Provides authoritative guidelines for the establishment or
improvement of national programmes for poison control. Addressed to
policy-makers and the administrators of specialized facilities, the
book responds to the need for comprehensive advice on the most
rationale and effective ways to manage the greatly increased number
of poisoned patients seen throughout the world. Strategies for the
prevention of poisoning are also described. The guidelines draw on
the practical experiences of numerous well-established poison
centres in different parts of the world. Although recommended lines
of action have universal relevance, the book gives particular
attention to the situation in developing countries, where a basic
infrastructure for the care of poisoned patients is often absent
and special problems arise from the lack of adequate
communications, transportation, drugs, and support services.
Throughout, emphasis is placed on the role and functions of a
poison information centre as a crucial component of any national
programme for poison control. The book has nine chapters presented
in two parts. Part one provides an overview of the policy issues
surrounding decisions to introduce measures, including specialized
facilities, for the prevention and management of poisoning. Arguing
that a poison information centre should be available in every
country, part one also describes the benefits of such centres,
outlines their principal functions, and suggests various options
for their logical and cost-effective operation. Against this
background, part two provides detailed technical advice on how to
organize and operate the various facilities and services that make
up a comprehensive system for poisoncontrol. Separate chapters
describe the functions and requirements of information services,
clinical services, and analytical toxicological and other
laboratory services, and discuss the importance of toxicovigilance
as a strategy for prevention. Subsequent chapters explain how to
deal with major emergencies involving toxic chemicals, and outline
solutions to the problem, encountered in most developing countries,
of obtaining essential antidotes. Part two concludes with advice on
the design and content of forms for collecting, storing, and
reporting data, followed by a detailed list of the main literature
required in a poisons information centre. Additional practical
information is provided in a series of annexes, which describe a
computer software system for the management of poisons data,
reproduce several model record and reporting forms, and classify a
large number of antidotes and related agents according to their
proven effectiveness and urgency of availability. ..." For those
involved in improving safety, this book is a bible... It is very
difficult to be critical of this outstanding work ... an essential
reference for all those involved in the use and handling of
chemicals. For regulators and those concerned with government
policy issues, it should be compulsory reading..." - Chemistry and
Industry
General
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