Pesticide-Related Poison Center Exposures in Children and Adolescents Aged ≤19 Years in Texas, 2000–2013

Details

• Personal Author:
  Cizmas LH ; Forrester MB ; Han D ; Shipp EM ; Trueblood, Amber B. ; Cizmas LH ; Forrester MB ; Han D ; Shipp EM ; Trueblood, Amber B.
• Description:
  CONTEXT: Although national poison center data show that pesticides were the 8th most commonly reported substance category (3.27%) for children aged <5 years in 2014, there is limited information on childhood and adolescent pesticide exposures. OBJECTIVE: This study assessed pesticide-related poison center exposures in children and adolescents aged <19 years from 2000-2013 in Texas to characterize the potential burden of pesticides. MATERIALS AND METHODS: Pesticide-related poison center exposures among children and adolescents aged 19 years reported to Texas poison centers were identified. The distribution of exposures was estimated by gender, age category, medical outcome, management site, exposure route, and pesticide category. RESULTS: From 2000 to 2013, there were 61,147 pesticide-related poison center exposures in children and adolescents aged <19 years. The prevalence was highest among males at 864.24 per 100,000 population. The prevalence of unintentional exposures was highest among children aged <5 years at 2310.69 per 100,000 population, whereas the prevalence of intentional exposures was highest among adolescents aged 13-19 years at 13.82 per 100,000 population. A majority of medical outcomes reported were classified as having no effect (30.24%) and not followed, but minimal clinical effects possible (42.74%). Of all the exposures, 81.24% were managed on site. However, 57% of intentional exposures were referred to or treated at a health-care facility. The most common routes of exposure were ingestion (80.83%) and dermal (17.21%). The most common pesticide categories included rodenticides (30.02%), pyrethrins/pyrethroids (20.69%), and other and unspecified insecticides (18.14%). DISCUSSION: The study found differences in the frequency of exposures by intent for sex and age categories, and identified the most common medical outcomes, management site, exposure route, and pesticide category. CONCLUSION: Through characterizing pesticide-related poison center exposures, future interventions can be designed to address groups with higher prevalence of exposure. [Description provided by NIOSH]
• Subjects:
  Adolescent Aging Environmental Exposure Hazardous Substances Insecticides Occupational Health Poisoning Risk Assessment Risk Factors Safety Sex Characteristics Skin

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• Keywords:
  Adolescents Age Groups Author Keywords: Adolescents Children Dermal Exposures Exposure Levels Gender Factors Humans Pesticides Pesticides And Agricultural Chemicals Poison Center Poisons Pyrethroids Risk Factors Rodenticides Statistical Analysis Toxins

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• ISSN:
  1556-3650
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article ; Journal Article
• Place as Subject:
  OSHA Region 6 ; Texas
• CIO:
  National Institute for Occupational Safety and Health (NIOSH) ; National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health ; Workplace Safety & Health
• Location:
  North America ; North America
• Volume:
  54
• Issue:
  9
• NIOSHTIC Number:
  nn:20052492
• Citation:
  Clin Toxicol 2016 Nov; 54(9):852-856
• Contact Point Address:
  Amber B. Trueblood, Department of Environmental and Occupational Health, Texas A&M Health Science Center School of Public Health, 212 Adriance Lab Rd. 1266 TAMU, College Station, TX 77845
• Email:
  trueblood@tamhsc.edu
• Federal Fiscal Year:
  2017
• Performing Organization:
  Texas State Department of Health Services
• Peer Reviewed:
  True
• Start Date:
  20060701
• Source Full Name:
  Clinical Toxicology
• End Date:
  20160630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:6eebe9dc512f3a6b442d82a7092151d79e0ec0f58707a5e439fea8f14a30e9953c5495c34d381766c002ce4ca2b22380ac901a54e30376625cded19523a51e0b
• Download URL:
  https://stacks.cdc.gov/view/cdc/212009/cdc_212009_DS1.pdf
• File Type:
  [PDF - 1.09 MB ]