DOCUMENT RESUME

ED 367 456 PS 022 039

TITLE National Poison Prevention Week PromotionalMaterials.

INSTITUTION Poison Prevention Week Council, Washington, DC.PUB DATE 94NOTE 65p.; Portions contain extremely small type.PUB TYPE Guides Non-Classroom Use (055)

EDRS PRICE MF01/PC03 Plus Postage.DESCRIPTORS *Accident Prevention; Child Caregivers; Health

Materials; Health Promotion; Older Adults; Parents;*Poisoning; *Poisons; *Safety; Young Children

IDENTIFIERS *National Poison Prevention Week

ABSTRACTThis collection of materials for parents, early

childhood workers, the elderly, and anyone in situations requiringsafeguards against poisoning, spans the years 1993 and 1994 and isintended to promote National Poison Prevention Week. The materialsincluded are: (1) the 31-page, illustrated report on National PoisonPrevention Week for 1993, published by the Poison Prevention WeekCouncil and including a presidential proclamation of National PoisonPrevention Week, remarks by several chairpersons of federal agenciesat a news conference in March 1993, excerpts from journals andnewsletters, and reports of state and local activities concerningpoison prevention; (2) a six-page, loose-leaf "Editor's Fact Sheet1994" in the form of questions and answers on safety tips related topoison hazards; (3) a "Suggested Proclamation for Governors inConjunction with National Poison Prevention Week 1994"; (4) a "PoisonLookout Checklist" and an announcement in Spanish and English onprevention of poisoning from medicines containing iron, bothpublished by the U.S. Consumer Product Safety Commission; (5) a

three-page fact sheet on pesticides and child safety published by theEnvironmfmtal Protection Agency; (6) a page addressed to seniorcitizens on safe use of medicines, published by the U.S. Departmentof Health and Human Services; (7) a brochure on protection ofchildren against household poisons, prepared by the Poison PreventionWeek Council and the Consumer Product Safety Commission; (8) a listof 52 brochures, fliers, and pamphlets on poison prevention; (9) alist of officers and member organizations of the Poison PreventionWeek Council; and (10) a poster announcing National ?oison PreventionWeek, March 20-26, 1994. (ME)

************************************************************************ Reproductions supplied by EDRS are the best that can be made ** from the original document. *

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U.S. DEPARTMENT OF EDUCATIONOthce of Educahonal Reseamh and Improvernem

EDUCATIONAL RESOURCES INFORMATIONCENTER (ERIC)

U This document has been reproduced asfeceoved Irom the person of otganaationoriginating .1

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-PERMISSION TO REPRODUCE THISMATERIAL HAS BEEN GRANTED BY

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TO THE EDUCATIONAL RESOURCESINFORMATION CENTER (ERIC).-

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A IS/NATIONAL POISON PREVENTION WEEK

MARCH 21-27, 1993Poison Prevention Week Council P.O. Box 1543 Washington, D.C. 20013

-..1141111L

Federal Register / Vol. 58, No. 53 / Monday, March 22, 1093 / Presidential Documents 15413=1=1111111[

IPR Doc 113-5665Filed 3-11-113: $.04

Uhng cod. 1113-014.1

Presidential Documents

Proctors e536 of March 17, 1993

Nat, osson Prevention Week, 1993

By the President of the United States of America

A ProclamationSince its inception more than three decades ago, the annual observanceof National Poison Prevention Week has saved lives. Along with year-roundeducational programs in the public and private sectors, this annual campaignfor awareness has helped to reduce dramatically the number of fatal acciden-tal poisonings among children. In the effort to protect every child frompoisoning, which is nearly always preventable, we renew our ;ommitmentto informing parents, grandparents, and other adults about the importanceof protecting children In their homes. The urgency of our efforts is under-scored by the fact that, according to the American Association of PoisonControl Centers, nearly 1.000,000 children each year are exposed to poten-tially harmful medicines and household chemicals.During National Poison Prevention Week, activities are coordinated by thePoison Prevention Week Council, a coalition of 37 national organizationswhose members are determined to stop accidental poisonings. Tho Councildistributes valuable information that is used by the staffs of poison controlcenters, pharmacists, public health officials, and others as they conductpoison prevention programs in their communities. The United StatesConsumer Product Safety Commission provides a Commission member toserve as Secretary of the Poison Prevention Week Council each year. Since1972, the Commission has required child-resistant packaging for certainmedicines and household chemicals, preventing countless tragedies.Every American can help to protect children with simple safety measures.such as using child-resistant packaging and securing potentially dangeroussubstances out of the reach of children. This week I encourage all Americansto become more aware of potential hazards in their homes and to eliminatethemTho Congress. by a joint resolution approved September 26, 1§61 175 Stat.681). has authorized and requested the President to issue a proclamationdesignating the third week of March of each year as National Poison Preven-tion Week.NOW. THEREFORE, I. WILLIAM J. CLINTON. President of the United Statesof America. do hereby proclaim the week beginning March 21. 1993. asNational Poison Prevention Week. 1 urge all Americans to observe thisweek by participating in appropriate programs and activities and by learninghow to prevent accidental poisonings among children.

IN WITNESS WHEREOF, I have hereunto set my hand this seventeenthday of March, in the year of our Lord nineteen hundred and ninety-three,and of the Independence of the United States of America the two hundredand seventeenth.

UitkliCAAAATtA;Axinui,

NATIONAL POISON PREVENTION WEEK

/ PUBLIC LAW 87-319; 75 STAT. 681

(H.). Res. 358)Joint Resolution authorizing the President to issue annually a proclamation designating the

third week in March as National Poison Prevention Week. In order to aid in bringingto the American people the dangers of accidental poisoning.

Resolved by the Senate and House of Representatives of the UnitedStates of America in Congress assembled, That:

The President is hereby authorized and requested to issue annuallya proclamation designating the third week in March as National PoisonPrevention Week, to aid in encouraging the American people to learnof the dangers of accidental poisoning ad to take such preventivemeasures as are warranted by the seriousness of the danger.

Approved September 26, 1961.

National Activities

On Tuesday, March 16, 1993, a news conference was held to mark the 32nd observance ofNational Poison Prevention Week, March 21--27, 1993. Here are the statements made byspeakers at the news conference.

Remarks byRose Ann G. Soloway, RN, MSEd, CSPIChairman of the Poison PreventionWeek Council

andEducation/CommunicationsCoordinator, National Capital PoisonCenter, Georgetown UniversityHospital

Honored guests, ladies and gentlemen: On behalf of thePoison Prevention Week Council, and on behalf of George-town University Medical Center, it is my pleasure towelcome you to the thirty-second observance of NationalPoison Prevention Week.

We are here to celebrate the great strides made in thiscountry in preventing poisoning deaths in young children,and vou will hear of some o: those successes this morning.It is important to remember, though, that every week isPoison Prevention Week. In 1992, the American Associa-tion of Poison Control Centers recorded 1,095,358 callsabout children under the age of six who were exposed topoisons.

Sadly, twenty-nine of those children died. Iron poisoningcontinues to be a major cause of poisoning death inchildren. Other prescription and non-prescription drugsclaimed young lives. Pesticide poisoning killed severalchildren. One child died after swallowing a sore throatspray, and another child died of alcohol poisoning afterswallowing mouthwash.

Children reach for things that can poison them, even killthem, because they can't tell the difference between some-thing that is safe and something that is harmful. Pills looklike candy, liquids look like soft drinks. Children arecurious, they climb, and they imitate adults.

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The Poison Prevention Week Council is a conrortium ofthirty-seven national organizations which works to stoppoisonings by distributing information and by encouragingpoison prevention programs around the country All of usurge every adult in America to provide a safe environmentfor our children. Store possible poisons in their originalcontainers, in child resistant packaging, out of sight, out ofreach, and locked up.

If a poisoning does occur, help is a phone call away. Callyour poison center immediately!! In a few minutes, youwill hear from a formerly-frantic family who did call apoison center when seconds countedand were helpedimmediately. Find your poison center number inside the frontcover of your telephone book, and post it by your phone.

As this country reassesses its health care system, it is worthremembering that a call to a poison center saves health caredollars. Most calls to poison centers can be handled at home,thereby eliminating a costly trip to a hospital or doctors office.Financial support for poison centers is in jeopardy, eventhough there is proof that closing a poison center is muchmore costly than maintaining one. Every American shouldhave immediate access to a state-of-the-art poison center; callyour poison center to find out how you can help.

And now it is my pleasure to introduce Jacqueline Jones-Smith, Chairman of the United States Consumer ProductSafety Comm;ssion.

4:"O °I* " 41"' E.0 .-,

Remarks byJacqueline Jones-Smith, Chairman,U.S. Consumer Product SafetyCommission

Thank you, Ms. Soloway (Rose Ann Soloway, Chairmanof the Poison Prevention Week Council). The ConsumerProduct Safety Commission is a long-time supporter ofNational Poison Prevention Week, and my colleague (Com-missioner Mary Sheila Gall) and I are pleased to be heretoday.

Our poison prevention messages are quite simple:

Use child-resistant packages because they save lives.

Keep medicines and household chemicals out of thereach of children.

In case of poisoning, call the nearest poison controlcenter immediately.

National Poison Prevention Week has been one of themost effective safety efforts in saving children's lives.During the past 32 years, the number of childhood poison-ing deaths declined from 450 deaths in 1961 to 55 deaths in1989 We believe that virtually all poisonings are prevent-abl e. Therefore, we must continue to inform parents, grand-parents, and caretakers of ways to prevent childhoodpoisoniligs.

The Commission is particularly concerned about deathsfrom iron-containing medicines and dietary supplements.Many adults may not realize that a few iron pills can causea child's death. CPSC requires that iron-containing medi-cines and vitamins with iron be packaged in child-resistantpackaging. However, poisonings have happened when thecaps were unsecured or the iron was removed from theoriginal container. CPSC recommends that parents re-securechild-resistant packaging and keep iron out of the reach ofyoung children. Last year, CPSC issued a safety alert aboutpoisonings with iron-containing medicines. The Commis-sion recently translated our safety alert into Spanish, and acopy is in your packet.

CPSC's special contribution to poison prevention is child-resistant packaging for medicines and household chemi-cals. We have here today a display of potentially poisonoussubstances that are required to be in special packaging. TheCommission is responsible for the child-resistant packagingon medicines and household chemicals, and EPA is respon-sible for child-resistant packaging on pesticides. CPSC isnow considering requirements for special packaging forover-the-counter preparations containing lidocaine anddibucaine (which are anesthetic medicines) and for lopera-mide (which is an anti-diarrhea medicine).

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We know that child-resistant packaging sa ves lives. Forprescription medicines and aspirin, CPSC estimates thatabout 700 children's lives have been saved since the early1970s. The total number of lives saved for all productcategories is much larger. Let's consider a hypotheticalsituationShaquille O'Neal, the star player for the Or-lando Magic basketball team, was born in 1972, the sameyear that aspirin was required to be in child-resistantpackaging. Shaquille O'Neal represents the generation ofchildren that grew up in the age of poison preventionpackaging. We can't say for sure that he is alive todaybecause of child-resistant packaging, but perhaps 700 chil-dren are alive as a result of this special packaging.

But child-resistant does not mean child-proof and that iswhy it is important to lock up medicines and householdchemicalsout of the reach of children. Today, we high-light the importance of keeping pesticides locked up, out ofreach of young children. EPA's representative will discussthis important poison prevention message.

The Commission continues to work on changing the testprotocol for child-resistant packaging. This change wouldmake special packaging more easily opened by the vastmajority of older adults, while still retaining its child-resistant qualities. The Commission hopes that the new testprotocol will promote the development of "elderly-friendly'packaging. With new closures, more older people should beable to use child-resistant packaging more easily. Parentsand grandparents and other caretakers need to use child-resistant packaging to help prevent poisonings.

In a few moments, we will hear the story of 2-year-oldJason Cheslock who was poisoned when he accidentallyswallowed his uncle's aspirin. Fortunately, with the assis-tance of the National Capital Poison Center, this childrecovered. Before we hear this story, however, I want tointroduce Stephen Johnson, Director of the Field Opera-tions Division, Office of Pesticide Programs at the Environ-mental Protection Agency.

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Remarks byStephen Johnson, DirectorOffice of Pesticide ProgramsU.S. Environmental Protection Agency

Thank you Chairman Jones-Smith. The EnvironmentalProtection Agency shares in the Consumer Product SafetyCommission's support for National Poison Prevention Week,and I am honored to be here today to discuss our Agency'srole in poison prevention with regard to pesticide products.

In a recent survey conducted by EPA, we found thatalmost half of the households in this country improperlystore some pesticides within the reach of small children.There are various types of pesticides. Some of the house-hold products include disinfectants, flea and tick products,ant and roach products, and lawn and garden products.Bathrooms and kitchens are the most likely areas in thehome for pesticides to be improperly stored.

Because of our concern, EPA has been working with thePoison Prevention Week Council to conduct an extensiveoutreach effort to help alert the public to take necessaryprecautions that will protect children from accidental poi-sonings or exposures. During the past few weeks alone, wehave provided thousands of copies of our fact sheets on"Pesticides and Child Safety" and "Using Insect RepellentsSafely" to thousands of health care clinics, pharmacies andthe general public. These materials are available in bothEnglish and Spanish.

Since 1981, EPA has required most residential-use pesti-cides with a signal word of "danger" or "warning" to be inchild-resistant packaging. These are the pesticides that aremost toxic to children. Pesticide manufacturers of theseproducts must certify to EPA that their product, as pack-aged, will meet certain standards of effectiveness, compat-ibility, and durability, an'3. must have data on file tosubstantiate their certification. Currently, EPA has over4,000 pesticide products with child-resistant packagingcertifications of file.

Child-resistant packaging is a proven factor for savinglives. The number of pesticide poisoning deaths to childrenunder the age of five has declined since the enactment ofthe Poison Prevention Packaging Act from 40 deaths be-tween 1968-70 to one death in 1989 (last year for which thisdata is available).

Child-resistant packaging is designed to prevent mostchildren under the age of five from gaining access topesticides, or at least delaying their access. However, it isimperative that individuals also take precautions to protectchildren from accidental pesticide poisonings or exposures.

5

EPA shares the same poison prevention messages thatChairman Jones-Smith stated earlier, and they certainly areimportant enough to bear repeating with regard to pesti-cides:

Use child-rcsistant packaging;Keep pesticides stored out of the reach of children; and,In the case of a poisoning or exposure, read the label formedical advice, and call your nearest poison controlcenter.

I'd also like to add to these life-saving points when usingpesticides:

Read the label before using the product, including pre-cautions and restrictions;Before applying pesticides (indoors or outdoors), removechildren and their toys from the area;Never transfer pesticides to other containers, particularlythose that children may associate with food or drink;and,Always close the pesticide package properly.

And now, I would like to introduce Joe and RobinCheslock and their two-year old son, Jason. Jason swal-lowed his uncle's aspirin. Fortunately, wqh the assistance ofthe National Poison Control Center, he fully recovered.Jason has come here today with his parents to tell us abouttheir experience.

Remarks byRobin Chesiock,mother of 2-year-old Jason:

It was Thanksgiving, and we had gone to my parents'house for the holiday. My aunt and uncle and cousin cameto spend the holiday with us, After dinner, we noticed thatJason (then two years old) was missing. We found himupstairs with my uncle's open bottle of aspirin. There wereaspirin pills everywhere. There was white aspirin powderaround his mouth and on his hands. The bottle didn't havea child-resistant closure because my aunt and uncle don'thave any small children. We brought Jason downstairs andcalled the poison control cent:T right away. They had uscount how many pills were left, and we were able toaccount for all but 10 pills. They said we should give Jasonsyrup of ipecac to make him vomit. Fortunately, I had somesyrup of ipecac in the diaper bag, so we gave it to him. Andhe is fine.

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nueIn 1972 iegulauoni recnong elnld.resliunt packaging (CRP) for pewit:la were (intproposal t FDA)

In 1976 EPA was given the soie iensOiction lor CRP for pesticides.

In 1979 EPA publithed reguLitions reconng child-mutant packaging (CRP) Mrresidential use pesticides Ipropined 19273.

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Pesticides, Poison Prevention,And Child-Resistant Packaging

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o All residential ow pesticides meeting cerlani toxicity enteru must be in CRP.The pesticide manufacturer mou cern!), to the EPA that *Asir product aspackaged will meet certain sunduds of effectiveness. companbility. anddurability. Furthermore. the reglitrant must (lave data on tile to substantiatetheir centficanon.

o EPA tic over 4,000 prince's products with CRP certifications on File.

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o EPA require, a pesticide to Comply *tut its regulations. before it can be repsterOd forsale and distribution n he tinned State, (prowled clearance).

O All residential uie pentode, mrtting orm or more of ni toxicity swat mumbe in Clip. The pesticide manufacturer must certify to die EPA Mat theproSuct. as packaged. will n :eosin standards ot effectiveness.compatibility. and durtnilily I urincimore. trio registrant must have data on(lle to lutstantiate the coulleation.

o The six toxicity omens, art acute oral toxicity. &Cole dermal toxicity. dermaltrnution, acute inhalation woolly, eye irritation, and humm mimic:nee data (such asboiteological data. die history. Or injury 41111.

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National Poison Prevention Week news conference (3/16193)

(left to right) Dr. Toby Litovitz, Director of National Capital Poison Center; Rose Ann Soloway, Chairman of Poison Prevention Week Council;Stephen Johnson, Director of Field Operations, Office of Pesticides, U.S. Environmental Protection Agency; Jacqueline lones-Smith, Chairman of U.S.Consumer Product Safety Commission; Mary Sheila Gall, Commissioner, U.S. Consumer Product Safety Commission

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The Poison Prevention Week Council produced a videonews release from the March 16 news conference. Thevideo was broadcast by satellite for local TV news pro-grams to use. Evaluation of the TV station use of the videonews release showed that more than eight million TV

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viewers saw the video. Another two million TV viewerssaw other poison prevention stories, bringing the total TVviewership to more than 10 million. The costs of the videonews release were paid by voluntary financial contribu-tions from Council members and corporations.

KROIA(.INM - your Video Mews Source

ENPJECT, N4TIOnWd. POIOON PREVENTION WEEK eiCLOS 6.0,0 GNILOREN.IS Eivtd...sefoty tips to avoid Poisonings from medicines and hodoehold

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STORY SUMMARY,

Poison p ------ ion tips stressing the use. Of 00110,..1.Ant PAC..Q1,0and heeding medicinal& and household chemicals out of hips. reach wereesphaeired al March 16 new. conference in Washington, D.C. ['Art.-II:anisincl.. eloper.. frcm the Consumer II-covet Safety ComelosiOn. Poisonfvovent1on Week Covoct1 aro the SPA Office of Pirsticioys.

In recent year, accidental poistrunt, willed r..S children. That'ss 1 on f ctit drop inc th I y I 9611, when ther r. vereaw of a!Odeaths yes, Almost on. million parents when. Children swallow.something nermful celled a 0O10.0 control confer lea% peer. At the ,er.fonfrere, Inv pOrent of a...ea...old Of p %old n r son artsdoni n 1 1 .

anai1owed lord. dose of aspirin onti recovered Inane* to Ine Poi....Control Cooler.

Th1s VUO 4000. at 1h. 10000,,InCV nf po,ser. prevention, 10oo-daycoverage Of the March 16 none conference feature,. 001., from soieonpreventIon authorities and the port... of an accidental poisoning victim.P-roll includes shots of a 1501500 Center and a d1OOley .f 010110.rell,11.0o1000.011.2.

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prevention, highlighting the experience of 2-year-old JasonCheslock who appeared at the Council's news conference.

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Because of concern that some Hispanic consumers maynot be aware of the tc,,icity of iron pills and other poison-ous substances, the U.S. Consi liner Product Safety Commis-sion issued a safety alert about "Iron-Containing Medicine"

AVISO AL CONSUMIDOR SOBRE LA SEGURIDAD DE PRODUCTOSComIslon Pam Saluridad de Productos do EE.UU.

PREVENGA ENVENENARSE 0 LA MUERTE EVITANDOMEDICAMENTOS

A BASE DE HIERRO

La Conusen Oar. Sonundad de ProduCeSSdol Consume°. ICPSC) aa.sa ewe esrnececarnentOS O base de memo fa vetoeseentecados como steato forms°. plumoseterroso. 0 bourse errosoli Posclan sarwean pars los neos Mucbos aclullos rraclan won% ow wee en PS DreOaralivOSCOn Marro La Common reccnvenda Clue 105peCIIPS Manlenclan IPS media/sal Can Neroam* 04 &Senn Os es nines

El hone pox% encontrarse rancomonacen con vilarninaS o Soon Deaeuero, con los does cm Cnn° para Con.'red de Vonyno 05 medicamien/OS a sa. denem, tdados cOmOsuCAIIIMKOOS 300 10.causantes ael 30% ce las nven.s Dorenvenertarmento oe los nabs SOM con

ona Peduena eantidaa oe °Worstcon 1oa110 Wedeln CauSat ia rnteeele a unnine CDAYMO Ms hit*5 impedeol es peons

VIM)

de Morro de sus pate% poodlee nvenenerse. La Comae,. reconvene% Welos obStetncos y gonectfogos &thimble, asus peones MN Las mersonas a oars tleh em Son pelerosas para los Wes.

La Conseil para Segundod do Producios(fel Consume..., (CPSC) redeem quo losmedicament°, a Wee CIO loarrO. Cu COMOPs manorial, con hem,. soon ',mamas,con tapas a pruesa O fees Ternben lospadres ceben asegurarSe Clue es eauestan soguras. Is. cone marten.r esmod:Inas con Norm loofa del AMAMI doIns notes y deseerer oclecuadarnente deaquollas ChM no necseren pato asi ewerquo es ninos las alcancon. Estas medionasdeben Oesechatse por el 'redo, 'Odinzatacones donne ine nein bowtenCOnifilnall.

Us* *sombre tapes pruots d Woo yenanienda las rredielnos centoniendoMorro hales ON *wee do los memos.

and a news release about "Child-Resistant Packaging" inSpanish and English. Both documents were distributed toHispanic organizations and the general media.

Consumer Product SAFETY ALERTace nat caw/mamma. bat art coniammilawanwenimac law

Prevent Poisoning and Death fromIron-Containing Medicine

Tim U S Ctinsurnor Product Saltily ComnnssronICPSC1 warns ihat POn marlicatrona isornolirmaOmni.). famous sulfate. Immo, pluconato. orMom,. tumoral.) Can be claoaly to yOung ChildMany adults may nO1 maim. M. nalatO 01 ironp/mmiraliOnli The Commesaron r400mmon0. that0042011200 0.000100 wan 4. not 01 1114 moanOf rOung Cheldren

Don m ccanablo In cOrtsbinateon .1111 vitamin. Orpont Accononn to Demon control cont.+ al..Inn aupyiernoro are r0000101. tor 30 DementOr 4o0111110 Cr011oning 0011111 from rneareabons A>man nurnorm of Don prim consumed Dv 00.10can caps. Ovath Poisonings naDoon 'Mon cnorl

DM=

fon avrallOw IND parent.' 1cOn pills. CPSC mom-menvlii that obstetric...a and oynocologials tallth.ir neer.% Oallants 1001 0011115161 111000011anis iron is pOlIOnOtta 10 cndocen.

don.contaming melleints anciyttiortin$ iron b. 0000910 in ceild-rosistantMate. Parants 2400010 Moray. IXOParly rh...Dora Ditty Mauna. In arldlliOn. 01100111.110010 10.0 modiciree elln eon 00101114 machol OMRin ano sn0010 orreeny Osecens eon Dinsalte, use 10 Clinchan 040051 Cason thorn Moanotnil. airmail DI 0111051040 OT 11010100 0Own100.1. no( in 5 vattaihaillial Caniciten can100 Moen

Always use chIldiroestont elosurasand 000p If011.COnlalning InedIcInaout of th mach 01 Children.

N EWS from CPSCU. S. CONSUMER PRODUCT SAFETY COMMISSION

PARA PUBLICACION- Manes. le; de Margo. 1993ErnIsion a93.47

Sacrum* Nacional yam la Prevenclan del tavenenamiento:

ENVASES CON TAPAS A PRUESA DE NINOS SALVAN VIDAS.

Washington. D.C. Envamen con tapas a prueba de nitlos para aspirthas yigras rriedicinas prescritas. pueden haber salvado las vidas de unos 700 ninondes& fine esos retitilsitos entraron en vigor a prmelpios de los :Inns 1970 Esto deiitherdo con la Prcsidenta de la Comtslon para Ia Segurldad de Productos delConsunudor dc E.0 . Jacqueline Jones-Smith. Sin embargo. este exlto no hachininado totalmente el problema del envenenarniento en America. lal como se hadivulgado co la C onterencia de boy de Ia Setnana Nacional para Ia F'revenclon delEnvenenamiento En 1989. 55 ninon de menos de 5 anon murieron envenenadosaccidentalmente con mediclnas o productos quimlcon en el hogar. Cerca de unnation dc consumulores Ilamaron a los centros de control de veneno acerca declivenenarniento actual o 'cast real en los Milos.

La Semana Nacional para la Prevenclon del Envenenamlento sera

ohservada en Margo 21.27.1993. Oradores de la conferencla de hoy emfatlzaronla importancla de mantener las medlcInas lespeclalmente aquellas que contienenhlerrol. am romo aquellas subsianclas quimleas del hogar. luera del alcance delos nmos. La Itcildeccia del CPSC. J JonesSmilh. cci poriavot del la Agenctapara Protect-Ion Ambiental. Stephen Johnson. mostraron elemplos de rnedicinas.sillitildllelas .1111mm:is del boor. s, pesUctdas clue deben envasarse con tapas apnleba de twins llotos accesIbles1

(Ito twin titanic .11.1 Conlerenela de Prensa solve la Semana Nacional

para la Prevention del Envenenamlento hie el 0100 de dos anos. Jason Cheslockde Gaithersburg. Miu-vland El ado pasado. el runo Jason se enveneno cuando

5401 Weslbarcl Avenue CallBethesda. MO 20207 001) 504-0580

Office ofInformation andPublic Affairs

N EWS from CPSCU. S. CONSUMER PRODUCT SAFETY COMMISSION

rOR NE7MS54 TUESDAY, MARCH 16, 1993

RELEASE 193-47

National Poison Prevention Week:

CIIILD-RESISTANT PAC/CAGING SAVES LIVES

WASHINGTON, DC -- Child-resistant packaging tor aspirin and

oral prescription medicine may have saved the lives of about 700

children since the requirements went into effect in the early

19708, according to U.S. Consumer Product Safety CommisLon

(CPSC) Chairman Jacqueline Jones-Smith. However, this success

story has not eliminated the poisoning problem in America, aS

noted in the annual National Poison Prevention Week news

conference today. In 1989, 55 children under age five died from

accidental poisoning with medicines cr household chemicals.

Nearly a million consumers called poison control centers about

actual or "near-miss. child poisonings.

National Poison Prevention Week will be observed on March

21-27, 1993. Speakers at today's news conference emphasized the

Importance of keeping medicines (especially iron-containing

medicines) and household chemicals out of the reach of young

children. CPSC Chairman Jones-Smith and Environnental Protection

Agency spokesperson Stephen Johnson displayed exnmoles of

medicines, household chemicals, and pesticides tnat must be in

child-resistant packaging (see photo attached).

5401 Westbaid Avenue Call

Bethesda. MD 20207 pol )so4-oseo

Office olinfoirnation and

Public Affairs

CPSC NEWS RELEASE. Child Resistant Packaging Saves Lives - Page 2

tratino una aspinna dr sit to, Gr.osas a la proma intervencion del Centro deEtwenenannento de la Capital Nacional. Jason se TN-14)cm completamente. Estecaso es uno de cast millon de ninos envenenados el ano pasado.

Rose Ann Soloway. Preside:Uri del Cornetts para la Scmana de la Prevencitindel Envenenarmento. higo nmar que la ruallelOn de 37 organizacionen trabajapara prevenif envenenamlentos academies. distnIniyendo inlormacion. ailcoma urglendo a los centros Ineales de envenenimuento. larmacias.departamentos de salud publica. v utros a WIe comlincan progranuts deprevencion de envenenanuento en sus conumidades. Ella les aeonnem 'SI ocurreon enyenenannento. dame al cenuo de control dr cenenos mmediatamente

El CPSC parneipa en las actividades del Consejo para la Semarta de laPrevencton de Envenenarmento corso pane de su minion para proteger al publicodel riesgo a lestonarse o a monr a eassa de productos consumidos El ohienvo dela Comision es el de reductr tin esilmado de 28 5 lessones v 21.600 muertesasoctadas anualmente eon 15.000 diterentes upon de productos connurniclos haloLi lunsdicelon del CPSC. Los consumtdores pueclen solicitar la lista de enonproductos envtando una taneta postal a Poison Prevention Checklist.Washington. D.C. 20207

NUTA A LOS REPORTEROS DE TWEDITORES DR ASIGNACION Iln videode noncias para la public:R.10a con un segmento editado. y un Li.roll de laconferencia de noticias. sera transrmtido a las 2 30 pm iliora del Este) el Marten.16 de Margo. en satelite coordinado Galaxy 6. Canal 24. audio 6.2 y 6.8 Elsegmento editado sera retransmitido a Ias 12.30 pm el Jueves. Margo 18. en elTelstar 301/Transponder I2V Para videocassettes del VNR. favor de Hamar a KenGiles al 301.504.0580.

La Proclaniacion Prestoenrial v los comentanos cit los oradores estaranincluidos en el iut para a prensa de la Semana Nacional para la Vrevenelon delEnvenenamiento Una loin de medtclnas V productos tit:1moms potenclalmentevenenosos en cl hogar pueden obtenerse Ibunando A Ken Calcs..101 504.0580.

(poison prevention)

Another participant at the National Poison Prevention Week

news conference was two-year-old Jason Cheslock from

Gaithersburg, Maryland. Lest year, young Jason was poisoned when

he swallowed his uncle's aspirin. Through quick action advised

by the National Capital Poison Center. Jason recovered

completely. His case was one of nearly a sillion poisonings of

young children last year.

Pone Ann SOlovay, Chairman of the poison Prevention Week

Council, noted that the coalition of 37 national organizations

works to stop accidental poisonings by distributing information

and by encouraging local poison control centers. pharmacies,

public health departments. and others to conduct poison

prevention programs in their communities. She advised. "If a

poisoning occurs, call a poison control center immediately."

CPSC participates in the Poison Prevention Week Council

activities as part of its mission to protect the public from

unreasonable risks of iniury and death associated with consumer

products. The Commission's oblective is to reduce the estimated

28.5 million Injuries and 21,600 deaths associated each year with

the 15,000 different types of consumer products under CPSC's

jurisdiction. For a checklist on poison prevention, consumers

may send a postcard to Poison Prevention Checklist, Washington,

DC 20207.

(poison peeventlon)

MOM To report an unsaf consumer product or a product-

related inlury, Consumers may call the U.S. C01106ser Prochict

Safty CetstalealOWS toll-f re hotline at ).---5o0-G3e-2772. A

treletypeuritw tor th haring impaired I. available t 1-000-A38-$270: the Maryland rrtr number Is 1-1900-492-8104.

OHMthlmIt TO TV RIEPORTERS/ASSIGNNEST 10/TORSi Video on Jason

Cheelo,A, who survived poisoning, IS available. Call Ken Giles

or Al Maruggi at 1e1-504-05SO tor details.

MINA OPPORTUNITY: The following individuals will be

available for photos and interviews at the news conisrence:

Jacqueline JOnes-Sialth, Chairman, U.S. Consumer Product

Safety Commiesion

Ream Ann Soloway, Chairman, Poison Prevention Week Council

Stephen Johnson, Director of Fleld Operations Division,

Office of Pesticide Programs, U.S.

Environmental Protection Agency

Two-year-old Jason Cheslock, who was poisoned but fully

recovered after emergency assistance by the National

Capital Poison Center. Jason.. parents, Joe and Robin

Cheslock, will be at the news conference to tell his story.

The Presidential Proclamation and remarks by these speakers are

available in The press kit for MatiOnal Poison prevention Meek.

A collection of potentially poisonous household chemical. and

medicines will be on display at the news conference (photo

attached).

Consumer Product SAFETY ALERTgoeve. us ccemmemeneogvg.rwomismove....grove tg east

Child-Resistant Packaging Saves LivesThe staff of Me US Consumer Product SafetyCommission ICPSCiestimaille Mel Childresestantpackaging for aspinn ene oral prescholgn med.Sine Saved the lives or show tc() Children line.the requirements sent int0 elfeC1 in th early197011.

CPSC analyzed cnild fatality data fon accidental in-gestions of aspirin and Oral masc.-moonmedicines The death rates tor aspirin and oralpreCrIptiOn medgenCe declined wen alter takingeceount of UM Overall mom. in Ine aCcidentalChild death rate from all Caul.. The StedY MaobECOvnled foe changes in dr capita prOduCt CO,aumollen and recluChena in the mom fatalityrate ae.00iatild wilh iheraCUtic Owlerd014.

The CPSC study showed treat cleildvelistantPackping reduceo the ospinarellled Cheld deathrat by up 10 OM deaths per million childrenunder age five the 1e50111 also sneered thatspecial PaCkeping reduced the oral prescription

mettliCinweelated death rate by up 10 1 27 dealnsOar million children under ago me this moresent.. lawny rate reOuClien 01 up lo 45 percenthorn leveill that would nave Olen DeOteCled in Meabsence Of cheldwgglant packaging require-manta

Tna tosser fatality Wm iapiesent a Mem eaductionOf ahOut 700 Cnad deaths Since the reduirernentsfor cworesisiant packaging on thew productscent nto sued in M. *any 11)70e

The CRIME* Of abOut 700 elves Saved relate, 10alpinn erg oral prescription medgines Only anddOeg not include additionat Ursa Mat may havebee. Saved by chtiontentant packaging on otherproducts Therefore the CPSC's staff conciumsthat cnildresistant packaging dans linen CO^lunges Should use cnildvasislant packaging Icehelp prevent accidental poisonings with remote.emelt and houghold Chemicals

Us. child-resistantpackaging to help preyentaccidental poison)ngs withmedicines and householdchemicals.

1 2

aeleet

PBS

Products Required To BeIn Child-Resistant Packaging

^

15

(

a

BATHROOMAntihistarninalSlemp Aid

censor., dlpnerrhydrarnineAspirinAsprin Substitute

weaning eCeteiTiindpIlenCOUgh Syrup with Codeine

(COntrolled drug)Glue and Artificial Fingernail Remover

rontemint acsionitnleIbuprofenIron-containing Medicineiron-containing VitaminsMildwrcideOil of Wintergreen (methyl salicylatelOral Prescription MedicinePermanent Hair Wave NeutralLter

cantlaning *COMM Of potaseturnbromine

Toilet Bowl Cleaner

KITCHENAnt and Roach BaltDrain Cleaner CentSating sodium or

potassium hydroxideDrain Cleaner orwwwine lunette oCkilFumiture Polish

=mewing Petroleum Mai)ilinesOven Cleaner *gowning sodium or

Polarlasium hydroxide

GARAGE OR STORAGE AREAAntifreeze nontawng ethylene glycolCharcosi Lighter Fluid

coniaoiinn Petroleum distillatesGas Lbw Antifreeze

contemns Methyl alcoholLawn and Garden PesticidePaint Thinner

onniseong petroleum distillatesFool ChemicalTurpentineWindshield Washer Liquid

Whams"; methyl alcohol

The American Association of Poison Control Centerspublished an updated list of Certified Regional PoisonCenters in the U.S. There are 38 Regional Centers through-out the country.

AMERICAN ASSOCIATION OF POISON CONTROL CENTERSGerard Regional khan WWI. February 1993

ALABAAIA: Regional Poison Con to( CantuTho Ch. Mode Hospital of Noboru1600 7111 An. $outiElgmvigharn AL 35213-1711Ernorgency Numbers. (205) 939-9201 (500) 292-6679 (AL only) or (205) 5334050

ARIZONA( Arizona Poloon and Drug Inlonnabon40901)0l1441111501.1)669 Cotter Rm. (320441501 N. Condor Ayo.Tucson AZ 55724En...Homy Numbert (9OO) 362-0101 (AZ omit). (602) 6264016

Serineriteri Rogional Poison CornerGood Sarnanten Rogonsl Modal Comer1130 E. McDowell, Stele 4-5Phoero AZ 95006Enorgency Number (602) 2534134

CALIFORNIA: Fresno Regional Poison C0(114VI0O6044of Fresno Commuury Homed end Medd Collor2823 Fresno StreetFresno CA 93721Emongency Nurnbonc (800) 3465922 or (209) 445-1222

Am Diego Re9Mni Polum CederUCSD Modica) Center 9925225 Oddson StSan Dog, CA 921034925EmoggedY Numbers, (619) 5434030 (500) 876-4786 (m 5)9 0,1* *NV)

Son Frencleco Bay Area Regional Poidn Control CenterSan Endow( Groom( Hospital60) Potrero Ave. Building 60. Floorn 230

San Frnrcseco CA 94122Emergency Number (415)475.5600

Santo Clara Wilm Nedra( Collor Regional Poison Center751 South 8435051 Ave.San law CA 95)26Emorgency Numb... (408)203-5112. (803) 662-9658 (CA only)

University of California. Dario Meths.( Conte. Rogional Poison Control Coder2315 Stockton BlvdSocromonto CA 95517Emorgency Mambos: (9)8) 734.3692: (WO) 342.9293 (Northern Caldorro only)

LID Rogional Poled CanterUCI lidded Grid101 Tee ON Ono.: FM 78Oterego CA 92665-3298Emergency Nurnbow (714) 6365995. (800) 5444404 (Southern Coh(otna Only)

COLORADO: Rocky Mounted Poison end Drug Conti,615 81)056 SINNDenver CO 80204Emorgency Nornbfr ()33) 629.1123

D.C.: Notional Capitol Poison Confer3900 Rsonoir Road N WWashnglon DC 20007Emergency Nurnbor (202) 6253333

FLORIDk The Ronda Poison Intended Corner et Tampa General HospitalPost Office Sox 1289Tempe FL 33601Emorgoncy Numb... (6)3) 253.4444 (Tempe) (800) 282.3171 (Ronda)

CNORGIA: Googol. Potion CenterGrog Mormons) Hosortal50 8u1101 S551 S E.P O. Pox 26066Atlanta GA 30335-3801Enuergency Nurnbors. (800) 292-5846 OA only:(404) 5094400

INOMNA: Iodide Potion Denierlistiodet Hoed.) of (midi.1701 N. Serials SouloyseciP.O. Sox 1367Intioniapois (N 46206-1357Ernongency Manton: (600)3624097 (IN only), (317) g29-2323

MARYLAND: Maglend Poison CenNr20 N. Pine StBaltnore LID 21201Ernagerty Numbers: (4)0) 528.7701. (800) 492-24140510 only)

lialionel Capital Poison Conler3803 Rudolf Road NW.Wmhington DC 20307Emergency Number (202) 625-3333

MAU.: Mareseetramtla Poled Cent* System300 Longwood AyeSoder MA 02115Ernergoncy NutUrs: (6)7)232.2120. (800) 9824211

MICHIGAN: Blear* Flogional Potion Cantor1640 Meld,/ S.E.Grand Repots MI 49506-2969Ernogforcy Numbors: (800)532.2727 (Michgan only). TTY (600) 356-3232

Poem Control Center. Children's Hospital of lAchlgan3901 80451714141 Blvd.Detort 14148201Emergency Number. (3)3) 745-5711

MINNESOTA: Itenamin Regioul Poison CenterHowson County Modica) Confer701 Park Avo.lAnneopolie MN 55415Emergency Numbor (6)2)3473141. Petro: (612) 337.7187. TOD (6)2) 337-7474

10148tula SoNlonal Moon CotterSt PoulParnory Medical Cantor640 Jackson SLSt. Pod MN 55101Emig:Nagy Number (512) 221-2113

MISSOLIFIE Cardinal Glenna" ChildneWo Neepid Regional Polo*. Center1465 S. Grand awlSt Louis MO 63104EmegeNy (314) 772-5203. (630) 3664686

MONTANA: Rocky Mourdain Poked arwl Drug Ciento645 Bannock StoolMaur co 80204Ernergancy Nurnbor (333) 629-1123

NEBRASKA: The Potato CanterWO) Dodge StOmaha NE 68114Emergency Numborn: (402)390.5555 (Omaha). (800) 955-9119 (NE)

NEW JERSEY: New Jody Poied Inkorotten and Education System201 Lyons Ave.Newark NJ 07112Emergency Numbo- (900) 9621253

NEW MEXICO: Now Meek* Poison and Drug Mionnakon Conte*Unweraly of Neer MondNbuquordo MA 171361076Errargoocy Nurnblus: (505)843.2551. (903) 4324466 (NM orgy)

NEW YORK: Long Island nogional Pskov. Conlrol CenterWnliercp Unrodiry Wood259 Fint Um(Mineola NY 11501Emogency Norton. (516) 542-2323. 2324. 7325. 3913

New York City Poison Contr.( CoderN Y.C. Depertfora ol 14.191455 Fine Aye.. Scorn t23Nig Yon NY 10015ErtlfpWCy limbos (2)21340.4494. (2)2) TDD (212) 699-9314

Canto( Otilo INA... Canto,703 Chigoes OnvoColumbus OH 43205.2696Emorgoncy Nunboot: (5)4)228-1323. (ace) 692-7625. (5)4) 229-2272 (777). (5)4)46).2012

Clndonall Drug & Pelson Information GINN and Reglad Poked Contol System231 Baud. Ayonue. Mi. 144Corcemall 011 45267-0144EgelPing /limbos: (513)5595111, 8004725111 (OH (only)

OREGON: Orogon Pelson ColterOregon Hee* Sodas Unwerwty3181 S W. Sun Jackeon Park RoadPortend OR 97201Ernergorny Nirnbors: (503)4944965, (800) 452.7165 (OR colY)

PENNSYLVANIA: Centel Psrineyhenle Poked CasterUnuorog HomdalMilton S. Hosiery Medical CenterHodoy PA 17033Emrn9.ncy Number (800) 52)4)10

TIN NM* Control Conker waving Me greater Philadelphia metropolitan areaOne Chedren's ConkerFtiadeiNea PA 191044303Enwrgency timber (215) 3862100

PlItiturgh Poison Center3705 Feta Ay*. DcSolo StPrnabingti PA 15213Ernergsncy Maribor (4)216814669

RHODE ISLAND: Rhoda Island Poison Canto593 Eddy StProodence RI 02903Ened9Wicy Numb. (401) 277.5727

TEXAS: Not Texas Poison Cantor$201 Hwy linos Brod.P 0. Sox 35926Dad TX 75235Emrgency llonb.15. (2)41 5905000. Tinos Welts (903) 4110340

UTAH: Intremountain Regidal Poison Control Canter50 Noll Medical DrheSO Late City UT 84132Ernorgency Nuntors: (901) 551.2151, (800)456-7707 (UT only)

VIRG/NIA: Blue Ridge Poison CanterBox 67Due RON HoodChorlogsvillo VA 2290)Omongrocy Nurnbors. (604)0244543. (8CO) 451-1428

&Ronal Capital Poison Coder3500 Be11.51:4I Rod N.WWattinglon DC 20007Emergong limiter (202) 6263133

WEST VIRGINIA: Walt Yeginhe P01550 Contor3110 liecCornle Ave S E.CherNMon WV 25304EmIllody Numboir (800) 642.3625 SW ornyt (304) 345-4211

WYOMING: Ths Poison Canto8301 Dodge StOrnahe NE 89114Emrgency Nurnben. (402) 393.5555 (Omaha). SOO) 955-9119 (NE)

11 6

The American Society of Hospital Pharmacists promotedpoison prevention through their newsletter, journal, and amailing to all 27,500 ASHP members.

The American Pharmaceutical Association encouragedtheir members to obtain a poison prevention kit from theCouncil. A reproduction of the 1993 poster was included intheir "Pharmacy Today" newsletter, along with a copy ofthe U.S. Consumer Product Safety Commission's "PoisonLookout Checldist."

ObXP TIC LUll AAAA 1111411MAItale111. AAAAAAAAAA

PolonPreventionhandout arida

h1.1114011. as Mabelrola rICICRIOR Week.14amli 21- V. 1993 Copy

0.1 Comenwor514111 C4.4. nab.Look. addokorce powg ond 411crixte to marvelem

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4 5 6

Children Act Fast . So Do Poisons

14

February 1993/Page 3

Need Ideas for PoisonFor Poison Prevention Week lastyear, pharmacy staff at

Garrett County MemorialHospital, Oakland. MD. did newspa-per and radio interviews.

University of Tennessee Memo-rial Hospital. Knoxville. created a

ideotape identifying danger spotsin the home.

Beckley Hospital. Beckley. WV.made presentations at local elenien-tary schools, distributed publications.and provided frce ipecac syrup.

Want to get started for this year sobservance (March 21-271?

Contact your affiliated statechapter officers, who have received apublicity kit. Or obtain the "List ofMaterials- from the Poison Preven-tion Week Council, P.O. Box 1543,Washington. DC 20013 (301-504-0580).J

CTFA Participatesin National PoisonPrevention Week

The week of March 21-27 markedNational Poison Prevention Week,sponsoredby thePoisonPrevention -WeekCouncil, acoalition of37 nationalorganizatizns,

of whichCTFA is amember.That week.the councilworkedtogether toshed light ona serioussubject:accidentalchildpoisonings.

At the March 16 news conference,Rose Ann Soloway, chairpetson of thePoison Prevention Week Council.advised that `If a poisoning occurs, calla poison control center immediately " Itwas noted that in 1992, the AmericanAssociation of Poison Control Centers

Robin Cheslock and two-yearold Jason, who swallowed htsuncle's asptren but fullyrecovernd after his motherfollowed advice given by theNational Capital PoisonCener.

Prevention Week?

101.(1 unliqn 1.1

119s3

sMARCH 11$31

T F 54 5

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28 29 30 31

12 13

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Children Act Fas t.. . So Do Poisons

I I

Han h PIP the 1593 PHICon Prevennon 14tt1 poweran ASI1P menzherlhm 'nation

recorded more than one million callsabout children uncler the age of six whowere exposed to poisons.

Adding living testimony to the factthat calling a poison control centerworks, two-year-old Jason Cheslockappeared at the conference, fullyrecovered from Liis accidental poisoninga year ago. T Ational PoisonPrevention Week is highly regarded asan effective safety effort in getting themessage out, and CITA is proud tosupport this outstanding program.

The Cosmetic, Toiletry, and Fragrance Assfxiation cov-ered the Council's news conference in their March 29newsletter "C l'FA News."

17 Pi0L.. L

The American Association of Poison Control Centersdistributed planning kits to all member poison centers andparticipated in the poster design contest. The winningposter (see front cover) was submitted by Finger LakesRegional Poison Control Center in Rochester, New York.AAPCC also provided data for use in the presidentialproclamation and helped individual poison centers preparelocal proclamations.

Executive Newswatch.....rno.r sw,c e. Crurrsecn Sheen., knounettnels Apoenuon

Volume 43, No. 13 Akron 29. 19163

HEADUNER

AgaBiaralg..133=MalANTI-SNIFFING,

ESAISIRED0021131XLEDLICABIZI

Linteselwaltrealign

IOCtorSecant..WNW.; .4(tURA,04 oinks

t icsonAt: or so,

The Aimed Edo:noon Bunten CSIM's inionnegon program to educesMe public on the proper' use of 5110.2111, MO week parscipalad in theTans Prevention Panneestipi (TPP) Aweringes Week Much 21-27,which boned on Wm OWN -SIMI of dellberele poison*.

Coinciding nen Nelional Poison Prewreon Week (see logovang eery).Pie Taws program new perticipeloon torn mow than 1 60 Texas organi-zations (rspnee(ang 1105111150 CMOS). MOM Mar 36 °rpm...Mono from20 Orel Males and too Camden prowthes.

To contribute to tie OWL the AEB donned °ogee of its Mooted. ofThe Jen.* popiter mune band et brothers and Siabill who sem yOUT4tee it you snit 10 gel high, you wary SW WM damage or dis. Cones ofpate menden induckng enter el The Jets, the @dull teed-ure "Fighting Back Hedvig YOUN People KW the Sniffing Habra end the youth.Warded leeks; Abuse. II Can IPla also were wooded so 1PP to wane

elormalion packets to pirerw cagentraws.

TPP decided to MOOS "duke. Aswan*s wow on Nonni PoisonPrevenient Week Wane* the orgenualoon had Voeitioned Meier* epoisons In es easing weveneas rellelive. according to ea ledat to maAEB, which silo opened the wry for other agernaliors towered in thepoem prevenbon WWI to nth on ow cerripsath. TPP Wormed Ms AEBthe inhabit Mermen Week' WA be wetly Wet In occeurellon wenthe redone pawn prevention obeenents.

WP, cloned tri the Taus Cornmselon an Aloohol and Drug Abuse on1960 IC pnwent weetance *bun, impthed massive. el CSMA and MeAn UMW M 'MO warp% torn Ille inionnalion packet:

In 1961, more ten one man" Arnsticen cannon landthe horror and health threat of acoldentel poisoning byrktradre ot rang hotelmen produds. addieon, ch$ .nen is. quddy disoonmg Zit household produ:Is ireinensenhe to obtain, sew 1c hide and most taverna*,the sewed sly to gel

1162 soma of Texas seventh waders Indic** the20.3% hen wed Integra connered to 6.1% who hewused mennere The Wens (intentkne rdsa#tg otomioenteged turn's) of mon then 1100 householdprodune 9955 11170 IS MIN MIMI. MOM MOM CMW NW Weal Ind permanent bran demo; sons doe theMet Wrath* by Inhaleals.

(Conlinted on pegs 21

The Chemical Specialties Manufacturers Association pro-moted poison prevention through their "Executive News-watch" newsletter (sent to CSMA members) and their"Chemical Times & Trends" journal. "Chemical Tunes &Trends" reaches industry, legislators, regulators, educators,libraries, and the trade press. CSMA also produced a new"Consumer Products Handbook" featuring a section onpreventing poisonings, the history of poison prevention,and the evolution and role of poison control centers.

flEMLES&TRENDS

Industry s Contabunon Lloi)dtny lYaUbase and Pullin' Eduratton Vaal To

qge !.z sinrPreyenhon:1*--"T -"t -r "r ~-r

Whit Irmo..1 merle., Irons the tun

unmet Pnoluell Ilandisa Anveraly dervirysed On (.1.WA I

sentdac Vann Common.The punka:son earkora shehalo setence Mond "mannerprostura and hal turas s conturner panclacra are tansnopectwed tainted and rercaot e d forefficacy uyely and M.14/..mental componnalay

tomer moan ly themes!Tunn & Trends bid /nannybairns thin pals un lbocten1

airy anacna us the bans, a/sonssonee fan Juan gsarensmental ogulanon worn, lorcrlisacs and Stanatly 50,04111,5.

ninerwimrrstal wtellnartnwerIS rxkiloorilytoulsk, pnahatn and 4,1441000ry consumer products

l.(p/5 sq OW Consumer Prod.or. HandbotA are ascraante ar 5

roan ullb quAlsig, thscounta want.1* Contort 5.S1L4 Pubkalsons al12021871.8110

Anson prnannon ti an oniss.tont astie to the connamer pads..orduary Mon of porractpanondre /Won Prrtnnnon Wrack Counca

rbe Cbecnrcol Verna. Manus/tummy% dasorranon and annals,nos cooperanon Ire buddina listmallows! toynot000cardaaadoir boorsoninbuted to the dnys on nunerrofoccults./ pottorntlas The fa",

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rattan cononara In rise eunetredo, ase fluffily. or so. b possun.mg. to zero the forloonne the'Anson Perrennorr chap.. cyConsumer Products Handbook

A re fontung al canons' r0 .

sources donna the pnu.World Was IIera brought abut noseth to mamaAmen,. uslustruss ontottog thehourehold so...unser pronuns tn.dust,

trantrne tnicastnusure hbonne arbd martoraounns stolen.

rs sevected so the tunnels otserving the country dorneggnods and rU totenumod pa, .saIl ut the Arneman dreamPnde OS olursenhtp to theInane. a demand kr Man canand home applones and thenos, tor rrlo XV tenure tunetorreignoi to sUmuLate Amen..an togertudy This dynamicproud or tnnonoon.1rarrom adygnees to researchand .dsadaltrY. n tarty ver.10115 sti today s householdpenducta took Mt sIt the nobknpLacrrnalunst the idea 55modern mummer., a realitytor millions of Prtnernakenerget for a Penn hie

n. non carvers555 al prod-ucts benothl lath the nerdfor bents ccenenungauon orinlonnstron on hone to toned

a. °dental ext.:urea 0 (011.1113Y1prrktucts and What mend treas.meta a, nesesnary atter tu-culentalripe.= Mon Industry anenustacost Int,11.1 sproaltsta respondedhv Mx-loping toatcokaood andderv data and helpana to eatthloh aivsseln 01 posson cornrol centers totake etthasunct calla anti Frondeexpert adnee during etnergennn

runty. dunks us Larne pan tocurnpanses cooperation in proofi-ng ennui usfoonalson allow plod-

tnincdsents to p.m cnntrottenter's. detailed hotosentocal dau

" ,1 tr.

The Closure Manufacturers Association promoted salesof the Council's poster through their "Closure Report"newsletter.

4 'baster, 'Report

MARK YOUR11993CALINDARSI

Natkehel Potreo PrwetitioaWoalt 4411 h.,bn4Mi 21.27.

Quahog. thr wee.Peale., I. pseeltahod Prowl doPole. PreReehem Week Cootted,P.O. km 1543. Wasliarloh. D. C20013. 25 copIet 110.03: SO copies111.00. 103 13200 Poe PutCPP7ment MUST wen pimp oninv)

$.411 .00. an Inn.

I'uuin IL e.

NARD: Representing Independent Retail Pharamacypublished an article about poison prevention in NARDJournal and encouraged their members to order a kit ofpoison prevention information for use at the pharmacycounter.

TNI POISON POUCI.With a theme of "Chil-dren Act Fast...S0 DoPoisons." plannersexpect National PoisonPrevention Week toonce again help detercountless householdmishaps.

"Our theme meansparents must always bewatchful when house-hold chemicals or drugsare being used." explainsKen Giles, secretary forthe Poison PreventionWeek Council. "Childrenact fast, and adults mustmake sure that house-hold chemicals anddrugs are stored awayfrom children at alltimes."

Posters for this year'sevent, set for March 21-27, bear the words

AAIW Journal January 199.1

"Every Week Is PoisonPrevention Week."

The week focuses onproper handling ofemergency poison-relat-ed situations. Forinstance. If a parentbelieves a child hasingested poison, theyshould call one of 100Poison Control Centersin the United States.using the number listedon the inside cover ofthe telephone directory.

The Council will alsopronuite proper respons-es to ingestion of varioustoxic Reins. includinglead in paint, batteries.some medicines. andpoinsettias.

NARD offers a com-plete Consumer Infor-mation Corner kit onpoison prevention tomembers for $15 (non-members. 5:30). Itincludes camera-readyads, articles. radio Mks.and materials from thePoison Prevention WeekSafety Council, includ-mg the poster. Call800-544-7417 to placeyour credit card order.

16

The Council on Family Health and the NonprescriptionDrug Manufacturers Association collaborated with the U.S.Food and Drug Administration to launch an educationprogram about tampering. Using a video news release,print and TV public service announcements, and point-of-purchase pamphlets, the campaign provided importantmessages about medicine tampering.

Pharmacy West magazine published an article about poisonprevention in their February issue.

March is National Poison Prevention Weekfroirsois Pbevention Wee*

isligbAr fMatth 21-27. 'Me basiaairthe is Children Act Fast...So DoPoisonsl" and the 1993 poster includesthe words "Every Week is Poison Pre-vention Week."

The Poison Prevention Week Coun-cil is alerting everyone to the fact thatparents must be watchful when house-hold chemicals or drugs axe being used.Many accidents happen when adults artusing a product but are distracted (the

telephone or doorbell for example) for afew moments. Children act fast, andadults must make sure that householdchemicals and drugs are stored awayfrom children at all times.

information on preventing poison-ings can be obtained by wilting Secre-tary. Poison Prevention Week Council,P.O. Box 1543, Washingtco, DC 20013.The publication. List of Materials1993, lists available resources and theirsources of supply. a

Wal-Mart Pharmacies nationwide distributed a "HomePoison Prevention Guide" with safety tips and first aidinformation.

Poisoning Emergency ActionInhaled Poison ...

Intrnetlutehe Km the INTOn 10 I-1,h AlfAt ren1 treathin, turn, t then tleeAIM window. AM.. It t tern ts nothreathen g. meet a rtitumI rove rmutn

Poison on the Skin .

Rernove rontmenated hehtne a nd With n AterThen went, eeni Iv wIth anat watt., And

Poison in the Eve40).

lukewann en. 4 1,14) MAW, rtn:110 o

iArVe OA. tit 1 Huh, in. the we Prowl tor iSlate patient Hunk .ts rnin he, pmehle doenlinolnti Oti not tone theevelid omet

Swallowed Poison ....

MEDICINES.Dome Ewe anvil-mg bv mouth uml mu hive tetlIA1 htr

adrKe

CHEMICALS OR HOUSEHOLD PRODUCTS:Unless pettent A urn on.enteh het eng went moo.. t .itootweetIketv give mal, or meter unmask...In then lorproftemennAI aulsu about niether you Roukl theisltIV111 V.1111 or not

ALWAYS KEEP ON HAND AT HOMF A me th_ Ke Nettleol SYRUP OF IPECAC Ior each t held nr Erandt NW in eh..home Use only on advice nJ room control cynic,Annikonce der.trtnu.nt. or ph, ..oetan

Ambulance

Emergency Dept.

19

WAL*MART'PHAIVACY

HOME POISONPREVENTION

GUIDE

r r711 I'

..!

CONTRIBUTORS TO NATIONAL POISON PREVENTION WEEKThe Poison Prevention Week Council relies upon voluntaryfinancial contributions to produce its print and audiovisualmaterials each year. We gratefully acknowledge the follow-ing contributors to the 1993 observance:

POISON PREVENTION WEEK COUNCIL MEMBERSWHO CONTRIBUTED TO NATIONAL POISONPREVENTION WEEK:

American Academy of Clinical ToxicologyAmerican Academy of PediatricsAmerican Association of Poison Control CentersAmerican Association of Retired PersonsAmerican College of Emergency PhysiciansAmerican Managed Care Pharmacy AssociationAmerican Medical AssociationAmerican Petroleum InstituteAmerican Pharmaceutical AssociationAmerican Society of Hospital PharmacistsChemical Specialties Manufacturers AssociationClosure Manufacturers Association

17

Cosmetic, Toiletry and Fragrance AssociationFood Marketing InstituteNARD: Representing Independent Retail PharmacyNational Agricultural Chemicals AssociationNational Association of Chain Drug StoresNonprescription Drug Manufacturers AssociationPharmaceutical Manufacturers AssociationSoap and Detergent Association

CORPORATE CONTRIBUTORS:

Calmar Dispensing SystemsOwens-Brockway Prescription Products Inc.Owens-Illinois Closure Inc.Parke-Davis,. Division of Warner-Lambert CompanyRoxane Laboratories Inc.Vi-Jon Laboratories

The Poison Prevention Week Council also appreciates theassistance provided by Barry J. Hart and James Saxenian ofJones, Day, Reavis & Pogue about the Council's financialstatus. Their professional advice was freely given.

20

STATE AND LOCAL ACTIVITIES***

The Retired Senior Volun-teer Program of MarshallCounty (Guntersville) pre-sented poison preventionpuppet shows to 1,300 firstgraders in several elemen-tary schools. Using the slo-gan "Learn to Spot Poisons"and a logo developed byhigh school students, theRSVP volunteers empha-sized the hazards of ironpills and lookalike poisons.

LEARN TOSPOT POISONS

The Kodiak Area Native Association Pharmacy (Kodiak)distributed poison prevention publications and syrup of ipe-cac. Through radio public service announcements, safetymesssages were broadcast reaching the six villages of KodiakIsland. Pharmacy staff members made several poison preven-tion talks to preschool and kindergarten classes.

'ARIZONA:The Phoenix office of the U.S. Consumer Product SafetyCommission (CPSC) helped w"h several media interviewsabout poison prevention, including an article in RaisingArizona Kids Magazine. Good Samaritan Regional PoisonCenter (Phoenix) also particiapted in media interviews anddistributed poison prevention packets.

The Yavapai County Health Department's Injury Preven-tion Program (Prescott) presented poison prevention pro-grams to preschool, kindergarten and first grade classes.Using puppets and tunnels built with chairs and sheets, thehealth educators emphasized how to recognize poisonoussubstances.

74: ' 18

Tuba City IndianMedical CenterPharmacy (TubaCity) invited schoolchildren to visit theirfacility to receivepoison preventioninformation. A lo-ca I TV stationhelped encourageconsumers to visit the pharmacy during Poison PreventionWeek.

Several organizations in Arizona cooperated on a statewidepoison prevention program, distributing packets to allcommunity and hospital pharmacies in Arizona. The coop-erating groups included the Arizona Pharmacy Associa-tion, Arizona Society of Hospital Pharmacis, ArizonaPoison and Drug Information Center, and Samaritan Re-gional Poison Center. These organizations also sent poisonprevention packets to daycare centers in Phoenix andTucson and to the media. A large poster, using children'sillustrations, was included in the Journal of the ArizonaPharmacy Association.

.*`,:Italvoisma Preventio,

, A44!RC- 0.4.1.47%,

21

ARKANSASThe Pharmacy Department at Arkansas Children's Hospi-tal (Little Rock) presented a display of poison preventioninformation. Cutouts of products helped patients identifycommon household poisons.

The Governor of Arkansas issued a proclamation for Poi-son Prevention Week.

CONNECTICUT

MEL The Governor of Con-necticut proclaimedPoison PreventionWeek in a ceremonywhich included offi-cials of the Connecti-cut Poison ControlCenter and the familyof a 1-year-old childwho was poisoned bya household cleaningproduct.

The Connecticut Poison Control Center conducted severalmedia interviews and distributed 75,000 copies of poisonprevention literature to hospitals, schools, and communityorganizations.

CALIFORNIA.

"Amami IF CIF* IMAF

. Mane Moroi., (*SF

The San Francisco Bay Area irr-Regional Poison Control lgCenter and the University

40J.,of California School of Phar-macy co-sponsored a postercontest in elementaryschools. Over 250 poison pre-vention posters were sub-mitted. One was selected forreprinting, and several post-ers were awarded U.S. Sav-ings Bonds. The PharmacistsSociety of San Francisco andthe Golden Gate Society ofHospital pharmacists do- f.nated the prize money andfunds to reprint the winningposter.

Iwo Geier Aye 1

Fon Elnftworv FIF.4

thadren Ac+ Fwd.So Do Po; sorts!'

MAAmAra lierneoin Are A

19

2 2BEST COPY AVAILABLE

The San Diego officeof CPSC distributedpublications to the Wal-Mart pharmacy in ElCentro. Several mediainterviews about poi- ;son prevention alsowere conducted. Themayor of El Centro is-sued a proclamationfor Poison PreventionWeek.

The Los Angeles officeof CPSC joined the LosAngeles County Department of Health Services in warningabout the hazard of iron poisoning. Safety alerts in Englishand Spanish were distributed to the media, and poisonprevention messages also were publicized by Spanish andKorean media. Several newspaper articles (including one inthe Los Angeles Times) highlighted the hazard of iron poi-sonings.

.........s--

, sa.;

ins

B12 MAY, MAIO II :6 1491 h

The Golden Empire Society of Hospital Pharmacists (Bakers-field) and the Kern County Pharmacists Association spon-sored a poster contest in the city schools. Wal-Mart donatedseveral prizes for the poster winners. The Mayor of Bakers-field issued a proclamation for Poison Prevention Week.Poison prevention information was distributed at a localshopping mall and other sites.

The University of California Davis Medical Center Re-gional Poison Control Center (Sacramento) published abooklet entitled "The Poison Center Answer Book." Thispublication provides answers to frequently-asked ques-tions about first aid, plant poisonings, insect bites, lead

poisoning, and other topics.mis All( II 1 IA 11511 s

ORANGE COIJNTY^

Iron Poisoning in Children ClimbsAccidents: Southland

leads stale in ca%cs ofyoungsters dying alter%wallowing ironsupplements. hut officialsdon't know why.

By tOM IsicOBEENEYtett mi. lo Mt luara

ORANGECabforma lead, ihenelson in childhood deaths due to

?hen in 1991. in that one year....me. there Wert II deaths A rr as said "It lumped dramatically

floe of those deaths occurred inCalifornia

Because of the alarming in.(reale Arcus said, the state hasberm gathering Information shoutiron poisonings to find some reason!or the change

Initial data indicate, that thechildren are dying alter swallowmg sugar COated vitamin and min.eral tablets containing iron. Arcussaid The pills Bre most often thou

uCf Medical Center poisoncontrotcralse handled 452 reported rasesof iron poisonings in Orange. IR,reside. San Bernardino. Inyo andMono counties Yet none of thosechildren died

No children died from iron pm.sonnies in 1990. either, in thetive.courity regtOn

But ef the 492 reported ironpoisonings in the region in 1991,three children under age 6 died In1932. ins children in the five.rounty region died of iron poisoning

-The sheer numbers of expo

iv she Saidt those sts were Laming

.1ren Rut Arm said languagehf Betimes don t seem to he a Maierfactor Some of Il.cse children hasEngi.sh. speaking parents or werewith English ,Prautne Caee.ginrnwhen then died, she said

We ye heels trying to pit, to.Reiner a common he. hut there s;utt not enough evidence. she

saidA :cud and Harden of freed advice

fur ovens oh iron supplement,in their Nunes

Always mane Sure the child.resistant cap is attached secure:),

to the bottleSeep it lorSed and out of a

child's reachNever use the pills in frOnt of

children.They advised parents to call 911

or a pOiaoncontrOl Center united,alely if they suspect their child hastaken iron supplement Symptomof poisoning may not show up untila child already nas been severelyiniured hp the corrosive action ofthe WOO. Melts said

AymptOMI include stomach painvomiting. diarrhea and sleepinessusually within 30 minutes to twohours after taking the iron

Poison prevention packets were distributed to children's hospitals, health clinics, babyfurniture stores, and other groups. The University of California at Riverside CooperativeExtension provided public service announcements to Spanish radio and TV stations through-out Southern California.

Poison prevention packets were distributed to several schoolsand hospitals in California, including Logan Street Elemen-tary School (Los Angeles), Palo Verde Hospital Pharmacy(Blythe), Mission Hospital (Huntington Beach), and City ofHope Medical Center (Duarte).

Pharmacy staff mem-bers at the U.S. NavalHospital (Yokosuka, Ja-pan) promoted poisonprevention throughmedia interviews, dis-tribution of publica-tions, and dispensingof syrup of ipecacthrough the pediatricclinic.

r

eli ft 41111

POISON CENTER*ANSWER BOOK

cs.mbrooted 40011Asa pekrimp promsla

ono 411rt Na lawligughowionolholo

20

Kaiser Permartente Medical Center (Riverside) Phar-macy staff members distributed free syrup of ipecacand poison prevention materials to patients andemployees. A display of "look-alikes" was pre-sented in the clinic lobby.

23 BEST COPY AVAILABLE

DISTRICT OF COLUMBIAThe National Capital Poison Center at Georgetown Univer-sity Hospital hosted the National Poison Prevention Weeknews conference. The poison center also provided informa-tion for local pharmacies, schools, and hospitals to use indesigning their own exhibits and programs. Poison centerstaff members also appeared on several radio and TVprograms.

FLORIDAThe Ft. Lauderdale of-fice of CPSC distributeda safety alert about ironpoisonings (in Englishand Spanish) to the me-dia and to severalschools and communityorganizations. Poisonprevention publicationswere distributed at lo-cal shopping malls andhealth clinics.

The Governor of Flor-ida issued a proclama-tion for Poison Preven-tion Week.

raclatuuttiorttow el nor.

........

POMO 114012TRMY INK

lonrr

The Pinellas Pharmacists Society (St. Petersburg) presentedpoison prevention programs to elementary schools in theirregion, reaching more than 12,000 children in kindergartenthrough second grade. Children were encouraged to takehome a poison prevention checklist to use with theirparents.

The Florida Poison Information Center (Miami) at theUniversity of Miami/Jackson Memorial Hospital distrib-uted poison prevention information in English and Span-ish. Pharmacy students from Southeastern College of Phar-macy staffed an exhibit at a local mall. Several mediainterviews were conducted.

I "Kaiser Permanente Insurance Company (Atlanta) producedpublic service announcements for local media to promotepoison prevention.

The Atlanta office of CPSC made several poison preventionpresentations, including the annual meeting of Safe Kids ofGeorgia.

Egleston Children's Hospital at Emory University (Atlanta)conducted poison prevention programs for 5,000 studentsin 28 elementary schools. Pharmacy and child safety de-partment staff members presented a poison preventiongame to the students and discussed poison preventiontopics. ism&

e go tth; 196,16CC 1,

I I

The Idaho Poison Center at Saint Alphonsus RegionalMedical Center (Boise) collaborated with McDonald's Res-taurants to host an annual "poison prevention fair." Over500 adults and children participated in the fair, playinggames and receiving poison prevention information.

;1.

.

21BEST

ILLINOISThe Veterans Administration Hospital (Hines) reprinted anddistributed copies of CPSC's "Poison Lookout Checklist."

The Indiana State Board of Health co-sponsored a postercontest with the Indianapolis Poison Control Center anddistributed materials to their employees. The Board ofHealth also distributed publications in their building lobby.

The Medicine Shoppe (Liberal) distributed poison preven-tion material to third grade students in several schools. Thepharmacy also distributed coupons for free syrup of ipecac.Several presentations were r ade to daycare centers andschools.

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KENTUCKYThe Product Safety Branch of the Kentucky State Cabinetfor Human Resources distributed posters and other publi-cations to health departments, pediatricians, and others.Approximately 13,500 copies of publications were distrib..uted statewide.

The Governor of Kentucky issued a proclamation forPoison Prevention Week. A news release entitled "EveryWeek is Poison Prevention Week" was distributed.

The Kentucky State Fire Marshal's office conducted work-shops for daycare providers and senior centers, offeringpoison prevention and other safety information.

Appalachian Regional Healthcare pharmacies in severalcommunities conducted poison prevention programs. The12 hospitals and primary care centers serve rural areas ofeastern Kentucky, southwest West Virginia, and Virginia.

22

Beckley Hospital (West Virginia) displayed poison pre-vention information in the hospital lobby. The pharma-cist gave a poison prevention presentation to secondgrade students in a local school. Coupons for free syrupof ipecac were distributed.

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Harlan Pharmacy (Kentucky) worked with the HospitalAuxiliary to distribute syrup of ipecac and poison pre-vention information.The Regional Medical Center Hospital (Hazard, Ken-tucky) distributed poison prevention information andcoupons for free syrup of ipecac.The McDowell Pharmacy, Middlesborc, Pharmacy, Mor-gan County Clinic, Buchanan Clinic Pharmacy, and Home-place Clinic Pharmacy (Kentucky) distributed poisonprevention publications and offered free syrup of ipecac.Central Pharmacy (South Williamson, Kentucky) pro-duced a video of puppet show entitled "Eagle EveTeaches About Poison Prevention." The video was airedon local TV during Poison Prevention Week. The Pre-scription Division sponsored a coloring contest for chil-dren, and winning entries were displayed in the phar-macy

25

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The Louisiana Drugand Poison Informa-tion Center (Monroe)distributed 1,650 pack-ets to hospitals, publiclibraries, daycare cen-ters, and public healthunits throughout Lou-isiana. The packetscontained telephonestickers with the poi-son center phone num-ber, brochures andchecklists, and posters.Staff members from thepuison center madepresentations to ele-mentary schools andcommunity groupsnd also conducted

several media inter-views.

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The Governor of Louisiana issued a proclamation forPoison Prevention Week.

The Maine Safe Kids Coalition distributed a news releaseabout poison prevention and included poison prevention intheir newsletter. In collaboration with the U.S. ConsumerProduct Safety Commission, Maine Safe Kids Coalitiondisplayed a poison prevention exhibit at the state ParentTeacher Association annual convention.

Maine Poison Control Center (Portland) distributed ap-proximately 21,000 poison prevention publications anddisplayed posters at Maine Medical Center. The poisoncenter also provided public service announcements to localradio stations.

Mid-Maine Medical Center Pharmacy (Waterville) includedpoison prevention information in their newsletter andoffered free bottles of syrup of ipecac. Pharmacy staffmembers presented several displays of poison preventioninformation for hospital employees and the public.

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The Maryland Poison Center at University of MarylandSchool of Pharmacy (Baltimore) helped coordinate state-wide poison prevention ictivities. Working with ColumbiaMedical Plan and Blue Cross/Blue Shield, the poison centermade presentations to schools in five counties and Balti-more City. Publications and videos were distributed to allBoards of Education and hospitals in Maryland.

A poison prevention banner was displayed over a majorintersection near the Sheraton Inner Harbor Hotel in Balti-more.

Baltimore Gas & Elect-ic included poison prevention infor-mation in a bill insert for their 900,000 residential custom-ers.

Safety Council of Maryland distributed poison preventioninformation to more than 600 member companies andorganizations.

Rite Aid pharmacists made presentations at several schoolsin Maryland.

Dorchester EMS presented poison prevention programs atSt. Clair S. hool.

The Governor of Maryland and the Mayor of Baltimoreissued proclamations for Poison Prevention Week.

23

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All AS SACHUSEITSThe Massachusetts PoisonControl Center and theBoston office of CPSC is-sued a news release to allMassachusetts media.ABC-TV "Good MorningAmerica" interviewedstaff members from thepoison center for a reportaired during National Poi-son Prevention Week.

The CPSC office alsostaffed a poison preven-tion exhibit at Boston'sMuseum of Science. Theexhibit offered informa-tion about hazardous sub-stances, including carbon monoxide. Nearly 4,000 consum-ers viewed the exhibit.

Goddard Memorial Hospital Pharmacy (Stoughton) dis-tributed poison prevention information and conductedseveral media interviews about poison prevention. At ahealth fair at the local mall, pharmacy staff membersdistributed publications and free bottles of syrup of ipecac.

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The Regional Poison Control Center of Children's Hospital(Detroit) held a poster contest for patients attending theoutpatient clinics. The winning poster will be used in nextyear's poison prevention campaign. The poison centerdistributed 5,000 packets of information to hospitals, phy-sicians, daycare centers, pharmacies, dentists, teachers, andcommunity groups statewide. Approximately 75,000 tele-phone stickers were ordered in response to this mailing.

24

I

The Minnesota Attorney General used poison preventioninformation in a column distributed to newspapers through-out Minnesota. The column focused on iron poisonings.

The school nurse at two Lutheran schools (St. Paul Schoolin Des Peres and Immanuel School in Olivett) conducted apoison prevention program for students in preschool through8th grade. Each student received publications on poisonprevention and participated in a poster contest. Winnerswere given prizes and each student received "Mr. Yuk"stickers.

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The Regional Poison Center at Cardinal Glennon Chil-dren's Hospital (St. Louis) sponsored its fourth annualposter contest. All elementary schools in St. Louis wereinvited to participate, and over 500 students responded.The winner received a pizza party for her class, and thewinning poster was displayed at the hospital throughoutPoison Prevention Week. The poison center also distributed

2 7

a poison prevention video to 200 elementary schools andprovided poison prevention materials to 72 member hos-pitals in the Missouri Poison System. Several St. Louissupermarkets (Schnucks, Nationals, and Dierbergs) dis-played the poster during Poison Prevention Week.

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Children's Mercy Hospital (Kansas City) distributed syrupof ipecac to outpatient families, conducted a coloring con-test for children, and displayed poison prevention informa-tion in the lobby.

MONTANAThe pharmacists of Black-feet Community Hospital(Browning) presented poi-son prevention infcrmationto second-grade students.Students were shown "look- 44

alikes" and were given poi-son prevention publications.Students also used poisonprevention messages to dec-orate bags used for prescrip-tion medicines.

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The Governor of Nebraska issued a proclamation for Poi-son Prevention Week.

The Poison Center at Childrens Hospital (Omaha) workedwith Pizza Hut to distribute publications and sponsor acoloring contest. Albertsons, HyVee, and Baker supermar-kets also distributed poison prevention publications. Poi-son Center staff members made several presentations todaycare centers and area schools. In collaboration with theOmaha Pharmacist Association, a campaign was conductedto tum in old prescription medicines.

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NEW HAMPSHIREThe New Hampshire Poison Information Center, located atDartmouth-Hitchcock Medical Center (Lebanon), providedpoison prevention information at a display in the hospital.Free syrup of ipecac was distributed, and poison centerstaff members answered questions and provided safetytips. Vocational school participants in a pesticide programattended the display and discussed prevention of pesticidepoisionings.

The Governor of New Hampshire issued a proclamationfor Poison Prevention Week.

The Valley Hospital Pharmacy (Ridgewood) presented adisplay at a local mall and distributed publications and freesyrup of ipecac. The Toys R Us store in Paramus sponsoreda poison prevention coloring contest for children. Pharma-cists made poison prevention presentations to preschoolersat several daycare centers. These presentations were spon-sored by Roerig Pharmaceuticals and Pfizer Inc.

The pharmacist at Thrifty Drugs (Piscataway) made severalpresentations to preschool children in Piscataway Town-ship. In cooperation with the Middlesex County HealthEducator, she also presented programs to first-grade stu-dents in a local elementary school. Children and theirparents also were given tours of the Thrifty Drugs phar-macy to see how prescriptions are filled.

The New Mexico Poison and Drug Information Center atthe University of New Mexico (Albuquerque) coordinateda statewide poison prevention campaign that reached all 33counties. Packets weremailed to all retail and hos-pital pharmacies, publichealth departments, Indian gHealth Service clinics, hos-pital emergency rooms, firedepartments, and police de-partments. Seventy-nine or-ganizations or individualsparticipated in the poisonprevention program by dis-tributing publications andsyrup of ipecac, giving pre-sentations to groups, or con-ducting poster contests.Some highlights:

The New Mexico Pharmaceutical Association used thestatewide slogan "Is Your Paradise Poison-Proof?" on theirjournal El Boticario.

Qual-Med Inc., a health maintenance organization, pub-lished a full page of poison prevention information in theirmagazine.

A nurse at Kaseman Hospital set up a display in thehospital lobby and distributed publications to employeesand patients.

Nurses at Southwest Valley Health Department (Albu-querque) set up a display in the clinic lobby and alsodistributed materials through well-child clinics and homedaycare projects.

A pharmacist at Rehoboth McKinely Christian Hospital(Gallup) made presentations to preschool and elementaryschool students.

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A Nurse at the Hospital Emergency Room (Alamogordo)designed a "look-alike" display to help children under-stand that some poisons look like common householditems.

The Governor of New Mexico and the Mayor of Albuquer-que issued proclamations for Poison Prevention Week.

Six poison centers comprise the New York State RegionalPoison Control Network.These poison centers workcooperatively to conductpublic and professional ed-ucation programs and to re-spond to poisonings. Thestatewide effort has been re-markably successful. In NewYork State, poisoning deathsin children under age 5 havedecreased from 20 in 1986 to5 in 1991.

The New York City RegionalPoison Control Center spon-sored a two-day toxicology conference for health careproviders, to help prepare poison specialists for certifica-tion by the AAPCC.

The Hudson Valley Regional Poison Center (Nyack) spon-sored a poster contest forfirst-grade and second-gradestudents. Winners wereawarded prizes donated bymerchants at a local mall.The poison center distrib- 4

uted publications and freesyrup of ipecac. Head Startteachers from Clinton andGreene Counties receivedpoison prevention training.

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29

The Central New York Poison Control Center (Syracuse)sponsored a poster contest for stc ,'ents in grades 1 through6. Winners were awarded prizes during a ceremony at theMayors office. Winning posters were displayed at Univer-sity Hospital during March. Publications were distributedto several schools and health organizations. Wegmans,Fay's Drugs, Kinney Drugs, and Tri-R Drugs also disbrib-uted poison prevention information and syrup of ipecac.

Finger Lakes Regicnal Poison Control Center (Rochester)distributed poison prevention information to 450 childcareproviders at a conference sponsored by Cornell Coopera-tive Extension's Human Development Program. PoisonCenter staff members presented programs to schools anddistributed literature at health fairs. The national poster forPoison Prevention Week was submitted by Finger LakesRegional Poison Control Center.

Western New York Regional Poison Control Center (Buf-falo) distributed information through several hospitals andpresented programs to head start centers. Several mediainterviews were conducted.

The Long Island Regional Poison Control Center hosted adisplay in the main lobby of Winthrop University Hospital.Brochures, telephone stickers, and coupons for free bottlesof syrup of ipecac were distributed. News releases onpoison prevention and the dangers of iron poisonings weredistributed in collaboration with the New York State Con-sumer Protection Board and the New York Office of CPSC.

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The Pharmacy Department of Calvary Hospital (Bronx)coordinated a display for Poison Prevention Week. ThePharmacy Newsletter for March also focused on poisonprevention.

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The pharmacist with EckerdDrugs-Five Points (Raleigh)worked with Clayton Ani-mal Hospital (Clayton) toconduct a poison preventionprogram for Raleigh andClayton communities. Poi-son prevention presentationswere made to kindergartenstudents using a cartoon

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The Cleveland Health Museum sponsored a poison pre-vention program at the museum. Children visiting themuseum received poison prevention information from tourleaders.

The Drug and Poison Information Center at the Universityof Cincinnati conducted a multi-media poison preventionprogram throughout their region. Media interviews wereconducted, information packets were distributed, and pro-grams were presented to schools and cornmunit-y groups.Many of the 30 member hospitals distributed publicationsand free syrup of ipecac. Several pharmacies also distrib-uted publications and free ipecac.

The Ohio Department of Health (Columbus) and Ohio SafeKids Coalition collaboratedto distribute packets to 150local health departments and8 local Safe Kids Coalitions.In turn, these local groupsissued news releases to theirmedia contacts, reachingstatewide audiences. Em-phasis was placed on pre-venting iron poisonings.

The Governor of Ohio is-sued a proclamation for Poi-son Prevention Week.

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The Tuscarawas County and Lancaster Area Safe KidsCoalitions distributed poison prevention packets and did anumber of radio/TV interviews.

The Central Ohio Poison Center at Children's Hospital(Columbus) distributed a new brochure incorporating asafety ambassador, "Safe-T-Saurus." The brochure wasdistributed to 3,400 employees of Children's Hospital dur-ing Poison Prevention Week. Poison prevention materialsalso were distributed to preschool children through HeadStart.

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The Oklahoma Safe Kids Coalition, Children's Hospital ofOklahoma, and the Oklahoma Poison Control Center dis-tributed news releases to the media and distributed thou-sands of copies of publications. Poison prevention informa-tion was distributed at an annual health festival at the mall.

The Oklahoma County Pharmacists Association workedwith 24 pharmacies to distribute more than 2,000 bottles ofsyrup of ipecac.

The Governor of Oklahoma issued a proclamation forPoison Prevention Week.

PENNSYLVANIAGeisinger Medical Center (Danville) distributed poisonprevention information at several displays and schoolpresentations.

The Poison Control Center at Children's Hospital (Phila-delphia) distributed poison prevention materials to severalorganizations, presented a display in the hospital lobby,conducted media interviews, and encouraged pharmaciesto participate in a program to collect and dispose ofoutdated medications.

31

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The Mayor of Philadelphia issued a proclamation forPoison Prevention Week.

The Delaware Valley So-ciety of Hospital Pharma-cists and the Poison Con-trol Center produced aposter for distribution tohospitals throughout theregion. The poster empha-sized the poison center'snumber.

Allegheny County SafeKids Coalition workedwith Allegheny CountyHealth Department, Pitts-burgh Poison Center, Al-legheny County Pharma-ceutical Association, BlueCross of Western Penn-sylvania, and the CPSCto distribute poison prevention kits to more than 500pharmacies in Allegheny County The kits contained "Mr.Yuk" stickers and poison prevention checklists. Efforts alsowere made to encourage funding for the Pittsburgh PoisonCenter, the only remaining poison center in the western halfof Pennsylvania. The poison center takes more than 150,000calls annually.

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RHODE1SLAND':The CPSC state designee in Rhode Island conducted mediainterviews for Poison Prevention Week. He also distributedposters and checklists to schools, health departments, phar-macists, and the media.

The Rhode Island Safe Kids Coalition included poisonprevention information in their ongoing programs.

The Governor of SouthCarolina issued a procla-mation for Poison Preven-tion Week.

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SOUTH DAKOTAMcKennan Poison Center (Sioux Falls) coordinated a state-wide poison prevention program using the theme 'PoisonsAre Everywhere You Look." Pharmacies and hospitalssponsored a coloring contest and helped distribute publi-cations and telephone stickers. Two state winners wereselected and received prizes. The poison center also spon-sored a toxicology conference for health care professionals.

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TENNESSEEThe Middle Tennessee Poison Center (Nashville) distrib-uted poison prevention information to the media, hospitals,pediatricians, and health departments. Over 10,000 pam-phlets were distributed. A display of "look-alikes" waspresented at Vanderbilt University Medical Center, andseveral presentations were made to area United Way agen-cies. The message 'Toison Proof Week" was displayed inwindow lights on the sides of the American GeneralBuilding in downtown Naslwille.

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TEXASThe Department of Pharmacy at St. Luke's Episcopal Hos-pial (Houston) sponsored a coloring contest for childrenages 4-9. Sample entries in the contest were displayed inthe hospital lobby. Pharmacy staff members distributedpublications and made presentations to third-grade stu-dents at a local school. More than 4,000 people receivedpoison prevention information through these activities.

The Texas PharmacistsUnited in Patient Care andthe Texas Prevention Part-nership co-sponsored astatewide poison preven-tion effort entitled "In-halants and Poisons:They're right under yournose." This campaign fo-cused on the hazards ofaccidental poisoning andinhalant abuse. Publica-tions were distributed tothe media and to corn-munity groups. The Gov-ernor issued a proclamation for "Inhalant and PoisonAwareness Week" and the Texas Senate and House alsoendorsed the observance.

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The CPSC office in Boston assisted the Vermont Depart-ment of Health by providing poison prevention materialsfor distribution to eight district offices throughout the State.

The Vliginia PTA Bulletin included an article about poisonprevention in the February issue of their newsletter.

WASHINGTONHighline Community Hospital (Seattle) reprinted the CPSC'Toison Lookout Checklist" for use in infant safety andparent education classes.

The Spokane Poison Center held its 18th annual postercontest, and 2200 students in grades 3-5 participated. Tenwinners were selected and displayed on billboards for onemonth beginning March 21, 1993. Donrey Outdoor Adver-tising, McDonald's Restaurants, Toys R Us, and LearningWorld assisted through corporate sponsorship.

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The poison center helped distribute free syrup of ipecacthrough Deaconess Medical Center, Deaconess Rehabilita-tion Institute, and Valley Hospital and Medical Center.

West Virginia Poison Center and the West Virginia Univer-sity Medical Center School of Pharmacy (Charleston) dis-tributed public service announcements to the media andconducted a number of interviews. Poison center staffmembers made several presentations to Girl Scout troops,schools, and other organizations.

Kroger and Fruth Pharmacies distributed poison preven-tion publications and telephone stickers.

Serveral hospitals distributed publications and "Mr. Yuk"stickers to their employees and visitors.

Companies who provided poison prevention materials totheir employees included Rhone-Poulenc Chemical Com-pany, Shawnee Hills Industries, GE Specialty Chemicals,and Ace Hardware.

In all, the West Virginia Poison Center coordinated thedistribution of 20,000 poison prevention publications and15,000 "Mr. Yuk" stickers throughout the State.

30 33

The National Center for Health Statistics in Washington, D.C. receives mortality reportsfrom all 50 states. The annual data reports show that the number of deaths involving allhousehold products among children under five years of age dedined since 1972. TheConsumer Product Safety Commission also examines the number of deaths resulting fromthe accidental ingestion of aspirin-containing products. The first regulation passed underthe Poison Prevention Packaging Act required child-resistant packaging for aspirin. At thetime the regulation passed, aspirin products were the most frequently ingested product byyoung children.

DEATHS OF CHILDREN UNDER AGE 5INVOLVING HOUSEHOLD PRODUCTS

Deaths Due To All Household Chemicals

Year # Deaths Decline since 1972 Year

Deaths Due To Aspirin Products

# Deaths Decline since 1972

1972 216 1972 461973 149 31% 1973 26 43%

1974 135 38% 1974 24 48%1975 114 47% 1975 17 63%

1976 105 51% 1976 25 46%

1977 94 56% 1977 11 76%

1978 81 63% 1978 13 72%

1979 78 64% 1979 8 83%

1980 73 66% 1980 12 74%

1981 55 75% 1981 6 87%

1982 67 69% 1982 5 89%

1983 55 75% 1983 7 85%1984 64 70% 1984 7 85%

1985 56 74% 1985 0 100%

1986 59 73% 1986 2 96%1987 31 86% 1987 3 93%

1988 42 81% 1988 3 93%

1939 55 75% 1989 2 96%

1990 49 77% 1990 1 93%

34

PoisonPrevention

Week CouncilChairman:Darla Williamson

Vice Chairman:Evelyne McFeaters

Treasurer:

Bonnie Dean

Secretary:Ken GilesP.O. Box 1543Washington. D.C. 20013(301) 504-0580

POISON PREVENTION WEEKCOUNCIL MEMBERSAmerican Academy of Clinical Toxicology

American Academy of Pediatrics

Amencan Association of Poison ControlCenters

American Association of Retired Persons

Amencrm College of Emergency Physicians

American Dental Association

American Managed Care PharmacyAssociation

Amencan Medical Association

American Nurses Association

American Petroleum Institute

American Pharmaceutical Association

American Public Health Association

American Red Cross

American Society of Hospital Pharmacists

Art & Craft Matenals Institute. Inc

Boy Scouts of Amenca

Chemical Specialties ManufacturersAssociation. Inc

Closure Manufacturers Association

Cosmetic. Toiletry, and FragranceAssociation

Council For Responsible Nutntion

Council on Family Health

Food Marketing Institute

Girl Scouts of the United States of Amenca

National Agricultural Chemicals Association

National Association of Broadcasters

National Association of Chain Drug Stores

National Association of Pediatric NurseAssociates & Practitioners

NARD: Representing Independent Retail Pharmacy

National Paint and Coatings Association

National Safety Council

Nonprescription Drug ManufacturersAssociation

Pharmaceutical Manufacturers Association

Soap and Detergent Association

U S. Consumer Product Safety Commission

U S. Department of AgricultureExtensionServicc .

U.S. Department of Health and HumanServicesFood and Drug Administration.Center For Drug Evaluation and Research

U S Environmental Protection Agency

MARCH 20-26, 1994NATIONAL POISON PREVENTION WEEK

A ProfilePublic Law 87-319 (approved September 26, 1961) requested the President annually todesignate the third week in March as National Poison Prevention Week. The observance,sponsored by the Poison Prevention Week Council, was designed to alert the Americanpeople to the problem of accidental poisonings. For the past 32 years National PoisonPrevention Week has focused on preventing poisonings among children under 5 years ofage.

Purpose:The Poison Prevention Week Council provides a focal point for the 37 members' activities,coordinating plans, and avoiding duplication of efforts.

The Council publishes annually a List of Materials (often reproduced in association journals),an Editor's Fact Sheet, and suggested proclamations for Governors and local officials. TheCouncil, through the Secretariat, also drafts the Presidential proclamation. It also producesan Annual Report which reflects the activities among the various participatingorganizations and serves as an "idea mill" for community groups looking for programmingpossibilities.

The Secretariat also coordinates the annual news conferenr..4 provides advice about poisonprevention activities, and distributes the Council's materials.

Membership:Membership on the Council is limited to national organizations with an interest in andcommitment to programs aimed at preventing accidental poisonings.

Many of the members contribute financially to the Council, which permits the preparationof the materials described above. There are no membership dues, but these voluntarycontributions are the vital ingredients in making the Council independent and the programa successful one. In addition to these contributions, each member organization devises aprogram reflecting its own interest in the general area of poison prevention and promotes itdirectly (through radio, TV spot announcements) or indirectly (through its chapters oraffiliates).

Meetings:The Council schedules an annual meeting in the Spring of each year. In addition, amid-year meeting is scheduled (generally in December) to finalize plans for the upcomingobservance.

Officers:Officers are elected for two-year terms, with the vice-chairman designated theChairman-elect. The current officers and their affiliations are:Chairman Darla Williamson, Closure Manufacturers AssociationVice-Chairman Evelyne McFeaters, Chemical Specialties Manufacturers AssociationSecretary Ken Giles, U.S. Consumer Product Safety CommissionTreasurer Bonnie Dean, American Association of Poison Control Centers

General Information:The poster for 1994 will be for sale at these prices:$10 for 25 copies $18 for 50 copies $32 for 100 copies

Checks should be made payable to "Poison Prevention Week Council" and sent to theCouncil at PO Box 1543, Washington, DC 20013.

We encourage all local groups to send in photos and narratives of your poison preventionactivities. We may be able to use your story in next year's Annual Report. Please send yourphotographs and written summaries of your activities by May I, 1994 to Secretary PoisonPrevention Week Council PO Box 1543, Washington, DC 20013

We look forward to hearing from you.

35

NATIONAL

POISON PREVENTION WEEKMarch 20-26, 1994

EDITOR'S FACT SHEET - 1994

1. Q. What is National Poison Prevention Week?A. Public Law 87-319 authorizes the President to designate annually the third week in March as

National Poison Prevention Week. This act of Congress was signed into law on September 26, 1961,by President Kennedy, after which the Poison Prevention Week Council was organized to coordi-nate this annual event. Congress intended this event as a means for local communities to raiseawareness of the dangers of accidental poisonings and to take such preventive measures as thedangers warrant.

2. Q. Is there a special theme for National Poison Prevention Week?A. Yes, our basic theme is "Children Act Fast . . . So Do Poisons!" This means that parents must

always be watchful when household chemicals or drugs are being used. Many accidents happenwhen adults are using a product but are distracted (for example, by the telephone or the doorbell)for a few moments. Children act fast, and adults must make sure that household chemicals anddrugs are stored away from children at all times.

3. Q. If my child is accidentally poisoned or eats or drinks a substance which might be poison,where can I find information on treatment?

A. If you think someone has been poisoned, call your poison control center immediately. There arecurrently some 100 Poison Control Centers in the United States which maintain information for thephysician or the public on recommended treatment for the ingestion of household products andmedicines. They are familiar with the toxicity (how poisonous it is) of most substances found in thehome or know how to find this information. Their phone number can be found on the inside coverof the yellow or white pages of the telephone directory. Keep the number on your phone.

4. Q. Are there some first aid measures I can take when an ingestion takes place?A. Remain calm. Not all medicines and household chemicals are poisonous, and not all exposures nec-

essarily result in poisoning. For medicines, call the Poison Control Center or physician immediately.For household chemical products, follow first aid instructions on the label, then call the PoisonControl Center or physician. If unable to contact them, call your local emergency number (911 inmost areas) or the operator. Keep emergency numbers listed near the phone before an emergencyar es. When you contact the Poison Control Center or other emergency personnel, be prepared togive the facts to the expert on the other end of the phone.Have the label ready when you call the expert. The label provides information concerning the prod-uct's contents and advice on what immediate first aid to perform. This will be useful when givingfirst aid and when you call the Poison Control Center.The expert should know:

The victim's age.The victim's weightExisting health conditions or problems.The substance involved: was it swallowed, inhaled, absorbed through skin contact, or splashedinto the eyes.

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Any first aid which may have been given.If the person has vomited.Your location, and how long it will take you to get to the hospital.If medicine has been swallowed, do not give anything by mouth until advised by the PoisonControl Center.If chemicals or household products have been swallowed, offer a small amount of water. Thencall for professional advice about whether or not you should make the patient vomit.

Always keep on hand at home a one-ounce bottle of syrup of ipecac for each child or grandchildunder age 5 in the home. Use only on advice of the Poison Control Center, emergency department,or physician.

5. Q. Why are so many accidental poisonings related to children under five years of age?A. Children under the age of five are in stages of growth and development in which they are constantly

exploring and investigating the world around them. This is the way they learn. It is a normal charac-teristic and should not be discouraged. Unfortunately, what children see and reach for they usuallyput in their mouths. It is this hazard to which parents must be alerted. As the youngsters' mobility,ingenuity, and capabilities increase, they can reach medicines and household chemicals even ifstored up high. For instance, when children are crawling, they can find such products as draincleaners stored under the kitchen sink and on the floor. As soon as they are able to stand, they canreach such products as furniture polish on low-lying tables, as well as medications in purses on beds.When they start to climb, they can reach medicine on countertops or open the medicine cabinet andget to the medicine. These products should be locked up where possible, out of the child'sreacheven when safety packaging is used. Adults should never leave a medicine or householdchemical product unattended while in use; children act fast and can get hold of a product and swal-low it during the short time while the adult is answering the telephone or doorbell.

6. Q. If I find my youngster playing with a bottle of medicine or some household product,how can I tell if he or she has swallowed some and what should I do?

A. Reactions vary, depending on the product. Sometimes the child may vomit; or he or she may appear tobe drowsy or sluggish. Some of the substance may remain around the child's mouth and teeth. Theremay be burns around the lips or mouth from corrosive items; or you may be able to smell the producton the child's breath. If a household chemical has been ingested, follow the first aid instructions onthe label and then get medical adviceeven if you suspect, but don't know for sure, that your childhas ingested a potentially hazardous product. Call your Poison Control Center, emergency depart-ment, or physician. Place these telephone numbers on your phone.

7. Q. Why do we need child-resistant packaging?A. Although labeling requirements and educational programs have had some effect in reducing the num-

ber of childhood ingestions, significant numbers of children are still being poisoned by accidentallyingesting household products that can be hazardous, such as medicines (sometimes brought into thechild's home by grandparents), cleaning products, and solvents. Child-resistant packaging, if usedproperly, provides an additional barrier to help prevent accidental ingestions.

8. Q. As a parent, how certain can I be regarding the effectiveness of this kind of packaging?A. While child-resistant packaging provides an increased element of protection, children are going to in-

vestigate several different ways of opening a container. If their fingers won't work, their teeth might.It would be impossible to manufacture a package or a closure that would prevent every single childfrom getting into the contents under all possible circumstances. Therefore, the Poison PreventionPackaging Act requires that packages be difficult for children under five years of age to open and ob-tain a toxic amount within a reasonable time. For example, U.S. Consumer Product Safety Commis-sion regulations require thal aspirin, and other products, be packaged in special containers whichwould prevent at least 8007o of those children tested from opening the container during a 10-minutetest. This requirement means that some children would still be able to open or otherwise obtain a toxicamount. So, keep poisonous substances locked up.

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9. Q. How can I use child-resistant packaging properly?A. Remember these steps: (1) Read the instructions to make it easier to open the packaging. (2) Be

sure to resecure the closure tightly. Never transfer the contents to other containers. (3) Do notleave loose pills on the table or kitchen counter. (4) Keep medicines and household products (eventhose with safety caps) out of sight. Use locks or child-resistant latches to secure storage areas. Thepharmacist or merchant from whom the product was purchased can teach you how to open andclose the packaging, if you have difficulty. Opening and closing becomes easier with practice. Whileit may take a few additional seconds of your time, those few seconds may save the life of a childwho is very dear to you.

10. Q. What kind of products can I expect to find in child-resistant packaging?A. Aspirin and aspirin-substitutes (acetaminophen), certain types of liquid furniture polish, oil of

wintergreen, drain cleaners, oven cleaners, lighter fluids, turpentine, paint solvents, windshieldwasher solutions, automobile antifreeze, pesticides, oral dosage prescription drugs, iron-containingdrugs and dietary supplements, over-the-counter ibuprofen, and loperamide (an anti-diarrheamedicine) are among the substances required to be in child-resistant packaging. The CPSC propos-ed child-resistant packaging for over-the-counter preparations containing lidocaine and dibucaine(anesthetic medicines) and is considering a petition that requests child-resistant packaging formouthwash containing more than five percent alcohol.

11. Q. There are no small children in my home. Do I have to use child-resistant packaging?A. In general, all adults should use child-resistant packaging because young children may visit the

adult's home. To benefit people who are elderly or handicapped, the Poison Prevention PackagingAct allows a manufacturer to offer a regulated non-prescription product in one size or package thatdoesn't comply with the safety packaging standard and that bears the label statement "Thispackage for households without young children," if that manufacturer also offers the same productin child-resistant packages. Additionally, if a prescription is involved, the purchaser or prescribingphysician can request regular, non-child-resistant packaging. However, such requests should bekept to a minimum, since they increase the danger of childhood poisonings. Accidents have happen-ed when youngsters have visited hotnes where no children live. Little ones have been poisoned afterfinding medicine containers left in purses or on bedside tables, And accidents have happened whenolder persons carried medicines into homes that have small children. A study conducted for theU.S. Consumer Product Safety Commission by the American Association of Poison ControlCenters found that 23% of the oral prescription drugs that were ingested by children under 5belonged to someone who did not live with the child. Overall, 17% of the drugs ingested belongedto a grandparent or great-grandparent. This percentage varied from city to city: in Salt Lake City,9% of the drugs ingested belonged to a grandparent, but in Shreveport, Louisiana, 24% of thedrugs ingested belonged to a grandparent. The data suggest that grandparentsand alladuitsneed to use child-resistant packaging and keep medicines properly secured, away fromyoung children.

12. Q. Is there any evidence that the number of child poisonings has decreased sincechild-resistant packaging began to be used?

A. Yes.The staff of the U.S. Consumer Product Safety Commission (CPSC) estimates that child-resistantpackaging for aspirin and oral prescription medicine saved the lives of about 700 children since therequirements went into effect in the early 1970's.CPSC analyzed child fatality data for accidential ingestions of aspirin and oral prescriptionmedicines. The death rates for aspirin and oral prescription medicines declined even after taking ac-count of the overall decline in the accidental child death rate from all causes. The study also ac-counted for changes in per capita product consumption and reductions in the aspirin fatality rateassociated with therapeutic overdose.The CPSC study showed that child-resistant packaging reduced the aspirin-related child death rateby up to 0.88 deaths per million children under age five. The results also showed that specialpackaging reduced the oral prescription medicine-related death rate by up to 1.27 deaths per million

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children under age five. This represents a fatality rate reduction of up to 45 percent from levels thatwould have been projected in the absence of child-resistant packaging requirements.The estimate of about 700 lives saved relates to aspirin and oral prescription medicines only anddoes not include additional lives that may have been saved by child-resistant packaging on otherproducts.

There has been a reduction in deaths with all household chemicals and with aspirin products in par-ticular since 1972 (when aspirin was first required to be in child-resistant packaging).

DEATHS OF CHILDREN UNDER AGE 5 INVOLVING HOUSEHOLD PRODUCTS

Deaths due to all medicines and Deaths due to aspirin productshousehold chemicals

Year # DeathsYear # Deaths

1972 216 1972 461973 149 1973 261974 135 1974 241975 114 1975 17

1976 105 1976 251977 94 1977 11

1978 81 1978 13

1979 78 1979 8

1980 73 1980 12

1981 55 1981 6

1982 67 1982 5

1983 55 1983 7

1984 64 1984 7

1985 56 1985 01986 59 1986 2

1987 31 1987 3

1988 42 1988 3

1989 55 (This represents a decline 1989 2 (This represents a decline1990 49 of 77% since 1972.) 1990 1 of 98% since 1972.)

Source: National Center for Health Statistics

However, the number of ingestions or exposures to household medicines and chemicals continues tobe high. The American Association of Poison Control Centers reports that in 1992 the number ofchildren under the age of 5 exposed to potentially poisonous substances was 1,095,358. Accordingto the AAPCC National Data Collection System, in 1992 there were 29 deaths to children under age5 who accidently swallowed medicines and household chemicals.

13. Q. Why is it dangerous to use cups or soft-drink bottles to hold paint thinner, turpentine, gasoline, orother household chemicals?

A. Children associate cups, soft-drink bottles, and drinking glasses with food and arink. Fatalitieshave been reported when lighter fluid intended for outdoor barbecue fires was poured into suchcontainers and subsequently swallowed by children.

14. Q. Are there any good housekeeping rules I can use to prevent poisoning accidents?A. Yes

(1) Keep all household chemical products and medicines (especially iron pills and food sup-plements containing iron) out of sight of youngsters and, preferably, locked up when not inuse. Medicines and household chemicals on kitchen counters or bathroom surfaces are very ac-cessible to young children.

(2) When these products are in use, never let them out of your sighteven if you must take themalong when answering the telephone or the doorbell.

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(3) Store all medicines separately from household products, and store all household chemicalproducts away from food.

(4) Keep items in their original containers.(5) Leave the original labels on all products, and read the label before using.(6) Always leave the light on when giving or taking medicines.(7) Avoid taking medicines in front of children, since youngsters tend to imitate grown-ups.(8) Refer to medicine as "medicine"not "candy."(9) Clean out the medicine cabinet periodically, and safely dispose of unneeded medicines when

the illness for which they were prescribed is over. Pour contents down drain or toilet, and rinsecontainer before discarding.

(10) Finally, use child-resistant packaging properlyby closing the container securely after use.

15. Q. Is the poinsettia still considered to be extremely toxic?A. The poinsettia was blamed for a death in 1919; however, recent studies indicate that the plant is not

as highly toxic as was thought at that time. It is unlikely that ingestion of a poinsettia would befatal, although it may cause some gastric irritation and burning in the mouth. Many other plants aretoxic also. If any indoor or outdoor plants are ingested, Poison Control Center or medical adviceshould be sought.

16. Q. Lead in paint is a serious problem if a child should ingest it.What is being done to correct this problem?

A. In the past, paints couldand didcontain much higher levels of 1-.1C than they do now. Since1971, however, the permissible amount of lead in consumer paint products has been reducedthrough a series of federal laws and regulations. This reduction also applies to paints or coatings ontoys or articles intended for use by children. Children can still, however, become lead poisonedfrom ingesting chips or breathing dust from old, heavily-leaded paint that is still present on wallsand other surfaces in old houses and buildings. Workers and entire families face the same hazardwhen older homes and buildings are rehabilitated and sanding raises dust as leaded paint is removedfrom surfaces such as walls, floors, and ceilings.

17. Q. Can miniature "button" batteries present a risk of childhood poisoning?A. Yes, miniature batteries may cause poisoning if accidentally swallowed. The batteries can cause in-

ternal burns if they become lodged in the esophagus or intestinal tract. These tiny batteries (used inwatches, calculators, cameras, and hearing aids) usually pass through the person without anyproblem. However, if a miniature battery is swallowed, you should contact your poison center,your physician, or the National Button Battery Ingestion hotline at 202-625-3333. In order toprevent ingestion of miniature batteries, consumers should keep the batteries out of children's reachand throw away old batteries, securely wrapped, after they have been removed from the appliance.

18. Q. Are adults also at risk when they swallow medicines and househm lhemicals?A. Yes, poisonings happen to adultsespecially older peoplewho cannot read labels or who fail to

follow instructions. Some people may confuse one medicine for another, especially if the light is noton when they reach for a medicine at night. Others may take too much of a medicine or may mixmedicine with alcohol or other substances. Adults should take precautions to avoid poisonings:

(1) Always read the label and follow instructions when taking medicines. If any questions arise,consult your physician.

(2) Turn on a light at night and put on your glasses when you need to take a medicine.(3) Never mix medicines and alcohol, and never take more than the prescribed amount of

medicine.(4) Never "borrow" a friend's medicine or take old medicines.(5) Tell your doctor what other medicines you are taking so you can avoid adverse drug inter-

actions.

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19. Q. What can consumers do to protect themselves and their families from tampering with medicines?

A. Although most medicines are packaged in tamper-evident packaging, they are not tamper-proof.Each consumer must be alert for the packaging to be protective. Here's how you can help protectyourself and your family:(1) Read the label. Over-the-counter medicines with safety closures tell you on the label what

tamper-evident features you should look for on the package.(2) Inspect the outer packaging. Look before you buy!(3) Inspect the product itself when you open the package. Look again before you take it! If it

looks suspicious, be suspicious.(4) Look for tablets or capsules that are different in any way from others in the package.(5) Don't use any medicine from a package that shows cuts, slices, tears, or other imperfections.

(6) Never take medicine in the dark.(7) Read the label and look at the medicine every time you take a dose.(8) Whenever you suspect something wrong with a medicine or its packaging, take it to the store

manager.(9) Tamper-evident packaging can help protect you if you are alert!

20. Q. What can consumers do to protect children from pesticide-related poisonings?

A. A recent survey by the U.S. Environmental Protection Agency regarding pesticide use in andaround the home revealed that almost half (47%) of all households with children under the age offive had at least one pesticide stored in an unlocked cabinet, and less than 4 feet off theground (i.e.,within reach of children). The survey also found that 75% of households without children under theage of five also stored at least one pesticide within reach of children. This number is especiallysignificant because 13% of all pesticide poisonings occur in homes other than the child's home.Adults should take the following steps to safeguard children from accidental exposures topesticides:(1) Always store pesticides away from children's reach, in a locked cabinet or garden shed.(2) Read the label first and follow the directions to the letter, including all precautions and restric-

tions.(3) Before applying pesticides (ine.00rs and outdoors), remove children and their toys from the

area and keep them away until it is dry or as recommended by the label.(4) Never leave pesticides unattended when you are using them not even for a few minutes.(5) Never transfer pesticides to other containers children may associate certain containers with

food or drink.(6) Use child-resistant packaging properly by closing the container tightly after use.(7) Alert others to the potential hazard, especially grandparents and caregivers.

21. Q. Where can I get more information on preventing poisonings?A. See the "List of Materials 1994" for available resources and their sources of supply. The list can

be obtained from Secretary, Poison Prevention Week Council, P.O. Box 1543, Washington, D.C.20013.

U.S. GOVERNMENT PRINTING OFFICE : 1993 0 - 355-102

SUGGESTED PROCLAMATION FORGOVERNORS IN CONJUNCTION WITH

NATIONAL POISON PREVENTION WEEK1994

Proclamation

liereas , all citizens should be made aware of the ever-present dangers posed by poten-tially poisonous household substances;

iiereas , our youngsters too often have access to commonly-used drugs and medicinesand to such potentially toxic household products as polishes, cleaners, lighter fluids, anti-freeze,and paint solvents;

hereas , the informational and educational achievements of many of our State'sofficial and voluntary organizations have been instrumental in awakening individuals to the needfor poison prevention, including the proper use of child protection packaging;

cArtb tiereas, latest nationally-released figures show continued declines in the acci-dental ingestion among children of household products. In our State alone, we have seen adecline of per cent in such ingestions as reported bypoison centers. Equally remarkable has been the decline in fatalities associated with accidentalpoisoning among youngsters. Although our efforts have substantially reduced the incidence ofchildhood poisonings, it is clear that as long as one child is accidentally poisoned, our effortsmust continue.

cdu, Zilerefore, J, , Governor ofthe State (Commonwealth) of do herebyproclaim March 20-26, 1994 as Poison Prevention Week in this State (Commonwealth). Furher,I call on all 0- e official and voluntary organizations that have done so much, up to this point, tocontinue their efforts until we can point to the elimination of poisoning as a significant healthhazard to our children.

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U.S. CONSUMER PRODUCT SAFETY COMMISSION

POISON LOOKOUT CHECKLISTThe home areas listed below are the most common sites of accidental poisonings. Follow this checklist to learn how tocorrect situations that may lead to poisonings. If you answer "No" to any questions, fix the situation quickly. Yourgoal is to have all your answers "Yes."

THEKITCHEN1. Do all harmful products in the cabinets have

child-resistant caps? Products like furniturepolishes, drain cleaners and some oven cleanersshould have safety packaging to keep littlechildren from accidentally opening the packages. 0 CI

Yes No

2. Are all potentially harmful products in theiroriginal containers? There are two dangers ifproducts aren't stored in their originalcontainers. Labels on the original containersoften give first aid information if someone shouldswallow the product. And if products are storedin containers like drinking glasses or pop bottles,someone may think it is food and swallow it.

3. Are harmful products stored away from food? Ifharmful products are placed next to food,someone may accidentally get a food and apoison mixed up and swallow the poison.

4. Have all potentially harmful products been putup high and out of reach of children? The bestway to prevent poisoning is making sure that it'simpossible to find and get at the poisons.Locking all cabinets that hold dangerousproducts is the best poison prevention.

THEBATHROOM1. Did you ever stop to think that medicines could

poison if used improperly? Many children arepoisoned each year by overdoses of aspirin. Ifaspirin can poison, just think of how many otherpoisons might be in your medicine cabinet.

2. Do your aspirins and other potentially harmfulproducts have child-resistant closures? Aspirinsand most prescription drugs come with child-resistant caps. Check to see yours have them,and that they are properly secured. Check yourprescriptions before leaving the pharmacy tomake sure the medicines are in child-resistantpackaging. These caps have been shown to savethe lives of children.

3. Have you thrown out all out-of-dateprescriptions? As medicines get older, thechemicals inside them can change. So what wasonce a good medicine may now be a dangerouspoison. Flush all old drugs down the toilet.Rinse the container well, then discard it.

4. Are all medicines in their original containerswith the original labels? Prescription medicinesmay or may not list ingredients. Theprescription number on the label will, however,allow rapid identification by the pharmacist ofthe ingredients should they not be listed.Without the original label and container, you

0 0 can't be sure of what you're taking. After all,aspirin looks a lot like poisonous roach tablets.

5. If your vitamins or vitamin/mineral supplementscontain iron, are they in child-resistant0 0 packaging? Most people think of vitamins andminerals as foods and, therefore, nontoxic, but afew iron pills can kill a child.

0 0

LI LI

0 0

THE GARAGEOR STORAGE AREA1. Did you know that many things in your garage or

storage area that can be swallowed are terriblepoisons? Death may occur when people swallowsuch everyday substances as charcoal lighter,paint thinner and remover, antifreeze andturpeatine.

2. Do all these poisons have child-resistant caps?3. Are they stored in the original containers?4. Are the original labels on the containers?5. Have you made sure that no poisons are stored

in drinking glasses or pop bottles?6. Are all these harmful products locked up and out

of sight and reach?

Yes No

CI 0

0 0

O 0

0 0O 0O 0O 0E LI

O EJ

When all your answers are "Yes," then continue this level of poison protection by making sure that, whenever you buypotentially harmful products, they have child-resistant closures and are kept out of sight and reach. Post the numberof the Poison Control Center near your telephone.

4 3

For further information, write:

U.S. Consumer Product SafetyCommissionWashington, D.C. 20207

To report a product hazard or a product-relatedinjury, write to the U.S. Consumer Product SafetyCommissk Washington, D.C. 20207, or call thetoll-free hotline: 800-638-CPSC. A tele-typewriter forthe deaf is available on the following numbers:National 800-638-8270, Maryland only 800-492-8104.

This document is in the public domain. It may bereproduced in part or in whole by an individual ororganization without permission. If it is reproduced,however, the Commission would appreciate know-ing how it is used. Write the U.S. ConsumerProduct Safety Cornmission, Office of Informationand Public Affairs, Washington, D.C. 20207.

IMIEWINIEW

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Consumer Product SAFETY ALERTFROM THE US. CONSUMER PRODUCT SAFETY C OMMISSION, WASH INGTON, D.C.20207

Prevent Poisoning and Death fromIron-Containing Medicine

The U.S. Consumer Product Safety Commission(CPSC) warns that iron medications (sometimesidentified as ferrous sulfate, ferrous gluconate, orferrous fumarate) can be deadly to a young child.Many adults may not realize the hazard of ironpreparations. The Commission recommends thatparents keep medicine with iron out of the reachof young children.

Iron is available in combination with vitamins oralone. According to poison control center data,iron supplements are responsible for 30 percentof pediatric poisoning deaths from medications. Asmall number of iron pills consumed by a childcan cause death. Poisonings happen when child-

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111

ren swallow their parents' iron pills. CPSC recom-mends that obstetricians and gynecologists telltheir maternity patients that prenatal medicinewith iron is poisonous to children.

CPSC requires that iron-containing medicines andvitamins with iron be packaged in child-resistantclosures. Parents should always properly re-secure safety closures. In addition, parentsshould keep medicines with iron out of the reachof children and should properly discard iron pillsafter use so children cannot reach them. Medi-cines should be discarded by flushing down thetoilet, not in a wastebasket where children canfind them.

IRON.CONTAININ;

MEDICINE

41:6.

Always use chiidresistant closuresand keep iron-containing medicine .

out of the reach of children.

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AVISO AL CONSUMIDOR SOBIRE LA SEGURIDAD DE PRODUCTOSComisión Para Seguridad de Productos de EE.UU.

PREVENGA ENVENENARSE 0 LA MUERTE EVITANDOMEDICAMENTOS

A BASE DE HIERRO

La Comisión para Seguridad de Productosdel Consumidor (CPSC) avisa que losmedicamentos a base de hierro (a vecesidentificados como sulfato ferroso, gluconateferroso, O fumarate ferroso), pueden serfatales para los ninos. Muchos adultos no sedan cuenta del peligro en los preparativoscon hierro. La ComisiOn recomienda que lospadres mantengan las medicines con hierrofuera del alcance de los nitios.

El hierro puede encontrarse encombinacián con vitaminas o solo. Deacuerdo con los datos del Centro pare Con-trol de Veneno, los medicamentos a base dehierro usados como suplementos, son loscausantes del 30% de las muertes porenvenenamiento de los niños. Solo coningerir una pequena cantidad de pfldorascon hierro pueden causar la muerte a unnino. Cuando los niños ingieren las puldoras

009302

de hierro de sus padres puedenenvenenarse. La ComisiOn recomienda quelos obstétricos y genecOlogos adviertan asus pacientes que las medicines a base dehierro son peligrosas pare los nifios.

La ComisiOn para Seguridad de Productosdel Consumidor (CPSC) requiere que losmedicamentos a base de hierro, asf comolas vitaminas con hierro, sean envasadascon tapas a prueba de nifios. Tanibién lospadres deben asegurarse que las tapasesten seguras, asf como mantener lasmedicines con hierro fuera del alcance delos nifios y desechar adecuadamente deaquellas que no necesiten para asf evitarque los nifios las alcancen. Estas medicinasdeben desecharse por el inodoro y n6 enzafacones donde los nitlos puedanencontrarlas.

IIEDICINAS

NTENIENIN

HIERRO

Use siempre tapas a prueba de niños ymantenga las medicinas conteniendohierro fuera del alcance de los mismos.

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United States Prevention, Pesticides 735-F-93-050Environmental Protection And Toxic Substances RevisedAgency (I-17506C) September 1993

&EPA FOR YOUR INFORMATION

Pesticides and Child Safety

Although pesticides can be beneficial to society, they can be dangerous ifused carelessly or if they are not stored properly and out of the reach of children.According to data collected from the American Association of Poison ControlCenters, in 1992 alone, an estimated 148,000 children were involved in commonhousehold pesticide-related poisonings or exposures in the United States.

A recent survey by the U.S. Environmental Protection Agency regardingpesticides used in and around the home revealed some significant findings:

o Almost half -- 47% of all households with children under the age of fivehad at least one pesticide stored in an unlocked cabinet, less than 4 feet offthe grouhd (i.e., within the reach of children).

o Approximately 75 % of households without children under the age of fivealso stored pesticides in an unlocked cabinet, less than 4 feet off the ground(i.e., within the reach of children). This nurriber is especially significantbecause 13% of all pesticide poisoning incidents occur in homes other thanthe child's home.

Bathrooms and kitchens were cited as the areas in the home most likely tohave improperly stored pesticides. Examples of some common householdpesticides found in bathrooms and kitchens include roach sprays; chlorine bleach;kitchen and bath disinfectants; rat poison; insect and wasp sprays, repellents andbaits; and, flea and tick shampoos and dips for pets. Other household pesticidesinclude swimming pool chemicals and weed killers.

EPA has important regulatory authority over pesticides in the United Statesunder the pesticide law (the Federal Insecticide, Fungicide, and Rodenticide Act).Since 1981, the law has required most residential-use pesticides with a signal wordof "danger" or "warning" to be in child-resistant packaging. These are thepesticides which are most toxic to children. Child-resistant packaging is designedto prevent most children under the age of five from gaining access to the pesticide,or at least delay their access. However, individuals must also take precautions toprotect children from accidental pesticide poisonings or exposures.

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RECOMMENDATIONS FOR PREVENTING ACCIDENTAL POISONING:

o Always store pesticides away from children's reach, in a locked cabinet orgarden shed. Child-proof safety latches may also be installed on cabinetsand can be purchased at your local hardware store;

o Read the label first and follow the directions to the letter, including allprecautions and restrictions;

o Before applying pesticides (indoors or outdoors), remove children and theirtoys as well as pets from the aita and keep them away until the pesticidehas dried or as long as is recommended by the label;

o If your use of a pesticide is interrupted (perhaps by a phone call), be sureto leave the container out of the reach of children while you are gone;

o Never transfer pesticides to other containers that children may associatewith food or drink;

o Never place rodent or insect baits where small children can get to them;

o Use child-resistant packaging properly by closing the container tightly afteruse;

o Alert others to the potential hazard of pesticides, especially caregivers andgrandparents;

o Teach children that "pesticides are poisons" -- something they should nottouch.

o Keep the telephone number of your area Poison Control Center near yourtelephone.

IN CASE OF AN EMERGENCY, try to determine what the child was exposedto and what part of the body was a&cted before you take action, since taldng theright action is as important as taking immediate action. The pesticide product labelprovides you with a "Statement of Treatment" to follow in emergencies.Administer the indicated initial first aid; then contact your local Poison ControlCenter, physician, local emergency number (911 in most areas), or the operator.The following require immediate attention before calling for assistance -remember, act fast because speed is crucial:

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o Poison in eye. Eye membranes absorb pesticides faster than any otherexternal part of the body; eye damage can occur in a few minutes withsome types of pesticides. If poison splashes into an eye, hold the eyelidopen and wash quickly and gently with clean running water from the tap ora gentle stream from a hose for at least 15 minutes. If possible, havesomeone else contact a Poison Control Center for you while victim is beingtreated. Do not use eye drops or chemicals or drugs in the wash water.

o Poison on skin. If pesticide splashes on the skin, drench area with waterand remove contaminated clothing. Wash skin and hair thoroughly withsoap and water. Later, discard contaminated clothing or thoroughly washit separately from other laundry.

o Inhaled poison. Carry or drag victim to fresh air immediately. (If properprotection is unavailable to you, call for emergency equipment from theFire Department.) Loosen victim's tight clothing. If the victim's skin isblue or the victim has stopped breathing, give artificial respiration and callrescue service for help. Open doors and windows so no one else will bepoisoned by fumes.

o Swallowed poison. Induce vomiting ONLY if the emergency personnelon the phone tell you to do so. It will depend on what the child hasswallowed; some petroleum products or caustic poisons will cause moredamage if the child is made to vomit. Always keep Syrup of Ipecac onhand (1 ounce for each child in the household) to use to induce vomiting ifrecommended by the emergency personnel. Be sure the date is current.

Additional pesticide product information can be obtained from the NationalPesticide Thlecommunications Network (NPTN) at 1-800-858-7378. NPTN isa toll-free information service operated Monday through Friday 8:00 a.m. - 6:00p.m. Central Standard Time.

4 9

Nitional Institute on Aging

Safe Use of Medicines by Older PeopleDrugs can be wonderful tools for the care

of patients of all ages. In fact, the growth ofour population over the age of 65 can beattributed at least in part to the availabilityof effective medicines and vaccines. But inolder adults drug use may have greater risks,especially when several drugs are taken atone time.

People over 65 make up 13 percent ofthe American population, vet they take 30percent of all prescription drugs sold in thiscount . As a group, older people tend tohave more long-term illnessessuch as ar-thritis. diabetes, high blood pressure, andheart diseasethan younger people. Andbecause they often have a number of dis-eases or disabilities at the same time, it isvery common for them to be taking manydifferent drugs.

In general, drugs taken by older peopleact differently from the way they do in youngor middle-aged people. This is probably theresult of the normal changes in body makeupthat occur with age. For example, as thebody grows older, the percent of water andlean tissue (mainly muscle) decreases, whilethe percent of fat tissue increases. Thesechanges can affect the time a drug stays inthe body and the amount absorbed by bodytissues.

The kidneys and the liver are two impor-tant organs responsible for breaking downand removing most drugs from the body.With age, these organs begin to function

50

less efficiently, and thus drugs leave the bodymore slowly. This may account for the factthat older people tend to have more unde-sirable reactions to drugs than do youngerpeople.

It is important to remember that "drugs-include not only prescription medicines(those ordered by a doctor and dispensedbY a pharmacist) but over-the-counter(OTC) medicines as well (those bought andused without a prescription). Drugs pre-scribed bY a doctor are usually more power-ful and have more side effects than OTCmedicines. Yet mans' OTC drugs containstrong agents, and when large quantities aretaken, they can equal a dose that wouldnormally only be available by prescription.

Some substances, including vitamins.laxatives, cold remedies, antacids, and alco-hol, can also lead to serious problems ifused too often or in combination with cer-tain other drugs.

There is much that You and your familycan do to reduce the risks of drug use. Bylearning about the drugs you take and theirpossible side effects, you can help bringabout safer and faster treatment results.Some basic rules for safe drug use are asfollows:

Take exactly the amount of drug pre-scribed bv Your doctor and follow thedosage schedule as closely as possible. If

rjr3T 011)10 prpr

E.

you have trouble or questions. call Yourdoctor or pharmacist.

Medicines will not produce the sameeffects in all people. Never take drugsprescribed for a friend or relative, eventhough Your symptoms may be the same.

.Alwavs tell Your doctor about past problemsyou have had with drugs (such as rashes,indigestion, dininess, or lack of appetite).When your doctor prescribes a new drug,be sure to mention all other medicines Youare currently takingincluding those pre-scribed by another doctor and those youbuy without a prescription.

Keep a daily record of the drugs You aretaking, especially if your treatment sched-ule is complicated or You are taking morethan one drug at a time. The recordshould show the name of the drug, thedo( -91- who prescribed it, the amount Youtake. and the times of day for taking it.Include a space to check off each dose asyou take it. Keep a copy in Your medicinecabinet and one in your wallet or pocket-book.

If child-proof containers are hard for youto handle, ask your pharmacist for easy-to-open containers. Always he sure. how-ever, that they are out of the reach ofchildren.Make sure you understand the directionsprinted on the drug container and thatthe name of the medicine is clearlyprinted on the label. Ask your pharma-cist to use large type on the label if youfind the regular labels hard to read.

Discard old medicines; many drugs losetheir effectiveness over time.

When You start taking a new drug, askyour doctor or pharmacist about side

U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES

effects that mav occur, about special rulesfor storage. and about foods or beveragesto avoid. Pharmacists are drug specialistsand are able to answer most questionsabout drug use.

Always call Your doctor promptly if Younotice unusual reactions.

New information about drugs and howthey affect the older user is coming tolight daily. You should occasionally re-view with Your doctor the need for eachmedicine.

Remember that a chemical agent strongenough to cure an ailment is ako strongenough to cause harm if it's not used wisely.

Although You should never stop takingmedicines without medical advice. it Yonfeel any drug is doing more harm than good.don't be afraid to discuss the matter with Yourdoctor. He or she may he able to substituteanother medicine that will be effective.

Other Resources

For more information un the safe use ofmedicines, contact the Elder Health Pro-0-ram. University of Nlarvland School ofPharmacy. 20 North Pine Street. Baltimore,MD 21201; and the Food and Drug Admin-istration. Center for Drug Evaluation andResearch. Consumer and Professional Af-fairs (HFD-365). 5600 Fishers Lane.Rockville. MD 20857.

To learn more about health and aging.write to the National Institute on Aging In-formation Center. P.O. Box 8057,Gaithersburg, MD 20898-8057. The NIAdistributes free Age Pages on a number oftopics.

5 1 ;g' FF.T pho Ilf,ff FP ',Ft,

99/

Public Health Service National Institutes of Health

To

redu

ce th

e ris

k of

poi

soni

ng:

1.K

eep

hous

ehol

d pr

oduc

ts a

nd m

edic

ines

out

of

reac

h an

d ou

t of s

ight

of c

hild

ren,

pre

fera

bly

in a

lock

ed c

abin

et o

r cl

oset

. Eve

n if

you

mus

t lea

ve th

ero

om fo

r on

ly a

n in

stan

t, pu

t the

con

tain

er in

a s

afe

spot

.

2.S

tore

med

icin

es a

nd d

ieta

ry s

uppl

emen

ts (

espe

-ci

ally

iron

pill

s) s

epar

atel

y fr

om o

ther

hou

seho

ldpr

oduc

ts a

nd k

eep

thes

e ite

ms

in th

eir

orig

inal

con

-ta

iner

sne

ver

in c

ups

or s

oft-

drin

k bo

ttles

.

3.B

e su

re th

at a

ll pr

oduc

ts a

re p

rope

rly la

belle

d,an

d re

ad th

e la

bel b

efor

e us

ing.

4.A

lway

s tu

rn th

e lig

ht o

n w

hen

givi

ng o

r ta

king

med

icin

e to

be

sure

you

hav

e th

e rig

ht m

edic

ine

and

the

corr

ect m

easu

re o

r co

unt o

f the

dos

age.

5.S

ince

chi

ldre

n te

nd to

imita

te a

dults

avoi

dta

king

med

icat

ions

in th

eir

pres

ence

. Avo

id d

rinki

ngm

edic

ine

from

the

bottl

e.

6.R

efer

to m

edic

ines

by

thei

r pr

oper

nam

es. T

hey

are

not c

andi

es.

7.C

lean

out

you

r m

edic

ine

cabi

net p

erio

dica

lly.

Get

rid

of o

ld m

edic

ines

by

flush

ing

them

dow

n th

edr

ain

or to

ilet,

rinsi

ng th

e co

ntai

ner

in w

ater

, and

then

dis

card

ing

it.

8.A

sk fo

r an

d us

e ho

useh

old

prod

ucts

whi

ch a

reav

aila

ble

in c

hild

res

ista

nt p

acka

ging

. Ins

ist o

n sa

fe-

ty p

acka

ging

for

pres

crip

tion

med

icin

es. R

esec

ure

safe

ty fe

atur

e ca

refu

lly a

fter

usin

g. S

afet

y pa

ckag

ing

give

s ex

tra

prot

ectio

n to

you

r ch

ildre

n.

If th

ere

is a

poi

soni

ng in

cide

nt:

Cal

l the

Poi

son

Con

trol

Cen

ter

Tel

epho

ne

OR

Cal

l a D

octo

r

Nam

e

Tel

epho

ne

OR

Cal

l a H

ospi

tal

Tel

epho

ne52

PR

OT

EC

T

YO

UR

CH

ILD

AG

AIN

ST

AC

CID

EN

TA

L

PO

ISO

NIN

G

Rev

ised

199

3

LOC

KE

D U

PP

OIS

ON

S

PR

EV

EN

TT

RA

GE

DY

Pre

pare

d by

the

Poi

son

Pre

vent

ion

Wee

k C

ounc

iliC

onsu

mer

Pro

duct

Saf

ety

Com

mis

sion

53

YO

UN

G C

HIL

DR

EN

WIL

L E

AT

AN

D D

RIN

KA

LMO

ST

AN

YT

HIN

G!

Kee

p al

l liq

uids

and

sol

ids

that

may

be

pois

onou

sou

t of t

heir

reac

h. U

se c

hild

-res

ista

nt p

acka

ging

tohe

lp p

reve

nt p

oiso

ning

s w

ith m

edic

ines

and

hou

se-

hold

che

mic

als.

Eac

h ye

ar p

oiso

n co

ntro

l cen

ters

repo

rt n

early

one

mill

ion

child

ren

unde

r th

e ag

e of

five

are

expo

sed

to p

oten

tially

poi

sono

us m

edic

ines

and

hous

ehol

d ch

emic

als.

Med

icin

es (

espe

cial

ly ir

on p

ills

and

food

sup

plem

ents

cont

aini

ngiro

n),

hous

ehol

d su

bsta

nces

, ins

ect

spra

ys, k

eros

ene,

ligh

ter

fluid

, som

e fu

rnitu

re p

olis

h-es

,tu

rpen

tine,

pain

ts,

solv

ents

, and

pro

duct

sco

ntai

ning

lye

and

acid

s ar

e m

ost f

requ

ently

the

caus

of a

ccid

enta

l poi

soni

ng a

mon

g ch

ildre

n.

ALW

AY

S R

ET

UR

Nro

SA

FE

ST

OR

AG

EIM

ME

DIA

TE

LY (

lock

ed u

p -

away

from

chi

ldre

n)

Nev

er le

ave

a bo

ttle

ofas

pirin

or

othe

r pi

lls w

here

child

ren

can

reac

hit.

Ret

urn

it to

a s

afe

plac

eim

med

iate

ly a

fter

usin

g.

5 4

ME

DIC

INE

S...

... a

reof

ten

swal

low

ed b

y yo

ung

child

ren

who

find

med

icin

es w

here

thei

r gr

andp

aren

ts h

ave

left

them

.G

rand

pare

nts

and

all a

dults

shou

ld u

se c

hild

-re

sist

ant c

losu

res

whe

neve

r yo

ung

child

ren

are

arou

nd. K

eep

med

icin

es o

ut o

f rea

chan

d ou

t of

sigh

tof

all

child

ren.

HO

US

EH

OLD

PR

OD

UC

TS

Rea

d la

bels

bef

ore

usin

g an

y ho

useh

old

prod

uct a

ndfo

llow

the

dire

ctio

ns c

aref

ully

. Sto

re th

ese

prou

ucts

so th

at c

hild

ren

cann

ot r

each

them

.

Alw

ays

rese

cure

chi

ld-r

esis

tant

pac

kagi

ng.

KE

EP

ALL

PR

OD

UC

TS

IN O

RIG

INA

LC

ON

TA

INE

RS

Nev

er p

lace

ker

osen

e, a

nti-f

reez

e,pa

ints

,or

solv

ents

in c

ups,

gla

sses

, milk

or

soft-

drin

k bo

ttles

,or

oth

er u

tens

ils c

usto

mar

ily u

sed

for

food

or

drin

ks.

Nev

er tr

ansf

er p

rodu

cts

to a

bot

tle w

ithou

t a c

hild

-re

sist

ant c

losu

re.

DE

ST

RO

Y O

LD M

ED

ICA

TIO

NS

Pou

r co

nten

ts d

own

drai

n or

toile

t, an

d rin

seco

ntai

ner

befo

re d

isca

rdin

gD

o no

t put

con

tain

erw

ith it

s co

nten

ts in

to tr

ash.

KE

EP

FO

OD

S A

ND

HO

US

EH

OLD

PR

OD

UC

TS

SE

PA

RA

TE

D

Cle

anin

g flu

ids,

det

erge

nts,

lye,

soa

p po

wde

rs,

inse

ctic

ides

, and

oth

er e

very

day

hous

ehol

d pr

oduc

tssh

ould

be

stor

ed a

way

from

food

and

med

icat

ions

.D

eath

cou

ld b

e th

e re

sult

of a

mis

take

n id

entit

y.

NE

VE

R C

ALL

ME

DIC

INE

"C

AN

DY

"

Chi

ldre

n sh

ould

not

be

dece

ived

by

havi

ng fl

avor

edm

edic

ines

cal

led

"can

dy."

Whe

n le

ft al

one,

they

may

loca

te th

e bo

ttle

and

eat o

r dr

ink

its c

onte

nts.

GR

OW

ING

CH

ILD

RE

N A

RE

CU

RIO

US

AB

OU

T ..

.

... th

ings

that

glitt

er ..

. pre

tty c

olor

ed p

ills

... b

ottle

san

d co

ntai

ners

of a

ll ki

nds.

The

se a

rous

e th

eir

nat-

ural

cur

iosi

ty.

If a

child

is in

the

craw

ling

stag

e,ar

rang

e to

kee

p ho

useh

old

prod

ucts

in p

lace

s ot

her

than

bel

ow th

e ki

tche

n si

nk u

nles

s th

e za

bine

t is

lock

ed o

r se

cure

d w

ith c

hild

saf

ety

latc

hes.

If th

e ch

ild is

wal

king

, be

cert

ain

that

bot

tles

and

boxe

s co

ntai

ning

med

icin

es o

r ho

useh

old

prod

ucts

are

put a

way

bef

ore

answ

erin

g th

e te

leph

one

ordo

orbe

ll.

If he

is a

ble

to c

limb,

find

a s

helf

that

is c

ompl

etel

ybe

yond

his

abi

lity

to r

each

, or,

bet

ter

yet,

lock

thes

epr

oduc

ts in

a c

abin

et o

r cl

oset

.

Afte

r us

ing

a pr

oduc

t, al

way

s re

-sec

ure

the

child

-re

sist

ant c

losu

re.

.U.S

. Gov

ernm

ent P

rintin

g M

e: 1

993

341-

810/

1300

55

5 5

11. Why You Should Open Your Eyes Before You Open YourMouth; Medicine Works Best When You Read the LabelFirst(A 4x 9 inch card (fits in a No. 10-sized erwelope) explainson one side how consumers can protect themselves againsttampering. The other side outlines the importance of readinglabels on nonprescription, over-the-counter (OTC) medicines,listing the kind of information that is typically provided on OMlabels.)

1,4,17tte the Nonprescription Drug Manufacturers Association,Public Affairs Department, 1150 Connecticut Ave., N.W,Washington, D.C. 20036. (Single copies or bulk.)

12. The Poison Safety Game(A game for older elementary school children to help themprotect their younger siblings from poisonings.)

Available free in single copies or bulk quantities up to 100copies. Food and Drug Administration, HFI-40, 5600 FishersLane, Rockville, MD 20857.

13. Plants That Poison(An illustrated chart of common poisonous plants indicatingsize, toxic parts and symptoms of poisoning. Contains infor-mation on preventing plant poisoning and emergencymeasures.)

Single copy free. Must send self addressed, stampedbusiness envelope to: Bronson Hospital Poison Prevention,252 E. Lovell (Attn: Nancy), Kalamazoo, Mi 49007.

14. Safe Use of Aerosols Around the House(Instructs the reader on proper use and storage of theseproducts. Shows how an aerosol product works and helpsfamilies understand directions and cautions on the label.)

Single copy free with self-addressed stamped envelope, 25cents each additional copy. Written requests only. Ordersunder $100.00 must be prepaid. Aerosol Education Bureau,1913 Eye Street, N.W., Washington, D.C. 20006.

15. "Is Your Home POISON SAFE?!"(An 81/2" x11" three fold brochure with an animated teddybear explaining why, what and when poisonings occurProvides safety tips to prevent poisonings. Available inEnglish and Spanish.)

Sample copy of English and Spanish is available. Orderform will be included upon request with price list. San Ber-nardino County Department of Public Health Child andAdolescent Health Program, 351 N. Mt. View, Room 305,San Bernardino, CA 92415-0010.

16. "Stop Lead Poisoning" Brochure(Featuring Big Bird character this brochure serves as aparental guide to causes, prevention and remedies of leadpoisoning.)

Product Number 49002-0000 (English)Product Number 49003-0000 (Spanish)

Prices, 1-99, $.45; 100-499, $.40. National Safety Council,1121 Spring Lake Drive, Itasca, IL 60143-3201. (Paymentmust accompany all orders under $25 plus shipping andhandling.)

17. What You Should Know About Lead-Based Paint In YourHome(A 4-page safety alert about the dangers of lead-based paint,how you can test the paint in your home for lead, and waysto reduce your exposure. Prepared by the U.S. ConsumerProduct Safety Commission.)

Single copy free. Consumer Product Safety Commission,Washington, D.C. 20207.

18. What You Need to Know About the Safety of Art & CraftMaterials(A twelve-page booklet that answers commonly-asked ques-tions about the safe use of art materials.)

Single copies free: quantities upon request. The Art andCraft Materials Institute, Inc., 100 Boylston Street, Suite1050, Boston, Massachusetts 02116.

19. Injury Prevention Program Safety Slips-TIPP(There are 8 age-related sheets with safety information onpoisons, burns, falls, and other hazards.) (Also available inSpanish.)

$60 for 100 copies of each set p. `e6.25 shipping andhandling charge. American Academy of Pediatrics, Publica-tions Department, P.O. Box 927, Elk Grove Village, IL 60009.Prepaid orders only.

20. Injury Prevention Program Safety Surveys-TIPP(There are 5 questionnaires, in checklist format concerningpoisons, bums, falls, and other hazards.) (Also available inSpanish.)

$37.50 for 100 copies of each set plus $6.25 shipping andhandling charge. American Academy of Pediatrics, Publica-tions Department, P.O. Box 927, Elk Grove Village, IL 60009.Prepaid orders only.

21. First Aid for Poisoning Chart(An 11" x17" chart with first aid instructions for poisoning andfor several other types of injury.)

Single copies $2.95, $55 for 100 copies plus $8.25 shippingand handling charge. American Academy of Pediatrics,Publications Department, P.O. Box 927, Elk Grove Village,IL 60009. Prepaid orders only.

22. Fighting Back: Helping Young People Kick the SniffingHabit(12-page illustrated booklet. Discusses the nature of inhala-tion abuse, identifies substances typically misused byadolescents, and gives practical guidelines for adults on howto deal with the problem before seeking outside help.)

Single copy free with self-addressed stamped #10 envelope.For bulk quantities, request in writing for bulk price infor-mation. Orders under $100.00 must be pre-paid. Write to:Aerosol Education Bureau, 1913 Eye Street, N.W.,Washington, D.C. 20006.

57

23. En Pie de Lucha: Ayudando a Los Jovenas a Combatirel Habito de Aspirar Substancias NocivasSpanish version of "Fighting Back: Helping Young PeopleKick the Sniffing Habit" (see separate listing under "FightingBack" for order Information).

PLEASE INCLUDE YOUR ZIP CODE WHEN ORDERING MATERIALS

NATIONAL

poisON REVENTION WEEKMarch 20-26, 1994

LIST OF MATER1ALS-1994

1. Tips on Child Safety(Contains facts on proper use and life-saving effectivenessof safety caps, advice on how to instill safety consciousnessin preschoolers, and general home safety tips.)

Produced by Closure Manufacturers Association. Sendstamped, self-addressed, business-size envelope to SafetyTips, CMA, 1627 K St. N.W. (Suite 800), Washington, D.C.20006.

2. Your Child and Household Safety(A monograph by Jay M. Arena, M.D. Discusses continuingneed to protect children from potentially harmful substancesand circumstances.)

$1.00 each. Special rate is available with name imprintedon orders of 1,000 or more upon request. Orders under$100.00 must be pre-paid. Published and distributed byChemical Specialties Manufacturers Association, Inc., 1913Eye Street, N.W., Washington, D.C. 20006.

3. Home Safe Home(Tips for parents on how to protect young children in the homeenvironment. Spanish versions e.vailable.)

Up to 100 copies free. Ask for information on larger orders.The Soap and Detergent Associwion, 475 Park AvenueSouth at 32nd Street, New York, Pill 10016.

4. Ten Guides to Proper Medicine Use(A brochure describing steps for consumers to follow whenbuying and taking prescription El d nonprescriptionmedicines.)

Up to 100 copies free. Ask for inforron on larger orders.Council on Family Health, 225 Park Avenue South, Suite1700, New York, NY 10003.

5. Preventing Accidental Poisonings (15217-0000)(A 16-page booklet discussing potentially harmful productsin the home, tips on how to prevent poisoning as well as whatto do in the event of an accidental poisoning. Includes a tear-off quick response chart to keep near the phone.)

Prices, each: 1-49, $.85; 50-99, $.90; 100-499, $65;500-999, $.60; 1,000+, $.55. National Safety Council, 1121Spring Lake Drive, Itasca, IL 60143-3201. (Payment mustaccompany all orders under $25 plus shipping andhandling.)

56

6. Babysitter's Checklist(Lists first aid information about injuries and accidentsresulting in poisoning, burns or bleeding. The laminated,reusable wall chart (11" x14") also has space to list emer-gency phone numbers and special instructions regarding achild's health.)Single copies of the Checklist are available for $1 to covermailing costs from the Council on Family Health, 225 ParkAvenue South, Suite 1700, New York, NY l000a

7. Clean and Safe(A four-page guide to safe use and storage of householdcleaning products that explains the information given onpackage labels, procedures for safe storage and use ofcleaning products, and what to do in case of emergency in-volving accidental exposure.)Up to 30 copies free. Ask for information on larger orders.The Soap and Detergent Association, 475 Park AvenueSouth at 32nd Street, New York, NY 10016.

8. Medicines and You: A Guide for Older Americans(12-page brochum to help older adults prevent adverse reac-tions from medicine interactions. Includes a sample medicinechart. Also available, a 52-page bilingual workbook in Englishand Spanish, ideal for workshops and seminars. In addition,there is a 61/2-minute videotape in Spanish with Englishsubtitles.)One copy free. Ask for information on larger orders. Coun-cil on Family Health, 225 Park Avenue South, Suite 1700,New York, NY 10003.

9. First Aid Guide (OP-01517)(A guide for first aid in the home. 67 pages, 4" x7".)Packages of 10 copies: 14, $8.50; 59, $8.50; 1024, $8.50;2549, $7.65; 5074, $7.20. American Medical Association,Order Dept., P.O. Box 10946, Chicago, IL 60610. (Paymentmust accompany all orders.)

10. Solid and Liquid Poisons In the Home (42904-0021)(A 4-page safety bulletin containing practical Information onpoisons in and around the home, pointing out specialdangers to children.)Prices, nal 10-99, $1.90; 100-999, $1.60. National SafetyCouncil, 1121 Spring Lake Drive, Itasca, IL 60143-3201.(Payment must accompany all orders under $25 plus ship-ping and handling.)

PLEASE INCLUDE YOUR ZIP CODE WHEN ORDERING MATERIALS

24. Child Safety SlipsEach of the sixteen Child Safety Slips provides guidelines forthe prevention of injury hazards. These handouts for parentshighlight some of the frequent causes of childhood accidents.Topics are:Infant Furniture: CribsBaby Sitting RemindersProtect Your Child .. . Prevent PoisoningSafe Driving . . . A Parental ResponsibilityProtect Your Home Against Fire... Planning Saves LivesWater Safety for Your School-Aged ChildLawn Mower SafetyHome Water Hazards for Infants and ToddlersPool Safety for ToddlersLife Jackets and Life PreserversAbout Bicycle HelmetsBicycle Safety: Myths and FactsTips for Getting Your Kids to Wear HelmetsChoosing the Right Size Bicycle for Your ChildSafe Bicycling Starts EarlyThe Child as Passenger on an Adult's BicycleEach Topic is available in sets of 100 for $7.50 plus $4.25shipping and handling charge.

American Academy of PediatricsPublications DepartmentP.O. Box 927Elk Grove Village, IL 60009 Prepaid orders only.

25. Sniffing Abuse: It Can Kill(Booklet, 81/2"x 11", 12 pages, two-color. Speaks to youngpeople about the hard facts of inhalant abuse. Explains thatsniffing is a drug problem; discusses the right and wrong useof breathing and inhaling; includes news bulletins of sniffingincidents and deaths; shows a diagram of body organsdamaged by sniffing; describes how a youngster might bedeprived of the joys of normal living.)

Single copy free. Request in writing for price information onbulk quantities. Orders under $100.00 must be prepaid.Aerosol Education Bureau, 1913 Eye Street, N.W.,Washington, D.C. 20006.

26. Pesticides and Child Safety(Contains tips on safeguarding children from accidentalpesticide poisonings or exposures and important contactphone numbers on who to call if an accident occurs. Alsoavailable in Spanish.)

Free copies available from the U.S. Environmental Protec-tion Agency, Office of Pesticide Programs, Field OperationsDivision, Communications Branch (H7506C), 401 M StreetS.W., Washington, D.C. 20460.

27. Using Insect Repelients Safely(Contains precautions for using insect repellents and tips onwhat to do if you suspect a child is reacting to an insectrepellent. Also available in Spanish.)

Free copies available from the U.S. Environmental Protec-tion Agency, Office of Pesticide Programs, Field OperationsDivision, Communications Branch (H-7506C), 401 M StreetSW., Washington, D.C. 20460.

58

28. Choking Prevention and First Ald for Infants andChlidren(Brochure on choking prevention. Folds out to 81/2" x14"poster on first ald technique.)

$27.50 for 100 copies, plus $6.25 shipping and handlingcharge. American Academy of Pediatrics, PublicationsDepartment, P.O. Box 927, Elk Grove Village, IL 60009.Prepaid orders only.

29. National Poison Prevention Week-1994(An 11"x 17" poster for windows, bulletin boards, etc.)

Quantities can be purchased from Poison Prevention WeekCouncil, RO. Box 1543, Washington, D.C. 20013. 25 copies$10.00; 50 copies $18.00; 100 copies $32.00 Post Paid. (Pay-ment MUST accompany orders.)

30. National Safety Council Posters:Read Labels Before Taking Medication (8025-A)Take Medicines Only as Prescribed (7641-A)Cosmetics may be Poisonous. Keep them out of the

Reach of Children (7660-A)Put Pills in their Place (7634-A)

(81/2 "x11" color posters emphasizing the importance ofkeeping children away from medicines and cleaning-products.)

Prices: (Minimum order: 10) 10-99, $1.90; 100+, $1.75.National Safety Council, 1121 Spring Lake Drive, Itasca, IL60143-3201. (Payment must accompany all orders under$25 plus shipping and handling.)

31. Is Your Home Poison Safe?(19" x24" multi-colored poster using an animated teddy beardepicting several "Oo and don't" scenes to prevent poison-ings. This poster is appropriate for a population with poorreading skills.)

Prices: $2.00 each, plus postage and handling. No freesamples are available. Payment must accompany order.Make check payable to "Child and Adolescent Health Pro-gram" and send it to: San Bernardino County Departmentof Public Health, CAHP, 351 Mt. View, Room 305, SanBernardino, CA 92415-0010.

32. If You Sniff To Get High(4-color, 271/2" x22" poster featuring The Jets, MCA record-ing artists, with the message, "If you sniff to get high, youmay get brain damage or die.')

Single copy free. For bulk quantities, request in writing forprice information. Orders under $100.00 must be pro-paid.Aerosol Education Bureau, 1913 Eye Street, N.W.,Washington, D.C. 20006.

PLEASE INCLUDE YOUR ZIP CODE WHEN ORDERING MATERIALS

33. Growing Up Safe. Baby's First Year(Sponsored bv The Children's Hospital of Alabama)

This home video encourages injury prevention, from themoment an infant leaves the hospital. Five programsegments are included in the 51 minute tape:

Birth to Four Months: Lying and RollingFive to Seven Months: Crawling and SittingEight to Twelve Months: Standing and CruisingEmergency First AidPoison Plant Guide

VHS, Beta $29.95 plus $3.00 Shipping3/4" U-matic $64.95 plus $3.00 Shipping

25% discount when ordering 3 ormore tapes.

Order From: Illustrated Care, Inc.529 Beacon Parkway West (Suite 201)Birmingham, AL 35209

Phone: 205/942-7311 or outside Alabama, 1-800-992-1567

34. 250,000 Ways to Destroy a Child's Life Without LeavingHome(15-minute color sound film. Relates poisoning hazards inaverage home to stages of a child's development and givesneeded prevention measures. Also shows steps to followwhen precautions fail. Informative for those responsible forchild-care as well as medical and paramedical personnel.Includes a new film guide to accompany film and a worksheet for teachers.)

Available as a 16mm color sound film ($275) or video-cassette ($75.00). Contact Mar/Chuck Film Industries,P.O. Box 61, Mt. Prospect, IL 60056.

35. The Travels of Timothy Trent(10-minute, 16mm, color sound film or videocassette. Tellsparents and others responsible for the care of your childrenhow safety packaging protects from accidental poisoning.Free discussion materials also available with this film.)

Produced by the U.S. Consumer Product Safety Commis-sion. Purchase price $105 (16mm film #007913); or $80 forvideo (#A03690), from the National AudioVisual Center, 8700Edgeworth Drive, Capitol Heights, MD 20743-3701.

36. Always Be Careful(A 10-minute, 16mm, sound, color film on instruction in safetyeducation. Includes emphasis on safety practices at school,at home, and In the community. This film focuses on theABC's of Safety in the Home and suggests five Importantsafety rules pertaining to home appliances, stoves, bathtubs,and sinks, electric and household cleansers.)

Produced by Lockwood Films, Inc. Available from Mar/Chuck Film Industries. P.O. Box 61, Mt. Prospect, IL 60056.16mm film ($225) or videocassette ($75.00). 59

37. Preventing Childhood Poisonings.(5-minute videocassette, color Shows how to poison-proofyour home, how common kitchen agents can fall Into thehands of children and how you can respond to emergenciesin which children have ingested dangerous substances.)

Produced by the Food and Drug Administration. Purchaseprice $40 (order #TCA14953), from the National AudioVisualCenter, 8700 Edgeworth Drive, Capitol Heights, MD20743-3701.

38. Baby Alive Videotape and BookThe Video That CouldSave Your Child's Life!Produced In cooperation with the American Academy ofPediatrics, this 60-minute videotape and book provide vitalinformation to keep your infant or young child safe andsecure. Phylicia Rashad of "The Cosby Show" and topmedical experts present a step-by-step guide for preventionand treatment of life-threatening situations facing childrenfrom birth to 5 years old, Including choking, drowning,poisoning, head Injuries, and cuts.)

Order the videotape by sending $19.95 each plus $4.25 sh'--ping and handling, or the book by sending $4.95 plus $4.2..,shipping and handling to: American Academy of Pediatrics,Publications Department, P.O. Box 927, Elk Grove Village,I L 60009-0927.

39. Child-Resistant Packaging Viduos(Three short segments emphasizing the need to use child-resistant packaging. The first two video segments (each 3:45in length) are narrated by grandparents. The third (4:15 inlength ) is a simulated TV news story about a child whoswallowed his grandparent's heart medicine.)

To order a 1/2" VHS videocassette of all three videosegments, send a check for $20 to Yellowstone Environmen-tal Science, 320 S. Willson, Bozeman, MT 59715(406-586-3905).

40. National Poison Prevention Week Packet(Folder containing list of available materials, fact sheet, stateand local officials' suggested proclamations, and other pro-motional materials for the National Poison Prevention WeekObservance.)

Order from Secretary, Poison Prevention Week Council, P.O.Box 1543, Washington, DC 20013.

41. Annual Report for NPPW-1993Single free copies available from the Secretary, PoisonPrevention Week Council, PO. Box 1543, Washington, DC20013.

42. NPPW List of Materials-1994A limited number of additional copies of this publication youare now reading is available, free, from the Secretary, PoisonPrevention Week Council, P.O. Box 1543, Washington, DC20013.

PLEASE INCLUDE YOUR ZIP CODE WHEN ORDERING MATERIALS

43. Presidential ProclamationSingle copies of the President's proclamation will beavailable after date of issue, Secretary, Poison PreventionWeek Council, RO. Box 1543, Washington, DC 20013.

44. "Locked Up Poisons"(An 81/2" x 11" pamphlet with safety recommendations forpoison prevention)

100 copies of this pamphlet are available. You may add yourown name and address when you reprint this pamphlet.Secretary, Poison Prevention Week Council, RO. Box 1543,Washington, DC 20013.

45. "Locked Up Poisons" (Spanish)(This is the Spanish version of the pamphlet mentionedabove.)

Single copies free. Secretary, Poison Prevention WeekCouncil, P.O. Box 1543, Washington, D.C. 20013.

46. "A General Approach to the Emergency Management ofPoisonings"(A 17" x22" poster describing clinical evaluation measures,decontamination and elimination procedures as well as abrief poison/antidote chart. Approved jointly by the AmericanCollege of Emergency Physicians and the American Associa-tion of Poison Control Centers.)

$8.00 per copy. ($5.00 per copy for ACEP members.) Orderfrom k.;EP Distribution Center, RO. Box 619911, Dallas,Texas 75261-9911. (Payment must accompany all orders.)

47. Poison Prevention Information(Selection of publications varies from state to state.)

Cooperative Extension Service educational resources areavailable from the Cooperative Extension Service in everycounty. Information in the form of publications, slides,meeting ideas, visuals and volunteer speakers are usuallyavailable. The county Cooperative Extension Service isusually listed under county government in the telephonedirectory. State headquarters at the land-grant universitiesare another source.

48. Prescription Medicine information and EducationResources(These items from the National Council on Patient Informa-tion and Education (NCPIE) are designed to help consumersand their health care providers better communicate aboutprescription medicines.)

"Community Brown Bag Medicine Starter Kit"-containseverything a local organization needs to organize,publicize and conduct a multiple medicine review for upto 50 patients including suggestions for recruitingvolunteer health professionals who conduct the actualmedicine review-$45.00 per kit;"A Parent's Guide to Medicine Use by Children"-$20.00per pack of 100;

"Children and America's Other Drug Problem: Guide-lines for Improving Prescription Medicine Use AmongChildren and Teenagers" (report, 40 pages) $8.00 percopy;

"Medicine: Before You Take lt, Talk About It" brochure(especially for older consumers)-$20.00 per pack of 50;"Priorities and Approaches for Improving PrescriptionMedicine Use by Older Americans" (report, 30pages)-$8.00 per copy;"Get the Answers" Personal Medical Data Wallet card(English or Spanish)-$10.00 per pack of 100;"Get the Answers" brochure-$20.00 per pack of 100;"Medicines: What Every Woman Should Know"brochure-$20.00 per pack of 100;"Alcohol and Medicines: Ask Before You Mix"brochure-$20.00 per pack of 100.

Make checks payable to NCPIE and mail to: NCPIE/666 11thStreet, NW, Suite 810/Washington, D.C. 20001. All prices in-clude shipping and handling. Allow 3 weeks for delivery.

49. National CAFE KIDS Campaign® Resource CatalogA free catalog describing childhood injury preventionresources developed by the National SAFE KIDS Cam-paign. The catalog lists general resources for injury preven-tion as well as resources for preventing bike-related injuries,scald and residential fire burns, and motor vehicle relatedinjuries. For a copy, please write to the National SAFE KIDSCampaign, 111 Michigan Avenue, NW, Washington, DC20010-2970, or call (202) 939-4993.

50. Emergency Telephone Stickers(Stickers for your telephone with spaces to inciude doctor,pharmacy and poison control numbers.)

Stickers are free (limit 2 per household). Ask for informa-tion on larger orders. Send self-addressed envelope toCouncil on Family Health, 225 Park Avenue South, Suite1700, New York, NY 10003.

51. Nonprescriptio.. Medicines: A Consumer's Dictionaryof Terms(A 31/4" x 9" booklet written to help consumers understandthe terminology found on over-the-counter product labels,and to help them exercise judgment about how and whento self-treat. Available in English or Spanish.)

Single copies of the Consumer Dictionary are available free.Ask for information on larger orders. Council on FamilyHealth, 225 Park Avenue South, Suite 1700, New York, NY10003.

52. Dennis the Menace Takes a Poke at Poison (FDA 81-7005)(A colorful poison prevention comic book, available in E1;91ishand Spanish.)

Available free in single copies or bulk quantities up to 100copies. Food and Drug Administration, HFI-40, 5600 FishersLane, Rockville, MD 20857.

60Note: All prices In thls list are subject to change afterthis document is printed.

NOTICE: The Poison Prevention Week Council is not responsible for the technical accuracy of materials on this "List ofMaterials." Questions about individual items should be directed to the author or sponsoring organization.

PLEASE INCLUDE YOUR ZIP CODE WHEN ORDERING MATERIALS

Poison Prevention Week Council

Chairman:Dada Williamson

Vice Chairman:Evelyne McFeaters

Treasurer:Bonnie Dean

Secretary:Ken Giles

O. Box 1543Washington, D.C. 20013(301) 504-0580

Poison Prevention Week Council Members:

American Academy of Clinical Toxicology

American Academy of Pediatrics

American Association of Poison Control Centers

American Association of Retired Persons

American College of Emergency Physicians

American

American

American

American

American

American

American

American

Dental Association

Managed Care Pharmacy Association

Medical Association

Nurses' Association

Petroleum Institute

Pharmaceutical Association

Public Health Association

Red Cross

61

American Society of Hospital Pharmacists

Art & Craft Materials Institute, Inc.

Boy Scouts of America

Chemical Specialties Manufacturers Association,Inc.

Closure Manufacturers Association

Cosmetic, Toiletry, and Fragrance Association

Council for Responsible Nutrition

Council on Family Health

Food Marketing Institute

Girl Scouts of the United States of America

National Agricultural Chemicals Association

National Association of Broadcasters

National Association of Chain Drug Stores

National Association of PediatricNurse Associates and Practitioners

NARD: Representing Independent Retail Pharmacy

National Paint and Coatings Association

National Safety Council

Nonprescription Drug Manufacturers Association

Pharmaceutical Manufacturers Association

Soap and Detergent Association

U.S. Conswner Product Safety Commission

U.S. Department of Agriculture,Extension Service

U.S. Department of Health and Human Services.Food and Drug Administration, Center forDrug Evaluation and Research

U.S. Environmental Protection Agency

PLEASE INCLUDE YOUR ZIP CODE WHEN ORDERING MATERIALS

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