Objective: In this paper, we describe trends in tobacco-related poison exposure calls (calls) involving young children in the US.
Methods: Data were from the National Poison Data System between January 1, 2001 and October 31, 2016. We analyzed data on calls involving children younger than 5 years old. We describe trends in calls over time and call frequency by age, tobacco product type, level of care, and other characteristics of calls.
Results: During 2001-2016, there were 123,876 calls involving young children. During the study period, calls increased for most product types; e-cigarette-related calls increased from 7 in 2010 to 2558 in 2015. In calls with information on level of care (92.2%), 278 children were admitted to an intensive care unit, 497 were admitted to a hospital noncritical care unit, and 19,834 were treated and released.
Conclusions: Tobacco-related poison events commonly occur in the US and can have serious health consequences. More than 123,000 events among young children were reported during 2001-2016, but this likely represents a small portion of actual tobacco-related poison events due to underreporting. It is critical to continue to monitor tobacco-related poison events and develop strategies to prevent tobacco-related harm.
Keywords: children; cigar; cigarette; hookah; poison; smokeless; tobacco.
Conflict of interest statement
Conflict of Interest Statement The authors have no competing interest to declare.
2014 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 32nd Annual Report.Clin Toxicol (Phila). 2015;53(10):962-1147. doi: 10.3109/15563650.2015.1102927. Clin Toxicol (Phila). 2015. PMID: 26624241
2015 Annual Report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 33rd Annual Report.Clin Toxicol (Phila). 2016 Dec;54(10):924-1109. doi: 10.1080/15563650.2016.1245421. Clin Toxicol (Phila). 2016. PMID: 28004588
2011 Annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 29th Annual Report.Clin Toxicol (Phila). 2012 Dec;50(10):911-1164. doi: 10.3109/15563650.2012.746424. Clin Toxicol (Phila). 2012. PMID: 23272763
Gila monster (Heloderma suspectum) envenomation: Descriptive analysis of calls to United States Poison Centers with focus on Arizona cases.Clin Toxicol (Phila). 2015 Jan;53(1):60-70. doi: 10.3109/15563650.2014.988791. Epub 2014 Dec 16. Clin Toxicol (Phila). 2015. PMID: 25511795 Review.
Frequency and outcomes of accidental ingestion of tobacco products in young children.Regul Toxicol Pharmacol. 2011 Nov;61(2):210-4. doi: 10.1016/j.yrtph.2011.07.010. Epub 2011 Jul 29. Regul Toxicol Pharmacol. 2011. PMID: 21821089 Review.
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