Certified as a Regional Poison Center by the American Association of Poison Control Centers

WVPC Annual Report 2016 - Table of Contents

WVPC Administration & Staff

Our Mission Statement

History

Who we serve

Types of calls managed

Resources utilized

COMMUNITY OUTREACH

Data Collection

Advisory Board

Funding

Program Expenses

PROFESSIONAL OUTREACH

Public Health Information & DataNaloxone Lay Public Administration and Assistance

Substance Categories Data (Drug)

Substance Categories Data (Non-Drug)

PUBLIC HEALTH & HAZARDOUS MATERIALS

Reason for Exposures

County Call Statistics

WV County Penetrance Map

Top 10 Drug Exposures

Hazardous Materials Operations

Our Contact Information

WVPC’s UNIFYING THEME

Medical Outcomes

Treatment Site

Caller Site

Call Volume/Types

Route of Exposure

Age & Sex Distribution

National Poison Prevention Week

Dollars Saved

DATA

FINANCES

STAFF & CONTACT INFORMATION

Hospital Call Statistics

ABOUT US

MEMBER TREATMENT HOSPITAL PROGRAM

Top 10 Non-Drug Exposures

Website

Professional Education

Committee Representations

Activities

Description & Member Hospitals

The West Virginia Poison Center is an information resource for both the public and health care professionals, whose two‐fold purpose is to assist in the provision of optimal treatment of the poisoned patient and to reduce the number of accidental poisonings throughout all fifty‐five counties of West Virginia.  

HistoryEstablished in 1979 by then WV Governor, U.S. Senator Jay Rockefeller

Recognized by the State of West Virginia as West Virginia’s only

poison center - April 1986

Established in WV Code W. Va. Code §18B-11B-1 et seq. (HB 4651)

- 2006

1st certification as a Regional Poison Center - September 1986

Re-certification granted: 1992, 1997, 2002, 2007, 2012

Renewal submitted Nov 2016

Moved from borrowed space to the Robert C. Byrd Health Sciences

Center, West Virginia University Charleston Division – 1993

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)

•All 55 counties in West Virginia

Hours of Operation:•24 hours a day (toll free number available, and TTY accessible)

•365 days a year

Types of Calls Managed:

•Accidental poisonings in children & adults:

Medications, plants, mushrooms, household cleaners, etc.

•Misuse of drugs or chemicals

•Drug interactions/adverse reactions

•Self harm/suicide attempts

•Substance abuse toxicity (opioids (e.g., hydrocodone, heroin),

synthetic drugs of abuse, cocaine, LSD, any type)

•Spider, snake, and insect bites

•Hazardous material exposures (e.g., chemical spills, terrorism agents)

•Occupational exposure to chemicals

•Chronic lead poisoning

•Poisonings in pets (triage)

Resources Utilized:

•Trained and experienced medical experts

•Computer databases

•On-line databases

•An up-to-date comprehensive toxicology library

•Primary literature (updated weekly)

•Specialty consultants

•Internet

•Safety Data Sheets (SDS’s)

•Language Line

Data CollectionThe WVPC participates in the American Association of Poison Control Center’s National Poison Data System (NPDS); the largest poison exposure data base in the United States

Data collected is used to:

•Target problem areas and adjust services

•Advance knowledge of poisons and antidotes

•Teach health care professionals and students

•Provide necessary data for product safety regulation

West Virginia Poison Center

Robert C. Byrd Health Sciences Center-Charleston Division

(304) 347-1212 Administration

(304) 347-1379 Community Outreach

Coordinator/Prevention Education

Web Site: www.wvpoisoncenter.org

1-800-222-1222 Emergency Service-Statewide

(TTY accessible)The West Virginia Poison Center is a service of the West Virginia University Health Sciences Center

Charleston Division.

The WVPC is academically affiliated with the West Virginia University School of Pharmacy.

West Virginia Poison Center Staff January 1, 2016-December 31, 2016

Director: Elizabeth J. Scharman, Pharm.D., DABAT*, BCPS**, FAACT`

Professor, WVU School of Pharmacy, Dept. of Clinical Pharmacy

Medical Director: Michael Abesamis, M.D., ABMT^ (July 1 to present)

Anthony F. Pizon, M.D., ABMT^, ABEM^^ (Jan 1 to June 30th)

Back-up Medical Directors: Michael Lynch, M.D., ABMT^ , Michael Abesamis, M.D., ABMT^ (Jan 1 to June 30)

Anthony F. Pizon, M.D., ABMT^, ABEM^^ (July 1st to present)

Supervisor of Operations: Jamie R. Cook, BSN, RN, MSN, CSPI#, AHLS##

Logistics Supervisor: Ryan S. Aliff, RN, BSN, CSPI#, AHLS## (through June 25, 2013)

Specialists in Poison Information: Sue A. Acord, BSN, RN, CSPI#

Pamela J. Chase, RN, CSPI#

Nicole D. Clendenin, BSN, RN, SPI

Willette K. Haught, RN, CSPI#

Kenneth G. Haught, BSN, RN, CSPI#

Britney L. (Harper) Hill, BSN, RN, SPI

Community Outreach Coordinator: Carissa E. B. McBurney, MPA

Administrative Assistant: Monique Sypolt, BA

*Diplomate: American Board of Applied Toxicology **Board Certified Pharmacotherapy Specialist

`Fellow, American Academy of Clinical Toxicology ^American Board Medical Toxicology ^^ American Board Emergency Medicine

+Fellow American Academy Emergency Medicine #Certified Specialist in Poison Information ##Advanced Hazmat Life Support

See Staff Photo Page

West Virginia Poison Center Staff

Dr. Elizabeth Scharman, Pharm.D., DABAT, BCPS, FAACT;Director

Dr. Mike Abesamis, M.D., ABEM and Medical Toxicologist; Lead Medical Director

Monique Sypolt, BA;Administrative Assistant Carissa McBurney, MPA;

Community Outreach Coordinator

Jamie Cook, RN, MSN, CSPI, AHLS;Supervisor of Operations

Ryan Aliff, RN, BSN, CSPI AHLS;Logistics Supervisor

WV Poison Center Poison Specialists

2 Poison Specialists not pictured

WV Poison Center Poison

Clinical and Medical Direction

Dr. Elizabeth Scharman, Pharm.D., DABAT, BCPS, FAACT;Director

The clinical and medical directors are responsible for ensuring that:

- There is 24 hour a day availability of clinical and medical toxicology consultative services for health care professionals and WVPC Poison Specialists.

- All recommendations provided by the WVPC are based on the best, current, evidence-based practice

- Health care professional education in clinical/medical toxicology in WV is provided

Maintaining an active emergency department medical practice is an important component of medical director qualifications for a Poison Center.

Dr. Mike Abesamis, MD, ABEM (left) , Dr. Mike Lynch, MD, ABEM, Dr. Tony Pizon, MD, ABEM, Dr. Joseph Yanta, MD, ABEM (far right)

The Lead Medical Director, Dr. Abesamis, and the back-up Medical Directors, are all Board Certified Medical Toxicologists who also are board certified in emergency medicine.

West Virginia University HSC, Charleston Division: John C. Linton, Ph.D., ABPP, Chair

Office of Military Affairs and Public Safety: Cabinet Secretary Joseph Thornton

Designee: Christine Morris, Deputy Secretary

West Virginia Higher Education Policy: Paul Hill Ph.D., Chancellor

Designee: Laura Boone, Esq:, Program Coordinator

West Virginia Bureau for Public Health: Rahul Gupta, M.D.

Designee: Jerry Rhodes; Director;

WV Center for Threat Preparedness

West Virginia Hospital Association: Joe Letnaunchyn, President and CEO

Designee: Samantha Stamper

Health Care Representatives: Letitia Tierney, M.D., J.D.

Cabin Creek Health Clinic

Teresa Calhoun, RN, MSN, CS-FNP

Bayer CropScience

General Public Representative: Jack A. Rogers, Esq.

Ex-Officio (Director WVPC): Elizabeth J. Scharman, Pharm.D., DABAT, BCPS

West Virginia Poison Center Advisory Board

Funding Sources – Direct Costs

68%

5%

18%

9%

WV Legislature

WVU HealthSciences

Outside Sources*

Federal Funding

*Member Treatment Hospitals, Donations, Grants

Indirect costs and Director’s salary covered by WVU Health Sciences – not included in this chart

Program Expenses – Direct Costs

Salaries 83.5%

Office Supplies, Databases, Software, & Educational

Materials

9.5%

Emergency Toll Free Lines/Telecommunications 3.8%

Capitol Equipment, Information Technology Support,

& Maintenance

1.8%

Travel 1.4%

Not included in the above direct costs:WVU Health Sciences Center Charleston Division covers indirect expenses (e.g., space, facility expenses, insurance) valued at $ 165,900.00

WVU School of Pharmacy covers the salary of WVPC Director who is a full-time faculty member of the School.

DOLLARS SAVED IN WEST VIRGINIA = minimum $ 30 million

WV Poison Center helps decrease:

Unnecessary emergency department self-referrals

Use of unnecessary ambulance services

Use of unnecessary therapies

Revenue for Direct Costs (State FY ‘16-’17):WV Legislature: $ 712,942.00

Federal Grant and Phone Support: $ 92,625.00

Member Treatment Hospitals: $ 131,525.00

Grants/donations/other: $ 47,682.00

MEMBER TREATMENT HOSPITAL (MTH) PROGRAM

The West Virginia Poison Center’s (WVPC) Member Treatment Hospital (MTH) Program is designed to

extend the services of the WVPC into local communities throughout West Virginia. The WVPC provides

Member Hospitals with:

1) Current information for poisoned patient management, and

2) Tools to educate local communities about the Poison Center and poison prevention. This

cooperative effort is mutually beneficial to the patient, community, and the WVPC.

The goal of the MTH program is to provide the most current and accurate poisoning management

information 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) supplies of educational materials and Mr. Yuk stickers free of charge;

2) customized Toxic Substance Reviews;

3) WVPC attendance at health fairs;

4) WVPC participation at a hospital in-services upon request;

5) Availability of a free toxicology continuing education program for nurses, pharmacists, physicians

6) 24 hour availability of the WVPC’s medical director; and

7) recognition as a contributor to the WVPC on the website (with hospital links) and annual report.

Toxic Substance Reviews (TSR’s), written by the WVPC staff, provide hard copy information about toxic

substances. These reviews are transmitted upon request to the treating physician via facsimile (fax). This

hard copy information is intended to supplement verbal information given by the Specialist in Poison

Information. The WVPC remains in close contact with the hospital to follow the patient’s progress and to

provide further assistance as needed.

Hospitals that choose not to participate in the MTH program are charged on a per call basis to cover the costs

associated with providing written information.

MEMBER TREATMENT HOSPITAL (MTH) PROGRAM PARTICIPANTS

Beckley Appalachian Regional Healthcare Beckley

Berkley Medical Center Martinsburg

Bluefield Regional Medical Center Bluefield

Boone Memorial Madison

Braxton County Gassaway

Broaddus Hospital Philippi

Cabell Huntington Huntington

Camden Clark Medical Center Parkersburg

Charleston Area Medical Center (CAMC):

-General Charleston

-Memorial, Charleston

-Women & Children’s Charleston

-Teays Valley Hurricane

Davis Memorial Elkins

Fairmont General Fairmont

Grafton City Hospital Grafton

Grant Memorial Petersburg

Greenbrier Valley Medical Center Ronceverte

Hampshire Memorial Romney

Jackson General Ripley

Jefferson Medical Center Ranson

Logan Regional Medical Center Logan

Minnie Hamilton Heath Systems Grantsville

Monongalia General Morgantown

Montgomery General Montgomery

Ohio Valley Medical Center Wheeling

Plateau Medical Oak Hill

Pleasant Valley Pt. Pleasant

Pocahontas Memorial Marlinton

Potomac Memorial Keyser

Preston Memorial Kingwood

Princeton Community Princeton

Raleigh General Beckley

Reynolds Memorial Glen Dale

Roane General Spencer

St. Francis Hospital Charleston

St. Joseph’s Buckhannon Buckhannon

St. Mary’s Hospital Huntington

Stonewall Jackson Weston

Summers County ARH Hinton

Summersville Regional Medical Center Summersville

Thomas Memorial Hospital South Charleston

United Hospital Center Clarksburg

VA Medical Center – Huntington Huntington

War Memorial Hospital, Inc Berkeley Springs

Welch Community Hospital Welch

Wetzel County New Martinsville

Wheeling Hospital Wheeling

Williamson Memorial Williamson

WV University Hospitals, Inc. Morgantown

Community Outreach

• Poison prevention awareness programs for adults, children and

medical professionals

• Poison prevention and WVPC awareness messages are provided via:

volunteer program website presentations

school programs health fairs newsletters

press releases brochures Mr. Yuk stickers

poison prevention week “train the trainer” flyers

• Programs and materials are provided to:

daycare centers schools clinics

physician offices hospitals families/individuals

professionals communities senior centers

See next page

Poison Prevention Activities

• Carissa McBurney, the Poison Center’s Community Outreach

Coordinator, goes into the community to provide education. She also

trains volunteers to help ensue that all communities in WV receive

poisoning prevention information.

*number officially reported to the WVPC

Public Education Activities

• Poison Prevention Awareness in all 55 West Virginia counties

throughout 2016

• Distributed 69,280 pieces of poison prevention/WVPC awareness

materials

• Teachers in all 55 West Virginia counties received WVPC information

• Highlights include: Community Baby Showers, WV Birth to Three Train

the Trainer Webinar, Back to School Bashes, school presentations

Community

Outreach

Coordinator

Volunteers Total

Fairs 12 19* 31

Presentations 21 38* 59

National Poison Prevention Week

2016

• WVPC theme: – Poisoned? Call our Medical

Experts

All 55 counties were reached with poison

prevention information

•NPPW highlights included:• Videos of interviews with WV Poison

Center staff posted on the Poison

Center’s Facebook page

• Several presentations to schools,

daycare centers, after-school

programs

Volunteer Rob Rosiek, a Kroger pharmacist from

Oak Hill teaches students about poison

prevention. Rob reached over 1,000 students in

Fayette County during National Poison Prevention

Week.

A game Kim Liston, MSW with

Preston Memorial Hospital plays with

children to distinguish poisons from

non-poisons.

Media Outreach

• West Virginia media outlets were provided with 6 press releases

throughout 2016

• Press release topics included: Medication Safety for Teens and Young

Adults, Warm Weather Poisons, Snakes, Pesticides, Pet Poisonings

During the Holidays, Naloxone

• Media outlets included: WBOY, Charleston Gazette-Mail, The Herald-

Dispatch, WVNS, WTRF, WCHS Charleston, Clarksburg Exponent,

WSAZ Huntington, WOWK Channel 13, Channel 5 Bridgeport, Channel 8

Raleigh County

Newspapers Television Radio

39* 26* 1*

www.wvpoisoncenter.org

The West Virginia Poison Center’s mobile-ready website is updated regularly. From this

website, users can download WVPC educational materials and find information

regarding a variety of poison prevention and poison center awareness topics.

In October 2016, a record 5,000 unique visitors viewed the Poison Center’s website.

Online Ordering

• A online ordering form is

available from the WV Poison

Center website:

• www.wvpoisoncenter.org

• Materials can be previewed

on the website prior to

ordering. Materials are

grouped in order of intended

audience.

• Reasonable quantities are

available at no charge to

individual members of the

public and non-profit

community groups.

Health Professional Education

Supervised experience in the WV Poison Center:

Doctor of Pharmacy Students (5 wks each) 6

Hours of academic, continuing education (CE) presentations 10

Number of toxicology lectures given (3rd year medical students) 6

Hours of didactic/laboratory instruction WVU School of Pharmacy 50

National meeting presentations 2

Hours of didactic instruction for other institutions 2

Hours of emergency medicine resident instruction 36

Weapons of mass destruction/disaster planning instruction (CE) 16

Mountain State PoisonLine Articles - 2016

Volume 11, Issue 1: January-AprilWhat’s New in Toxicology:

New Drugs of Abuse: Designer Opioids

Clinical Toxicology Pearls: Out of Hospital Naloxone

Poisoning Pitfalls: Urine drug screen interpretation

Multidisciplinary Toxicology Case: Acetaminophen

Volume 11, Issue 2: May-AugustWhat’s New in Toxicology:

Rodenticides Have New Ingredients

Clinical Toxicology Pearls: Acetaminophen vs. Aspirin

Poisoning Pitfalls: Definition of Naloxone Response

Multidisciplinary Toxicology Case: Cyanide and Smoke

Inhalation

Volume 11, Issue 3: September-DecemberWhat’s New in Toxicology:

Gabapentin – A Drug of Abuse?

Clinical Toxicology Pearls: AST Elevations and the Poisoned Patient

Poisoning Pitfalls: Non-steroidal Anti-inflammatory Drugs

Multidisciplinary Toxicology Case: Ethylene glycol

Committee Representation-DirectorAmerican Association of Poison Control Centers

Chair, Quality Assurance Taskforce

Co-Chair, Manager’s Benchmarking Sub-Committee

Member, Rapid-Response Coding Team

Member, Fatality Review Committee

Chair, AAPCC/Truven Coding Task Force

Member, National Poison Data System Steering Committee

West Virginia University

Member, Occupational Medicine Residency Advisory Committee

West Virginia Bureau for Public Health

Deputy Strategic National Stockpile/Medical Counter Measures Coordinator

State Epidemiological Outcomes Workgroup

Emergency Medical Services for Children Advisory Panel, Member

Kanawha/Putnam Local Emergency Planning Committee, Member

Call Type

7,885

16,310

Information Call

Poison Exposure Call

Follow-up Calls Made = 19,617

Reason for Exposure

67

255

307

296

2,054

3,338

9,187

0 5,000 10,000

Unknown

Other

Occupational

Adverse Reaction

Therapeutic Error

Intentional

Unintentional (Accidental)

Unintentional (Accidental) Exposures* = 59% of Calls

Caller Sites

67%

24%

9%

Residence

Hospitals /Physician's Office

Other*

*Ambulances, schools, veterinarians, pharmacists,

workplace, restaurants

Treatment Site

33%

62%

4% 1%

Health Care Facility

Home

Refused Referral

Other/Unknown

Route of Exposure

43

179

446

197

782

1,045

1,201

12,781

0 5000 10000 15000

Other

Unknown

Injection

Bite/Sting

In Eye

Inhalation

Through the Skin

Ingestion

Ingestion was the route for 77% of calls

Age and Sex Distribution

0

200

400

600

800

1000

1200

1400<

1 1 2 3 4 5

6-1

2yr

s

13

-19

yrs

20

-29

yrs

30

-39

yrs

40

-49

yrs

50

-59

yrs

60

-69

yrs

70

-79

yrs

80

-89

yrs

≥90

yrs

Male

Female

Children ≤ 2 years of age= 34% of exposure calls

Return to Table of Contents

Drug Exposures

1 Pain Medications 1,902

2 Sedatives/Antipsychotics 1,203

3 Heart Drugs 947

4 Antidepressants 911

5 Antihistamines 818

6 Stimulant/Street Drugs 726

7 Anticonvulsants (Seizure Medications) 659

8 Diabetes medications, thyroid medications, oral

contraceptives, hormones/hormone antagonists

557

9 Topicals 556

10 Ethanol 546

Non-Drug Exposures

1 Household Cleaners 1,429

2 Cosmetics and Personal Care Products 1,274

3 Toys and Miscellaneous Foreign Bodies 652

4 Pesticides (Insecticides and Rodenticides) 517

5 Gasoline and Automotive 372

6 Plants 265

7 Bites and Envenomations 259

8 Fumes, Gases, and Vapors 258

9 Arts and Crafts Supplies 212

10 Chemicals 189

Medical Outcome

11

319

456

1,473

2,565

3,243

0 500 1000 1500 2000 2500 3000 3500

Death

Major

Unrelated Effect

Moderate

No Effect

Minor Effect

No follow-up done as ingestion not-toxic = 678No follow-up done as only minor symptoms anticipated = 5,883No follow-up done as patient lost to follow-up or refused follow-up = 876Effects not related to the exposure = 456 cases

HOSPITAL #CALLS TO WVPC* #PT's REFERRED TO ER+

Beckley Appalachian Regional Healthcare 320 20

Berkeley Medical Center (formerly City Hospital) 270 30

Bluefield Regional Medical Center 103 7

Boone Memorial Hospital 36 5

Braxton County Hospital 22 4

Broaddus Hospital 26 3

Cabell Huntington Hospital 169 38

Camden Clark Medical Center - Memorial Campus 192 31

Charleston Area Medical Center - General 196 30

Charleston Area Medical Center - Memorial 39 11

Charleston Area Medical Center - Women & Children's 122 55

Charleston Area Medical Center - Teays Valley 27 13

Davis Memorial Hospital 76 18

Fairmont Regional Medical Center 49 18

Grafton City Hospital 18 5

Grant Memorial Hospital 47 8

Greenbrier Valley Medical Center 82 19

Hampshire Memorial Hospital 19 4

Jackson General Hospital 29 11

Hospital Call Statistics 2016

HOSPITAL #CALLS TO WVPC* #PT's REFERRED TO ER+

Jefferson Medical Center 88 13

Logan Regional Medical Center 85 17

Minnie Hamilton Health System 9 4

Monongalia General Hospital 57 12

Montgomery General Hospital 15 5

Ohio Valley Medical Center 160 6

Plateau Medical Center 52 9

Pleasant Valley Hospital 31 8

Pocahontas Memorial Hospital 13 2

Potomac Valley Hospital 23 1

Preston Memorial Hospital 24 9

Princeton Community Hospital 168 28

Raleigh General Hospital 144 41

Reynolds Memorial Hospital 32 5

Roane General Hospital 20 6

Sistersville General Hospital 17 2

St. Francis Hospital 11 2

St. Joseph's -Buckhannon 73 18

St. Mary's Medical Center 177 14

Stonewall Jackson Memorial 33 5

Hospital Call Statistics 2016

HOSPITAL #CALLS TO WVPC* #PT's REFERRED TO ER+

Summers County ARH 15 5

Summersville Regional Medical Center 59 22

Thomas Memorial Hospital 120 20

United Hospital Center 185 31

VA Hospital: Beckley 3 3

VA Hospital: Clarksburg (Louis A. Johnson VA Medical Center) 1 1

VA Hospital: Huntington 3 2

VA Hospital: Martinsburg 11 2

War Memorial Hospital, Inc. 34 5

West Virginia University Hospitals, Inc. 149 27

Webster County Memorial Hospital 17 4

Weirton Medical Center 3 9

Welch Community Hospital 78 5

Wetzel County Hospital 36 1

Wheeling Hospital 89 15

Williamson Memorial Hospital 54 2

* Number of times Emergency Department consulted the West Virginia Poison Center

+Number of patients referred by the WVPC to that Emergency Department (excludes patients refusing referral)

It is the WVPC policy to refer patients needing to be seen by a physician to the closest Emergency Department

Hospital Call Statistics 2016

HUMAN EXPOSURE BY COUNTY

COUNTY POPULATION HUMAN EXPOSURES PENETRANCE

Barbour 16,770 83 4.95

Berkeley 108,706 737 6.78

Boone 24,224 141 5.83

Braxton 14,502 87 6

Brooke 23,737 56 2.36

Cabell 97,133 1236 12.73

Calhoun 7,564 40 5.29

Clay 9,244 45 4.87

Doddridge 8,344 47 5.64

Fayette 45,599 340 7.46

Gilmer 8,672 21 2.43

Grant 11,759 88 7.49

Greenbrier 35,644 294 8.25

Hampshire 23,445 118 5.04

Hancock 30,291 135 4.46

Hardy 13,920 67 4.82

Harrison 68,972 696 10.1

Jackson 29,178 171 5.87

Jefferson 55,073 207 3.76

Kanawha 191,275 1872 9.79

Lewis 16,452 147 8.94

Lincoln 21,559 94 4.37

Logan 35,987 300 8.34

Marion 56,868 299 5.26

Marshall 32,459 125 3.86

Mason 27,126 193 7.12

McDowell 20,876 178 8.53

Mercer 61,984 679 10.96

Mineral 27,704 138 4.99

Mingo 25,900 221 8.54

Monongalia 102,274 740 7.24

Monroe 13,483 63 4.68

Morgan 17,498 91 5.21

Nicholas 25,965 188 7.25

Ohio 43,727 518 11.85

Pendleton 7,471 44 5.89

Pleasants 7,577 26 3.44

Pocahontas 8,669 49 5.66

Preston 33,859 159 4.58

Putnam 56,650 376 6.64

Raleigh 78,833 1112 14.11

Randolph 29,415 205 6.97

Ritchie 10,073 46 4.57

Roane 14,656 76 5.19

Summers 13,563 61 4.5

Taylor 16,973 73 4.31

Tucker 6,968 20 2.88

Tyler 8,995 50 5.56

Upshur 24,665 211 8.56

Wayne 41,437 153 3.7

Webster 8,893 58 6.53

Wetzel 16,204 100 6.18

Wirt 5,901 15 2.55

Wood 86,569 684 7.91

Wyoming 23,019 151 6.56

Not specified 572

2016 TOTALS 1,854,304 14,696 7.93

2016 Out of State Calls* 808

*Out of state calls occur when cell phones with a WV area code exchange are used outside of WV.

ANNUAL REPORT 2016

≥ 11

9.5-10.9

7.6-9.4

4.1-7.5

≤ 4

WV County Penetrance Map 2016

DRUG SUBSTANCES INDEX

ANALGESICS CARDIOVASCULAR MUSCLE RELAXANTS

ANESTHESTICS COUGH & COLD NARCOTIC ANTAGONISTS

ANTICHOLINERGICS DIAGNOSTIC AGENTSSEDATIVE/HYPNOTICS

Antianxiety & Antipsychotics

ANTICOAGULANTS DIETARY SUPPLEMENTS SERUMS, TOXOIDS & VACCINES

ANTICONVULSANTS DIURETICS STIMULANTS & STREET DRUGS

ANTIDEPRESSANTS ELECTROLYTE/MINERALS TOPICALS

ANTIHISTAMINES EYE/EAR/NOSE/THROAT VETERINARY DRUGS

ANTIMICROBIALS GASTROINTESTINAL VITAMINS

ANTINEOPLASTICS HORMONES & ANTAGONISTS OTHER/UNKNOWN

ASTHMA THERAPIES MISCELLANEOUS DRUGS

DRUG SUBSTANCESANALGESICS ANESTHESTICS

Acetaminophen (APAP)/Aspirin Combination 43 Inhalation, Injectable Anesthetics 5

Acetaminophen Alone 413 Local, Topical or Other Anesthetics 40

APAP in Combination 88 ANESTHETICS CATEGORY TOTAL 45

Aspirin (ASA) Alone 128 ANTICHOLINERGICS CATEGORY TOTAL 90

Acetaminophen with Hydrocodone 116 ANTICOAGULANTS

Acetaminophen with Oxycodone 54 Warfarin 27

Acetaminophen with Codeine 15 Other 76

Ibuprofen 439 ANTICOAGULANTS CATEGORY TOTAL 103

Naproxen 90 ANTICONVULSANTS

Opioids- Single Ingredient 415 Carbamazepine 26

Cox – 2 Inhibitors 5 Phenytoin 22

Other NSAID 60 Valproic Acid 59

Other/Unknown 36 Gabapentin 272

ANALGESICS CATEGORY TOTAL 1902 Lamotrigine 88

DRUG SUBSTANCESANTICONVULSANTS (cont’d) ANTIHISTAMINES CATEGORY TOTAL 818

Topiramate 51 ANTIMICROBIALS

Other 141 Antibiotics-Topical 38

ANTICONVULSANTS CATEGORY TOTAL 659 Antibiotics-Systemic 230

ANTIDEPRESSANTS Antifungals 73

Cyclic Antidepressants 135 Antihelmintics 30

Lithium 35 Antiparasitcs 7

SSRI 399 Antivirals 19

Trazodone 142 Other/Unknown 3

Other 200 ANTIMICROBIALS CATEGORY TOTAL 400

ANTIDEPRESSANTS CATEGORY TOTAL 911 ANTINEOPLASTICS CATEGORY TOTAL 15

ANTIHISTAMINES ASTHMA THERAPIES

H2 Receptor Antagonists 80 Albuterol 45

Diphenhydramine-Alone 294 Aminophylline/Theophylline 3

Other Antihistamines-Alone 444 Leukotriene Inhibitors 52

DRUG SUBSTANCESASTHMA THERAPIES (cont’d)ASTHMA CARDIOVASCULAR CATEGORY TOTAL 947

Other Asthma Therapeutic Agents 50 COLD & COUGH PREPARATIONS

ASTHMA THERAPIES CATEGORY TOTAL 150 With Opiates 5

CARDIOVASCULAR DRUGS With Dextromethorphan 260

ACE Inhibitors/Angiotension Receptor Blockers 229 Other/Unknown 125

Alpha Blockers 47 COLD & COUGH CATEGORY TOTAL 390

Antiarrhythmics 14 DIETARYSUPPLEMENTS/NEUTRACEUTICALS

Antihyperlipidemics 104 Homeopathic 79

Antihypertensives/Diuretics [excluding vasodilators] 25 Melatonin 206

Beta Blockers 253 Other 75

Calcium Antagonists 94 NEUTRACEUTICALS CATEGORY TOTAL 360

Cardiac Glycosides 15 DIURETICS

Clonidine 109 Furosemide 39

Nitrates 24 Thiazide 40

Other 33 Other/Unknown 17

DRUG SUBSTANCESDIURETICS CATEGORY TOTAL 96 EYE, EAR, NOSE & THROAT (ENT)

PREPARATIONS (cont’d)

ELECTROLYTES/MINERALS Throat Preparations 14

Calcium and Calcium Salts 88 ENT PREPARATIONS CATEGORY TOTAL 97

Fluoride (excluding vitamins & mouthwash) 3 GASTROINTESTINAL PREPARATIONS

Iron (excluding vitamins with iron) 27 Antacids 50

Potassium 15 Antidiarrheals 5

Sodium 29 Antispasmotics 24

Zinc 6 Laxatives 119

Other 19 Proton Pump Inhibitors 106

ELECTROLYTES/MINERALS CATEGORY TOTAL 187 Other/Unknown 78

EYE, EAR, NOSE & THROAT PREPARATIONS GASTROINTESTINAL CATEGORY TOTAL 382

Ear (Otic) Preparations 16 HORMONES/HORMONE ANTAGONISTS

Eye (Ophthalmic) Preparations 45 Corticosteroids 109

Nose (Nasal) Preparations 9 Estrogens 6

Steroids – Topical for Eye/Nose/Throat 13 Insulin 75

DRUG SUBSTANCESHORMONE/HORMONE ANTAGONISTS (cont’d) SEDATIVES/ANTI-ANXIETY/ANTI-

PSYCHOTICS

Oral Contraceptives 49 Atypical anti-psychotics 298

Oral Hypoglycemics 146 Barbiturates 12

Thyroid Preparations 133 Benzodiazepines 664

Other/Unknown 39 Buspirone 49

HORMONES CATEGORY TOTAL 557 Phenothiazines 25

MISCELLANEOUS DRUGS CATEGORY TOTAL 165 Sleep Aids, Non-Prescription Only 13

MUSCLE RELAXANTS Other/Unknown 142

Carisoprodol 10 SEDATIVES/ANTI-ANXIETY/ANTI-PSYCHOTICS CATEGORY TOTAL

1203

Cyclobenzaprine 96 SERUMS, TOXOIDS & VACCINES CATEGORY TOTAL

19

Methocarbamol 22 STIMULANTS & STREET DRUGS

Other 95 Amphetamines & Related Compounds 108

MUSCLE RELAXANTS CATEGORY TOTAL 223 Bath Salts/Hallucinogenic Amphetamine 10

NARCOTIC ANTAGONIST CATEGORY TOTAL 18 Caffeine 51

DRUG SUBSTANCESSTIMULANTS & STREET DRUGS (cont’d) TOPICALS (cont’d)

Cocaine 25 Hydrogen Peroxide 3% 43

Heroin (via calls and non-telephonic reports) 327 Iodine or Iodide 4

LSD 5 Methyl Salicylate 50

Marijuana 41 Topical Steroids 46

Methamphetamines 49 Other Type of Topical 80

Methylphenidate 51 TOPICALS CATEGORY TOTAL 556

Synthetic Marijuana 41 VETERINARY DRUGS CATEGORY TOTAL 39

Other/Unknown 18 VITAMINS

STIMULANT/STREET DRUGS CATEGORY TOTAL 726 Multiple Vitamins: Adult 46

TOPICALS Multiple Vitamins: Children’s 153

Acne Preparation 24 Multiple Vitamins with Iron: Adult 33

Calamine 32 Multiple Vitamins with Iron: Children’s 23

Camphor Alone or in Combination 85 Vitamins Single Ingredient 115

Diaper Care & Rash Products 192 Other/Unknown 2

DRUG SUBSTANCESVITAMINS CATEGORY TOTAL 372

OTHER/UNKNOWN DRUG CATEGORY TOTAL 169

NON-DRUG SUBSTANCES INDEX (page 1 of 2)

ADHESIVES, GLUE, CEMENTS & PASTES

DEODORIZERS(not for personal use)

HERBICIDES

ALCOHOLS DYES HYDROCARBONS

ARTS, CRAFTS, WRITING PRODUCTS & OFFICE SUPPLIES

ESSENTIAL OILSINSECTICIDES

AUTOMOTIVE/AIRCRAFT/BOATPRODUCTS

FERTILIZERS LACRIMATORS

BATTERIES FIRE EXTINGUISHERSMATCHES / FIREWORKS/ EXPLOSIVES

BITES & ENVENOMATIONS FOOD & FOOD POISONINGMOTHBALLS & OTHER MOTH REPELLANTS

BUILDING & CONSTRUCTION PRODUCTS

FOREIGN BODIES, TOYS, MISC. MUSHROOMS

CHEMICALS FUMES, GASES, VAPORSPAINTS/ ARNISHES/ LACQUERSSTRIPPING AGENTS

CLEANING SUBSTANCES FUNGICIDES PHOTOGRAPHIC PRODUCTS

COSMETICS & PERSONAL CARE PRODUCTS

HEAVY METALS PLANTS

NON-DRUG SUBSTANCES INDEX (page 2 of 2)

POLISHES & WAXES

RADIATION

RODENTICIDES

SPORTING EQUIPMENT

SWIMMING POOL & AQUARIUM PRODUCTS

TOBACCO PRODUCTS

UNKNOWN SUBSTANCES(NON-DRUGS)

WATER PROOFERS / SEALANTS

NON-DRUG SUBSTANCESADHESIVES, GLUE, CEMENTS & PASTES ARTS, CRAFTS, WRITING PRODUCTS &

OFFICE SUPPLIES (cont’d)

Cyanoacrylates 36 Crayon 6

Epoxy 4 Pencil 8

Non-Toxic (Paper Glue, etc.) 7 Pens / Ink 80

Other/Unknown 25 Typewriter Correction Fluid 2

ADHESIVES, GLUES, CEMENTS, PASTES CATEGORY TOTAL

72 Water Color 14

ALCOHOLS Other/Unknown 86

Methanol 5 ARTS/CRAFTS/ETC. CATEGORY TOTAL 212

Ethanol 546 AUTOMOTIVE/AIRCRAFT/BOAT PRODUCTS

Isopropanol / Rubbing Alcohol 80 Ethylene Glycol (e.g., antifreeze) 64

Other/Unknown 5 Brake Fluid 9

ALCOHOLS CATEGORY TOTAL 636 Hydrocarbons 20

ARTS, CRAFTS, WRITING PRODUCTS & OFFICE SUPPLIES

Methanol (e.g., dry gas, windshield wiper cleaners)

12

Chalk 16 Other/Unknown 18

NON-DRUG SUBSTANCESAUTOMOTIVE/AIRCRAFT/BOAT PRODUCTS CATEGORY TOTAL

123 BITES & ENVENOMATIONS (cont’d)

BATTERIES Other Type Insect/Spider Bite 46

Penlight/Flashlight/Dry Cell 45 BITES CATEGORY TOTAL 259

Automotive Batteries 4 BUILDING /CONSTRUCTION PRODUCTS

Disc Batteries 20 Caulking Compounds 16

Other/Unknown 2 Cement, Concrete 8

BATTERIES CATEGORY TOTAL 71 Insulation 11

BITES & ENVENOMATIONS Other/Unknown 22

Fish, Other Aquatic Species 2 BUILDING PRODUCTS CATEGORY TOTAL 157

Insects 89 CHEMICALS

Mammals 22 Acetone (excluding nail polish remover) 2

Reptiles 2 Acids 45

Snakes 95 Alkali 33

Black Widow Spider 2 Ammonia 10

Brown Recluse Spider (reported; none in WV) 1 Borates/Boric Acid 18

NON-DRUG SUBSTANCESCHEMICALS (cont’d) CLEANING SUBSTANCES (cont’d)

Glycols 4 Laundry Detergents/Fabric Softeners*111 exposures to laundry pods

233*

Other/Unknown 77 Miscellaneous Cleaning Agents 177

CHEMICALS CATEGORY TOTAL 189 Oven Cleaners 11

CLEANING SUBSTANCES Rust Removers 5

Ammonia Cleaners 3 Spot Removers/Dry Cleaning Agents 8

Automatic Dishwasher Detergents 131 Toilet Bowl Cleaners 81

Bleaches 276 Wall/Floor/Tile, Heavy Duty Cleaners 158

Carpet/Upholstery Cleaner 19 Cleaning Agents – Industrial 65

Cleaners/Cleansers 30 CLEANING SUBSTANCES CATEGORY TOTAL 1429

Disinfectants 88 COSMETICS & PERSONAL CARE PRODUCTS

Drain Cleaners 38 Bath Oil, Bubble Bath 32

Fabric Softeners 15 Baby Oil 9

Glass Cleaners 38 Creams, Lotions, Make-Up 127

Hand Dishwashing Detergent 53 Dental Care Products 137

NON-DRUG SUBSTANCESCOSMETICS & PERSONAL CARE PRODUCTS

(cont’d)DEODORIZERS (NOT PERSONAL USE)

Deodorants 150 Air Fresheners 124

Hair Care Products 103 Toilet Bowl Deodorizers 4

Hand Sanitizers 174 Other/Unknown 55

Lipsticks & Lip Balms 28 DEODORIZERS CATEGORY TOTAL 183

Mouthwash 91 DYES

Nail Products 146 Food Dye 6

Perfume, Cologne, Aftershave 69 Other/Unknown 6

Peroxide 49 DYES CATEGORY TOTAL 12

Powders Made of Talc 11 ESSENTIAL OILS CATEGORY TOTAL 110

Soaps (Bar, Hand, or Complexion) 75 FERTILIZERS

Suntan/Sunscreen Products 57 Household Plant Food 11

Other 16 Outdoor Fertilizers 10

COSMETICS & PERSONAL CARE PRODUCTS CATEGORY TOTAL

1274 Other/Unknown 4

NON-DRUG SUBSTANCESFERTILIZERS CATEGORY TOTAL 25 FUMES, GASES, & VAPORS

FIRE EXTINGUISHERS CATEGORY TOTAL 117 Carbon Monoxide 83

FOOD & FOOD POISONING 175 Chloramine Gas 26

FOREIGN BODIES, TOYS, & MISCELLANEOUS Chlorine from Acid Mixed with Bleach 39

Bubble Blowing Solution 27 Chlorine Gas 22

Christmas Ornaments 1 Hydrogen Sulfide 31

Coins 26 Methane & Natural Gas 19

Dessicants 140 Other/Unknown 38

Glass 21 FUMES, GATES, CATEGORY TOTAL 258

Glow Products 157 FUNGICIDES CATEGORY TOTAL 5

Thermometers 6 HEAVY METALS

Toys 74 Elemental Mercury 3

Other/Unknown 200 Lead 13

FOREIGN BODIES, TOYS, & MISCELLANEOUS CATEGORY TOTAL

652 Other/Unknown 47

NON-DRUG SUBSTANCES

HEAVY METALS CATEGORY TOTAL HYDROCARBONS (cont’d)

HERBICIDES Other/Unknown 32

Chlorphenoxy 21 HYDROCARBONS CATEGORY TOTAL 249

Glyphosate 14 INSECTICIDES

Other 11 Arsenic 0

HERBICIDES CATEGORY TOTAL 96 Borates/Boric Acid 78

HYDROCARBONS Carbamates 6

Fluorocarbon/Propellants 28 Chlorinated Hydrocarbons 4

Gasoline 100 Organophosphates 5

Kerosene 9 Piperonyl Butoxide & Pyrethrins / Pyrethroids

197

Lamp Oil 13 Repellants 45

Lighter Fluid/Naptha 16 Other/Unknown 109

Lubricating Oils/Motor Oils 42 INSECTICIDES CATEGORY TOTAL 444

Mineral Spirits/Varsol/Toluene 8 LACRIMATORS CATEGORY TOTAL 43

Turpentine 1 MATCHES/FIREWORKS/EXPLOSIVES CATEGORY TOTAL

11

NON-DRUG SUBSTANCESMOTHBALLS & OTHER MOTH REPELLANTS

CATEGORY TOTAL26 RODENTICIDES

MUSHROOMS CATEGORY TOTAL 40 Anticoagulant – Warfarin Type 2

PAINTS, VARNISHES, LACQUERS, STRIPPING AGENTS CATETORY TOTAL

102 Anticoagulant – Long Acting Type 53

PHOTOGRAPHIC PRODUCTS CATEGORY TOTAL 1 Other/Unknown 18

PLANTS RODENTICIDES CATEGORY TOTAL 73

Amygdalin/Cyanogenic Glycosides 19 SPORTING EQUIPMENT CATEGORY TOTAL 3

Dermatitis Producing 22 SWIMMING POOL & AQUARIUM PRODUCTS CATEGORY TOTAL

99

Gastrointestinal Irritants 55 TOBACCO PRODUCTS CATEGORY TOTAL 119

Non-Toxic 30 UNKNOWN SUBSTANCES NON-DRUGS CATEGORY TOTAL

220

Oxalate Containing 24 WATER PROOFERS/SEALANTS CATEGORY TOTAL

2

Other/Unknown 115

PLANTS CATEGORY TOTAL 265

POLISHES & WAXES CATEGORY TOTAL 43

RADIATION CATEGORY TOTAL 2

The West Virginia Poison Center (WVPC) participates in the National Poisoning Data System (NPDS). The

WVPC monitors its own data in addition to sending de-identified patient information to the national database

every 4 to 10 minutes.

*”The CDC and AAPCC have developed methods to use NPDS data for real-time automated alerting that will

generate more immediate and effective responses to public health threats related to toxins or chemicals in the

environment. The NPDS database is a flexible and adaptable system that can be used to:

• identify early indicators for chemical exposures occurring at multiple sites throughout the United States;

• identify emerging problems that may be associated with newly in introduced household products,

pharmaceuticals, or pesticides.

• identify illnesses resulting from intentional or unintentional chemical exposures at a single site or across

multiple locations; and

• monitor the frequency of reports involving potentially abused substances.”

*From the Department of Health and Human Services Centers for Disease Control and Prevention Fact Sheet:

Using the National Poisoning Data System for Public Health Surveillance

WEST VIRGINIA POISON CENTER PUBLIC HEALTH DATA

WEST VIRGINIA POISON CENTER PUBLIC HEALTH DATA (cont.d)

Examples of Poisoning Surveillance Activities for 2016

“Identify early indicators for chemical exposures..”

The WVPC worked with the WV Bureau of Public Health (WV BPH) to send information to health

care professionals. The WVPC also provided epidemiological information relating to the recall to the

WV BPH.

Calls relating to therapeutic drug errors (when age known):

<6 years of age 20.0% of drug error cases

6 to 12 years of age 13.1% of drug error cases

50 to 59 years of age 9.2% of drug error cases

60 to 69 years of age 12.5% of drug error cases

25.8% of all calls for those 6-12 years of age; reason for exposure = therapeutic drug error

48.8% of all calls for those age 80-89 years of age; reason for exposure = therapeutic drug

error

“Identify illnesses resulting from intentional or unintentional chemical exposures..”

The WVPC fielded questions regarding a wide variety of public health concerns:

Suspected food poisoning/adverse reactions to food 239 cases

Animal bites 22 cases

Infectious diseases 13 cases

WEST VIRGINIA POISON CENTER – Use of Naloxone by Non-Health

Care Providers (Law Enforcement, Fire Department, Lay Public)

Counties Reporting:CabellFayetteHarrisonJeffersonKanawhaMercerMonongaliaPutnam

0

20

40

60

80

Male

Female

2016 was the first full calendar year in which naloxone was made available for use by police, fire departments, and the lay public. A total of 309 administrations were reported to the WV Poison Center (66 by police, 67 by fire department).

The WV Poison Center partners with the WV Office of Emergency Medical Services (WV OEMS) to track naloxone administrations by police and fire department personnel.

Maintaining extensive and updated references and resources on hazardous materials

and chemicals. WVPC staff includes Poison Specialists with additional training in

both advanced and basic HazMat Life Support and Homeland Security Exercise and

Evaluation training. All staff having Incident Command System training. Availability

of occupational, toxicological, and medical specialty consultants 24 hours a day.

Identification of chemicals or hazardous materials based on placard symbols, CAS or

UN numbers, chemical formula, or chemical name.

Provision of information and assessment regarding exposure health risks and

potential clinical effects. Assists with both in-field patient management and triage as

well as providing health care facility treatment advice.

The ability to, if appropriate, contact/alert receiving health care facilities located in

the incident area as well as provide further decontamination exposure management

recommendations by both telephone and facsimile.

The ability, when the WVPC is advised of the incident, to provide the public with

information regarding risk assessment and management. This helps to minimize the

workload on emergency medical services and hospital emergency departments.

Hazardous Material (HAZMAT) Functions of the WVPC