Blanc P D, Olson K R
Am J Public Health. 1986 Nov;76(11):1303-7. doi: 10.2105/ajph.76.11.1303.
The San Francisco Bay Area Regional Poison Control Center studied 189 cases of toxic workplace exposure occurring over a six-month period in the belief that Regional Poison Control Center reporting could be a useful surveillance measure for occupational disease. Dermatitis was a relatively uncommon occurrence, but systemic complaints were frequent, a pattern differing from that seen in standard occupational surveillance programs. As compared to chemically caused illness detected through a statewide physician reporting program in California, increases in proportional frequencies of certain industrial chemical causes were observed. A matching strategy utilizing the physician reporting system identified only 15.9 per cent of poison control center cases that appear to have been otherwise detected through established surveillance. A nationwide system of Regional Poison Control Centers already exists with a computerized data base in place. This study indicates that these centers could be utilized as a supplementary system for acute occupational illness related to chemical exposures.
旧金山湾区区域中毒控制中心对六个月内发生的189起有毒工作场所暴露案例进行了研究,认为区域中毒控制中心的报告可能是职业病的一种有用监测手段。皮炎相对不常见,但全身不适很常见,这种模式与标准职业监测项目中所见不同。与通过加利福尼亚州全州医生报告项目检测到的化学性疾病相比,某些工业化学病因的比例频率有所增加。利用医生报告系统的匹配策略仅识别出了通过既定监测本应检测到的中毒控制中心案例中的15.9%。全国性的区域中毒控制中心系统已经存在,且有一个计算机化数据库。这项研究表明,这些中心可作为与化学暴露相关的急性职业病的补充系统。