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Sir Charles Gairdner Hospital

The Queen Elizabeth II Medical Centre

Hospital Avenue, Nedlands,

Western Australia, 6009

Phone: Administration 08 9346 1943

Phone 24 hours - 13 11 26

Western Australian Poisons Information Centre Annual Report

2010

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Table of Contents

1. Introduction .......................................................................................................................................... 3

2. Emergency and information services ................................................................................................... 3

3. Preventative activities ......................................................................................................................... 3

4. Training activities for professionals...................................................................................................... 3

5. Current research activities and publications ....................................................................................... 4

6. Data provision to health authorities and other agencies..................................................................... 4

7. Local, national and international meetings .......................................................................................... 5

8. Personnel .............................................................................................................................................. 5

9. Call recording........................................................................................................................................ 6

10. Phone call numbers and characteristics ............................................................................................ 6

11. Case Statistics ..................................................................................................................................... 9

Appendix 1 - Agent Use/Function Categories ......................................................................................... 17

Appendix 2 - Agent Use function by age group ........................................................................................ 18

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1. Introduction

The Western Australian Poisons Information Centre (WAPIC) commenced operation at Princess Margaret Hospital in 1966. In late 1999, the WAPIC moved to Sir Charles Gairdner Hospital (SCGH), a move that reflected a change in the characteristics of poisonings, with fewer serious paediatric cases and a significant increase in adult poisonings. At SCGH, the WAPIC became closely associated with the Emergency Department and the developing Clinical Toxicology Unit. A Medical Director was appointed to the centre in 1999. In early 2000, the South Australian (SA) PIC closed and the WAPIC took over its coverage to include SA and the Northern Territory, thus expanding our service region to more than half the geographical area of Australia.

2. Emergency and Information Services

The Western Australian Poisons Information Centre provides telephone consultation to the general public and medical professionals in cases of poisoning or suspected poisonings. The centre also provides advice on poisoning prevention, drug information, first-aid management of exposures, and the identification of toxic agents. Complex cases are referred to the on-call Clinical Toxicologist based at Sir Charles Gairdner Hospital, Royal Perth Hospital and Fremantle Hospital. In 2010 the WAPIC referred 1443 calls to the WA Clinical Toxicology Group.

The WAPIC serves Western Australia, South Australia, and the Northern Territory; a total population of 4.2 million 1. Operational hours: 08:00 to 22:00 h WST (14 hours), five days per week and 08:00 to 04:00 h (20 hours) two days per week. Outside these hours calls are diverted to the NSW, Queensland or Victorian PIC’s who share out-of-hours service.

Access to the service is via the 13 11 26 phone number which is charged at the cost of a local call from any landline in Australia.

3. Preventative activities

Our centre collaborates with Kidsafe WA and the Injury Control Council of Western Australia. Printed material was supplied to community groups, including child health centers, day care centers and to interested members of the general public. Information is provided on first-aid management of poisonings and envenoming, the safe storage and use of household chemicals including pesticides and poisonous plants.

4. Training activities for professionals

On-going training and education was provided through attendance of fortnightly case conferences held by the Clinical Toxicologists and weekly education sessions. In addition, a representative attends the bi-monthly national clinical meetings held at the NSWPIC. At these meetings case presentations are made and consensual case management guidelines are formulated.

Clinical placement was provided for two, final year Curtin University, Bachelor of Pharmacy students and lectures were given to Curtin University, Post-graduate Diploma of Pharmacy students.

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5. Current research activities and publications

Jelinek GA, Jiwa M, Gibson NP, Lynch A-M. (2008) “Frequent attenders at emergency departments: a linked-data population study of adult patients”. Medical Journal of Australia, 189(10) 552-556.

Quigley, P, Lynch, DM, Little M, Murray L. Lynch AM and O’Halloran SJO. (2009). "Prospective study of 101 patients with suspected drink spiking." Emergency Medicine Australasia, 21(3): 222-228. Little, M Murray L, Lynch A-M “Improving our knowledge about jellyfish stings and initial first aid management”. (Recruitment in progress).

Jelinek GA, Jiwa M, Gibson NP, Lynch A-M. “Frequent attenders at emergency departments: a linked-data population study of paediatric patients”. (Data analysis in progress).

6. Data provision to health authorities and other agencies

“Cases of lye water exposure, January 1, to September 30, 2011”, provided to the SA Department of Health. “WAPIC data on cases of poisoning due to energy drinks formulated caffeinated beverages 2004-2010” provided to NSW Department of Health. “Cases of pediatric ingestion of Woman and Children’s Hospital mouth paint; retrospective analysis 2008-2010” provided to the SA Department of Health. “The Denver Prescription Drug Abuse Study”, WAPIC cases (October 2010 to October 2011) involving methylphenidate, dexamphetamine, methadone, oxycodone and buprenorphine provided to NSWPIC. “Cases of paediatric exposure to methadone syrup” provided to the South Australian Child Death and Serious Injury Committee. “Cases of exposure to synthetic cannabis (spice, kronic) January 2011 to April 2011” provided to WA Department of Health. “Paediatric cases involving nicotine containing gum and patches 2004-2010” provided to the Department of Public Heath, SA Health. “South Australian cases of poisonings occurring in retail outlets, shops and restaurants 2001-2010” provided to the SA Heath Injury Surveillance Group. “Call data involving double blinded clinical trial medications prescribed for the South Australian public” provided to the Department of Public Heath, SA Health. “The number of South Australian cases reported the WAPIC in the past 12 months involving exposure to household hazardous waste” provided to the South Australian Government Department Zero Waste. “Case data involving paediatric ingestions and eye exposures to alcohol base hand lotions” provided to the infection control group at the Royal Women’s Hospital Melbourne: a national collaborate survey.

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7. Local, national and international meetings

Three Poisons Information Specialists attended the bi-monthly NSWPIC clinical meetings at Westmead Children’s Hospital, Sydney. 8. Personnel

Medical Director

Dr Jason Armstrong, MB, ChB, FACEM

Administrative Director (Head of Department)

Dr Ann-Maree Lynch, BSc. (Hons) PhD

Specialists-Poison Information

Dr Ann-Maree Lynch, BSc (Hons) PhD

Kasra Ahmadi, BSc. BPharm.

Klaus Auert, BPharm.

Dale Beecham, BPharm.

Tony Coltrona, BPharm.

Teresa DiFranco, BSc.

Christine Duncan RN B.Sc. (Nursing) Grad.Cert. (Crit Care, Infection Control), PGDip (Crit Care).

Mechaeil Farag, BPharm.

Esterita Farano, BSc (Hons), BPharm.

Donald Hulme, BSc.(Pod.), MPharm.

Bridgett McKay, BPharm.

Nick Merwood, BSc. MPharm.

Shirley Murphy, BPharm.

Yumi Tan, BPharm., Grad Dip Pharm.

Ray Thomas, BPharm.

Medical Consultants

Dr Mark Monaghan, MB BS, FACEM

Dr Frank Daly, MB BS, FACEM

Dr David McCoubrie, MB BS, FACEM

Dr Jason Armstrong, MB ChB, FACEM

Dr Ovidu Pascu, MD, FACEM

Dr Jessamine Soderstrom , MB BS FACEM, Grad Cert Tox.

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Toxicology Fellows

Dr Kerry Hoggett, MB BS, G Cert Clin Tox, FACEM Dr Alan Gault, MB ChB, BAO, BA HSc, FACEM

9. Call recording

Call details are entered directly into a computer database, the INTOX Data Management System which was developed and is maintained by the International Programme on Chemical Safety and the World Health Organisation ,Geneva, Switzerland.

Incoming communications are classified as Cases, Incidents or Requests. A case is defined as a record of exposure or potential exposure of an individual to an agent. 2 Requests include drug information calls including drug information in pregnancy and lactation, advice on chemical safety, details on product constituents and requests for printed information. An incident is defined as an event leading to exposure or potential exposure involving one or many victims. At the time of the phone call specific individual victim details are not available in incidents.

10. Phone call numbers and characteristics

(a) Number of incoming phone calls by state of origin (Table 1)

(b) Monthly call volume (Graph 1)

(c) Incoming phone calls per category of caller (Table 2)

(d) Number of Cases, Incidents and Requests (Table 3)

(e) Comments

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a) Table 1: Number of incoming phone calls by state of origin

Incoming phone calls Total calls %

Western Australia 21127 52.1

South Australia 14671 36.2

Northern Territory 1534 3.8

New South Wales 1425 3.5

Victoria 739 1.8

Queensland 772 1.9

Australian Capital Territory 103 < 1

Tasmania 69 < 1

Overseas 5 < 1

Unknown/not recorded 87 < 1

TOTAL 40532

(b) Graph 1. Monthly call volume

0

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1000

1500

2000

2500

3000

3500

4000

Janu

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Februa

ry

Mar

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June

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(c) Table 2. Incoming calls per category of caller

Caller Total calls %

Family member/victim

Parent 15211 37.5

Grandparent 569 1.4

Partner 1520 3.7

Family not-specified 2902 7.2

Victim 7513 18.5

Health personnel

Physician 4557 11.2

Non-physician medical 2919 7.2

Ambulance officer 381 1.0

Veterinary personnel 696 1.7

Health other 155 < 1.0

Other personnel 80 < 1.0

Carer 2057 5.1

Social worker /counsellor 81 < 1.0

Education worker 181 < 1.0

Police 58 < 1.0

Emergency services 3 < 1.0

Military 1 < 1.0

Other personnel not specified 18 < 1.0

Other 1585 3.9

Unknown/not recorded 45 < 1.0

TOTAL 40532

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(d) Table 3: Number of cases, incidents and requests for information

Call type Number

Cases 30718

Incidents 22

Requests 7746

TOTAL 38486

(e) Comments

A total of 40532 phone calls were handled by the WAPIC in 2010. This number is slightly lower than previous years; 41344 in 2009 and 42597 in 2008. The majority of the callers were either the victim (18.5%) or members of the victim’s family (50%). Health professionals accounted for 21% of the callers.

Incoming phone calls are classified as cases, incidents or requests (CIR’s). One or more phone calls can be recorded for each CIR. In 2010, 30718 (80%) of the calls concerned cases.

11. Case Statistics

(a) Victims of poisoning (Table 4)

(b) Initial severity – human cases (Table 5)

(c) Estimated risk of asymptomatic patients developing features of toxicity (Graph 2)

(d) Human case number by gender (Table 6)

(e) Case number by age group (Graph 3)

(f) Routes of exposure – human cases (Table 7)

(g) Location of exposure – human cases (Table 8)

(h) Case number by circumstances of exposure and age group (Table 9)

(i) Number of human cases by location of treatment pre-inquiry (Table 10)

(j) Recommended treatment location for human cases where treatment pre-inquiry was the location of the poisoning (Table 11)

(k) Comments

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11. Case Statistics

(a) Table 4. Victims of poisoning

Species Number

Human 29068

Dog 1451

Cat 163

Bird 14

Other 22

TOTAL 30718

Other: 8 horses, 7 rabbits, 3 sheep, 2 possums, 1 goat and 1 kangaroo.

(b) Table 5. Initial severity –human cases

Severity Number

None 16427

Minor 10976

Moderate 1324

Severe 165

Fatal 4

Unknown/ not recorded

336

TOTAL 29068

Severity at the time of the initial call to the WAPIC and is scored as per the Poison Severity Score – Persson, H.E., Sjoberg, G.K., Haines, J.A. and Pronczuk de Garbino, (1998) J. Clinical Toxicology, 36(3): 205-213.

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(c) Graph 2. Estimated risk of asymptomatic patients developing features of toxicity

Risk of developing features of toxicity(n = 16427)

18%

58%

14%

10% 0%None

Minimal risk

Moderate risk

High

Not recorded

(d) Table 6 Human case numbers by gender

Gender Number

Male 13707

Female 14868

Unknown/not recorded

493

Total 29068

(e) Graph 3. Case number by age group

0 2000 4000 6000 8000 10000 12000

Neonate/Infant

Toddler

Child

Adolescent

Adult

Elderly

Unknown

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(f) Table 7. Routes of Exposure – human cases

Routes Number %

Ingestion 19526 61.7

Inhalation 1411 4.5

Cutaneous 2820 8.9

Ocular 1714 5.4

Otic 33 < 1

Bite 1538 4.9

Sting 1443 4.6

Injection 173 < 1

Mucosal: buccal 2745 8.7

Mucosal: nasal 80 < 1

Mucosal: rectal 13 < 1

Mucosal: unspecified 76 < 1

Other 10 < 1

Unknown/not recorded 62 < 1

TOTAL 31644 100%

Data is total number of exposure routes, not case number. Multiple routes of exposure were reported in 8.9% of cases.

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(g) Table 8. Location of exposure – human cases

Location of exposure Case number

Home and surroundings 26687

Work place

Workplace: Agricultural/horticultural workplace

120

Workplace: Factory 27

Workplace: Mine site

48

Workplace: Workshop

33

Workplace: Other

474

Medical-hospital

Medical - hospital: Inpatient facility 187

Medical – hospital: Nursing Home/Hospice 279

Medical - hospital: Other 2

Medical - non hospital 81

Enclosed public space

Enclosed public space: Shop 75

Enclosed public space: Leisure facility 20

Enclosed public space: Other 42

Prison 17

Mode of transport 84

Education Facility 240

Open space 272

Other 47

Unknown/not recorded 233

Total 29068

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(h) Table 9. Circumstance of exposure by age group

Refer Appendix – Neonate/Infant < 12 months, Toddler 1 to 4 years, Child 5 to 14, Adolescent 15 to 19, Adult 20 to 75, Elderly > 75 years.

Circumstance of exposure Neonate/ Infant

Toddler Child Adolescent Adult Elderly Unknown Total %

Unintentional

Accidental 1243 11107 1848 377 5031 215 5 19806 68.1

Occupational 0 0 7 15 494 3 0 539 1.9

Therapeutic error 316 622 415 98 1863 321 0 3635 12.5

Environmental 0 4 5 0 28 0 0 37 <0.1

Fire 3 1 1 1 2 0 0 8 <0.1

Misuse 1 0 4 6 45 3 0 59 <0.1

Food poisoning 2 6 7 1 59 3 0 78 <0.1

Other 2 3 14 9 52 11 0 91 <0.1

Unknown 1 2 2 0 18 1 0 24 <0.1

Intentional

Suicide 0 0 135 529 2293 23 3 2983 10.3

Misuse 1 4 21 40 169 2 0 237 0.8

Abuse 0 0 27 81 267 0 0 375 1.3

Malicious /criminal 0 1 10 9 51 1 0 72 <0.1

Other 0 2 10 7 52 7 0 78 <0.1

Unknown 3 12 8 15 72 2 0 112 0.4

Adverse reaction

Food 1 9 2 4 27 2 0 45 <0.1

Drug 12 32 40 32 483 38 1 638 2.2

Other 3 3 23 9 114 4 0 156 0.5

Unknown 2 2 2 2 20 0 0 28 <0.1

Other 2 1 1 3 19 2 0 28 <0.1

Unknown 0 1 2 2 34 1 0 39 <0.1

TOTAL 1592 11812 2584 1240 11192 639 9 29068

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(i) Table 10. Number of human cases by location of treatment pre-inquiry

Location of pre-inquiry treatment

Number of cases

Location of poisoning 24930

During transportation 104

Community Health Centre 464

Hospital 3528

Other 29

Unknown/not recorded 13

TOTAL 29068

(j) Table 11. Handling of human cases where the victim was at the location of the poisoning

Location of recommended treatment

Number of cases %

Location of poisoning 19634 78.8

Community Health Centre 999 4.0

Hospital 4043 16.2

Other 64 0.2

Unknown/not recorded 190 0.8

TOTAL 24930 100

(k) Comments

Our centre handled 29068 cases of human exposure in 2010. At the time of the phone call, 42.8% of the victims were either displaying clinical features or biochemical evidence of poisoning (established poisoning). Our centre does not routinely follow-up calls and so final severity is not known in the majority of our cases.

Children were the victims in 59.3% of all human cases, with toddlers (1 to 4 years) involved in 40.6% of all reported exposures. The most common childhood exposures were accidental, occurred in the home and involved pharmaceuticals or common household products.

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Adults (adults and elderly) were the victims in 40.7% of cases. Forty two percent of adult exposures resulted from unintentional accidents and 19.6% from attempts of deliberate self harm (intentional suicide). Cases of deliberate self poisoning reported to the WAPIC have increased 18% since 20073. The most common agents involved in suicide attempts were pharmaceuticals.

The most common route of exposure was ingestion (62% of cases). Bites and Stings accounted for 9.4% of exposures, eye exposures 5.4 %, and mucosal exposures (predominately oral) were common in toddler cases involving exploratory tastes.

The agents (substances) involved in each case are categorised into one of 18 categories that include pharmaceuticals for human use, pharmaceuticals for veterinary use, household products, industrial products, cosmetics, pesticides, environmental contaminants, microorganisms, plants and animals. A total of 31,393 agents were involved in the 29,068 cases of human exposures.

At the time of the phone call to the WAPIC 86% of the victims were at the location of poisoning and 14% had either reached a health care facility or were in transit. It is noteworthy that 79% of the victims that were at the location of the exposure at the time the phone call was made to the WAPIC were able to be managed at home, due to the advice of the Poisons Centre. This represents a large saving of health care resources in terms of limiting unnecessary hospital attendances.

References

1. Australian Bureau of Statistics 2010

2. http://www.who.int/ipcs/publications/training_poisons/guidelines_poison_control/en/ind

ex.html

3. WA Poisons Information Centre Annual Report 2007.

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Appendix 1 - Agent Use/Function Categories 1. Pharmaceutical for Human Use 2. Pharmaceutical for Veterinary Use 3. Industrial/Commercial Product Intended for Non-Domestic Use 4. Household/Leisure Product 5. Cosmetic/Personal Hygiene Product 6. Pesticide 7. Agricultural/Horticultural/Garden Product Other Than Pesticide 8. Substance of Abuse 9. Food/Beverage 10. Warfare/Anti-Riot Agent 11. Environmental Contaminant 12. Fungi 13. Algae 14. Animals 15. Microorganisms 16.Plants 17. Other Function 18. Unknown Function

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Appendix 2 - Agent Use function by age group

Agent Name Use/Function Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

1. Pharmaceutical For Human Use

Agent For Use On The Alimentary Tract Or Metabolism

Stomatological /mouth preparations 0 21 90 7 3 21 2 0 144

Antacid: treatment of peptic ulcer; antiflatulant 4 40 96 13 0 65 9 0 227

Antispasmodics 9 10 18 5 1 15 1 0 59

Antiemetics 0 1 43 6 11 39 1 0 101

Bile/liver therapy 0 0 0 0 0 1 0 0 1

Laxative 0 1 40 8 3 15 25 0 92

Antidiarrheals 0 0 10 1 2 13 2 0 28

Antiobesity 0 0 13 3 2 16 0 0 34

Digestive preparation 0 0 2 0 0 3 0 0 5

Drugs used in diabetes 0 0 19 6 1 94 14 0 134

Vitamin supplements 0 5 211 42 10 27 2 0 297

Mineral supplement 0 1 66 1 2 25 4 0 99

Tonic preparations 0 0 0 0 2 3 1 0 6

Anabolic agents 0 0 0 0 0 0 0 0 0

Other agent acting on the alimentary tract/metabolism 0 1 15 3 0 7 0 0 26

Agent For Use On The Blood Or Blood Forming Organs

Antithrombotic agent 0 2 34 1 2 64 10 0 113

Antihemorrhagic drug 0 0 0 0 0 1 0 0 1

Antianaemic preparation 0 1 37 0 2 15 2 0 57

Serum lipid reducing agent 0 0 22 2 2 33 15 0 74

Plasma substitutes 0 0 0 0 0 0 0 0 0

Other agent acting on the blood or blood forming organs 0 0 0 0 0 1 0 0 1

Agent For Use On The Cardiovascular System

Drug used in cardiac therapy 0 0 9 2 1 43 32 0 87

Antihypertensive 0 0 83 12 9 209 51 0 364

Diuretic 0 0 21 1 2 13 13 0 50

Peripheral vasodilator 0 0 5 0 0 3 7 0 15

Vasoprotective 0 0 0 3 0 0 2 0 5

Beta blocker 0 0 33 3 0 79 17 0 132

Other agent :CVS 2 2 16 6 1 19 2 0 48

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1. Pharmaceutical For Human Use continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Dermatological Agent

Antifungal:dermatological 1 9 46 5 1 13 0 0 75

Emollient or protective 6 88 271 16 0 2 5 0 388

Preparation for use on wounds and ulcers 0 0 7 0 0 2 0 0 9

Antiprurtic 0 9 67 6 0 6 2 0 90

Antipsoriatic 0 2 18 2 0 7 0 0 29

Antibiotic;dermatological 0 1 8 2 0 28 2 0 41

Antiseptic or disinfectant preparation 2 23 166 19 5 36 9 0 260

Medicated dressing 0 1 4 0 0 1 0 0 6

Antiacne 0 0 7 2 7 4 0 0 20

Other dermatological 0 2 42 5 1 10 0 0 60

Agent Acting On The Genitourinary System/Sex Hormone

Gynaecological anti-infective or antiseptic 0 1 4 11 4 17 0 0 37

Sex hormone or modulator of the genital system 0 5 270 13 2 79 0 0 369

Urological preparation 0 0 6 1 0 3 2 0 12

Other agent acting on the genitourinary system 0 0 6 0 0 7 6 0 19

Systemic Hormonal Agent, Excluding Sex Hormone 0 3 120 15 4 80 7 0 229

General Anti-infective; Systemic

Antibacterial; systemic 0 15 254 77 16 212 20 0 594

Antimycotic preparation for systemic use 0 1 0 0 0 7 1 0 9

Antimycobacterial preparation 0 0 3 0 0 0 1 0 4

Antiviral; systemic 0 2 5 2 0 16 0 0 25

Immune serum/immunoglobulin 0 0 0 0 0 1 0 0 1

Vaccine 1 5 4 6 1 7 0 0 24

Other general anti-infective; systemic 0 3 6 0 0 8 0 0 17

Antineoplastic Or Immunosuppressive Agent

Cytostatic 0 0 2 0 2 2 0 0 6

Endocrine therapy; antineoplastic 0 0 1 0 0 3 0 0 4

Immunomodulating preparation 0 0 3 1 0 9 0 0 13

Immunosuppressive preparation 0 0 4 2 0 4 0 0 10

Other antineoplastic or immunosuppressive agent 0 0 4 0 0 3 0 0 7

Agent Acting On The Musculoskeletal System

Antiinflammatory or antirheumatic preparation 1 18 211 39 47 162 7 0 485

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1. Pharmaceutical For Human Use continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Topical preparation for joint or muscular pain 0 2 47 13 1 10 0 0 73

Muscle relaxant 0 0 1 0 1 16 0 0 18

Antigout preparation 0 1 11 1 0 10 1 0 24

Drug for treatment of bone disease 0 0 0 1 0 11 7 0 19

Other agent acting on the musculoskeletal system 0 0 1 0 0 10 1 0 12

Agent Acting On The Nervous System

Anaesthetic 0 2 4 1 0 12 0 0 19

Analgesic 0 183 969 227 229 1452 37 0 3097

Antiepileptic preparation 0 4 45 37 23 343 8 0 460

Antiparkinsonian agent 0 0 7 1 0 32 3 0 43

Psycholeptic agent 0 7 176 81 83 1150 31 0 1528

Psychoanaleptic agent 0 4 154 55 128 814 14 0 1169

Other agent acting on the nervous system 0 0 45 41 15 100 2 0 203

Antiparasitic Agent

Antiprotozoal preparation 0 0 1 0 0 2 0 0 3

Anthelmintic agent 0 0 40 11 1 9 0 0 61

Ectoparasiticide preparation, including scabicide 0 4 55 26 3 13 1 0 102

Other antiparasitic agent 0 0 0 1 0 1 0 0 2

Agent Acting On The Respiratory System

Nasal preparation 0 6 7 0 0 7 1 0 21

Throat preparation 0 0 3 3 1 4 0 0 11

Antiasthmatic preparation 0 15 62 42 9 114 20 0 262

Cough/cold preparation 0 50 504 98 23 126 7 0 808

Antihistamine preparation; systemic 0 7 125 40 23 117 4 0 316

Other agent acting on the respiratory system 0 14 72 13 4 8 5 0 116

Agent Acting On The Sensory Organs

Ophthalmological preparation 1 11 21 7 1 15 3 0 59

Otological preparation 0 7 27 11 0 10 2 0 57

Other agent acting on the sensory organs 0 1 0 0 1 2 0 0 4

Miscellaneous Pharmaceutical Agent 0 0 1 2 0 6 0 0 9

Allergen preparation; therapeutic 0 0 0 0 0 0 0 0 0

General nutrient 0 2 10 0 0 1 0 0 13

Other Pharmaceutical For Human Use 0 2 0 4 0 16 0 0 22

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1. Pharmaceutical For Human Use continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Other miscellaneous pharmaceutical agent 0 0 0 0 0 0 0 0 0

Complementary (Herbal/Alternative) Medicines 0 6 115 17 9 55 4 0 206

Insect repellents 0 4 97 13 1 17 0 0 132

Unknown Pharmaceutical agent for Human use 0 2 2 4 4 29 0 0 41

2. Pharmaceutical For Veterinary Use

Agent For Use On The Alimentary Tract Or Metabolism; Vet 0 0 5 0 0 4 0 0 9

Agent For Use On Blood And Blood Forming Organs; Vet 0 0 0 0 0 0 0 0 0

Agent For Use On Cardiovascular System; Veterinary 0 0 1 0 0 8 0 0 9

Dermatological Agent; Veterinary 0 2 15 0 1 7 0 0 25

Systemic Hormonal Agent, Excluding Sex Hormone; Vet 0 1 11 3 0 2 0 0 17

General Anti-infective For Systemic Use; Veterinary 0 0 8 1 0 9 1 0 19

Agent Acting On The Musculo-Skeletal System; Veterinary 0 0 8 0 0 7 0 0 15

Agent Acting On The Nervous System; Veterinary 0 0 7 0 0 15 0 0 22

Antiparasitic Product; Insecticide Or Repellent; Vet 0 1 55 11 1 67 1 1 137

Agent Acting On The Respiratory System; Veterinary 0 0 3 3 0 1 0 0 7

Agent Acting On The Sensory Organs; Veterinary 0 0 5 0 0 2 0 0 7

Agent for use on the Genitourinary System; Vet 0 0 6 1 0 5 0 0 12

Vaccine; veterinary 0 0 0 0 3 29 0 0 32

Miscellaneous Pharmaceutical Agent; Veterinary 0 0 0 0 0 1 0 0 1

Other Pharmaceutical For Veterinary Use 0 0 2 1 0 1 0 0 4

Complementary (Alternative/Herbal) Medicines; Veterinary 0 0 1 0 0 0 0 0 1

3. Industrial/Commercial Product Not For Non-Domestic Use

Adhesive/Sealant; Industrial 0 0 3 0 0 5 0 0 8

General purpose glue; industrial 0 0 1 0 2 21 0 0 24

Paper adhesive; industrial 0 0 0 0 0 1 0 0 1

Plastic adhesive; industrial 0 0 2 1 1 4 0 0 8

Rubber adhesive; industrial 0 0 0 0 0 2 0 0 2

Wood adhesive; industrial 0 0 0 0 0 1 0 0 1

Other adhesive/sealant; industrial 0 0 3 2 1 15 0 0 21

Unknown adhesive/sealant; industrial 0 0 1 0 0 0 0 0 1

Building material 0 1 21 5 2 26 0 1 56

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3. Industrial/Commercial Product Not For Non-Domestic Use Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Printing Material; Industrial 0 0 0 2 1 16 0 0 19

Dye; industrial 0 0 0 0 0 5 0 0 5

Ink; industrial 0 0 0 0 0 0 0 0 0

Other printing material; industrial 0 0 2 0 0 29 0 0 31

Unknown printing material; industrial 0 0 0 0 0 0 0 0 0

Painting Material; Industrial

Anticorrosive paint; industrial 0 0 0 0 1 6 0 0 7

Antifungal paint; industrial 0 0 0 0 0 2 0 0 2

Antifouling paint; industrial 0 0 0 0 0 8 0 0 8

Floor sealer; industrial 0 0 0 0 0 4 0 0 4

General purpose paint; industrial 0 0 4 3 1 6 0 0 14

Lacquer; industrial 0 0 1 1 0 2 0 0 4

Varnish; industrial 0 0 0 0 1 0 0 0 1

Wood stain; industrial 0 0 0 0 0 1 0 0 1

Paint brush cleaner; industrial 0 0 1 0 0 3 0 0 4

Paint thinner; industrial 0 0 0 0 0 13 0 0 13

Other painting material; industrial 0 0 0 0 0 5 0 0 5

Unknown painting material; industrial 0 0 0 0 0 0 0 0 0

Bleach/Disinfectant/Sterilizer; Industrial 0 0 1 0 1 4 0 0 6

Bleach for general use; industrial 0 0 3 0 1 19 1 0 24

Disinfectant/sterilizer for general use; industrial 0 0 0 0 1 21 0 0 22

Fabric bleach; industrial 0 0 0 0 0 0 0 0 0

Water sterilizer; industrial 0 1 1 0 0 1 0 0 3

Other bleach/disinfectant/sterilizer; industrial 0 0 0 0 0 2 0 0 2

Unknown bleach/disinfectant/sterilizer; industrial 0 0 0 0 0 2 0 0 2

Cleaner/Polish; Industrial 0 0 0 1 3 5 0 0 9

Dishwashing product; industrial 0 0 0 0 1 5 0 0 6

Drain cleaner; industrial 0 0 0 0 0 5 1 0 6

Fabric dry cleaning product; industrial 0 0 0 0 0 0 0 0 0

Floor/wall cleaner; industrial 0 0 0 0 1 15 0 0 16

Floor polish; industrial 0 0 0 0 1 3 0 0 4

Furnace and fireplace cleaner; industrial 0 0 0 0 0 2 0 0 2

General purpose cleaner; industrial 0 0 1 2 1 68 0 1 73

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3. Industrial/Commercial Product Not For Non-Domestic Use Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Lavatory cleaner; industrial 0 0 2 1 0 12 0 0 15

Metal cleaner/polish; industrial 0 0 0 1 3 21 1 0 26

Window/glass cleaner; industrial 0 0 3 0 1 1 0 0 5

Other cleaner/polish; industrial 0 0 0 2 0 15 0 0 17

Unknown cleaner/polish; industrial 0 0 0 0 0 2 1 0 3

Remover; Industrial

Adhesive/glue remover; industrial 0 0 1 0 0 7 0 0 8

Dye/ink remover; industrial 0 0 0 0 0 1 0 0 1

Limescale remover/descaler; industrial 0 0 0 0 0 2 0 0 2

Oil/grease remover; industrial 0 0 1 1 0 7 0 0 9

Rust remover; industrial 0 0 2 0 0 3 0 0 5

Stain remover; industrial 0 0 0 1 0 4 0 0 5

Other product remover; industrial 0 0 0 1 0 5 0 0 6

Unknown product remover; industrial 0 0 0 0 0 0 0 0 0

Desiccant; Industrial 0 0 0 1 0 0 0 0 1

Fire Extinguisher; Industrial 0 0 0 1 0 3 0 0 4

Fuel/Source Of Ignition; Industrial

Explosive 0 0 0 0 0 2 0 0 2

Fuel; gas; industrial 0 0 0 0 0 10 0 0 10

Fuel; liquid; industrial 0 0 0 0 7 27 0 0 34

Fuel; nuclear 0 0 0 0 0 0 0 0 0

Fuel; solid; industrial 0 0 0 0 0 0 0 0 0

Flare/torch; industrial 0 0 0 0 0 0 0 0 0

Other fuel/source of ignition; industrial 0 0 0 1 1 5 0 0 7

Unknown fuel/source of ignition; industrial 0 0 0 0 0 0 0 0 0

Photographic Chemical; Industrial

Developer;photographic;industrial 0 0 0 0 0 1 0 0 1

Other photographic chemical 0 0 0 0 0 1 0 0 1

Unknown photographic chemical; industrial 0 0 0 0 0 0 0 0 0

Textile Chemical; Industrial 0 0 0 0 0 1 0 0 1

Other textile chemical; industrial 0 0 0 0 0 0 0 0 0

Refrigerant/Coolant; Industrial 0 0 0 1 0 15 0 0 16

Solvent; Industrial 0 0 0 0 1 17 0 0 18

24

3. Industrial/Commercial Product Not For Non-Domestic Use Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Vehicle Maintenance; Industrial

Antifreeze (vehicle); industrial 0 0 0 0 0 1 0 0 1

Brake fluid; industrial 0 0 0 0 0 6 0 0 6

Engine lubricating oil; industrial 0 0 0 0 0 6 0 0 6

Fuel additive; industrial 0 0 0 0 0 0 0 0 0

Radiator fluid; industrial 0 0 0 0 0 4 0 0 4

Radiator stop leak; industrial 0 0 0 0 0 3 0 0 3

Transmission fluid; industrial 0 0 0 0 0 1 0 0 1

Other vehicle maintenance; industrial 0 0 0 0 0 17 0 0 17

Unknown vehicle maintenance; industrial 0 0 0 0 0 0 0 0 0

Miscellaneous Industrial Function 0 0 1 4 0 6 0 0 11

Anticorrosive; industrial 0 0 0 0 1 2 0 0 3

Antifreeze (non-vehicle); industrial 0 0 0 0 0 0 0 0 0

Building material 0 1 0 2 0 11 0 0 14

Catalyst; industrial 0 0 2 3 1 6 0 0 12

Electrolyte/electroplating 0 0 0 0 0 1 0 0 1

Galvanizing agent 0 0 0 0 0 1 0 0 1

Hardener; industrial 0 0 0 0 0 2 0 0 2

Hydraulic fluid 0 0 1 0 0 5 0 0 6

Industrial gas 0 0 0 0 0 4 0 0 4

Insulating material; industrial 0 0 0 0 0 1 0 0 1

Lubricant; industrial 0 0 2 0 0 0 0 0 2

Plasticizer; industrial 0 0 0 0 0 3 0 0 3

Miscellaneous Industrial Function

Propellant; industrial 0 0 0 0 0 1 0 0 1

Thinner; industrial 0 0 0 0 0 0 0 0 0

Welding agent; industrial 0 0 0 0 2 11 0 0 13

Industrial Waste Not Otherwise Specified 0 0 2 0 0 1 0 0 3

Chemicals Used In Synthesis; Not Otherwise Specified 0 0 0 4 2 8 0 0 14

Combustion Product 1 3 2 0 2 24 3 0 35

Heavy metals

Arsenic 0 0 0 0 0 2 0 0 2

Cadmium 0 0 1 0 0 1 0 0 2

25

3. Industrial/Commercial Product Not For Non-Domestic Use Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Copper 0 0 0 1 0 0 0 0 1

Lead 0 0 11 1 0 0 0 0 12

Mercury 0 0 0 0 0 2 0 0 2

Nickel 0 0 0 0 0 0 0 0 0

Zinc 0 0 0 2 0 4 0 0 6

Water Softener; Industrial 0 0 0 0 0 0 0 0 0

Other Industrial/Commercial Product 0 0 2 9 16 38 0 0 65

Unknown Industrial/Commercial Product 0 0 16 10 15 77 1 0 119

4.Household/Leisure Product

Adhesive/Glue; Domestic 0 0 0 1 0 25 0 0 26

General purpose adhesive; domestic 0 6 64 27 4 73 0 0 174

Paper adhesive; domestic 0 0 13 0 1 2 0 0 16

Plastic adhesive; domestic 0 0 9 0 0 2 0 0 11

Rubber adhesive; domestic 0 0 11 0 0 3 0 0 14

Wood adhesive; domestic 0 0 7 0 1 2 0 0 10

Other adhesive/glue; domestic 0 0 28 1 3 2 0 0 34

Unknown adhesive/glue; domestic 0 0 0 0 0 1 0 0 1

Aerosol Propellant; Domestic 0 0 4 0 2 4 0 0 10

Art/Printing Material/Craft Material 0 7 0 0 1 5 0 0 13

Artist's paint/varnish; domestic 0 1 10 0 0 0 0 0 11

Correction fluid 0 2 22 5 2 1 0 0 32

Crayon 0 7 13 4 0 0 0 0 24

Dye; domestic 0 0 4 1 0 4 0 0 9

Ink; domestic 0 10 46 24 3 3 0 0 86

Modelling clay 0 1 2 0 0 0 0 0 3

Pen marker 0 10 31 6 0 2 0 0 49

Stationery material; domestic 0 5 14 3 0 1 0 0 23

Printing material; Domestic 0 3 1 0 1 5 0 0 10

Other art/printing/craft material; domestic 0 3 29 11 1 7 0 0 51

Unknown art/printing/craft material; domestic 0 0 0 0 0 0 0 0 0

Battery

Button battery 0 6 45 9 0 1 1 0 62

26

4.Household/Leisure Product continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Dry cell battery 0 3 13 9 0 4 0 0 29

Other battery 0 3 18 6 3 25 1 0 56

Unknown battery 0 0 6 1 0 0 0 0 7

Bleach/Disinfectant/Sterilizer; Domestic

Bleach for general use; domestic 0 23 182 24 4 187 7 0 427

Disinfectant/sterilize for general use; domestic 0 11 130 21 7 83 2 0 254

Laundry/nappy/diaper sterilize; domestic 0 2 14 0 0 11 0 0 27

Bottle sterilizer 1 0 10 1 0 5 0 0 17

Other bleach/disinfectant/sterilize; domestic 1 5 16 31 6 40 2 0 101

Unknown bleach/disinfectant/sterilizer; domestic 0 0 0 0 0 0 0 0 0

Cleaner/Polish; Domestic

Audio/video cleaner 0 0 10 1 0 1 0 0 12

Bath cleaner 0 3 67 6 2 32 0 0 110

Carpet cleaner; domestic 0 3 34 5 0 11 0 0 53

Clothes; fabric washing powder/liquid 0 2 170 6 2 18 0 0 198

Clothes; fabric dry cleaning product 0 0 4 1 1 1 0 0 7

Clothes; fabric soaking/prewash product 1 8 67 3 0 7 0 0 86

Dishwashing liquid; hand; domestic 0 17 267 25 1 42 2 0 354

Dishwashing liquid/powder for machine washing; domestic 0 14 85 8 1 27 0 0 135

Dishwashing machine rinse aid; domestic 0 0 18 2 0 3 0 0 23

Drain cleaner; domestic 0 2 11 10 3 39 0 0 65

Fabric conditioner; domestic 0 2 12 0 0 2 0 0 16

Fabric starch; domestic 0 0 7 4 0 0 0 0 11

Floor/wall cleaner; domestic 0 5 74 9 3 53 2 0 146

Furniture polish; domestic 0 4 28 5 3 8 1 0 49

General purpose cleaner; domestic 0 12 248 23 8 117 3 0 411

Jewellery cleaner;domestic 0 0 5 0 0 4 0 0 9

Lavatory cleaner; domestic 0 30 151 5 1 12 1 0 200

Leather cleaner/polish; domestic 0 0 6 4 0 0 0 0 10

Metal cleaner/polish; domestic 0 2 12 3 0 4 1 0 22

Oven cleaner; domestic 0 0 18 8 2 85 2 0 115

Window/glass cleaner; domestic 0 3 45 11 4 18 1 0 82

Other cleaner/polish; domestic 0 11 70 18 6 84 5 0 193

27

4.Household/Leisure Product continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Unknown cleaner/polish; domestic 0 0 1 0 0 11 0 0 12

Decorating/Do-It-Yourself Product; Domestic 0 0 2 0 0 17 0 0 19

Other Decorating/Do-It-Yourself Product; Domestic 0 4 13 3 2 9 0 0 31

Painting Material; Domestic

Anticorrosive paint; domestic 0 0 2 0 0 0 0 0 2

Floor sealer; domestic 0 1 1 1 0 7 0 0 10

General purpose paint; domestic 0 12 45 14 2 26 0 0 99

Varnish; domestic 0 1 2 2 0 9 1 0 15

Wood stain; domestic 0 0 3 0 0 17 0 0 20

Paint brush cleaner; domestic 0 2 47 12 2 25 0 0 88

Paint stripper; domestic 0 0 0 0 0 10 0 0 10

Paint thinner; domestic 0 1 11 3 6 25 0 0 46

Other painting material; domestic 0 1 19 6 4 12 0 0 42

Unknown painting material; domestic 0 0 0 0 0 5 0 0 5

Deodorizer/Air Freshener; Domestic

Air sanitizer; domestic 0 9 67 16 1 7 0 0 100

Room deodorant (spray type) 0 6 44 2 0 13 2 0 67

Room deodorant (wick type) 0 1 15 0 0 0 0 0 16

Other deodorizer/air freshener; domestic 0 5 68 14 1 10 0 0 98

Unknown deodorizer/air freshener; domestic 0 0 0 0 0 0 0 0 0

Desiccant; Domestic 0 66 394 37 6 31 3 0 537

Fire Extinguisher; Domestic 0 0 1 7 4 24 0 0 36

Fire Proofer; Domestic 0 0 0 0 0 0 0 0 0

Foreign Body 0 22 97 41 2 30 0 0 192

Fuel/Source Of Ignition; Domestic

Candle 0 0 7 1 0 0 0 0 8

Firelighter 0 4 29 0 0 0 0 0 33

Flare 0 0 0 1 0 0 0 0 1

Fuel gas; domestic 0 2 4 2 5 33 3 0 49

Fuel liquid; domestic (petrol) 0 0 90 38 20 158 0 0 306

Fuel solid; domestic 0 1 2 0 0 0 0 0 3

Light bulb 0 0 2 3 0 3 0 0 8

Match head and striking surface 0 0 9 1 1 0 0 0 11

28

4.Household/Leisure Product continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Other fuel/source of ignition; domestic 0 0 1 1 0 8 0 0 10

Unknown fuel/source of ignition; domestic 0 0 0 0 0 0 0 0 0

Photographic Chemical; Domestic

Developer:photographic;domestisc 0 0 0 0 1 0 0 0 1

Other photographic chemical domestic 0 1 2 0 0 0 0 0 3

Unknown photographic chemical domestic 0 0 0 0 0 0 0 0 0

Refrigerant/Coolant; Domestic 0 1 2 5 1 20 0 0 29

Ice substitute; domestic 0 0 10 16 0 5 0 0 31

Remover; Domestic

Adhesive/glue remover; domestic 0 1 7 2 0 17 1 0 28

Limescale remover/descaler; domestic 0 0 1 0 0 0 0 0 1

Oil/grease remover; domestic 0 1 2 1 0 4 0 0 8

Rust remover; domestic 0 1 0 0 0 6 0 0 7

Stain remover; domestic 0 0 8 0 0 7 0 0 15

Other product remover; domestic 0 0 1 0 0 2 0 0 3

Unknown product remover; domestic 0 0 0 0 0 2 0 0 2

Sports Product 0 0 0 1 0 0 0 0 1

Other sports product; domestic 0 2 0 1 0 0 0 0 3

Unknown sports product; domestic 0 0 0 0 0 0 0 0 0

Swimming Pool Product 0 5 38 40 7 148 1 1 240

Thermometer Fluid; Domestic 0 2 16 21 2 24 0 0 65

Toy/Joke/Children's Plaything 0 12 44 4 2 5 0 0 67

Chemistry set 0 1 3 2 0 0 0 0 6

Luminescent toy 0 1 175 156 10 10 0 0 352

Plasticine 0 4 4 0 0 1 0 0 9

Teething ring 0 4 5 0 0 0 0 0 9

Other toy/joke/children's plaything 0 16 143 55 1 3 0 0 218

Unknown toy/joke/children's play thing 0 0 2 1 0 1 0 0 4

Vehicle Maintenance; Domestic

Antifreeze; vehicle; domestic 0 0 3 0 2 5 0 0 10

Brake fluid; domestic 0 0 10 1 1 8 0 0 20

Engine lubricating oil; domestic 0 0 6 2 0 6 0 0 14

Fuel additive; domestic 0 1 3 0 0 1 0 0 5

29

4.Household/Leisure Product continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Radiator fluid; domestic 0 0 6 0 0 11 0 0 17

Radiator stop leak; domestic 0 0 0 0 0 4 0 0 4

Screen wash; domestic 0 0 1 1 0 1 0 0 3

Transmission fluid; domestic 0 0 5 0 0 2 0 0 7

Other vehicle maintenance; domestic 0 1 28 2 1 17 0 0 49

Unknown vehicle maintenance; domestic 0 0 0 0 0 3 0 0 4

Waterproofing Compound; Domestic 0 0 2 1 0 0 0 0 3

Water Softener; Domestic 0 0 1 0 0 0 0 0 1

Other/Unknown Household/Leisure Product 0 17 79 22 36 89 3 1 247

5. Cosmetic/Personal Hygiene Product

Antiperspirant/deodorant 0 6 65 19 9 15 1 0 115

Bath Additive

Bath oil 2 1 10 1 0 0 0 0 14

Bath salt 0 0 6 1 0 1 0 0 8

Other bath additive 2 4 14 1 0 2 0 0 23

Unknown bath additive 0 0 0 0 0 0 0 0 0

Dental Product

Denture adhesive 0 0 0 1 0 0 4 0 5

Denture cleaner 0 0 5 1 0 8 13 0 27

Mouth wash 0 0 22 3 0 10 0 0 35

Toothpaste 0 1 65 5 0 2 0 0 73

Other dental product; personal hygiene 0 1 3 2 1 7 1 0 15

Unknown dental product; personal hygiene 0 0 0 0 0 0 0 0 0

Hair Cosmetic

Bleacher/lightener; hair 0 5 17 4 2 24 0 0 52

Conditioner/hair cream/hair lotion 0 3 18 3 0 0 0 0 24

Dye/colorant; hair 0 1 14 6 3 31 0 0 55

Lacquer/setting lotion; styling product; hair 0 1 20 2 0 1 0 0 24

Permanent wave product 0 0 2 0 0 1 0 0 3

Shampoo 0 12 70 8 2 5 0 0 97

Hair straightener 0 0 2 1 0 0 0 0 3

Other hair cosmetic 0 2 17 1 0 0 0 0 20

30

5. Cosmetic/Personal Hygiene Product Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Unknown hair cosmetic 0 0 0 0 2 0 0 0 2

Nail Cosmetic

Cuticle remover 0 0 1 0 0 0 0 0 1

Polish/varnish; nail cosmetic 0 7 83 8 1 8 0 0 107

Polish/varnish remover; nail cosmetic 0 6 73 7 3 17 0 0 106

Nail strengthener/hardener 0 0 5 1 0 0 0 0 6

Other or Unknown nail cosmetic 0 1 9 1 0 7 0 0 18

Perfume; Cologne; Aftershave 0 5 104 12 0 5 1 0 127

Skin Cosmetic

Cleanser 0 3 7 2 2 0 1 0 15

Depilatory 0 0 12 0 1 22 0 0 35

Eye make-up 0 3 5 0 0 1 0 0 9

Lipstick/lip gloss/lip color 0 2 17 2 0 0 0 0 21

Make-up cream/liquid/solid 0 2 4 0 0 0 0 0 6

Moisturizer cream/liquid/oil/lotion; skin cosmetic 0 13 76 5 1 5 0 0 100

Powder; face powder; talcum powder; skin cosmetic 0 3 14 7 0 2 0 0 26

Suntan product 0 5 6 0 1 0 0 0 12

Sunscreen product 2 5 39 4 0 8 3 0 61

Barrier cream 0 0 3 0 0 1 0 0 4

Other skin cosmetic 0 0 19 4 1 0 0 0 24

Unknown skin cosmetic 0 0 4 0 0 0 0 0 4

Soap; Detergent; Cosmetic

Bubble bath 0 3 32 2 0 0 0 0 37

Soap; general purpose; cosmetic 0 24 64 10 0 10 10 0 118

Shaving cream/soap 0 2 9 0 1 1 1 0 14

Other soap/detergent; cosmetic 0 2 14 2 0 0 0 0 18

Unknown soap/detergent; cosmetic 1 0 9 0 0 2 0 0 12

Other/ Unknown Cosmetic/Personal Hygiene Product 0 1 5 0 0 1 0 0 7

31

6. Pesticide Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Pesticide For Use Against Plants

Herbicide 0 7 64 19 8 238 7 0 343

Algicide 0 0 0 1 0 0 0 0 1

Other pesticide for use against plants 0 0 0 0 0 3 0 0 3

Unknown pesticide for use against plants 0 0 0 2 0 0 0 0 2

Pesticide For Use Against Invertebrate Animals

Acaricide 0 0 0 1 0 0 0 0 1

Insecticide 0 55 285 50 14 431 19 0 854

Larvicide 0 0 0 0 0 0 0 0 0

Molluscicide 0 0 36 4 0 6 1 0 47

Nematocide 0 0 0 0 0 0 0 0 0

Other pesticide for use against invertebrate animals 0 0 1 2 0 0 0 0 3

Unknown pesticide for use against invertebrate animals 0 0 0 23 0 10 0 0 33

Pesticide For Use Against Vertebrate Animals

Avicide 0 0 0 0 0 0 0 0 0

Mammalicide 0 0 0 1 0 4 0 0 5

Rodenticide 0 37 229 19 2 48 2 0 337

Other pesticide for use against vertebrate animals 0 0 0 26 0 3 0 0 29

Unknown pesticide for use against vertebrate animals 0 0 0 0 0 0 0 0 0

Pesticide For Use Against Micro-Organisms

Fungicide 0 0 7 8 0 21 0 0 36

Bactericide 0 0 0 0 0 0 0 0 0

Other pesticide for use against micro-organisms 0 0 3 2 0 0 0 0 5

Unknown pesticide for use against micro-organisms 0 0 0 0 0 0 0 0 0

Fumigant 0 0 3 0 0 6 0 0 9

Other Pesticide 0 0 2 0 0 0 0 0 2

Unknown Pesticide 0 0 0 0 0 15 0 0 15

32

7. Agricultural/Horticultural/Garden Product Not Pesticide Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Plant Growth Regulator 0 0 0 0 0 3 0 0 3

Repellent; Agricultural/Horticultural/Garden 0 0 0 0 0 0 0 0 0

Soil conditioner 0 1 15 3 1 16 0 0 36

Fertilizer 0 13 82 18 0 29 0 0 142

Other Agricultural/Horticultural/Garden Product 0 0 0 0 0 0 0 0 0

Unknown Agricultural/Horticultural/Garden Product 0 0 0 0 0 0 0 0 0

8. Substance Of Abuse

Amphetamine like substances 0 1 3 8 21 75 0 0 108

Cigarettes 0 42 73 5 3 6 0 0 129

Marijuana 0 2 11 3 7 15 0 0 38

Opiates 0 0 0 1 0 11 0 0 12

Other 0 1 2 2 13 16 0 0 34

Unknown Substance of Abuse 0 0 0 0 20 17 0 0 37

9. Food/Beverage

Food; General 1 15 57 27 7 54 2 0 163

Beverage; General 0 5 13 6 1 45 1 0 71

Beverage; non-alcoholic 0 0 2 5 2 10 0 0 19

Beverage; alcoholic 0 1 12 11 49 309 10 0 392

Food Additive 0 1 13 1 1 7 0 0 23

Color food additive 0 0 6 1 0 1 0 0 8

Flavour enhancer; food additive 0 0 10 7 1 4 0 0 22

Preservative: food additive 0 0 0 0 0 4 0 0 4

Other / Unknown food additive 0 0 2 1 0 6 0 0 9

Food Contaminant

Biological/infectious food contaminant 0 4 16 17 5 53 1 0 96

Chemical food contaminant 0 0 1 0 0 22 0 0 23

Natural food contaminant 0 0 0 0 1 0 0 0 1

Other food contaminant 0 0 0 1 0 1 0 0 2

Unknown food contaminant 0 0 9 1 0 11 1 0 22

Unknown Food/Beverage 0 1 0 0 0 1 0 0 2

33

10. Warfare/Anti-Riot Agent Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Biological Warfare Agent 0 0 0 0 0 0 0 0 0

Chemical Warfare Agent 0 0 1 0 0 3 0 0 4

Self-Defence Agent 0 0 3 7 3 9 0 0 22

Other/ Unknown Warfare/Anti-Riot Agent 0 0 0 0 0 0 0 0 0

11. Environmental Contaminant

Air Contaminant/Pollutant 1 2 3 3 1 44 1 0 55

Soil Contaminant/Pollutant 0 0 0 0 0 3 0 0 3

Water Contaminant/Pollutant 0 0 0 2 1 10 0 0 13

Other Site Of Contamination/Pollution 0 1 0 1 0 1 0 0 3

Unknown Site Of Contamination/Pollution 0 0 0 0 0 1 0 0 1

12. Fungi

Yellow stainer (Agaricus Xanthoderma) 0 0 4 19 0 0 0 0 23

Death cap (Amanita Phalloides) 0 0 0 0 0 0 0 0 0

Fungi unidentified 0 12 52 15 4 54 4 0 141

13.Algae

Blue-green algae 0 0 0 1 0 0 0 0 1

Algae unidentified 0 0 1 0 0 2 0 0 3

14. Animals

Animal unidentified 0 1 11 4 3 30 1 0 50

Ant 0 1 6 7 0 43 1 0 58

Bee 0 4 45 57 10 305 4 0 425

Bird 0 1 0 0 1 1 0 0 3

Blue- ringed octopus 0 0 2 1 0 1 0 0 4

Bony-fish 0 0 3 16 9 53 0 0 81

Cane toad 0 0 0 0 1 0 0 0 1

Caterpillar 0 1 11 2 0 2 0 0 16

Cartilaginous fish-other 0 0 0 6 4 35 0 0 45

Centipede 0 2 5 7 3 33 2 0 52

Ciguatera 0 0 0 0 1 1 0 0 2

34

14. Animals continued Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Coral 0 0 0 0 0 1 0 0 1

Frog/toad 0 0 0 0 1 5 0 0 6

Insect 5 10 77 51 6 197 2 0 348

Jellyfish 0 0 7 33 10 49 0 0 99

Lizard 0 0 0 0 0 1 0 0 1

Mammal 0 0 1 5 1 13 0 0 20

Millipede 0 3 5 3 0 2 0 0 13

Mollusc 0 0 2 0 1 0 0 0 3

Red-back Spider 0 3 38 39 12 287 2 0 381

Scorpion 0 1 14 27 8 85 0 0 135

Sea urchin 0 0 0 0 0 3 0 0 3

Snake 0 0 14 16 5 106 1 0 142

Spider-unidentified 2 12 80 104 28 382 2 0 610

Spider-huntsman 0 1 6 6 1 40 1 0 55

Sting ray 0 0 0 1 0 11 0 0 12

Stone-fish 0 0 0 1 0 4 0 0 5

Tick 0 2 6 10 0 20 0 0 38

Wasp/Hornet 0 1 43 45 8 200 5 0 302

White-tailed spider 0 3 15 11 3 97 2 0 131

Tetrodotoxin 0 0 0 2 0 1 0 0 3

15. Microorganisms 2 14 37 12 5 75 3 0 148

16. Plants

Aloe 0 0 3 1 0 0 0 0 4

Alocasia 0 0 7 0 0 3 0 0 10

Amygdalin 0 0 0 0 0 0 0 0 0

Arum 0 0 5 0 0 0 0 0 5

Atropa 0 0 2 1 0 0 0 0 3

Boraginaceae 0 0 0 0 0 0 0 0 0

Caryophyllaceae 0 0 1 0 0 0 0 0 1

Cannaceae 0 1 0 0 0 0 0 0 1

Capsaicin 0 0 1 0 0 0 0 0 1

35

16. Plants Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Clematis 0 0 0 1 0 0 0 0 1

Colocasia 0 3 7 9 0 1 0 0 20

Crassula 0 0 2 0 0 0 0 0 2

Datura 0 1 0 1 0 2 0 0 4

Dieffenbachia 0 1 3 0 0 0 0 0 4

Dracaena 0 1 0 0 0 0 0 0 1

Ericaceae 0 1 1 0 0 0 0 0 2

Euphorbia 0 0 0 2 0 5 0 0 7

Family Agavaceae 0 2 1 1 0 0 0 0 4

Family Amaryllidaceae 0 3 7 3 1 6 0 0 20

Family Anacardiaceae 0 0 2 0 0 3 0 0 5

Family Apocynaceae 0 1 0 1 0 8 0 0 10

Family Araceae 0 5 38 8 0 3 1 0 55

Family Araliaceae 0 0 1 1 0 0 0 0 2

Family Asparagaceae 0 0 0 2 0 0 0 0 2

Family Begoniaceae 0 0 2 0 0 0 0 0 2

Family Cactaceae 0 0 2 0 1 4 1 0 8

Family Caprifoliaceae 0 0 2 0 0 0 0 0 2

Family Cucurbitaceae 0 0 1 1 0 0 0 0 2

Family Compositae 0 1 2 0 0 1 1 0 5

Family Crassulaceae 0 0 1 2 0 0 0 0 3

Family Euphorbiaceae 0 1 1 2 0 8 0 0 12

family Hyacinthaceae 0 0 1 0 0 0 0 0 1

Family Iridaceae 0 0 1 0 0 0 0 0 1

Family Labiatae 0 0 0 0 0 1 0 0 1

Family Leguminosae 0 0 2 2 0 1 0 0 5

Family Liliaceae 0 1 7 1 1 1 1 0 12

Family Malvaceae 0 1 0 0 0 1 0 0 2

Family Moraceae 0 1 0 0 0 0 0 0 1

Family Oleaceae 0 0 1 1 0 6 0 0 8

Family Palmae 0 5 15 0 0 8 0 0 28

Family Papaveraceae 0 0 1 0 0 0 0 0 1

Family Passifloraceae 0 0 1 0 0 0 0 0 1

36

16. Plants Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Family Rosaceae 0 0 1 0 0 1 1 0 3

Family Rutaceae 0 0 1 0 0 0 0 0 1

Family Solanaceae 0 0 4 0 0 2 0 0 6

Family Verbenaceae 0 0 3 1 0 0 0 0 4

Ficus 0 1 5 0 0 0 1 0 7

Grevillea 0 1 1 0 0 2 0 0 4

Hedera helix L. 0 1 0 0 0 2 0 0 3

Hibiscus 0 1 3 0 0 0 0 0 4

Hydrangeaceae 0 0 1 0 0 0 0 0 1

Ipomoea 0 1 0 0 0 1 0 0 2

Ispaghula (psylla seeds) 0 0 0 0 0 1 0 0 1

Lantana 0 0 6 0 0 1 0 0 7

Lathyrus 0 1 0 1 0 0 0 0 2

Lupinus 0 0 0 2 0 1 0 0 3

Lycopodium 0 0 0 0 0 1 0 0 1

Meliaceae 0 7 19 1 0 0 0 0 27

Monstera 0 0 1 2 0 1 0 0 4

Myrtaceae 0 3 3 0 0 1 0 0 7

Nerium oleander 0 1 0 0 0 1 0 0 2

Papaver 0 0 1 0 0 0 0 0 1

Pinus 0 0 0 0 0 0 0 0 0

Philodendron 0 0 5 1 0 1 0 0 7

Plants-cyanogenic glycosides 0 1 3 0 0 0 0 0 4

Plant-low toxicity 0 18 31 17 0 27 3 0 96

Plant-unidentified 0 8 111 28 11 57 0 0 215

Plumeria 0 4 9 4 1 1 0 0 19

Ricinus 0 0 1 1 0 4 0 0 6

Robinia 0 0 0 0 0 1 0 0 1

Shinus 0 0 1 0 0 0 0 0 1

Solanace 0 0 0 0 0 0 0 0 0

Solanum 0 0 6 3 0 0 0 0 9

Spathiphyllum 0 1 1 0 0 0 0 0 2

Syngonium 0 2 2 0 0 0 0 0 4

37

16. Plants Newborn Infant Toddler Child Adolescent Adult Elderly Unknown TOTAL

Thevetia peruviana 0 3 4 2 0 7 0 0 16

Theobroma cacao 0 0 0 0 0 1 0 0 1

Wisteria sinensis 0 0 1 1 0 1 0 0 3

Zantedeschia 0 0 3 0 0 1 0 0 4

17.Other Function 0 1 2 2 0 0 0 0 5

18. Unknown Function 0 5 5 12 1 49 3 1 76

TOTAL 49 1526 11747 3096 1311 13054 602 6 31393