J Korean Med Assoc.  2013 Aug;56(8):724-735. 10.5124/jkma.2013.56.8.724.

Necessity and the strategy to establish a national poison center in Korea: through needs survey analysis and database status for Chemical Accident Emergency Respond Information System

• Kim KH
• Song DJ
• Park MS
• Park YS
• Kim HJ
• Choi JW

• KMID: 1847875
• DOI: http://doi.org/10.5124/jkma.2013.56.8.724

Abstract

This study is to prepare promotional strategies of establishment of the Korea Poison Center based on the chemicals and chemical products and the database (DB) construction status of Chemical Accident Emergency Respond Information System (CEIS) and the DB needs survey of the lay person. The methods of CEIS DB construction and hazard classification are; first, the researchers required material safety data sheet from the manufacturer/distributor and verified its composition/information on ingredients. Second, the researchers conducted the hazard classification of the chemical products by the mixtures classification according to the United Nations Globally Harmonized System of Classification and Labelling of Chemicals (GHS, 3rd edition) guidelines based on the verified composition/information on ingredients. The emergency measures information was established by the Emergency Department healthcare professionals. Health hazards are classified by using 13 reference databases, which include European Chemical Substances Information System (IUCLID) and IARC, and 4 reference books like Emergency Management Guides(ERG). As the result of analyzing the DB construction status of chemical products, it showed in the order of, 180 for vehicle products (15.0%), 162 for printing products (14.0%), 129 for paint (11.0%) and 120 for adhesives (10.0%). Currently in 2013, emergency respond information was established for a total of 2,400 chemicals (includes 1200 chemical products). As the result for conducting a needs survey for the establishment of emergency respond information targeting on the general public and professionals, it showed the highest level of demand for the establishment of emergency respond information on 'household products (2.87 points)' for both lay person and experts. As the result of analyzing the Q&A of the lay person until March 2013, through CEIS, it showed the highest inquiry on disinfectant and germicide products with 11 issues (27.5%). World Health Organization recommends to provide emergency consultation and information on poisoning accidents and operate a 24 hour national poison center able to perform the research functions for every nation. However, there is no such national poison center in Korea, and it can be said fundamental reform of the national poison management system and establishment of national poison center is urgent, considering the fact social demand and citizens from recent consecutive chemical poisoning accidents are increasing.

Keyword

Poisoning; National poison center; Chemical; Household products; Chemical products

MeSH Terms

Adhesives
Chemical Hazard Release
Delivery of Health Care
Emergencies
Hazardous Substances
Household Products
Humans
Information Systems
Korea
Paint
Reference Books
United Nations
World Health Organization
Adhesives
Hazardous Substances

Figure

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  Figure 1 Logic in establishment of Chemical Accident Emergency Information System database (DB). GHS, Globally Harmonized System of Classification and Labelling of Chemicals.

Reference

1. Lee KS, Kim HO, Lee HJ. A study on current state of providing chemical information in Korea and how to diversify the contents. Incheon: Korea Occupational Safety and Health Agency, Occupational Safety and Health Research Institute;2010.

2. Ministry of Environment. White paper of environment 2011. Sejong: Ministry of Environment;2011.

3. Choi JW, Kim KH, Cho KH, Song DJ. Developing risk communication strategy for chemical safety. Incheon: Occupational Safety and Health Research Institute;2012.

4. Shin SD, Suh GJ, Rhee JE, Sung J, Kim J. Epidemiologic characteristics of death by poisoning in 1991-2001 in Korea. J Korean Med Sci. 2004; 19:186–194.

5. Kang BS. Toxicants reported in research on fatal toxic exposure in Korea. J Korean Soc Emerg Med. 2007; 18:32–40.

6. Bronstein AC, Spyker DA, Cantilena LR Jr, Rumack BH, Dart RC. 2011 Annual report of the American Association of Poison Control Centers' National Poison Data System (NPDS): 29th annual report. Clin Toxicol (Phila). 2012; 50:911–1164.

7. Kim JN. A survey on the status of infants and preschoolers poisoning. Seoul: Consumer Safety Center, Korea Consumer Agency;2009.

8. Park CS, Eun SH, Yang MH, Son JA, Hwang JY, Ko JW, Ahn DH. A study of acute poisoning in Korean children. J Korean Pediatr Soc. 2001; 44:614–619.

9. Kim KH. Core strategy for establishment of Korean Poison Information Center. Seoul: Research Institute for Healthcare Policy, Korean Medical Association;2012.

10. Kim YJ. Research for the product information of toxicity. Cheongwon: Ministry of Food and Drug Safety;2010.

11. Roh HK. Establishment of poison information system. Cheongwon: Ministry of Food and Drug Safety;2008.

12. Korea University Graduate School of Public Health. Institute for Occupational and Environmental Health of Korea University. In : Proceedings of the International Symposium on National Poison Centers in Pacific Region: Korea, China, Japan, and United States of America; 2013 Feb 22; Seoul, Korea. Seoul: Korea University Graduate School of Public Health;2013.

13. European Commission. Technical guidance document on risk assessment. Bruxelles: European Commission;2003.

14. National Center for Environmental Assessment. Exposure factors handbook. Washington, DC: National Center for Environmental Assessment, US Environmental Protection Agency;1997.

15. US Department of Health and Human Services. Household products database [Internet]. Bethesda: US Department of Health and Human Services;cited 2013 Feb 20. Available from: http://householdproducts.nlm.nih.gov.

16. Quality Control and Management of Industrial Products Act, Law No. 11690. (Mar 23, 2013).

17. Ministry Employment and Labor. Enforcement Decree of the Occupational Safety and Health Act Article 32 2.

18. Kim H, Kim M. Consumers' awareness of the risk elements associated with foods and information search behavior regarding food safety. J East Asian Soc Diet Life. 2009; 19:116–129.

19. Hwang YJ. Utilization status and implication of consumer food safety information. Seoul: Korean Rural Economic Institute;2010.

20. Choi JW, Kim KH, Song DJ. Research proposal for stake-holders' risk communication performance and strategies: an interactive target-group approach. Cheongwon: Ministry of Food and Drug Safety;2011.

21. Meyer S, Eddleston M, Bailey B, Desel H, Gottschling S, Gortner L. Unintentional household poisoning in children. Klin Padiatr. 2007; 219:254–270.

22. Young Doctor. Makes 4 poison measures committee participated by Ministry of Welfare and Korea Drug Development Fund [Internet]. Seoul: Young Doctor;2013. cited 2013 Apr 20. Available from: http://www.docdocdoc.co.kr/news/newsview.php?newscd=2013032100009.

23. WHO. Guidelines for poison control[Internet]. cited 2013 Feb 20. Avaliable from: http://www.who.int/ipcs/publications/training_poisons/guidelines_poison_control/en/.

24. Miller TR, Lestina DC. Costs of poisoning in the United States and savings from poison control centers: a benefit-cost analysis. Ann Emerg Med. 1997; 29:239–245.

25. American Association of Poison Control Centers. Value of the poison center system [Internet]. The Lewin Group, Inc;2012. 09. 26.

26. World Health Organization. World directory of poison centers [Internet]. Geneva: World Health Organization;2012. cited 2012 Feb 20. Available from: http://apps.who.int/poisoncentres.