Unnikrishnan B, Singh B, Rajeev A
Department of Community Medicine, Kasturba Medical College, Karnataka, India.
Kathmandu Univ Med J (KUMJ). 2005 Apr-Jun;3(2):149-54.
In recent times poisoning with agricultural chemicals either accidental or suicidal has become common due to easy availability and low cost. So it has become essential to find out the burden of poisoning to the victims, family and to hospital and morbidity and mortality among the victims.
To determine the trends of poisoning along with various parameters such as mode of poisoning, type of poison used, outcome of the poisoning, the most vulnerable age group, occupation of the victim, and the marital status.
A 5 year retrospective study in which all the patients of acute poisoning admitted to Govt. Wenlock Hospital, Mangalore during the period from 1st Jan 1999 to 31st December 2003 were included. A total of 546 cases were admitted due to acute poisoning during the study period.
Three hundred and eighty (69.6%) males and one hundred and sixty six (30.4%) females were admitted to the hospital due to poisoning. Organophosphates were the most commonly used suicidal poison irrespective of age, sex and occupation of the victim. There were two hundred and thirty five cases of male suicidal poisoning and one hundred and twenty six female cases of suicidal poisoning. Majority of poisoning cases were seen in manual labourers. The increasing trend of poisoning was observed for the period of 1999 to 2003 except for the year of 2003.
The study highlights about the problem of poisoning in the region. Since the majority of the victims of the poisoning are from low socio economic status. There is economic burden on the family members of the victim of poisoning as the earning member of the family becomes ill (for treatment), dies (loss of earning member) and also emotional setback and disturbance.
近年来,由于农药易于获取且成本低廉,意外或自杀性农药中毒事件变得很常见。因此,有必要弄清楚中毒给受害者、家庭、医院带来的负担以及受害者的发病率和死亡率。
确定中毒的趋势以及各种参数,如中毒方式、所使用的毒物类型、中毒结果、最易受影响的年龄组、受害者的职业和婚姻状况。
进行一项为期5年的回顾性研究,纳入1999年1月1日至2003年12月31日期间入住芒格洛尔政府温洛克医院的所有急性中毒患者。在研究期间,共有546例因急性中毒入院。
因中毒入院的患者中,男性380例(69.6%),女性166例(30.4%)。无论受害者的年龄、性别和职业如何,有机磷是最常用的自杀性毒物。有235例男性自杀性中毒病例和126例女性自杀性中毒病例。大多数中毒病例见于体力劳动者。除2003年外,1999年至2003年期间中毒呈上升趋势。
该研究突出了该地区的中毒问题。由于大多数中毒受害者来自社会经济地位较低的群体。中毒受害者的家庭成员会面临经济负担,因为家庭的主要挣钱者生病(需要治疗)、死亡(失去主要挣钱者),还会遭受情感挫折和困扰。