Tiny Hands, Big Risks
Courtney Carter
/ Categories: WELLNESS, 2024

Tiny Hands, Big Risks

Protecting children from accidental poisonings

In 2022, U.S. Poison Centers responded to 2,064,875 cases of poisoning. That’s an average of one new case every 15 seconds. Of those, 40% (97,000) were for children under the age of five. Additionally, an estimated 68,600 children under the age of five were seen in the emergency department for accidental poisoning.

While the source of poisoning ranged from cleaning products and laundry detergent pods to fentanyl patches and cosmetics, there was one common theme: 93% of accidental poisonings occurred in the home

 

The Top 5 and Emerging Dangers to Kids

The top 5* most common exposures in children aged 5 years or less in 2022 were:

household cleaning substances (10.3%)

analgesics (9.54%)

cosmetics/personal care products (9.49%)

dietary supplements/herbals/homeopathic (6.65%)

foreign bodies/toys/miscellaneous (6.61%)

 

Recent studies also note an increasing number of accidental poisonings in children from:

*SOURCE: National Poison Data System® (NPDS) from America's Poison Centers®: 40th Annual Report

 

Prevention is key to keeping children safe. Family members and caregivers should work to identify hazards in the home that could be a poisoning danger and keep them out of a child’s sight and reach. 

Here’s where to start:

 Drugs or Medications 

  • Keep medications safely stored in a locked cabinet or box and out of the reach of children. 

  • Keep medicines in their original child-resistant containers and never in unsecured containers. 

  • Properly discard unfinished or unused medicines. 

  • If a family member is taking a medication like Suboxone for opioid use disorder, you should keep a dose of Narcan (Naloxone) in the home in case of accidental ingestion

  • Beware of vitamins, medications, and other substances that are in a gummy form, as they are often mistaken for a candy.

Laundry Packets or Pods 

  • Store laundry packets in their original containers and out of a child’s sight and reach. 

  • Do not let children handle laundry detergent packets. 

Household Cleaning Supplies 

  • Keep chemicals and cleaning supplies safely stored in a locked cabinet or box and out of the reach of children. 

  • Keep household chemicals in their original child-resistant containers. 

Button Cell or Coin Batteries 

  • Keep products with accessible batteries away from children if the battery compartments do not have a screw closure or if the compartment is damaged.  

  • Check the toys in your home to make sure battery compartments are secured. 

  • Do not allow children to play with or be in contact with button cell or coin batteries. 

  • Click here to learn more about the dangers of button and coin batteries.

 

If you think your child has been exposed to a poison, remain calm and:

Call 911 right away if they:

Are having difficulty breathing OR

Have collapsed or are losing consciousness OR

Are having a seizure

If they are conscious and breathing easily:

Call a Poison Control Center at 800-222-1222.

Be prepared to provide the following information when you call:

  • The specific substance consumed. It’s helpful to refer to the label for this information

  • The age and weight of person exposed and any existing health conditions they may have

  • Any first aid provided

  • If the patient has vomited

  • How far you are from the nearest hospital

 

For online assistance or more information on accidental poisonings, visit Poison.org.

 

Moriah Krason, MD, FAAP is a general pediatrician at SVMC Pediatrics in Bennington.

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Moving Forward Safely

One of the most frustrating and anxiety-producing traits of our COVID –19 pandemic is how much uncertainty is involved in all aspects of this disease. Symptoms caused by the Coronavirus, age groups affected, the usefulness of medications, anticipated death rate, and the timeline for development of a vaccine are examples of information that sometimes change on a weekly basis.

Vermonters have done a great job of limiting the spread of the virus and protecting our most vulnerable neighbors by following the Governor's "Stay Home, Stay Safe" order over the past few months. Now, we've all been directed to wear masks in public. Both Bennington and Wilmington's Select Boards have passed local mandates requiring masks in public places. Thanks to these efforts—along with distancing, handwashing, and other factors—Vermont is among the states with the fewest number of infections. Continuing each of these important infection-prevention strategies is crucial to returning to a more normal way of life.

As we open up and begin to re-connect, we fully expect to see a rise in COVID –19 cases in Vermont. Thankfully, we have had time to prepare for this increase. We also have adequate PPE, and increased testing will help us gather crucial information for stemming the spread with less disruption to our normal lives.

More than ever, I find it helpful to focus on what we have learned and how it can help us move forward safely. Here is some of what we have learned so far: Most large hospitals, often treating over 1000 COVID patients daily, effectively protected their workers by obsessively following the rules of screening, hygiene, distancing, and masking. Each of these components is designed to work together; Each alone has its inherent limits.

  • Absent quick testing at the workplace, the best screening is asking employees if they have COVID-like symptoms (fever, chills, new cough, shortness of breath, sore throat, loss of taste or smell) and to stay home if they do.
  • Washing our hands (or using sanitizer) after touching well-handled items or visiting populated areas. Washing your hands 10 times daily is not too often.
  • Though an uncovered sneeze or cough can travel farther, 6 feet distancing continues to be the sweet spot for safety.
  • Masks (double layer cotton and surgical) are effective to prevent spreading of large and some small droplets containing virus. They also seem to give some minimal protection to those wearing a mask. Since possibly 40 percent of transmission happens when we do not have symptoms, we wear our masks to protect others and to suppress overall infection rate. They also help many people (not all) to avoid touching their face. The downside is a warm chin; the upside is you may be protecting someone from a significant illness. Masks are not a symbol of government intrusion. Masks are simply a tool to protect others and show empathy.

It is difficult to predict how many COVID-19 infections will occur in our communities in the coming months. What I am certain of is that our choices, on where we go and what we do, often affect the safety of those around us. As we learn to live with this virus in our community, following the recommendation above will help us all.

Marie George, MD, is SVMC’s infectious disease specialist.

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