Feistkorn Esther, Greiner Matthias, Desel Herbert, Schaefer Michael, Graefe Adelgunde, Franke Heike, Hahn Axel
Fachgruppe Expositionsbewertung von gefährlichen Produkten, Bundesinstitut für Risikobewertung (BfR), Max-Dohrn-Straße 8-10, 10589, Berlin, Deutschland.
Rudolf-Boehm-Institut für Pharmakologie und Toxikologie, Medizinische Fakultät, Universität Leipzig, Leipzig, Deutschland.
Bundesgesundheitsblatt Gesundheitsforschung Gesundheitsschutz. 2019 Mar;62(3):341-349. doi: 10.1007/s00103-019-02886-1.
As a result of decentralized and non-harmonized documentation of poisoning cases within Germany, in comparison to other countries (e.g. the USA, Switzerland, Sweden, and the Netherlands), there is a substantial lack of harmonized national data, in particular for the early detection and risk assessment at the German Federal Institute for Risk Assessment (BfR).The establishment of a national monitoring system for poisonings in Germany is therefore an important step towards enabling faster and more efficient technical access to consolidated accumulated national poisoning data. Additionally, the monitoring would consolidate the publication of annual reports (modelled on the USA National Poison Data System reports) of the German Poison Information Centres and the BfR. Timely assessment of poisoning cases enables fast recognition and confirmation of acute as well as previously unrecognized poisoning hazards. Also relevant here is the safety of products and the associated protection, especially of children, against poisoning accidents.The continuous monitoring and reporting requirements of such a system necessitate additional and challenging work, suitable human resources and IT infrastructure and an annual budget that must be taken into consideration for overall as well as financial planning.
由于德国国内中毒病例的记录分散且不统一,与其他国家(如美国、瑞士、瑞典和荷兰)相比,德国严重缺乏统一的国家数据,尤其是在德国联邦风险评估研究所(BfR)进行早期检测和风险评估方面。因此,建立德国全国中毒监测系统是朝着更快、更有效地获取整合后的国家中毒累积数据迈出的重要一步。此外,该监测将整合德国中毒信息中心和BfR的年度报告(以美国国家中毒数据系统报告为蓝本)的发布。对中毒病例的及时评估能够快速识别和确认急性以及先前未被认识到的中毒危害。这里还涉及产品安全以及相关防护,尤其是针对儿童预防中毒事故。这样一个系统的持续监测和报告要求需要额外的、具有挑战性的工作、合适的人力资源和信息技术基础设施以及年度预算,在整体规划和财务规划中都必须予以考虑。