Poison information center (Structural Organization and functions)

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• The first centers were instituted in North America and Europe during the 1950’s.
• The International Programme on Chemic...

• The need for advice on poison control, particularly with a view to encouraging
countries to establish poison information...

• In the developed countries, ministry or agency may have its own information
services for its specialized needs in a deve...

• Federation survey on poison control centers and related toxicological services; the
Joint IPCS/EC Project on Antidotes; ...

• It was the opinion of the meeting that the guidelines reflected experience in
Europe and North America, but should be te...

• The poison information centre is a specialized unit providing
information on poisoning, in principle to the whole commun...

• Provision of information and advice
• Patient management
• Laboratory services
• Teaching and training
• Toxicovigilance...

• Drug information and Pharmacovigilance
• Substances of abuse
• Environmental toxicology
• Contingency planning for chemi...

Provision of information and advice
• The main function of a poison information centre is to provide information and
advic...

Patient management
• While a poison information centre may have its own clinical toxicology unit or
treatment facilities, ...

Laboratory services
• A laboratory service for toxicological analyses and biomedical investigations is
essential for the d...

Teaching and training
• The experience gained in a poison information centre can be an important source
of human and anima...

Toxicovigilance
• Toxicovigilance is an essential function of poison information
centers. It is the active process of iden...

Prevention
Drawing on its observations and experience, a poison information centre
can contribute to the prevention of poi...

Drug information and Pharmacovigilance
• The medical profession must have access to advice on the therapeutic and
adverse ...

Substances of abuse
• All poison information centers receive enquiries about substances of abuse, including
substances of ...

Environmental toxicology
• There is growing anxiety among the general public about the possible
deleterious effects on hea...

Environmental toxicology…
• Poison information centres could play an important role in quantifying the
relationship betwee...

Contingency planning for chemical
incidents and disasters
• Poison information centers can contribute to the handling of m...

Cooperation and interrelationships
• To provide an effective information service and help in the
prevention and management...

Cooperation and interrelationships…
• Contacts are needed with ministries of health and the full range of health
services ...

• Service provided by poison information centers offers
considerable direct health benefits by reducing morbidity
and mort...

• Severe poisoning cases, which needs special facilities and
equipment for treatment, are sent directly to hospitals
where...

• The case data collected by centers provide an
epidemiological basis for local toxicovigilance and
contribute to the inte...

26
PIC: Structural organization & Functions
By: Dr. Abhimanyu Parashar

Planning a poison information center
During the planning of a poison information centre, the
following questions should be...

Planning a poison information center…
• Are the telephone and other communication systems adequate?
• How will the centre ...

Planning a poison information center…
Before a centre becomes operational it is also necessary to:
• obtain certain essent...

Operating a poison information center
• Once a poison information centre becomes
operational, i.e. is able to offer an eme...

Operating a poison information center…
• Responsibility for the correct handling of such
information rests essentially wit...

Information on commercial products
• Most existing poison information centers began by organizing card indexes
of basic in...

Information on enquiries
Systematically collected data on enquiries form an
essential part of the database at a centre.
Th...

Information on enquiries…
Standardized recording of enquiries, including those
relating to clinical cases, will allow the ...

Information on enquiries…
• Back up its clinical and legal responsibilities
• Validate new techniques of patient managemen...

PIC: Structural organization & Functions
By: Dr. Abhimanyu Parashar
36

Location
• When a poison information centre is established, especially in a
developing country, existing medical facilitie...

Location…
• Location at a university teaching hospital or in a toxicological or public
health institution may also have ad...

Facilities
• A poison information centre should be accommodated in suitable rooms
or working areas, equipped with basic fu...

Facilities…
• Staff on duty should have a private area providing the basic facilities
for personal hygiene and rest.
• Foo...

Furniture
• The minimum furniture needed for a new centre consists of desks
and chairs, a large work table, lockable filin...

Equipment
• It is particularly important that a poison information centre should have
equipment for fast and reliable comm...

Equipment…
• Electronic mailing systems (e-mail) are now being established at some centers. Fast
and reliable communicatio...

Equipment…
• If circumstances permit, automated systems may replace manual storage, retrieval,
and processing systems, and...

• A poison information centre should be headed by a Director experienced in
toxicology and have sufficient personnel to pe...

• Ultimately, centers also need advisers in various medical and non-medical fields,
few of whom would normally be on the s...

The medical toxicologist
• Medical toxicology is the discipline concerned with the harmful effects of
chemicals, including...

The medical toxicologist…
• He or she must keep abreast of the latest developments in all areas of the
discipline, includi...

The poison information specialist
• The personnel directly in charge of the round-the-clock response to enquiries are
term...

The poison information specialist…
• In many situations, poison information specialists will help evaluate the data used
a...

The poison information specialist…
• Training should lead to an officially recognized certificate or other qualification:
...

Veterinary expertise
• The widespread use of veterinary drugs and the addition of chemicals to animal
feedstuffs, unless c...

Administrative and support staff
• A centre should have at least one secretary and, if possible, clerical staff to
assist ...

Advisers in special areas
• When a poison information centre is being established, a variety of specialist help
and advice...

Advisers in special areas
• Consultation with representatives of medical associations and government or local
medical orga...

Development of human resources
• The evolution of the poison information centre will depend on local
circumstances, needs,...

Since poison information centers can be considered as part of the public
health service, government resources are the most...

• Other sources of funding may be acceptable, if they are available and if
the autonomy of the centre is guaranteed.
• Soc...

• Although the bulk of a centre's budget will be devoted to salaries, it
should be remembered that adequate funding for th...

• Poison information centers are important sources of
information on human toxicology; in particular, they may be
able to ...

Dr. Abhimanyu Parashar
E mail: abhi.parashar29@gmail.com
PIC: Structural organization & Functions
By: Dr. Abhimanyu Parash...

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