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Fatal aluminum phosphide poisonings in Tirana (Albania), 2009 - 2013.

Sulaj Z, Drishti A, Çeko I, Gashi A, Vyshka G - Daru (2015)

Bottom Line: The mass media unfortunately warranted an emulating effect to dramatic intoxications, which gained by such means the notoriety of a secure lethal weapon.Our experience with more than three hundred intoxications with aluminum phosphide agents in the last five years, showed that a considerable delay from the moment of exposure (mainly through ingestion) to specialized medical help seeking, created a considerable obstacle for a successful treatment of cases, and eventually for the survival of patients.The lack of a specific antidote adds further challenges to all these exposures.

View Article: PubMed Central - PubMed

Affiliation: Biomedical and Experimental Department, Faculty of Medicine, University of Medicine, in Tirana, Albania. gvyshka@gmail.com.

ABSTRACT

Background: Acute poisonings particularly through pesticides have become a major public health concern in Albania during the last decade.

Findings: The number of fatalities due to aluminum phosphide intoxications was more than doubled during a five year-period from 2009 to 2013, and a cluster of suicides perpetrated with Phostoxin was registered. Several factors are accountable for such a phenomenon, including the fact that aluminum phosphide agents are freely available in the Albanian market, their price is extremely low and they are sold without any legal restriction. The mass media unfortunately warranted an emulating effect to dramatic intoxications, which gained by such means the notoriety of a secure lethal weapon.

Conclusions: Our experience with more than three hundred intoxications with aluminum phosphide agents in the last five years, showed that a considerable delay from the moment of exposure (mainly through ingestion) to specialized medical help seeking, created a considerable obstacle for a successful treatment of cases, and eventually for the survival of patients. The lack of a specific antidote adds further challenges to all these exposures. The need for public health policies aiming at prevention, awareness, and possibly the substitution of Phostoxin or other aluminum phosphide pesticides with less dangerous agents is formulated.

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Related in: MedlinePlus

Schematic drawing of the data summarized in the Table2will suggest an increasing number of fatalities, in an otherwise stable total population of the city in study (Tirana), as well as of the totality of admissions due to AIP intoxications.
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Fig2: Schematic drawing of the data summarized in the Table2will suggest an increasing number of fatalities, in an otherwise stable total population of the city in study (Tirana), as well as of the totality of admissions due to AIP intoxications.

Mentions: There was a consistent increase in the time trend of fatal intoxications, with values being gradually but constantly higher from year to year, 2012 exclusive (see Table 2 and Figure 2 below).Table 2


Fatal aluminum phosphide poisonings in Tirana (Albania), 2009 - 2013.

Sulaj Z, Drishti A, Çeko I, Gashi A, Vyshka G - Daru (2015)

Schematic drawing of the data summarized in the Table2will suggest an increasing number of fatalities, in an otherwise stable total population of the city in study (Tirana), as well as of the totality of admissions due to AIP intoxications.
© Copyright Policy - open-access
Related In: Results  -  Collection

License 1 - License 2
Show All Figures
getmorefigures.php?uid=PMC4308883&req=5

Fig2: Schematic drawing of the data summarized in the Table2will suggest an increasing number of fatalities, in an otherwise stable total population of the city in study (Tirana), as well as of the totality of admissions due to AIP intoxications.
Mentions: There was a consistent increase in the time trend of fatal intoxications, with values being gradually but constantly higher from year to year, 2012 exclusive (see Table 2 and Figure 2 below).Table 2

Bottom Line: The mass media unfortunately warranted an emulating effect to dramatic intoxications, which gained by such means the notoriety of a secure lethal weapon.Our experience with more than three hundred intoxications with aluminum phosphide agents in the last five years, showed that a considerable delay from the moment of exposure (mainly through ingestion) to specialized medical help seeking, created a considerable obstacle for a successful treatment of cases, and eventually for the survival of patients.The lack of a specific antidote adds further challenges to all these exposures.

View Article: PubMed Central - PubMed

Affiliation: Biomedical and Experimental Department, Faculty of Medicine, University of Medicine, in Tirana, Albania. gvyshka@gmail.com.

ABSTRACT

Background: Acute poisonings particularly through pesticides have become a major public health concern in Albania during the last decade.

Findings: The number of fatalities due to aluminum phosphide intoxications was more than doubled during a five year-period from 2009 to 2013, and a cluster of suicides perpetrated with Phostoxin was registered. Several factors are accountable for such a phenomenon, including the fact that aluminum phosphide agents are freely available in the Albanian market, their price is extremely low and they are sold without any legal restriction. The mass media unfortunately warranted an emulating effect to dramatic intoxications, which gained by such means the notoriety of a secure lethal weapon.

Conclusions: Our experience with more than three hundred intoxications with aluminum phosphide agents in the last five years, showed that a considerable delay from the moment of exposure (mainly through ingestion) to specialized medical help seeking, created a considerable obstacle for a successful treatment of cases, and eventually for the survival of patients. The lack of a specific antidote adds further challenges to all these exposures. The need for public health policies aiming at prevention, awareness, and possibly the substitution of Phostoxin or other aluminum phosphide pesticides with less dangerous agents is formulated.

Show MeSH
Related in: MedlinePlus