Notes

Outline

OKLAHOMA POISON CONTROL CENTER University of Oklahoma College of Pharmacy Annual Report January 1, 2001 to December 31, 2001

2001 FACTS AT A GLANCE 46,983 - Total initial calls. 32,886 - Human poisoning-related calls. Children 6 years and younger accounted for 18,989 poisoning calls or almost 58% of the total. 21,210 - Follow-up calls.

2001 FACTS AT A GLANCE 12,462 - Poison and drug information calls. 1,524 - Animal poisoning calls. 68,193 - Total telephone volume of incoming and outgoing calls.

2001 FACTS AT A GLANCE 80% of 32,886 human exposure cases safely managed in the home Overall minimal savings = $6,540,750 26,163 cases X average ER cost ($250) (Not including saved costs in unnecessary physician office visits, hospital admissions, laboratory testing, and ambulance transports )

2001 FACTS AT A GLANCE Operations cost $1,175,000 in FY 01 (July 2000 to June 2001) for direct expenses only. Of this budget, more than 90% was spent on personnel. Expenses represent a cost of $25 per poisoning or information call.

2001 FACTS AT A GLANCE Prevention programs and educational efforts included: 42 public presentations, 35 public interviews in 2001. 18 press releases, 7 professional presentations, 5 community outreach programs, 2 professional journal articles Additionally, 210,118 telephone stickers and brochures were distributed to the public as well as civic and health organizations.

Oklahoma Poison Control Center Administrative Director Carl K. Buckner, R.Ph., Ph.D. Managing Director Lee McGoodwin, R.Ph., MS, Diplomate-American Board of Applied Toxicology Medical Director William Banner, Jr., MD, PhD, Diplomate - American Board of Medical Toxicology Education Coordinator Tracy N. McKeown, MPH,

Oklahoma Poison Control Center Staff Senior Certified Specialists, Poison Information Roger Blackwell, RPh, CSPI, Nile Clifton, Pharm. D, CSPI, Trudy Hefner, RN, CSPI, Scott Schaeffer, RPh, CSPI, Kimmel Stanton, MS, CSPI, Kerri Williams, RPh, CSPI,

Oklahoma Poison Control Center Staff  Specialists, Poison Information Randy Badillo, RN, CSPI Eligible 5/2003 Debbie Johnson, RN, CSPI Eligible 5/2002 Mark Madden, RN, CSPI Eligible 5/2002 Marda Riley, RN,, CSPI Eligible 5/2002

Portrait of a Typical Poisoning Exposure Who:   Male; 2 years old What:  Cosmetics/Personal Care Prod. Where: Own Residence When:  July; Monday;  After    Evening Meal Time Why:   Unintentional, General Caller:  Parent or caregiver Management Site:  Own Residence Medical Outcome:  Minor symptoms, if any Management:          Rinse, wipe, dilute, and observe

Age and Gender of Poisoning Victims

Ten Drug Categories Involved in  Overdoses

Top Ten Non-drug Toxins

Exposure Site Number Percent Own Residence 28,694 87.25 Other Residence 1,682 5.11 Workplace 1,060 3.22 Public area 487 1.48 School 416 1.26 Restaurant/Food Service 210 0.64 Other 199 0.61 Health Care Facility 70 0.21 Unknown 68 0.21 Total 32,866 100

Site of Caller Site of caller Number of Human Exposures Own Residence 26,641 Health Care Facility 3,376 Other Residence 1,158 Workplace 746 Other 680 Public Area 134 School 130 Unknown 11 Restaurant/Food Service 10 Total 32,886

Geographic Location of the Caller:  Oklahoma Counties:  2001

Geographic Location of the Caller:  Oklahoma Counties:  2000

Time of Day Mealtimes are especially busy periods of time when accidental poisoning occur. The demand for emergency services is high and steady from 10:00 A.M. to 11:00 P.M. Less than 8 percent of calls are received after midnight,  but cases tend to be more serious.

Percent of Calls per Hour of Day

Distribution of Poisoning Calls During the Week

Human Exposures by Month

Categories of Reasons for Exposures

Reasons for Unintentional Exposures

Reasons for Intentional Exposures

Callers – Health Care Professionals   Calls most frequently received are from the  lay public.   13.6% (4,482) of the calls came from  healthcare professionals

Exposure Calls from Health Care Providers

Management Site Number Percent Managed on site (non HCF) 26,163 79.56 Managed in HCF   Treated & Released 3,929 11.95   Adm to Critical Care 510 1.55   Adm to Noncrit. care 575 1.75   Adm to Psyc. 394 1.20   Lost /Left AMA 463 1.41 Subtotal 5,871 17.85 Other 89 0.27 Refused referral 722 2.20 Unknown 41 0.12 Total 32,886 100

Medical Outcomes of Poisoning Exposures Medical outcome Numbers of Exposures No effect 5,540 Minor Effect 4,786 Moderate Effect 821 Major Effect 120 Death 12 Death, indirect report 1 No follow-up, nontoxic 3,062 No follow-up, min.tox. 16,853 Unable to follow,  toxic 780 Unrelated effect 911 Total exposures 32,886

Agents Responsible for Death or Moderate to Major Outcomes

Slide 30

1998-2001 Comparisons