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Forging a Poison Prevention and Control System
TABLE 7-1 Roles for Data and Surveillance as Applied to Poison Prevention and Control
Role
Uses
Example
Outbreak/cluster identification
Public health agencies can assess, then respond with investigation
Arsenic poisoning in Maine
Implementing and evaluating prevention and control measures
Examining temporal association of changes in exposures in relation to programs
Poison Prevention Packaging Act implementation and assessment
Planning and managing resources
Providing adequate levels of poison prevention service
Tracking volume of contacts by time and day
Epidemiology, including identification of trends
Determining prevalence and detecting increases in types of poisonings
Annual reports of the AAPCC (TESS)
Identification of emerging problems
Multiple, including environmental and occupational
Pesticide-related illness and injury
Research
Assessment of hazard to focus primary and secondary prevention
Acetaminophen overdose for Nonprescription Drug Advisory Board (September 2002)
public health, surveillance data can be useful for multiple purposes: (1) identifying and investigating outbreaks or clusters of diseases; (2) implementing and evaluating prevention and control measures; (3) planning and managing resources and establishing priorities; (4) identifying trends in occurrences of interest; and (5) identifying emerging problems or new populations at risk of disease (adapted from Calvert et al., 2001). Each of these types of needs is briefly described in Table 7-1 with examples relevant to poisoning prevention.
CURRENTLY AVAILABLE SYSTEMS
The following section describes the characteristics and the strengths and weaknesses of current data systems, beginning with the Toxic Exposure Surveillance System (TESS) and other poison-specific data sources, and followed by data sources derived from health records and health care datasets, other exposure-related data sources, and survey data sources. Table 7-2 provides a tabular description of these datasets. This review focuses on existing data resources, including national surveys, that have been designed at least in part for epidemiological tracking purposes or