The profile of acute poisonings in Harayana-Rohtak Study

J Assoc Physicians India. 1995 Nov;43(11):756-9.

Abstract

A prospective study of 559 cases of acute poisoning who came to this hospital over a period of 14 months. 91.4% cases were of self poisoning (suicidal), 8.1% accidental and only 0.5% homicidal. Majority of patients were young (mean age 27 years), males twice the number of females. Almost 3/4th of the total patients belonged to lower socio-economic group (rural more than urban). The common causative factors which led to self poisoning were marital disharmony, economic hardships and scolding/disagreement with other family members. Aluminium phosphide (ALP) was the most commonly abused substance followed by organophosphates and zinc phosphide in 67.8, 13.9 and 4.3% cases respectively. The overall mortality rate in the series was 33.82%, but true mortality rate in patients who consumed ALP was as high as 67.6%. Most of these cases (94.9%) were not given any preliminary treatment in the village primary health centre (PHC) nearest to the site of mishap and they were brought/referred to this hospital straight and thus most valuable time crucial for effective treatment was lost. Easy availability of a highly toxic substance like ALP at peak moments of frustration has added fuel to the fire and pushed up the incidence of self-poisoning. Suggested preventive measures include caging of tablets in plastic packs, stringent restrictions on free supply of ALP and education of medical/paramedical personnel involved in health care delivery at grass root level.

MeSH terms

  • Accidents / statistics & numerical data
  • Adult
  • Aluminum Compounds / poisoning
  • Female
  • Homicide / statistics & numerical data
  • Humans
  • India / epidemiology
  • Insecticides / poisoning
  • Male
  • Pesticides / poisoning
  • Phosphines / poisoning
  • Poisoning / epidemiology*
  • Prospective Studies
  • Rodenticides / poisoning
  • Suicide / statistics & numerical data
  • Suicide, Attempted / statistics & numerical data
  • Zinc Compounds / poisoning

Substances

  • Aluminum Compounds
  • Insecticides
  • Pesticides
  • Phosphines
  • Rodenticides
  • Zinc Compounds
  • zinc phosphide
  • aluminum phosphide