Transcription

Certified as a Regional Poison Center by the American Association of Poison Control CentersGo to Table of Contents

WVPC Annual Report 201Ϯ - Table of ContentsABOUT USPROFESSIONAL OUTREACHOur Mission StatementHistoryWho te erveTypes of alls DanagedResources htilizedData CollectionProfessional EducationCommittee RepresentationsDATASTAFF & CONTACT INFORMATIONOur Contact InformationWVPC Administration & StaffAdvisory BoardFINANCESFundingBudgetProgram ExpensesMEMBER TREATMENT HOSPITAL PROGRAMDescription & Member HospitalsCall Volume/TypesReason for ExposuresCaller SiteTreatment SiteRoute of ExposureAge & Sex DistributionTop 10 Drug ExposuresTop 10 Non-Drug ExposuresMedical OutcomesHospital Call StatisticsCounty Call StatisticsWV County Penetrance MapSubstance Categories Data (Drug)Substance Categories Data (Non-Drug)PUBLIC HEALTH & HAZARDOUS MATERIALSCOMMUNITY OUTREACHActivitiesNational Poison Prevention WeekWebsitePublic Health Information & DataHazardous Materials Operations & DataWVPC’s 67250 5(63216(USE CTRL F or PRESS HERE TO SEARCH DOCUMENT

The West Virginia Poison Center is an information resourcefor both the public and health care professionals,professionals whosetwo‐fold purpose is to assist in the provision of optimaltreatment of the poisoned patient and to reduce thenumber of accidental poisonings throughout all fifty‐fivecounties of West Virginia.Return to Table of Contents

HistoryEstablished in 1979 by then WV Governor, U.S. Senator Jay RockefellerRecognized by the State of West Virginia as West Virginia’s onlypoison center - April 1986Established in WV Code W. Va. Code §18B-11B-1 et seq. (HB 4651)- 20061st certification as a Regional Poison Center - September 1986Re-certification granted: 1992, 1997, 2002, 2007, 2012Moved from borrowed space to the Robert C. Byrd Health SciencesCenter West Virginia University Charleston Division – 1993Center,Return to Table of Contents

Those Served by the WVPC: General public Health care professionals All ages (infants, children, adolescents, adults, senior citizens) All socioeconomic classes (rich, middle class, poor) All facilities (home, hospitals, schools, businesses, industry) AllAll 55 counties in West VirginiaHours of Operation: 24 hours a day (toll free number available, and TTY accessible) 365 days a yearReturn to Table of Contents

Types of Calls Managed: Accidental poisonings in children & adults:Medications, plants, mushrooms, household cleaners, etc. Misuse of drugs or chemicals Poisonings in pets Drug interactions/adverse reactions Self harm/suicide attempts Substance abuse toxicity (cocaine, LSD, etc.) Spider, snake and insect bites Hazardous material exposures Occupational exposure to chemicals Chronic lead poisoningReturn to Table of Contents

Resources Utilized: Trained and experienced medical experts Computer databases On-lineOn line databases An up-to-date comprehensive toxicology library Primary literature (updated weekly) Specialty consultants Internet MaterialM t i lSSafetyf t DataD t SheetsSh t (MSDS’s)(MSDS’ ) Language LineReturn to Table of Contents

Data CollectionThe WVPC participates in the American Association of Poison ControlCenter’sCenters National Poison Data System (NPDS); the largest poisonexposure data base in the United StatesData collected is used to: Target problem areas and adjust services ConductConduct research Teach health care professionals and students Assist in product regulationReturn to Table of Contents

W t VirginiaWestVi i i PoisonP iCenterC tRobert C. Byrd Health Sciences Center-Charleston Division(304) 347-1212 Administration(304) 347-1379 Community OutreachC di t /PCoordinator/Preventionti EducationEdtiWeb Site: www.wvpoisoncenter.org1-800-222-1222 Emergency Service-Statewide(TTY accessible)The West Virginia Poison Center is operated by the West Virginia University Health Sciences CenterCharleston Division.The WVPC is academically affiliated with the West Virginia University School of Pharmacy.Return to Table of Contents

West Virginia Poison Center StaffDirector:January 11, 2012-December2012 December 31,31 2012Elizabeth J. Scharman, Pharm.D., DABAT*, BCPS**, FAACT Professor, WVU School of Pharmacy, Dept. of Clinical PharmacyMedical Director:Anthony F. Pizon, M.D., ABMT ,ABMT , ABEMABEM Back-up Medical Directors:Kenneth D. Katz, M.D., FAAEM , ABMT Michael Lynch, M.D., ABMT Michael Abesamis, M.D.Supervisor of Operations/ HazMat Supervisor:V. Dalton Noffsinger, RN, CSPI#, AHLS##Specialists in Poison Information:Pamela J. Chase, RN, CSPI#Willette K. Haught, RN, CSPI#Kenneth G. Haught, RN, BSN, CSPI#John R. Hersman, RN, CSPI#Ryan S. Aliff, RN, BSN, CSPI#Sue A. Acord, RN, BSN, CSPI#J i R.JamieR CCook,k RN,RN MSN,MSN CSPI#Community Outreach Coordinator:Carissa E. B. McBurney, MPAProgram Specialist:Diana K. Ramsey*Diplomate: American Board of Applied Toxicology **Board Certified Pharmacotherapy Specialist Fellow, FllAAmericaniAAcademydoff CliClinicali lTToxicologyi l A AmericaniBBoarddMMedicaldi l TToxicologyi l AAmericaniBBoarddEEmergency MMedicinedi i Fellow American Academy Emergency Medicine #Certified Specialist in Poison Information ##Advanced Hazmat Life SupportReturn to Table of ContentsSee Photo Section

Elizabeth ScharmanDalton NoffsingerAnthony PizonSue AcordReturn to Table of ContentsJamie CookCarissa McBurneySee next page

Sue Acord, Pam Chase & Anthony PizonPam ChaseReturn to Table of Contents

West Virginia Poison Center Advisory BoardWest Virginia University HSC, Charleston Division: Clark Hansbarger, M.D., ChairOffice of Military Affairs and Public Safety:D iDesignee:Cabinet Secretary Joseph ThorntonCh i ti MChristineMorris,i DDeputyt SSecretarytWest Virginia Higher Education Policy:Designee:Brian Noland, Ph.D., ChancellorLaura Boone, Esq:, Program CoordinatorWest Virginia Bureau for Public Health:Designee:Marian Swinker,Swinker MM.D.,D MPHMPH, FACOEMJerry Rhodes; Director; WV Center forThreat PreparednessWest Virginia Hospital Association:Designee:Health Care Representatives:Joe Letnaunchuyn, President and CEOSamantha StamperHarry K. Tweel, M.D.Cabell Huntington Health DepartmentTeresa Calhoun, RN, MSN, CS-FNPBayer Crop ScienceGeneral Public Representative:Jack Rogers, EsquireEx-Officio (Director WVPC):Elizabeth J. Scharman, Pharm.D.Return to Table of Contents

F di SFundingSources – DirectDi t CCostst13%WV Legislature16%56%WVU HealthSciencesOutside Sources*Federal Funding15%*Member Treatment Hospitals, Donations, GrantsReturn to Table of Contents

Program Expenses – Direct CostsSalaries84.0%Office Supplies, Databases, Software, & EducationalMaterials10.0%Emergency Toll Free Lines/Telecommunications2.7%CapitolCit l Equipment,E it InformationI fti TechnologyT h lSupport,St& Maintenance2 0%2.0%Travel1.3%Not included in the above direct costs:WVU Health Sciences Center Charleston Division covers indirect expenses (e.g., space,facility expenses, insurance) valued at 165,900.00WVU School of Pharmacy covers the salary of WVPC Director who is a full‐time facultymember of the School.Return to Table of Contents

DOLLARS SAVED IN WEST VIRGINIA approx. 5 millionWV Poison Center helps decrease:Unnecessary emergency department self-referralsUnnecessary hospitalizationsUse of unnecessary ambulance servicesUse of unnecessary therapiesWV Poison Center Direct Expenses: 1,058,365.001 058 365 00Return to Table of Contents

MEMBER TREATMENT HOSPITAL (MTH) PROGRAMThe West Virginia Poison Center’s (WVPC) Member Treatment Hospital (MTH) Program is designed toextend the services of the WVPC into local communities throughout West Virginia. The WVPC providesMember Hospitals with:1)2)Current information for poisoned patient management,management andTools to educate local communities about the Poison Center and poison prevention.cooperative effort is mutually beneficial to the patient, community, and the WVPC.ThisThe goal of the MTH program is to provide the most current and accurate poisoning managementinformation to all hospitals in West Virginia in the most efficient manner possible. With the MTH program,hospitals in West Virginia pay a yearly fee to the WVPC in exchange for:1)2)3)4)5)6)supplies of educational materials and Mr, Yuk stickers free of charge;customized Toxic Substance Reviews;WVPC attendance at health fairs;WVPC participationti i ti att a hospitalhit l in-servicesiiupon request;t24 hour availability of the WVPC’s medical director; andrecognition as a contributor to the WVPC.Toxic Substance Reviews (TSR’s), written by the WVPC staff, provide hard copy information about toxicsubstances These reviews are transmitted upon request to the treating physician via facsimile (fax).substances.(fax) Thishard copy information is intended to supplement verbal information given by the Specialist in PoisonInformation. The WVPC remains in close contact with the hospital to follow the patient’s progress and toprovide further assistance as needed.Hospitals that choose not to participate in the MTH program are charged on a per call basis to cover the costsassociated with providing written information.Return to Table of ContentsSee next page

MEMBER TREATMENT HOSPITAL (MTH) PROGRAM PARTICIPANTSBeckley Appalachian Regional HealthcareBluefield Regional Medical CenterBoone MemorialBraxton CountyBroaddus HospitalCharleston Area Medical Center (CAMC):-General-Memorial,-Women & Children’s-Teays ValleyCabell HuntingtonCamden Clark Medical Center:-Memorial Campus-St Joseph’s CampusCity HospitalDavis MemorialGrant MemorialGreenbrier Valley Medical CenterJackson GeneralJefferson MemorialLogan Regional Medical CenterMi i HamiltonMinnieH ilt HHeathth SSystemstMonongalia GeneralMontgomery GeneralOhio Valley Medical CenterPlateau erteRipleyRansonLoganG t illGrantsvilleMorgantownMontgomeryWheelingOak HillPleasant ValleyPocahontas MemorialPotomac MemorialPreston MemorialPrinceton CommunityRaleigh GeneralReynolds MemorialSt. Francis HospitalSt. Mary’s HospitalStonewall JacksonSummers County ARHSummersville MemorialThomas Memorial HospitalUnited Hospital CenterWar Memorial Hospital, IncWebster County HospitalWelch Community HospitalWV University Hospitals, Inc.Wetzel CountyWheeling HospitalWilliamson MemorialReturn to Table of ContentsPt. n uth CharlestonClarksburgBerkeley SpringsWebster SpringsWelchMorgantownNew MartinsvilleWheelingWilliamson

Community Outreach Poison prevention awareness programs for adults, children andmedical professionals Poison prevention and WVPC awareness messages are provided via:volunteer programwebsitepresentationsschool programshealth fairsnewsletterspress releasesbrochuresMr. Yuk stickerspoisonipreventioni weekk Programs and materials are provided to:daycare centersschoolsphysicianh i i officesffihhospitalsit lprofessionalscommunitiesReturn to Table of Contentsclinicsf ili /i di id lfamilies/individualssenior centersSee next page

Public Education Activities Poison Prevention Awareness in all 55 West Virginia counties throughout 2012Distributed over 22,000 pieces of poison prevention/WVPC awareness materialsTeachers in all 55 West Virginia counties received materials for use in the alFairs826*34Presentations4515*60*number officially reported to the WVPC West Virginia media outlets provided with over 12 press releasesNewspapersTelevisionRadio101201Return to Table of ContentsListen to thePoison Center JingleSee next page

National Poison Prevention Week (PPW)2012The WVPC focused on a unique theme for each day of PPW:Sunday, March 18thMonday, March 19thTuesday, March 20thWednesday, March 21stThursday, March 22ndFriday, March 23rdS t dSaturday,MarchMh 24thPoisonings Span a LifetimeChildren Act FastPoison Centers: Saving Lives 24/7Taking Medicines SafelyHome, Safe HomePoison SuperheroesWWayst PtoPreventt PPoisoningsiiReturn to Table of Contents

N iNationall PoisonP iPreventionPi WeekW k2012 All 55 countiesti were iincludedl d d Store front display at former department store in Oak Hill Collaborated with multiple agencies including:––––Local librariesLocal Birth to Three programsLocal Maternal Infant HealthOutreach Worker programsReturn to Table of Contents

www.wvpoisoncenter.orgpgThe West Virginia Poison Center’s website is updated regularly. A new topic is featuredmonthly. From this website, users can download WVPC educational materials and findinformation regarding a variety of poison prevention and poison center awarenesst itopics.Return to Table of Contents

Health Professional EducationSupervised experience in the WV Poison CenterDoctor of Pharmacy Students (5 wks each)6Pharm.D. Residents (4 wks each)2Hours of academic, continuing education (CE)presentations7Number of toxicology lectures given (3rd year medical students)6Hours of didactic/laboratory/service learning instruction (WVU)38National meeting presentation1Hours of didactic instruction for other institutions3Hours of emergency medicine resident instruction36Weapons of mass destruction/disaster planning instruction10Hospital Webinar (1.0 hr CE) for physicians, nurses, pharmacistsReturn to Table of Contents1

Mountain State PoisonLine ArticlesVolume 7, Issue 1: January-AprilWhat’s New in Toxicology:Crotalidae polyvalent immune Fab changesClinical Toxicology PearlsPoisoning PitfallsMultidisciplinary Toxicology CaseVolume 7,7 Issue 2: MayMay-AugustAugustWhat’s New in Toxicology:Liquid laundry detergent pods/capsulesClinical Toxicology PearlsPoisoning PitfallsMultidisciplinary Toxicology CaseVolume 7, Issue 3: September-DecemberWhat’s New in ToxicologyNicotine cartridges/water expanding toysClinical Toxicology PearlsPoisoning PitfallsMultidisciplinary Toxicology CaseReturn to Table of Contents

Committee Representation-DirectorAmerican Association of Poison Control CentersChair, Coding Audit Sub-CommitteeC Ch i BCo-Chair,Benchmarkinghki SSub-CommitteebCittMember, Rapid-Response Coding TeamMember, Fatality Review CommitteeCh i AAPCC/MicromedexChair,AAPCC/Mid CodingC di TTaskk FForceAmerican Academy of Clinical ToxicologyChair, NACCT Planning Committee (through Oct 2012)West Virginia Bureau for Public HealthDeputy Strategic National Stockpile Coordinator, WVSmallpox Response Team MemberChairman Toxicology and Poison Control Editorial PanelChairman,Annals of PharmacotherapyEmergency Medical Services for Children Advisory PanelKanawha/Putnam Local Emergency Planning Committee,Committee MemberReturn to Table of Contents

C ll TCallTypePoison Exposure Call18,563Information Call22,01816 000 17,00016,00017 000 18,00018 000 19,00019 000 20,00020 000 21,00021 000 22,00022 000 23,00023 000Return to Table of ContentsFollow‐up Calls Made 22,009

Reason for ExposureUnintentional (Accidental)10,828Intentional3,555Therapeutic Error2,220Adverse 10,000Unintentional (Accidental) Exposures 61% of CallsReturn to Table of Contents15,000

C ll SitCallerSites6%Residence24%Hospitals /Physician's OfficeOther*70%*Ambulances, schools, veterinarians, pharmacists,workplace restaurantsworkplace,Return to Table of Contents

TTreatmentSiteSi5% 1%34%Health Care FacilityHomeRefused Referral60%Other/UnknownReturn to Table of Contents

Route of ExposureIngestion14,880Through the Skin1,300Inhalation1,115In Eye837Bite/Sting315I j tiInjection268Unknown67OthOther5502000 4000 6000 8000 10000 12000 14000 16000Ingestiongwas the route for 79% of callsReturn to Table of Contents

A andAgedSSex DiDistributiont ib ti1600140012001000800MaleFemale600400200Return to Table of Contents rsChildren 2 years of age 34% of exposure calls4321 10

Drug Exposures1Pain rt Drugs1,0084A p ca s6997Ethanol6818Anticonvulsants (Seizure Medications)6699Diabetes medications, thyroid medications, oralcontraceptives, hormones/hormone antagonists53210gStimulants/Street Drugs527Return to Table of Contents

Non-Drug Exposures1Cosmetics & Personal Care Products1,5282Household Cleaners1,4223Pesticides6804Bites & Envenomations3715Plants2996Gasoline & Automobile Products2907Glow Products2178Air Fresheners2079Arts & Craft Supplies20110Carbon Monoxide131Return to Table of Contents

M di l OMedicalOutcometNot Followed: Sub-toxic9,0349,03Minor Effect3,236No Effect2,142Moderate1,436Unknown, Potentially Toxic1,262Unrelated Effect466Major142Death20020004000Return to Table of Contents6000800010000

Hospital Call Statistics 2012HOSPITAL#CALLS TO WVPC*#PT's REFERRED TO ER Beckley Appalachian Regional Healthcare40115Bluefield Regional Medical Center13811Boone Memorial Hospital555Braxton County Hospital396Broaddus Hospital172Cabell Huntington Hospital10646Camden Clark Medical Center - Memorial Campus26627Camden Clark Medical Center - St. Joseph's Campus8617Charleston Area Medical Center - General22616Charleston Area Medical Center - Memorial3510Charleston Area Medical Center - Women & Children's12954Charleston Area Medical Center - Teays Valley536City Hospital28138Davis Memorial Hospital7315Fairmont General Hospital1316Grafton City Hospital203Grant Memorial Hospital4019Greenbrier Valley Medical Center8118Hampshire Memorial Hospital285Jackson General Hospital4013Return to Table of ContentsSee next page

Hospital Call Statistics 2012HOSPITAL#CALLS TO WVPC*#PT's REFERRED TO ER Jefferson Memorial Hospital12914Logan Regional Medical Center11421Minnie Hamilton Health System143Monongalia General Hospital7022Montgomery General Hospital377Ohio Valley Medical Center1456Plateau Medical Center2413Pleasant Valley Hospital559Pocahontas Memorial Hospital110Potomac Valley Hospital329Preston Memorial Hospital299Princeton Community Hospital17835Raleigh General Hospital14249Reynolds Memorial Hospital394Roane General Hospital282Sistersville General Hospital91St Francis HospitalSt.401St. Joseph's -Buckhannon4812St. Mary's Medical Center13218Stonewall Jackson Memorial495Return to Table of ContentsSee next page

Hospital Call Statistics 2012HOSPITAL#CALLS TO WVPC*#PT's REFERRED TO ER Summers County ARH365Summersville Regional Medical Center8323Thomas Memorial Hospital10746United Hospital Center16136VA Hospital: Beckley111VA Hospital: Clarksburg (Louis A. Johnson VAMC)40VA Hospital: Huntington130VA Hospital: Martinsburg181War Memorial Hospital, Inc237West Virginia University Hospitals, Inc.5216Webster CoCountynt Memorial Hospital172Weirton Medical Center19Welch Community Hospital1018Wetzel County Hospital337Wheeling Hospital919Williamson Memorial Hospital703* Number of times Emergency Room consulted the West Virginia Poison Center Number of patients referred by the WVPC to that Emergency Room (excludes patients refusing referral)It is the WVPC policy to refer patients needing to be seen by a physician to the closest Emergency RoomReturn to Table of Contents

ANNUAL REPORT 2012HUMAN EXPOSURE BY WebsterWetzelWirtWoodWyomingNot 023,80641,1199,44416,2265,60586,88823,3042011 TOTALS1,819,777HUMAN 98249021721,91817,278RETURN TOTABLE OF CONTENTSTABLE OF 50

WV County Penetrance Map 2012 119.5-10.97.6-9.44.1-7.5 4Return to Table of Contents

DRUG SUBSTANCES INDEXYou mayy click categoryg y topicp or scroll throughg pagesp g that followANALGESICSCARDIOVASCULARMUSCLE RELAXANTSANESTHESTICSCOUGH & COLDNARCOTIC ANTAGONISTSANTICHOLINERGICSDIAGNOSTIC AGENTSSEDATIVE/HYPNOTICSAntianxiety & AntipsychoticsANTICOAGULANTSDIETARY SUPPLEMENTSSERUMS TOXOIDS & VACCINESSERUMS,ANTICONVULSANTSDIURETICSSTIMULANTS & STREET TIHISTAMINESEYE/EAR/NOSE/THROATVETERINARY PLASTICSHORMONES & ANTAGONISTSOTHER/UNKNOWNASTHMA THERAPIESMISCELLANEOUS DRUGSReturn to Table of ContentsNext Page

DRUG SUBSTANCESANALGESICSANESTHESTICSAcetaminophen (APAP)/Aspirin Combination46Inhalation, Injectable Anesthetics4Acetaminophen Alone466Local, Topical or Other Anesthetics59APAP in Combination155ANESTHETICS CATEGORY TOTAL63Aspirin (ASA) Alone133ANTICHOLINERGICS CATEGORY TOTALAcetaminophen with Hydrocodone247113ANTICOAGULANTSAcetaminophen with Oxycodone76Warfarin37Aspirin in Combination13Other58ANTICOAGULANTS CATEGORY TOTAL95Ibuprofen506Naproxen83Opoids‐ Single Ingredient533ANTICONVULSANTSCarbamazepine46Cox – 2 Inhibitors11Phenytoin25Other NSAID65Valproic 8ANALGESICS CATEGORY TOTALReturn to Table of ContentsPrevious PageNext Page

DRUG SUBSTANCESANTICONVULSANTS (cont’d)TopiramateANTIHISTAMINES CATEGORY ANTICONVULSANTS CATEGORY 262Antifungals69Cyclic nOther218ANTIMICROBIALS CATEGORY TOTAL437ANTIDEPRESSANTS CATEGORY TOTAL941ANTINEOPLASTICS CATEGORY TOTAL12ANTIHISTAMINES3ASTHMA THERAPIESH2 Receptor inophylline/TheophyllineOther Antihistamines‐Alone458Leukotriene InhibitorsReturn to Table of Contents65Previous Page599Next Page

DRUG SUBSTANCESASTHMA THERAPIES (cont’d)ASTHMAOther Asthma Therapeutic AgentsCARDIOVASCULAR CATEGORY TOTAL24ASTHMA THERAPIES CATEGORY TOTAL193CARDIOVASCULAR DRUGSACE Inhibitors/Angiotension Receptor Blockers2021008COLD & COUGH PREPARATIONSWith Opiates11With Dextromethorphan326Other/Unknown169506Alpha Blockers25COLD & COUTH CATEGORY TOTALAntiarrhythmics25DIAGNOSTIC AGENTS CATEGORY rlipidemicsAntihypertensives/DiureticsBeta Blockers[excluding vasodilators]57258Calcium Antagonists78Cardiac 6Other185NEUTRACEUTICALS CATEGORY nknown20Return to Table of ContentsPrevious PageNext Page

DRUG SUBSTANCESDIURETICS CATEGORY TOTAL117ELECTROLYTES/MINERALSEYE, EAR, NOSE & THROAT (ENT)PREPARATIONS (cont’d)Throat PreparationsC l iCalciumandd CalciumC l iSSaltslFluoride (excluding vitamins & mouthwash)18131ENT PREPARATIONS CATEGORY TOTAL6GASTROINTESTINAL PREPARATIONS120Iron (excluding vitamins with S CATEGORY TOTAL242EYE, EAR, NOSE & THROAT PREPARATIONSLaxatives104Proton Pump Inhibitors117Other/Unknown88GASTROINTESTINAL CATEGORY TOTAL532Ear (Otic) Preparations28HORMONES/HORMONE ANTAGONISTSEye (Ophthalmic) Preparations43CorticosteroidsNose (Nasal) Preparations15Estrogens15Insulin80Steroids – Topical for Eye/Nose/ThroatReturn to Table of ContentsPrevious Page104Next Page

DRUG SUBSTANCESHORMONE/HORMONE ANTAGONISTS CSOral Contraceptives57Oral Hypoglycemics144BarbituratesThyroid cal anti‐psychotics352191071Buspirone48HORMONES CATEGORY TOTAL532PhPhenothiazinesthi i41MISCELLANEOUS DRUGS CATEGORY TOTAL186Sleep Aids, Non‐Prescription Only17MUSCLE NTI‐ANXIETY/ANTI‐PSYCHOTICS CATEGORY TOTAL1809Cyclobenzaprine122SERUMS, TOXOIDS & VACCINES CATEGORYTOTALMethocarbamol22STIMULANTS & STREET DRUGS26Other105Amphetamines & Related CompoundsMUSCLE RELAXANTS CATEGORY TOTAL314Bath Salts/Hallucinogenic Amphetamine55Caffeine25NARCOTIC ANTAGONIST CATEGORY TOTAL8Return to Table of ContentsPrevious Page139Next Page

DRUG SUBSTANCESSTIMULANTS & STREET DRUGS (cont’d)TOPICALS (cont’d)Cocaine38Hydrogen Peroxide 3%Heroin32Iodine or Iodide91Methyl Salicylate69Marijuana35Topical Steroids59Methamphetamines35Other Type of Topical89Methylphenidate82TOPICALS CATEGORY TOTALSynthetic Marijuana60VETERINARY DRUGS CATEGORY TOTALOther/Unkn own25LSDSTIMULANT/STREET DRUGS CATEGORY TOTAL1809TOPICALS6269934VITAMINSMultiple Vitamins: Adult25Multiple Vitamins: Children’s182Acne Preparation26Multiple Vitamins with Iron: Adult33Calamine36Multiple Vitamins with Iron: Children’s29Camphor Alone or in Combination96Vitamins Single IngredientDiaper Care & Rash Products263126Other/UnknownReturn to Table of ContentsPrevious Page3Next Page

DRUG SUBSTANCESVITAMINS CATEGORY TOTAL398OTHER/UNKNOWN DRUG CATEGORY TOTAL181Return to Table of ContentsPrevious PageNext Page

NON‐DRUG SUBSTANCES INDEX (page 1 of 2)You may click category topic or scroll through pages that followADHESIVES, GLUE, CEMENTS &PASTESDEODORIZERS(not for personal use)HERBICIDESALCOHOLSDYESHYDROCARBONSARTS, CRAFTS, WRITINGPRODUCTS & OFFICE SUPPLIESESSENTIAL RIMATORSBATTERIESFIRE EXTINGUISHERSMATCHES / FIREWORKS/EXPLOSIVESBITES & ENVENOMATIONSFOOD & FOOD POISONINGMOTHBALLS & OTHER MOTHREPELLANTSBUILDING & CONSTRUCTIONPRODUCTSFOREIGN BODIES, TOYS, MISC.MUSHROOMSCHEMICALSFUMES GASESFUMES,GASES, VAPORSPAINTS/ ARNISHES/ LACQUERSSTRIPPING AGENTSCLEANING SUBSTANCESFUNGICIDESPHOTOGRAPHIC PRODUCTSCOSMETICS & PERSONAL CAREPRODUCTSHEAVY METALSPLANTSReturn to Table of ContentsINSECTICIDESNext Page

NON‐DRUG SUBSTANCES INDEX (page 2 of 2)You may click category topic or scroll through pages that followPOLISHES & WAXESRADIATIONRODENTICIDESSPORTING EQUIPMENTSWIMMING POOL & AQUARIUMPRODUCTSTOBACCO PRODUCTSUNKNOWN SUBSTANCES(NON‐DRUGS)WATER PROOFERS / SEALANTSReturn to Table of ContentsNext Page

NON‐DRUG SUBSTANCESADHESIVES GLUE,ADHESIVES,GLUE CEMENTS & PASTESCyanoacrylatesARTS, CRAFTS, WRITING PRODUCTS &OFFICE SUPPLIES (cont’d)55Crayon13Epoxy4Pencil10Non‐Toxic (Paper Glue, etc.)7Pens / Ink9410Other/Unknown32Typewriter Correction FluidADHESIVES, GLUES,ADHESIVESGLUES CEMENTSCEMENTS, PASTESCATEGORY TOTAL98W t 81Isopropanol / Rubbing Alcohol92Other/Unknown6ALCOHOLS CATEGORY TOTAL784ARTS, CRAFTS, WRITING PRODUCTS & OFFICESUPPLIESChalk4565ARTS/CRAFTS/ETC. CATEGORY TOTAL201AUTOMOTIVE/AIRCRAFT/BOAT PRODUCTSEthylene Glycol (e.g., antifreeze)78Brake Fluid16Hydrocarbons18Methanol (e.g., dry gas, windshieldwiper cleaners)16Other/Unknown29Return to Table of ContentsPrevious PageNext Page

NON‐DRUG SUBSTANCESAUTOMOTIVE/AIRCRAFT/BOAT PRODUCTSCATEGORY TOTAL157BATTERIESPenlight/Flashlight/Dry Cell38Automotive Batteries5Disc Batteries29Other/Unknown4BATTERIES CATEGORY TOTAL76BITES & ENVENOMATIONSFish Other Aquatic SpeciesFish,4InsectsMammalsBITES & ENVENOMATIONS (cont’d)Other Type Insect/Spider Bite126BITES CATEGORY TOTAL371BUILDING /CONSTRUCTION PRODUCTSCaulking Compounds15Cement, Concrete19Insulation11Other/Unknown21BUILDING PRODUCTS CATEGORY TOTAL66113CHEMICALS42Acetone (excluding nail polish remover)9Reptiles1Acids62Snakes73Alkali36Black Widow Spider7Ammonia10Brown Recluse Spider (reported; none in WV)5Borates/Boric Acid22Return to Table of ContentsPrevious PageNext Page

NON‐DRUG SUBSTANCESCHEMICALS (cont’d)GlycolsCLEANING SUBSTANCES (cont’d)7Other/UnknownCHEMICALS CATEGORY TOTAL91237CLEANING SUBSTANCESAmmonia Cleaners2Laundry Detergents/Fabric Softeners159Miscellaneous Cleaning Agents184Oven Cleaners18Rust Removers4Spot Removers/Dry Cleaning Agents3Automatic Dishwasher Detergents127Toilet Bowl CleanersBleaches333Wall/Floor/Tile, Heavy Duty Cleaners94191Carpet/Upholstery Cleaner26Cleaning Agents – IndustrialCleaners/Cleansers39CLEANING SUBSTANCES CATEGORY TOTALDisinfectants91COSMETICS & PERSONAL CARE PRODUCTSDrain Cleaners34Bath Oil,Oil Bubble Bath26Fabric Softeners10Baby Oil11Glass Cleaners62Creams, Lotions, Make‐Up130Hand Dishwashing Detergent45Dental Care Products147Return to Table of ContentsPrevious Page901512Next Page

NON‐DRUG SUBSTANCESCOSMETICS & PERSONAL CARE PRODUCTS(cont’d)Deodorants157Air FreshenersHair Care Products113Toilet Bowl DeodorizersHand Sanitizers188Other/UnknownLipsticks & Lip BalmsDEODORIZERS (NOT PERSONAL USE)29Mouthwash129Nail Products212207451DEODORIZERS CATEGORY TOTAL262DYESFood Dye6Perfume, Cologne, Aftershave95Other/Unknown10Peroxide87DYES CATEGORY TOTAL16Powders Made of Talc16ESSENTIAL OILS CATEGORY TOTAL64Soaps (Bar, Hand, or Complexion)73Suntan/Sunscreen Products85Household Plant Food26Other30Outdoor Fertilizers20COSMETICS & PERSONAL CARE PRODUCTSCATEGORY TOTAL1528FERTILIZERSOther/UnknownReturn to Table of ContentsPrevious Page9Next Page

NON‐DRUG SUBSTANCESFERTILIZERS CATEGORY TOTAL55FIRE EXTINGUISHERS CATEGORY TOTAL24FOOD & FOOD POISONING360FOREIGN BODIES, TOYS, & MISCELLANEOUSBubble Blowing Solution33Christmas Ornaments7Coins36Dessicants205Glass26Glow Products217Thermometers12Toys40FUMES, GASES, & VAPORSCarbon Monoxide131Chloramine Gas16Chlorine from Acid Mixed with Bleac

West Virginia University HSC, Charleston Division: Clark Hansbarger, M.D., . Teresa Calhoun, RN, MSN, CS-FNP Bayer Crop Science General Public Representative: Jack Rogers, . The goal of the MTH program is to p