Characteristic of Clorox Poisoning before and during COVID-19 Pandemic, Saudi Arabia, 2019-2020.

Authors

  • Hamoud Marzuq Alrougi
  • Jaber Sharaheeli

DOI:

https://doi.org/10.47672/ajhmn.1146
Abstract views: 176
PDF downloads: 175

Keywords:

Sodium hypochlorite, Clorox, poisoning, COVID-19.

Abstract

Purpose: Poisoning is one of the leading causes of morbidities and mortalities worldwide. Due to COVID-19 pandemic, there was a dramatic increase in the use of detergents and disinfectants, both in health care and domestic settings. As Clorox is the most used for these purposes; it was expected that there would be changes in the characteristics of Clorox poisoning. Therefore, the current study aimed to investigate characteristics of Clorox poisoning in Saudi Arabia during Covid-19 pandemic compared to the pre-pandemic period.

Methodology: Through a record-based study; all Clorox poisoning cases reported to the ministry of health in 2019 (n=267) representing pre-pandemic and 2020 (n=198) representing during the pandemic periods were collected. The data were retrieved from the electronic database, and it was analyzed using SPSS version 26. Categorical variables are represented as frequency distribution.

Finding: There was a decrease in the total number of reported Clorox poisoning cases from 267 pre-pandemic to 198 cases during the pandemic. Females were slightly more than males (55.7% vs 44.3%), and most of the cases were in the age groups (1-5 years) and (20-39 years) (27.3%). The overwhelming majority of the cases occurred at home) (96.3%), with a higher percentage during the pandemic than pre-pandemic (98.0% vs 95.1%), and few minorities occurred intentionally (9.3%). Most of the cases arrived the hospital in stable conditions, with few cases (17.0%) needed antidotes. The great majority of the cases recovered before discharge. The overall incidence of Clorox poisoning reached to 0.57/100,000 population during the pandemic, compared to 0.78/100,000 in the pre-pandemic.

Conclusion: There was a decline in incidence of Clorox poisoning during the pandemic; with a relative increase in home incidents, with nausea and vomiting as most common symptoms and all cases recovered.

Recommendation: It is highly recommended to plan for a health education messages about safe store and using of detergents and disinfectants.

Downloads

Download data is not yet available.

Author Biographies

Hamoud Marzuq Alrougi

Saudi Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia

Jaber Sharaheeli

Saudi Field Epidemiology Training Program, Ministry of Health, Riyadh, Saudi Arabia

References

Ali I, Sawlani K, Dandu H, Chaudhary S, Usman K, Atam V, et al. Study of pattern and outcome of acute poisoning cases at tertiary care hospital in north India. J Evid Based Med Healthc. 2017 Jan 19;4:326–31.

Pawer S, Rajabali F, Zheng A, Pike I, Purssell R, Zargaran A, et al. Socioeconomic factors and substances involved in poisoning-related emergency department visits in British Columbia, Canada. Health Promot Chronic Dis Prev Can Res Policy Pract. 2021 Aug;41(7–8):211–21.

World Health Organization. Poison control and unintentional poisoning [Internet]. [cited 2021 Dec 21]. Available from: https://www.who.int/data/gho/data/themes/topics/indicator-groups/poison-control-and-unintentional-poisoning

Oraie M, Hosseini MJ, Islambulchilar M, Hosseini SH, Ahadi-Barzoki M, Sadr H, et al. A Study of Acute Poisoning Cases Admitted to the University Hospital Emergency Department in Tabriz, Iran. Drug Res. 2017 Mar;67(3):183–8.

Household bleaches based on sodium hypochlorite: Review of acute toxicology and poison control center experience. Food Chem Toxicol. 1994 Jan 1;32(9):845–61.

Hoy RH. Accidental Systemic Exposure to Sodium Hypochlorite (Clorox) during Hemodialysis. Am J Hosp Pharm. 1981 Oct 1;38(10):1512–4.

Slaughter RJ, Watts M, Vale JA, Grieve JR, Schep LJ. The clinical toxicology of sodium hypochlorite. Clin Toxicol. 2019 May 4;57(5):303–11.

Alzahrani SH, Ibrahim NK, Elnour MA, Alqahtani AH. Five-year epidemiological trends for chemical poisoning in Jeddah, Saudi Arabia. Ann Saudi Med. 2017 Jul;37(4):282–9.

Ahmed A, AlJamal AN, Mohamed Ibrahim MI, Salameh K, AlYafei K, Zaineh SA, et al. Poisoning emergency visits among children: a 3-year retrospective study in Qatar. BMC Pediatr. 2015 Aug 28;15(1):104.

World Health Organization. Coronavirus Disease (COVID-19) Dashboard. 2020.

Chang A, Schnall AH, Law R, Bronstein AC, Marraffa JM, Spiller HA, et al. Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 — National Poison Data System, United States, January 1, 2020–March 31, 2020. Morb Mortal Wkly Rep. 2020 Apr 24;69(16):496–8.

Dewey HM, Jones JM, Keating MR, Budhathoki-Uprety J. Increased Use of Disinfectants During the COVID-19 Pandemic and Its Potential Impacts on Health and Safety. ACS Chem Health Saf [Internet]. 2021 Aug 25 [cited 2021 Dec 24]; Available from: https://doi.org/10.1021/acs.chas.1c00026

Koksoy Vayisoglu S, Oncu E. The use of cleaning products and its relationship with the increasing health risks during the COVID-19 pandemic. Int J Clin Pract. 2021;75(10):e14534.

Pritha Bhandari. Population vs sample: what’s the difference? [Internet]. Scribbr. 2020 [cited 2021 Dec 25]. Available from: https://www.scribbr.com/methodology/population-vs-sample/

Banerjee A, Chaudhury S. Statistics without tears: Populations and samples. Ind Psychiatry J. 2010;19(1):60–5.

Alnasser S, Hussain SM, Alnughaymishi IM, Alnuqaydan AM. Pattern of food, drug and chemical poisoning in Qassim region, Saudi Arabia from January 2017 to December 2017. Toxicol Rep. 2020 Jan 1;7:1438–42.

Soave PM, Grassi S, Oliva A, Romanò B, Stasio EDI, Dominici L, et al. Household disinfectant exposure during the COVID-19 pandemic: A retrospective study of the data from an italian poison control center. Eur Rev Med Pharmacol Sci. 2021;25(3):1738–42.

Q M, Alanazi -, Salam M. Intentional poisoning among preadolescents at one poison center in Saudi Arabia. Indian J Child Health. 2017 Mar 28;4(1):44–8.

Giordano F, Petrolini VM, Spagnolo D, Fidente RM, Lanciotti L, Baldassarri L, et al. Significant variations of dangerous exposures during COVID-19 pandemic in Italy: a possible association with the containment measures implemented to reduce the virus transmission. BMC Public Health. 2022 Mar 5;22:441.

Le Roux G, Sinno-Tellier S, Puskarczyk E, Labadie M, von Fabeck K, Pélissier F, et al. Poisoning during the COVID-19 outbreak and lockdown: retrospective analysis of exposures reported to French poison control centres. Clin Toxicol Phila Pa. 2021 Sep;59(9):832–9.

Chang A, Schnall AH, Law R, Bronstein AC, Marraffa JM, Spiller HA, et al. Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 - National Poison Data System, United States, January 1, 2020-March 31, 2020. MMWR Morb Mortal Wkly Rep. 2020 Apr 24;69(16):496–8.

Downloads

Published

2022-08-06

How to Cite

Alrougi, H. M. ., & Sharaheeli, J. . (2022). Characteristic of Clorox Poisoning before and during COVID-19 Pandemic, Saudi Arabia, 2019-2020. American Journal of Health, Medicine and Nursing Practice, 7(10), 1-8. https://doi.org/10.47672/ajhmn.1146