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COVID-19: home poisoning throughout the containment period

Gael Le Rouxa,Sandra Sinno-Tellierb;French Poison Control Centre members,Alexis Descathaa,c
aPoison Control Center, Academic Hospital CHU Angers, Angers, France
bFrench Agency for Food, Environmental and Occupational Health and Safety, Maisons-Alfort, France
cUniversity of Angers, Centre Hospitalier Universitaire d'Angers, Université de Rennes, INSERM, École des hautes études en santé publique, Institut de recherche en santé, environnement et travail UMR_S 1085, F49000 Angers, France

Issue date 2020 Jun.

© 2020 The Author(s). Published by Elsevier Ltd. This is an Open Access article under the CC-BY-NC-ND 4.0 license

Since January 2020 Elsevier has created a COVID-19 resource centre with free information in English and Mandarin on the novel coronavirus COVID-19. The COVID-19 resource centre is hosted on Elsevier Connect, the company's public news and information website. Elsevier hereby grants permission to make all its COVID-19-related research that is available on the COVID-19 resource centre - including this research content - immediately available in PubMed Central and other publicly funded repositories, such as the WHO COVID database with rights for unrestricted research re-use and analyses in any form or by any means with acknowledgement of the original source. These permissions are granted for free by Elsevier for as long as the COVID-19 resource centre remains active.

PMCID: PMC7182512  PMID:32339480
This article has been corrected. SeeLancet Public Health. 2020 May 4;5(6):e315.

The world is facing a major pandemic situation, with more than 2 million confirmed cases and 139 000 related deaths, as of April 18, 2020.1 Although health systems have to deal with such disasters to decrease massive contaminations, several countries, such as France, have implemented containment measures.2,3 Poison control centres are—perhaps unexpectedly—being involved too in the COVID-19 outbreak as they are observing a change in the typology of the calls they receive, which is directly related to containment measures.

Indeed, disproportionate fear of the coronavirus leads to dramatic behaviour modification, such as excessive house cleaning and misuse of cleaning products for personal hygiene or for food cleaning. Consequently, we are witnessing an increase in the number of exposures to the chlorine that results from mixing bleach with other cleaning products.4

With school closures, young children at home are thus more frequently exposed to dangerous—although common—substances including parent medication, hydroalcoholic solution, potentially poisonous plants, and homemade products. Moreover, hazardous self-medication attempts to fight coronavirus also lead to their fair share of domestic accidents, such as essential oil poisoning, daily treatment cutoff, or, conversely, unproven medication use.

Lastly, and in addition to the containment measures, we must also acknowledge that fear of being contaminated in the emergency room is another obstacle for many people who need health care after poisoning.

Worldwide, prevention of such home poisonings is urgently needed to avoid unnecessary emergency medical system use in such critical times. Once this crisis ends, it will be important that poison centres, and health and safety agencies, provide exact figures and consider what lessons can be drawn for the future.

This online publication has been corrected. The corrected version first appeared at thelancet.com/public-health on May 4, 2020

Acknowledgments

We declare no competing interests. The authors would like to thank Juliette Bloch from the French Agency for Food, Environmental and Occupational Health and Safety, Maisons-Alfort, France and the French Poison Control Center members Emmanuel Puskarczyk and Christine Tournoud (Nancy), Dominique Vodovar, Jerome Langrand, and Hervé Laborde-Casterot (Paris), Fanny Pelissier and Nicolas Franchitto (Toulouse), Magalie Labadie and Camille Paradis (Bordeaux), Nicolas Simon (Marseille), Patrick Nisse (Lille), Nathalie Paret and Anne-Marie Patat (Lyon), Marie Deguigne and Marion Legeay (Angers).

References

  • 1.WHO Coronavirus WHO novel coronavirus.https://www.who.int/emergencies/diseases/novel-coronavirus-2019
  • 2.Hellewell J, Abbott S, Gimma A. Feasibility of controlling COVID-19 outbreaks by isolation of cases and contacts. Lancet Glob Health. 2020;8:e488–e496. doi: 10.1016/S2214-109X(20)30074-7. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 3.Ng Y, Li Z, Chua YX. Evaluation of the effectiveness of surveillance and containment measures for the first 100 patients with COVID-19 in Singapore—January 2–February 29, 2020. MMWR Morb Mortal Wkly Rep. 2020;69:307–311. doi: 10.15585/mmwr.mm6911e1. [DOI] [PMC free article] [PubMed] [Google Scholar]
  • 4.Kampf G, Todt D, Pfaender S, Steinmann E. Persistence of coronaviruses on inanimate surfaces and their inactivation with biocidal agents. J Hosp Infect. 2020;104:246–251. doi: 10.1016/j.jhin.2020.01.022. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from The Lancet. Public Health are provided here courtesy ofElsevier

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