to educatelocal communities about the Poison Center and poison prevention. This cooperative effort is mutuallybeneficial to the patient, community, and the WVPC.

The goal of the MTH program is to provide the most current and accurate poisoning managementinformation to all hospitals in West Virginia in the most efficient manner possible. With the MTH program,hospitals in West Virginia pay a yearly fee to the WVPC in exchange for: 1) supplies of educationalmaterials and Mr, Yuk stickers free of charge; 2) Customized Toxic Substance Reviews; 3) WVPCattendance at health fairs; 4) WVPC participation at a hospital in-services upon request; 5) 24 houravailability of the WVPC’s medical director; and 6) recognition as a contributor to the WVPC.

Toxic Substance Reviews (TSR), written by the WVPC staff, provide hard copy information about toxicsubstances. These reviews are transmitted upon request to the treating physician via facsimile (fax)equipment. This hard copy information is intended to supplement verbal information given by the Specialistin Poison Information. The WVPC remains in close contact with the hospital to follow the patient’s progressand to provide further assistance as needed.

Hospitals that choose not to participate in the MTH program are charged on a per call basis to cover thecosts associated with providing written information.

See next page


MEMBER TREATMENT HOSPITAL (MTH) PROGRAM

Beckley Appalachian Regional Healthcare BeckleyBluefield Regional Medical Center BluefieldBoone Memorial MadisonBraxton County GassawayBroaddus Hospital PhilippiCharleston Area Medical Center (CAMC):-General Charleston-Memorial, Charleston-Women & Children’s Charleston -Teays Valley Hurricane

Cabell Huntington HuntingtonCamden Clark Medical Center:-Memorial Campus Parkersburg -St Joseph’s Campus Parkersburg

City Hospital Martinsburg Davis Memorial ElkinsGrant Memorial PetersburgGreenbrier Valley Medical Center RonceverteJackson General RipleyJefferson Memorial RansonLogan Regional Medical Center LoganMinnie Hamilton Heath Systems GrantsvilleMonongalia General MorgantownMontgomery General MontgomeryOhio Valley Medical Center WheelingPlateau Medical Oak Hill

Pleasant Valley Pt. PleasantPocahontas Memorial MarlintonPotomac Memorial KeyserPreston Memorial KingwoodPrinceton Community PrincetonRaleigh General BeckleyReynolds Memorial Glen DaleSt. Francis Hospital CharlestonSt. Joseph’s BuckhannonSt. Mary’s Hospital HuntingtonStonewall Jackson WestonSummers County ARH HintonSummersville Memorial SummersvilleThomas Memorial Hospital South Charleston United Hospital Center ClarksburgVA Medical Center HuntingtonVA Medical Center MartinsburgWar Memorial Hospital, Inc Berkeley SpringsWebster County Hospital Webster SpringsWelch Community Hospital WelchWV University Hospitals MorgantownWetzel County New MartinsvilleWheeling Hospital WheelingWilliamson Memorial Williamson

Community Outreach

• Poison prevention awareness programs for adults, children and medical professionals

• Poison prevention and WVPC awareness messages are provided via: volunteer program website presentations school programs health fairs newsletterspress releases brochures Mr. Yuk stickers poison prevention week

• Programs and materials are provided to: daycare centers schools clinics physician offices hospitals families/individuals professionals communities senior centers

Return to Table of Contents See next page

*number officially reported to the WVPC

Public Education Activities• Poison Prevention Awareness in all 55 West Virginia counties throughout 2011• Distributed over 30,000 pieces of poison prevention/WVPC awareness materials• Over 450 West Virginia teachers received poison prevention materials for use in the classroom

• West Virginia media outlets provided with over 12 press releases • Received national media attention from an interview about bath salts

Community Outreach

Coordinator

Volunteers Total

Fairs 15 16* 31

Presentations 22 17* 39

Newspapers Television Radio

36 19 62


Listen to the Poison Center Jingle

See next page

http://www.wvpoisoncenter.org/Poison%20Center%20Jingle%2030%20WV%20Tag.mp3


Electronic billboards were placed, for one month each, in Barboursville for back to school shopping season and in Morgantown during the beginning of football season.* Paid for by a generous donation from the Dr. Bipin Avashia Foundation

WVPC Billboard


National Poison Prevention Week 2011

• WVPC theme:

Spring Cleaning? Know Our Number

• All 55 counties were included

• Collaborated with multiple agencies including:

Local health departments4-H groups

www.wvpoisoncenter.org

The West Virginia Poison Center’s website is updated regularly. A new topic is featured monthly. From this website, users can download WVPC educational materials and find information regarding a variety of poison prevention and poison center awareness topics.


LINK

http://www.wvpoisoncenter.org/Default.aspx�

Health Professional Education

Supervised experience in the WV Poison Center

Doctor of Pharmacy Students (5 wks each) 6

Pharm.D. Residents (4 wks each) 2

Hours of academic and continuing education lectures presented 12

Number of toxicology lectures given (3rd year medical students) 5

Hours of didactic/laboratory instruction (WVU) 44

National meeting moderator 1

Hours of didactic instruction for other institutions 1

Hours of emergency medicine resident instruction 36

Presentations to professional organizations 2


Mountain State Poisonline Articles

Volume 6, Issue 1: January-AprilWhat’s New in ToxicologyIV N-acetylcysteineClinical Toxicology PearlsPoisoning PitfallsMultidisciplinary Toxicology Case

Volume 6, Issue 2: May-AugustWhat’s New in ToxicologyDisc Battery IngestionsClinical Toxicology PearlsPoisoning PitfallsMultidisciplinary Toxicology Case

Volume 6, Issue 3: September-DecemberWhat’s New in ToxicologyUse of National Poison Data System DataClinical Toxicology PearlsPoisoning PitfallsMultidisciplinary Toxicology Case


Committee Representation-DirectorAmerican Association of Poison Control Centers

Chair, Coding Audit Sub-Committee

Co-Chair, Benchmarking Sub-Committee

Member, Rapid-Response Coding Team

Member, Fatality Review Committee

Member, AAPCC/Micromedex Coding Task Force

American Academy of Clinical Toxicology

Chair, NACCT Planning Committee

West Virginia Bureau for Public Health

Deputy Strategic National Stockpile Coordinator, WV

Smallpox Response Team Member

Chairman, Toxicology and Poison Control Editorial Panel

Annals of Pharmacotherapy

Emergency Medical Services for Children Advisory Panel

Kanawha/Putnam Local Emergency Planning Committee, Member


Call Type

24,208

19,280

0 5,000 10,000 15,000 20,000 25,000 30,000

Information Call

Poison Exposure Call


Reason for Exposure


70

213

329

430

2,217

4,024

11,032

0 5,000 10,000 15,000

Unknown

Other

Occupational

Adverse Reaction

Therapeutic Error

Intentional

Unintentional (Accidental)

Unintentional (Accidental) Exposures = 60% of Calls

Caller Sites

68%

26%

6%

Residence

Hospitals / Physician's Office

Other*

*Ambulances, schools, veterinarians, pharmacists, workplace, restaurants


Treatment Site

34%

60%

6%

Health Care Facility

Home

Refused Referral


Route of Exposure


54

105

305

327

850

1,177

1,288

15,311

0 5000 10000 15000 20000

Other

Unknown

Injection

Bite/Sting

In Eye

Inhalation

Through the Skin

Ingestion

Ingestion was the route for 79% of calls

Age and Sex Distribution

0

200

400

600

800

1000

1200

1400

1600<

1 1 2 3 4 5

6-12

yrs

13-1

9yrs

20-2

9yrs

30-3

9yrs

40-4

9yrs

50-5

9yrs

60-6

9yrs

70-7

9yrs

80-8

9yrs

≥90y

rs

MaleFemale

Children ≤ 2 years of age= 34% of exposure calls


Drug Exposures1 Pain Medications 2,629

2 Sedatives/Antipsychotics 2,042

3 Heart Drugs 9664 Antidepressants 9475 Antihistamines 8256 Topicals 7437 Ethanol 7288 Anticonvulsants (Seizure Medications) 647

9 Cold & Cough Medicines 55710 Diabetes medications, thyroid medications, oral

contraceptives, hormones/hormone antagonists132


Non-Drug Exposures1 Cosmetics & Personal Care Products 1,535

2 Household Cleaners 1,364

3 Pesticides 6774 Plants 3075 Desiccants 2476 Arts & Crafts Supplies 2077 Glow Products 1948 Air Fresheners 1919 Gasoline 16510 Insect Bites 132


Medical Outcome

28

92

476

1,387

1,641

1,995

3,287

9,409

0 2000 4000 6000 8000 10000

Death

Major

Unrelated Effect

Unknown, Potentially Toxic

Moderate

No Effect

Minor Effect

Not Followed: Sub-toxic



HOSPITAL #CALLS TO WVPC* #PT's REFERRED TO ER+

Beckley Appalachian Regional Healthcare 355 30

Bluefield Regional Medical Center 161 14

Boone Memorial Hospital 41 8

Braxton County Hospital 25 3

Broaddus Hospital 13 2

Cabell Huntington Hospital 89 32

Camden Clark Medical Center - Memorial Campus 251 24

Camden Clark Medical Center - St. Joseph's Campus 99 9

Charleston Area Medical Center - General 261 19

Charleston Area Medical Center - Memorial 60 9

Charleston Area Medical Center - Women & Children's 125 53

Charleston Area Medical Center - Teays Valley 51 7

City Hospital 280 37

Davis Memorial Hospital 70 7

Fairmont General Hospital 42 13

Grafton City Hospital 12 3

Grant Memorial Hospital 45 9

Greenbrier Valley Medical Center 96 31

Hampshire Memorial Hospital 23 5

Jackson General Hospital 52 8

Hospital Call Statistics 2011

See next page


Jefferson Memorial Hospital 127 17

Logan Regional Medical Center 139 24

Minnie Hamilton Health System 9 0

Monongalia General Hospital 58 16

Montgomery General Hospital 53 9

Ohio Valley Medical Center 113 8

Plateau Medical Center 60 18

Pleasant Valley Hospital 53 10

Pocahontas Memorial Hospital 23 0

Potomac Valley Hospital 28 1

Preston Memorial Hospital 47 5

Princeton Community Hospital 224 21

Raleigh General Hospital 171 45

Reynolds Memorial Hospital 30 2

Roane General Hospital 28 4

Sistersville General Hospital 22 3

St. Francis Hospital 24 3

St. Joseph's -Buckhannon 45 8

St. Mary's Medical Center 155 20

Stonewall Jackson Memorial 57 6

Return to Table of Contents See next page



Summers County ARH 34 4

Summersville Regional Medical Center 106 20

Thomas Memorial Hospital 102 26

United Hospital Center 221 30

VA Hospital: Beckley 8 1

VA Hospital: Clarksburg (Louis A. Johnson VAMC) 10 0

VA Hospital: Huntington 7 2

VA Hospital: Martinsburg 13 1

War Memorial Hospital, Inc 27 6

West Virginia University Hospitals, Inc. 53 16

Webster County Memorial Hospital 38 1

Weirton Medical Center 2 7

Welch Community Hospital 120 7

Wetzel County Hospital 38 7

Wheeling Hospital 108 9

Williamson Memorial Hospital 84 9

* Number of times Emergency Room consulted the West Virginia Poison Center

+Number of patients referred by the WVPC to that Emergency Room (excludes patients refusing referral)

It is the WVPC policy to refer patients needing to be seen by a physician to the closest Emergency Room



HUMAN EXPOSURE BY COUNTY TABLE OF CONTENTS

COUNTY

POPULATION HUMAN EXPOSURES PENETRANCE

Barbour

15,758

93

5.91 Berkeley

103,854

637

6.14

Boone

24,709

219

8.87 Braxton

14,434

107

7.42

Brooke

23,509

52

2.22 Cabell

95,214

988

10.38

Calhoun

7,118

46

6.47 Clay

10,022

47

4.69

Doddridge

7,202

22

3.06 Fayette

46,123

443

9.61

Gilmer

6,824

31

4.55 Grant

11,833

107

9.05

Greenbrier

34,527

309

8.95 Hampshire

22,695

123

5.42

Hancock

29,729

134

4.51 Hardy

13,611

77

5.66

Harrison

68,911

719

10.44 Jackson

28,067

261

9.3

Jefferson

52,750

323

6.13 Kanawha

191,663

1945

10.15

Lewis

17,391

158

9.09 Lincoln

22,147

129

5.83

Logan

35,498

436

12.29 Marion

56,706

357

6.3

Marshall

32,556

132

4.06 Mason

25,568

188

7.36

McDowell

22,398

260

11.61 Mercer

61,921

786

12.7

Mineral

27,204

147

5.41 Mingo

26,387

294

11.15

Monongalia

90,080

519

5.77 Monroe

13,715

97

7.08

Morgan

16,385

98

5.99 Nicholas

26,213

289

11.03

Ohio

44,015

524

11.91 Pendleton

7,390

46

6.23

Pleasants

7,364

23

3.13 Pocahontas

8,418

79

9.39

Preston

30,247

177 5.86 Putnam

55,673

272

4.89

Raleigh

79,187

1180

14.91 Randolph

28,390

221

7.79

Ritchie

10,208

57

5.59 Roane

14,870

89

5.99

Summers

13,081

92

7.04 Taylor

16,328

65

3.99

Tucker

6,812

33

4.85 Tyler

8,680

56

6.46

Upshur

23,806

184

7.73 Wayne

41,119

152

3.7

Webster

9,444

81

8.58 Wetzel

16,226

112

6.91

Wirt

5,605

32

5.71 Wood

86,888

789

9.09

Wyoming

23,304

179

7.69 Not specified

2866

2011 TOTALS

1,819,777

17882

9.83

RETURN TO TABLE OF CONTENTS

ANNUAL REPORT 2011


WV County Penetrance Map 2011> 11

9.5-10.97.6-9.44.1-7.5< 4

ANALGESICS

APAP/ASA combination 78

Acetaminophen (APAP) only 461 APAP in combination 219 Aspirin (ASA) alone 162

APAP w/Hydrocodone 293 APAP w/Oxycodone 100 ASA in combination 10 Ibuprofen 490 Naproxen 92

Opioids-Single Agents 622 COX -2 Inhibitor 4 Other NSAID 79 Other/Unknown 19

CATEGORY TOTAL 2629

Inhalation Injectable anesthetics 3 ANESTHETICS

Local, topical anesthetic, other anesthetic 59 CATEGORY TOTAL 62 ANTICHOLINERGIC DRUGS (Excludes cold medications)

112

ANTICOAGULANTS

88

Carbamazepine 37 ANTICONVULSANTS

Phenytoin 18 Valproic Acid 70 Other 522

CATEGORY TOTAL 647

Cyclic antidepressants 98 ANTIDEPRESSANTS

Lithium 62 SSRI 404 Trazodone 156

Other 227 CATEGORY TOTAL 947

H2 receptor antagonists 60 ANTIHISTAMINES

Diphenhydramine-alone 298 Other Antihistamines-alone 467

CATEGORY TOTAL 825 ANTIMICROBIALS

Antibiotics-Topical 44

Antibiotics-Systemic 321 Antifungals 85 Antihelmintics 27 Antiparasitics 15

Antivirals 17 Other/Unknown 3

CATEGORY TOTAL 512

ANTINEOPLASTICS

14

Albuterol 69 ASTHMA THERAPIES

Aminophylline/Theophylline 5 Leukotriene inhibitors 115 Other Asthma therapeutic agents 31

CATEGORY TOTAL 220

ACE inhibitors/Angiotensin receptor blockers 231 CARDIOVASCULAR DRUGS

Alpha blockers 27 Antiarrhythmics 21 Antihyperlipidemic 121

Antihypertnsives (excluding diuretics)/vasodilators 49 Beta blockers 221

Calcium antagonists 93 Cardiac glycosides 20 Clonidine 98

Nitrate 40 Other 45 CATEGORY TOTAL 966 COLD AND COUGH PREPARATIONS

With Narcotics 15

With Dextromethorphen 343 Other/Unknown 199

CATEGORY TOTAL 557 DIDDIAGNOSTIC AGENTS DIAGNOSTIC AGENTS

7

Homeopathic 88 DIETARY SUPPLEMENT / NEUTRACEUTICALS

Other 163 CATEGORY TOTAL 251 DIURETICS

Furosemide 46

Thiazide 53 Other/ Unknown 24 CATEGORY TOTAL 123

Calcium and Calcium Salts 121 ELECTROLYTES / MINERAL

Fluoride (excluding vitamins & mouthwash) 7 Iron (excluding vitamins w/iron) 28

Potassium 23 Sodium 14 Zinc 3

Other 24 CATEGORY TOTAL 220

Ear (Otic) preparations 30 EYE, EAR, NOSE & THROAT PREPARATIONS

Eye (Ophthalmic) preparations 69 Nose (Nasal) preparations 20 Steroids-Topical for eye/nose/throat 14 Throat preparations 16

CATEGORY TOTAL 149

Antacids 53 GASTROINTESTINAL PREPARATIONS

Antidiarrheals 17 Antispasmodics 25 Laxatives 116 Proton pump inhibitors 101 Other/Unknown 79

CATEGORY TOTAL 391

Corticosteroids 92 HORMONES & HORMONE ANTAGONISTS

Estrogens 6 Insulin 91 Oral contraceptives 58 Oral hypoglycemics 129 Thyroid preparations 128 Other/Unknown 19

CATEGORY TOTAL 523 MISCELLANEOUS DRUGS

192

Carisoprodol 73 MUSCLE RELAXANTS

Cyclobenzaprine 176 Methocarbamol 18 Other 108

CATEGORY TOTAL 335 NARCOTIC ANTAGONIST

12

Atypical anti-psychotic 450 SEDATIVE/HYPNOTICS / ANTI-ANXIETY/ANTI-PSYCHOTICS

Barbiturates 17 Benzodiazepines 1204

Buspirone 48 Phenothiazines 34 Sleep aids – non prescription only 21 Other/Unknown 268 CATEGORY TOTAL 2042

SERUMS, TOXOIDS & VACCINES

32

Amphetamines & related compounds 127 STIMULANTS & STREET DRUGS

Bath salts & related substances 263 Caffeine 24 Cocaine 38

Heroin 24 LSD 4 Marijuana 39

Methamphetamines 26 Methylphenidate 73 Other/Unknown 29 Synthetic marijuana 88

CATEGORY TOTAL 735

Acne Preparation 22 TOPICALS

Calamine 33 Camphor alone or in combination 62

Diaper care & rash products 296 Hydrogen peroxide 3% 63

Iodine or Iodide 8 Methyl salicylate 72 Topical steroids 70 Other type of topical 117

CATEGORY TOTAL 743 VETERINARY DRUGS

35

VITAMINS

Multiple vitamins: Adult 23

Multiple vitamins: Children’s 181 Multiple vitamins with iron: Adult 40 Multiple vitamins with iron: Children’s 37 Vitamins single ingredient 127 Other/Unknown 7

CATEGORY TOTAL 415 OTHER/UNKNOWN DRUG 174

DRUG SUBSTANCES

Back to Table of Contents


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Cyanoacrylates 66 ADHESIVES, GLUE, CEMENTS & PASTES (excluding concrete)

Epoxy 4 Other/Unknown 27 Non-Toxic (Paper Glue, etc) 7

CATEGORY TOTAL 104 ALCOHOLS

Methanol 3

Ethanol 728 Isopropanol/Rubbing alcohol 94 Other/Unknown 9

CATEGORY TOTAL 834

Chalk 11 ARTS, CRAFTS, WRITING PRODUCTS & OFFICE SUPPLIES

Crayon 8 Pencil 8 Pens/Ink 100 Typewriter correction fluid 9 Water color 10

Other/Unknown 61 CATEGORY TOTAL 207 AUTOMOTIVE / AIRCRAFT/BOAT PRODUCTS Ethylene glycol (e.g., antifreeze) 56

Brake fluid 21 Hydrocarbons 23 Methanol (e.g., dry gas, windshield cleaners) 15 Other/Unknown 17 CATEGORY TOTAL 132

Penlight/Flashlight/Dry Cell batteries 44 BATTERIES

Automotive batteries 11 Disc batteries 24 CATEGORY TOTAL 79

Fish, other aquatic species 10 BITES & ENVENOMATION

Insects 132 Mammals 34 Reptiles 4 Snakes 100 Black widow spider bite 4 Brown recluse spider bite (reported) 3

Other type insect/spider bite 89 CATEGORY TOTAL 376

Caulking compounds 22 BUILDING & CONSTRUCTION PRODUCTS

Cement, Concrete 26 Insulation 18

Other/Unknown Building or construction product 20 CATEGORY TOTAL 86

Acetone (excluding nail polish removers) 2 CHEMICALS

Acids 47 Alkali 46 Ammonia 27 Borates/Boric Acid 9 Glycols 5 Other/Unknown 103

CATEGORY TOTAL 239

Ammonia cleaners 2 CLEANING SUBSTANCES

Automatic dishwasher detergents 101 Bleaches 333

Carpet/Upholstery Cleaner 39 Cleaners/Cleansers 28 Disinfectants 112 Drain cleaners 33 Fabric softeners 14 Glass cleaner 53 Hand dishwashing detergent 27 Laundry detergents/Fabric cleaners 137 Miscellaneous cleaning agents 170 Oven cleaners 22 Rust removers 4 Spot removers/dry cleaning agents 5 Toilet bowl cleaner 89 Wall/floor/tile, heavy-duty cleaning agents 195 Cleaning agents-industrial 80

CATEGORY TOTAL 1444

Bath Oil, Bubble Bath 36 COSMETICS & PERSONAL CARE PRODUCTS

Baby Oil 10 Creams, Lotions, Make-Up 182 Dental care products 178 Deodorants 194 Hair care products 109 Hand sanitizers 134 Lipsticks and lip balms 22 Mouthwash 96 Nail products 226

Perfume Cologne, Aftershave 93 Peroxide 70 Powders made of Talc 16 Soaps (bar, hand or complexion) 80 Suntan/Sunscreen products 60 Other 29

CATEGORY TOTAL 1535

Air fresheners 191 DEODORIZERS (Not for Personal use)

Toilet bowl deodorizers 3 Other/Unknown 50 CATEGORY TOTAL 244

Food dye 4 DYES

Other/Unknown 7 CATEGORY TOTAL 11

ESSENTIAL OILS

59

Household plant food 12 Outdoor fertilizers 9 Other/Unknown 6 CATEGORY TOTAL 27

Household plant food 12 Outdoor fertilizers 9 Other/Unknown 6 CATEGORY TOTAL 27

FERTILIZERS

FIRE EXTINGUISHER

23

FOOD PRODUCTS & FOOD POISONING

372

FOREIGN BODIES, TOYS & MISCELLANEOUS

Bubble blowing solutions 37

Christmas ornaments 4 Coins 25 Desiccants 247 Glass 36 Glow products 194 Thermometer 31 Toys 60


Carbon monoxide 74 FUMES, GASES, VAPORS

Chloramine gas 12 Chlorine (acid mixed with bleach) 32

Chlorine gas 28 Hydrogen sulfide 10

Methane and natural gas 23 Other/Unknown 39

CATEGORY TOTAL 218 FUNGICIDES

8

HEAVY METALS (EXCLUDING

Elemental mercury 3

Lead 15 Other/Unknown 56 CATEGORY TOTAL 74

Chlorphenoxy 5 HERBICIDES

Glyphosate 19 Other 10

CATEGORY TOTAL 34

Fluorocarbon/Propellant 75 HYDROCARBONS

Gasoline 165 Kerosene 14

Lamp oil 28 Lighter Fluid/Naphtha 22 Lubricating oils/Motor oils 38 Mineral Spirits/Varsol/Toluene 9 Turpentine 1


Arsenic pesticides 3 INSECTICIDES

Borates/Boric acid pesticides 78 Carbamates 25 Chlorinated hydrocarbons 4 Organophosphates 22 Piperonyl butoxide & pyrethrins/pyrethoids 203 Repellants 37 Other/Unknown 117

CATEGORY TOTAL 483 LACRIMATORS

46

MATCHES/FIREWORKS / EXPLOSIVES

12

MOTHBALLS & OTHER MOTH REPELLANTS

32

MUSHROOMS

38

PAINTS/VARNISHES / LACQUERS/STRIPPING AGENTS

95

PHOTOGRAPHIC PRODUCTS

1

PLANTS

Amygdalin/Cyanogenic Glycosides 4

Dermatitis producing 32 Gastrointestinal irritants 61 Non-toxic plant 69 Oxalate 29 Other/Unknown 112

CATEGORY TOTAL 307 POLISHES AND WAXES

37

RADIATION

4

Anticoagulant rodenticides-Warfarin type 11 RODENTICIDES

Long-Acting anticoagulant rodenticides 90 Other/Unknown 19

CATEGORY TOTAL 120 SPORTING EQUIPMENT

2

SWIMMING POOL & AQUARIUM PRODUCTS

105

TOBACCO PRODUCTS

80

UNKNOWN SUBSTANCES (NON-DRUGS)

223

WATER PROOFERS / SEALANTS 5



NON-DRUG SUBSTANCES

dnoffsin

Oval

dnoffsin

Oval

dnoffsin

Oval


The West Virginia Poison Center (WVPC) participates in the National Poisoning Data System (NPDS). The WVPC monitors its own data in addition to sending de-identified patient information to the national database every 4 to 10 minutes.

*”The CDC and AAPCC have developed methods to use NPDS data for real-time automated alerting that will generate more immediate and effective responses to public health threats related to toxins or chemicals in the environment. The NPDS database is a flexible and adaptable system that can be used to:

• identify early indicators for chemical exposures occurring at multiple sites throughout the United States;

• identify emerging problems that may be associated with newly in introduced household products, pharmaceuticals, or pesticides.

• identify illnesses resulting from intentional or unintentional chemical exposures at a single site or across multiple locations; and

• monitor the frequency of reports involving potentially abused substances.”

*From the Department of Health and Human Services Centers for Disease Control and Prevention Fact Sheet: Using the National Poisoning Data System for Public Health Surveillance

WEST VIRGINIA POISON CENTER PUBLIC HEALTH DATA

See next page


Examples of Poisoning Surveillance Activities for 2011

“Identify early indicators for chemical exposures..”

The WVPC worked with the WV Bureau of Public Health (WV BPH) to send information to health care professionals. The WVPC also provided epidemiological information relating to the recall to the WV BPH.

Calls relating to therapeutic drug errors (when age known):

<6 years of age 22.9% of drug error cases6 to 12 years of age 14.6% of drug error cases50 to 59 years of age 10.5% of drug error cases60 to 69 years of age 10.9% of drug error cases70-79 years of age 7.9% of drug error cases

“Identify illnesses resulting from intentional or unintentional chemical exposures..”

The WVPC fielded questions regarding a wide variety of public health concerns:

Suspected food poisoning 372 callsAnimal bites 34 callsK2 92 callsBath Salts 271 calls

WEST VIRGINIA POISON CENTER PUBLIC HEALTH DATA – cont’d

Maintaining extensive and updated references and resources on hazardous materials and chemicals. WVPC staff includes poison specialists with additional training in both advanced and basic HazMat Life Support. Availability of occupational, toxicological, and medical specialty consultants 24 hours a day.

Identification of chemicals or hazardous materials based on placard symbols, CAS or UN numbers, chemical formula, or chemical name.

Provision of information and assessment regarding exposure health risks and potential clinical effects. Assists with both in-field patient management and triage as well as providing health care facility treatment advice.

The ability to, if appropriate, contact/alert receiving health care facilities located in the incident area as well as provide further decontamination exposure management recommendations by both telephone and facsimile.

The ability, when the WVPC is advised of the incident, to provide the public with information regarding risk assessment and management. This helps to minimize the workload on emergency medical services and hospital emergency departments.


HAZMAT OPERATIONS PROGRAM

See 2011 DataVIEW 2011 DATA


HAZMAT CALLS & EXPOSURES

Total Hazardous Material Calls 307HazMat Related Exposures 283HazMat Information Calls 24Total Human Exposures 274Animal Exposures 9

Clinical Effects - Human Exposures (N=274)

14

83

26

95

15

35

0 10 20 30 40 50 60 70 80 90 100

No Effect

Minor Effect

Moderate Effect

Assessed as being minimal/non-toxic

Unrelated Effects

Unable to Follow

106

138

30 Hospital

Off-Site Non-HCF

Other

Management Site

No deaths or major effects in 2011 + (1) Confirmed non-exposure

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