CHAPTER 2: HOW POISONING HAPPENS
 
 
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Objectives

After studying this chapter you should be able to:

  1. Recognize when there is a danger of poisoning from chemical products, medicines, carbon monoxide, pesticides, or contaminated food, at home or at work.
  2. Explain to other people how poisoning happens so that they are aware of the dangers.
  3. Warn people about the danger of taking a chemical product out of its original container and putting it in another one.
  4. Explain to people why it is important to use a product in the way the manufacturers mean it to be used.
  5. Explain to people why it is dangerous to abuse drugs.
  6. Discuss with people the usefulness and dangers of using chemicals.

Some poisonings happen by accident but some happen when people try deliberately to harm themselves (self-poisoning) or others. There are other circumstances that may result in poisoning:

  • ating food containing poison;
  • taking, or being given, the wrong kind of medicine or the wrong dose;
  • taking drugs because they change mood or behaviour, or using plants or chemical products for this purpose.

Accidental poisoning

Accidental poisoning may happen when:

  • young children or old people handle poisons not knowing what they are;
  • people mistake poison for food or drink because it is not in its original container;
  • people misuse chemical products or medicines;
  • people use or misuse pesticides;
  • people work with chemicals;
  • people are exposed to carbon monoxide, usually at home.

Poisoning in childhood

Many poisoning accidents in the home happen to small children aged between 1 and 4 years. At this age children want to explore. They can crawl or walk round the house on their own and by the age of 2 they can probably climb onto a chair to reach a high shelf. They can open drawers and cupboards, and they may be able to open screw-top bottles.

They like to put things in their mouths but they are not old enough to understand that some things might be harmful. They seem to have a different sense of taste from adults, and often like to swallow things that to adults taste strange or bitter. They may swallow medicines that look like sweets or motor oil that looks like syrup. If they are thirsty they may swallow a liquid, such as a household cleaner, that looks like a soft drink or fruit juice.

The chemical products most often swallowed by children are:

These chemicals are often used around the home. They are often kept in places where a small child can see and reach them, for example, on shelves or tables, or on the ground.

Many accidents happen when people looking after young children are too busy to watch them all the time. They may be looking after a large family with several young children, or doing housework. If an open container is left within easy reach, it may take only a few seconds for a child to grab it and swallow the contents.

It is especially dangerous if a child is left alone, or in the care of slightly older brothers or sisters, for several hours at a time.

Poisoning in old age

Old people may poison themselves accidentally. If they cannot see very well, they may pick up the wrong bottle and swallow a household cleaner, for example, instead of a drink or a medicine. Old people
tend to be forgetful and confused. They may forget to take their medicine, or they may take too much and poison themselves because they cannot remember how much to take or when they took the last dose.

Taking products out of their own containers

Accidents can happen when someone takes a chemical product out of its container and puts it in another one. The new container does not have the right label so nobody else will know what is inside. Even the person who did it may forget. It is specially dangerous to pour any chemical or medicine into a drinking cup, or drink bottle, or any container where it might be mistaken for food or drink. Young children cannot tell the difference between harmful chemicals and food or drink, and even adults may drink from bottles without checking to see what is inside.

That is why it is dangerous for shopkeepers to take chemicals from large containers and then sell them in smaller containers.

Poisoning from misuse of chemical products or medicines

Poisoning accidents can happen when safety warnings are ignored and chemicals are used in the wrong way. For example, there is usually a warning on a bleach container that bleach should not be mixed with
any other cleaner. If people ignore the warning and use bleach with another household cleaner, they may be poisoned by the gases given off. Another example of misuse of a product is when insecticides that are meant to be used on plants or buildings are used to kill insects living on people, in their hair or on their bodies.

Sometimes people poison themselves by misusing medicines. They may take more than the doctor prescribed because they think, wrongly, that a larger dose will make them better more quickly. Taking someone else's medicine is also a kind of misuse. People who take someone else's medicine may be harmed if they take the wrong dose or take a medicine that is not meant for treating their condition. Women who take medicine to try to end a pregnancy are misusing the medicine, and may poison themselves.

Pesticide poisoning

Pesticides are chemicals made to poison insects, weeds or other pests. Most pesticides are also poisonous or harmful to humans if they get on the skin, or if they are breathed into the lungs in the form of gases, fumes, dust or fine spray droplets, or if they are swallowed.

These are some of the ways people may be poisoned:

Poisoning at work

Many chemicals that are made, used, or stored in workplaces are poisonous. People who work with these chemicals need to know how to handle them safely to avoid being poisoned.

Sometimes workers may not know that they are handling a poisonous chemical, or they may know that the chemical is poisonous but not have been told or shown how to handle it safely. They may not have read the label or the safety information. Sometimes they may know the dangers but be too lazy or careless to use safe methods.

Accidents, fires or explosions at work may result in chemicals spilling or leaking out of their containers onto roads or into rivers, or vapours and gases being released into the air. Sometimes chemicals spread over a large area and poison many people.

Chemical waste and empty chemical containers may be serious safety hazards if they are not dealt with in the right way.

Carbon monoxide poisoning

When oil, gas, wood, coal or other fuels burn they give off a gas called carbon monoxide, which can cause serious poisoning and often causes death. This can happen when fires, stoves, heaters, or ovens are used in rooms, huts or tents where there is no open window or chimney to let fresh air in and carbon monoxide out. Petrol engines also give off carbon monoxide, and people may be poisoned if they run a car engine inside a garage when the doors are shut.

Self-poisoning

People may try to harm themselves by deliberately taking poison - this is called self-poisoning. In some countries people take medicines to poison themselves, but people living in rural communities are more likely to take pesticides.

People suffering from depression, serious illness, or alcohol dependence may try to kill themselves by taking poison. They may swallow large amounts of medicine, pesticide or other poisons. If they recover they might try to poison themselves again unless they receive appropriate treatment.

Many young people who try to poison themselves are unhappy because of problems they do not know how to deal with, such as unhappy love affairs or arguments with boyfriends or girlfriends.

Using poison to harm other people

Sometimes people use poison to harm others. They may do it as a joke or they may want to frighten or even kill a person. If you have evidence that this is happening or has happened, tell the police.

Poison in food or drink

Food or drink can be contaminated by poison from microscopic organisms such as bacteria, viruses, or mould, or by chemical poisons.

Some plants, mushrooms, animals or sea-creatures contain poisonous chemicals. Poisons made by plants, animals or microorganisms are called toxins.

Poisons made by microscopic organisms

Food may be contaminated by bacteria before or after cooking, during preparation or storage, by contact with hands that have not been thoroughly washed, or with contaminated surfaces, containers or kitchen utensils. It may also be contaminated by animals or insects, particularly flies. Heating food thoroughly destroys most - but not all - bacteria and bacterial toxins. However, if cooked food is kept warm or at room temperature for any length of time, any bacteria present will multiply and may cause disease.

Moulds grow on foods that are damp or damaged by insects, and some moulds produce poisons. Moulds growing on nuts or grain that has been gathered and stored before it is dry may cause serious poisoning. Some ways of drying and preserving food do not stop moulds growing on the food.

People can catch diseases from eating food infected with worms or other organisms, but this is not poisoning and is not dealt with in this book.

Chemical poisons

There are many ways chemical poisons can get into food and drink, for example:

  • when people working with chemicals eat in the workplace or do not wash their hands before eating;
  • when chemicals spill onto food as it is being moved from place to place, or when it is in a storeroom;
  • when food or drink is stored or cooked in containers that are contaminated with chemicals;
  • when people make flour from grain that has been treated with pesticide because it was meant to be used for seed or bait, not for food;
  • when people brew their own alcoholic drinks and produce poisonous alcohols, such as methanol;
  • when water supplies are polluted by accidental spills of chemicals, or by chemical waste from factories or waste dumps near watercourses.

Poisonous plants, mushrooms, animals and sea-creatures

Some plants, mushrooms, animals and sea-creatures contain toxins. Sometimes it is very hard to tell the difference between plants or fish that are good to eat and those that are poisonous.

Medical poisoning

Sometimes people are poisoned by medicines given to them by a doctor or another health care worker. They may be given the wrong medicine or be given the wrong dose of the right medicine. There are many reasons why this can happen. The doctor may not know the patient is allergic to a medicine, or may give the wrong dose because of a mistake in measuring it.

Abuse of drugs, chemicals or plants

People may take drugs to change their mood or behaviour, to feel relaxed, or to get more energy. This is called drug abuse because it is not a medical use of the drug. Some people abuse drugs such as heroin, cocaine or barbiturates. Drinking too much alcohol is an important kind of drug abuse.

Other substances may produce some of the same effects. Some people breathe in chemicals such as glue, paint, nail varnish remover, cigarette lighter gas, petrol or dry-cleaning fluid. This is sometimes called solvent sniffing or solvent abuse. People may breathe fumes from a cloth soaked in liquid or put chemicals or glue into a plastic bag and breathe deeply from the bag.

In many societies people use plants or fungi for their hallucinogenic, stimulant or relaxing effects. Some plants may be eaten raw, others are cooked, made into drinks, or smoked. Two plants commonly used in this way are tobacco and cannabis.

Many of the drugs, chemicals and plants that are abused are poisonous if people take too much at one time or use them for many months or years. For example, alcohol causes liver damage, smoking causes lung cancer and cannabis can affect people's memory.

The benefits and dangers of using chemicals

All countries use a large number of different chemicals in agriculture, in industry, in medicines and in the home. There are many good reasons for using them. Pesticides and fertilizers have helped farmers grow more crops. Medicines can cure or prevent disease, and they can give people longer and more comfortable lives. Cleaning products have made household tasks easier.

Useful chemicals can also be dangerous. People may have to use amounts that could be poisonous if they got into the body. Some chemicals can also cause harm if they get into the air people breathe, into the soil where people work or grow food and animals live, and into the rivers and streams that supply water for drinking, washing, or irrigating crops. The danger can be made smaller if chemicals are used safely, and efforts are made to prevent accidents, but the danger will never completely go away.

Communities must decide whether the benefit of using the chemicals is large enough and the danger small enough for them to live with. There are many things to think about:

  • How useful is the chemical?
  • What kind of harm can the chemical cause?
  • Will the chemical affect the environment?
  • Can the chemical be handled safely?
  • How many people will use the chemical, and how many people might be exposed to it because they work or live near the place it is made or used?
  • Can a less poisonous chemical be used instead?
  • How much money could be saved by using the chemical and how much would it cost to stop using it?
 
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