1/26/2018 History of US Poison Centers Arizona’s • 1940’s • Large increase in types of medications • First specialized “Toxicology Ward” in Budapest Poison and Drug • First Drug Information Center in Netherlands Information Centers • 1953 - First U.S. Poison Center opens in Chicago, Il • 1955 - Second U.S. Poison Center opens in Tucson, Arizona • 1978 - 661 U.S. Poison Centers (no regulation) Keith Boesen PharmD • 2015 – 55 U.S. Poison Centers American Association of Poison Control Centers Who we are - LOGOS • 1958 – AAPCC established to help regulate centers • 1962 – President Kennedy established a National Poison Prevention Week rd • 3 week of March College of Medicine - Phoenix • 2002 – U.S. Federal Government did two things AAPCC • Funded about $28 million/year ARIZONA • Established a toll-free number 1-800-222-1222 College of Pharmacy - Tucson Banner Phoenix Service Area Toxicology History Banner PCC •Paracelsus • Maricopa County “Poison is in everything, and no thing is without poison. The dosage makes it either a poison or a remedy.” Arizona PCC • All the rest 1 1/26/2018 Why call a poison center Arizona Poison and Drug Information System (AzPDIS) • If the dose makes the poison and everything is a poison, the • >300,000 calls annually poison center gets called about EVERYTHING. • 60/40 split of outgoing to incoming calls • Staff • Legos, Button Batteries • 37 SPIs (Nurses and Pharmacists) • 15 PIPs (medics and pharmacy students) • Adverse Drug Reactions • Managing Directors • Suicide attempts • Medical Directors • Envenomations • Medical Toxicologists • Educators • Tiger Bites • Genetic Counselors AzPDIS - Services Other activities • Public Service • Research • Free • Rattlesnake & Scorpion • Zika Helpline for Arizona, Maricopa, and Pima County • 24/7 antivenoms • Rabies calls for Maricopa County • Confidential • Exposure Trends • Case reports/series • Needle sticks for Banner Health • Healthcare Providers • Education • Opioid Resource line for prescribers and patients • Home management • Medical, Pharmacy, • Emerging Infectious Disease Resource • Hospital management Nursing • HAZMAT support for EMS • Toxicology consult service • MD/PharmD Fellowship • Medication Therapy Management for Rio Rico • Toxicology inpatient service • Public NPDS Cost Benefit • National Poison Data System • AAPCC and CDC joint venture United States Arizona Human Exposures >2.1 million >72,000 • ALL poison centers upload cases (average every 8 minutes) Exposures/1,000 7.55 11.29 • NPDS Goals residents • Identify injury patterns Savings to $1.82 Billion >$45 million • Monitor product safety Population Served • Conduct post marketing surveillance Savings per $5.77 >$7.09 • Detect chemical exposure events resident • Improve public health surveillance 2 1/26/2018 Laundry Pods Laundry Pods Laundry Pods Laundry Pods Year United States 2012 6,343 2013 10,395 2014 11,714 2015 12,594 2016 11,528 2016 10,570 (teens 39) 2017 (15 days) (teens 39) Questions? 3.