MODEL LIST OF ESSENTIAL MEDICINES
ANNEX 6. SUGGESTED CONTENT OF A POISON CENTRE ANNUAL REPORT
PERIOD COVERED BY THE REPORT: FROM …./…../… TO …./…./….
1. THE POISON CENTRE
Name of centre: .………...………….
Address: ……… City: ……… Country: ………...
Telephone: ………....… Fax: ………....… E-Mail: ………....…………URL………....…………
Geographical area (officially) covered by Centre: ………...………….
Population served (officially) by Centre (number): ………...………….
Hours of operation: …...… hours/day, from …...… : …...… to …...… : …...… ; …...… days/week User profile:
F General public F Medical professionals
Main role(s) of centre: Poisons information service F Analytical services
F Patient care F Training
F Other, please describe:
Staff:
Technical/Medical director/Responsible director (of centre only):
Administrative director (of centre only):
Professional(s): (number) (indicate whether full-time or part-time)
Physicians: .………...………...
Pharmacists: .………...………....
Nurses: .………...………...
Scientists .………...………...
Laboratory staff: .………...……
Other: .………...………...
Administrative staff: (number) ………...………...
General service staff: (number) ………...………...
External experts/advisers (number) ………...………...
Fields of expertise (for example, toxinology, mycology, botany)………...
Date centre established: …… /…… /…… (date dd/mm/yy when service started operating)
Location of centre: ……...
(for example, ministry, hospital, medical school, university, other)
Administrative affiliation: ...
(for example, Ministry of Health, university hospital, private sector, other)
2. STATISTICAL DATA ON ENQUIRIES
a. Number of incoming, outgoing and other communications and personal contacts during the reporting period (communications include those by telephone, post, personal contact and other; post includes letter, fax, e-mail and also specific questionnaires and surveys; personal contact includes consultations) b. Number of enquiries related to cases, chemical incidents and requests for information (i.e. no exposure
or patient involved)
c. Number of enquiries per main category of enquirer d. Number of enquiries by main location of enquirer e. Number of enquiries per agent use or type f. Number of enquiries by month
g. Number of enquiries by hour of the day (yearly average) h. Comments
3. STATISTICAL DATA ON INCIDENTS REPORTED
17a. Total number of incidents with and without exposed people b. Number of incidents involving one or more exposed people c. Number of incidents by circumstance
d. Number of incidents per agent type or use e. Comments
4. STATISTICAL DATA ON CASES
18a. Total number of patients about whom enquiries were received:
• Human
• Animal
b. Number of cases by circumstance and agent by type or use
c. Number of cases, circumstances of exposure, age groups and gender of patients
d. Number of cases involving pregnant patients, circumstance of exposure and agent type or use e. Number of cases by age group and agent type or use
f. Number of cases by final severity grading
17 An event leading to or potentially leading to exposure. An incident may involve several victims (e.g. contamination of a product, fire, spill, volcanic eruption, algal bloom).
18 Data on humans or animals exposed to or poisoned by an agent.
g. Number of cases by final outcome
h. Number of cases by age group, gender and circumstance of exposure when outcome is death i. Number of cases by agent type or use, gender and circumstance of exposure when outcome is death j. Comments (for example, summary of main observations, trends, problems in relation to each main
category of agent and to specific agents, cases of unusual symptomatology, other observations)
5. DATA FROM ANALYTICAL AND OTHER LABORATORY INVESTIGATIONS (WHEN PROVIDED BY THE CENTRE)
a. Type and number of analytical equipment operational in the laboratory b. Total number of laboratory investigations undertaken on:
i. patients for whom the poison centre advised on or provided treatment ii. other patients (for whom the poison centre was not involved in management) c. Main agents investigated, in decreasing order of frequency for (b.i. and b.ii.) d. Other investigations by the laboratory (provide numbers, if possible), for example:
• analysis of water for chemical contaminants
• analysis of food for chemical contaminants
• identification of controlled or abused drugs (drug seizures)
• urine screening of drug abusers
• forensic toxicology
• occupational toxicology
• environmental toxicology
• therapeutic drug monitoring
• others (please specify)
e. Comments (for example, availability of supplies and reagents)
6. DATA ON FACILITIES FOR MANAGEMENT OF PATIENTS (WHEN PROVIDED BY THE CENTRE)
a. Number of beds for poisoned patients (for example, in the centre itself, emergency department, intensive care unit, medical ward, other)
b. Outpatient clinic: number of consultations per year
c. Access to specialized treatment (for example, haemodialysis, transplantation unit) d. Access to specialized diagnostic facilities (for example, magnetic resonance imaging) e. Comments
7. ANTIDOTES AND ANTIVENOMS AVAILABLE AT THE CENTRE
a. List of antidotes and antivenoms available
b. Number and names of antidotes and antivenoms used and distributed during the year c. Comments (for example, new formulations and developments)
8. PREVENTIVE ACTIVITIES
a. Community prevention activities, including materials prepared (for example, mass media activities, public education campaigns, other)
b. Partners in prevention activities (for example, ministries, hospitals, community groups, nongovernmental organizations, other)
c. Toxicovigilance:
• Number of investigations of toxic situations for which an alert might be required
• Number of alerts called
• Number of reports to authorities
• Materials prepared
• Other actions taken
d. Results or outcome of preventive activities e. Comments
9. ADVISORY ROLES TO GOVERNMENTAL AND OTHER BODIES
Description of activities undertaken, for example, advice on registration of pesticides, safety measures, regulatory activities, other.
10. TRAINING AND EDUCATION OF PROFESSIONALS
a. Training courses organized by the centre (title, objectives, place, dates, type of audience, sponsorship, other)
b. Training activities organized by others in which members of the centre took an active part (title, objectives, place, dates, type of audience, sponsorship, other)
c. Curricular studies organized by the centre:
• Undergraduate level
• Postgraduate level d. Comments
11. RESEARCH ACTIVITIES OF THE CENTRE
(For each area: title, objectives, partners, duration, source of funding specifically for research, other) a. Clinical
b. Analytical c. Epidemiological d. Other
e. Comments
12. PUBLICATIONS
a. Publications, reports, brochures issued by the centre (title, brief summary, reference)
b. Publications written by staff of the centre ((for example, case reports, articles, monographs, theses, books; provide title, brief summary and reference for each)
c. Comments
13. NATIONAL AND INTERNATIONAL MEETINGS AND COOPERATIVE ACTIVITIES OF CENTRE
a. Organized by the centre:
• National meetings, congresses, workshops (title, place, dates, summary of meeting if available, number of members of the centre involved)
• Organization of international meetings, congresses, workshops (title, place, dates, summary of meeting if available, number of members of the centre involved)
b. Participation of the centre in:
• National meetings, congresses, workshops (title, place, dates, summary of meeting if available, number of members of the centre involved)
• International meetings, congresses, workshops (title, place, dates, summary of meeting if available, number of members of the centre involved)
c. Cooperative projects or activities with other partners (title, brief description, partners, duration) d. Support to other poison centres (brief description of activities, which centres supported, dates, staff
of the centre involved)
e. Training provided for other poison centres (brief description, place, dates) f. Regional activities (brief description of activities in chronological order) g. Twinning arrangements established (name of poison centre)
h. Comments
14. BUDGET FOR THE PERIOD OR YEAR OF THE REPORT
a. Overall annual budget b. Staff costs
c. Operating costs
d. Overall increase or decrease on previous year’s budget
e. Fund allocations for specific new activities (for example, activity, duration, amount)
15. MAIN REQUIREMENTS OF THE CENTRE
This section briefly presents the main requirements of the poison centre for which technical, financial or other support or interaction with other poison centres would be useful or other requirements.