Attached is a word document with multiple syndromes that we have found useful during the coagulopathy cluster situation. Most used queries are highlighted in yellow.
These queries were created in response to marijuana, particularly synthetic marijuana, tainted with anticoagulants often found in rodent poisons.
Using death certificates alone to identify contributing substances in drug overdose deaths may result in misclassification and underestimation of the burden of illicit and prescription opioids and other drugs in drug-related deaths. To enable timely and targeted prevention in Tennessee (TN), the identification and monitoring of new drugs and trends in use should utilize toxicology and medicolegal death investigation data directly, as recommended by others 1-3. These data can inform mortality outcome definitions for improved surveillance and risk factor identification 4-7. To our knowledge, this is the first analysis to use statewide linked toxicology and death certificate data in TN.
Objective: To examine specific drugs present based on postmortem toxicology for prescription opioid, heroin, and fentanyl overdoses classified based on ICD-10 coding. To compare drugs identified from postmortem toxicology with those listed on the death certificate for opioid overdoses.
There have been a number of non-infectious intoxication outbreaks reported in North American companion animal populations over the last decade. The most devastating outbreak to date was the 2007 melamine pet food contamination incident which affected thousands of pet dogs and cats across North America. Despite these events, there have been limited efforts to conduct real-time surveillance of toxicological exposures in companion animals nationally, and there is no central registry for the reporting of toxicological events in companion animals in the United States. However, there are a number of poison control centers in the US that collect extensive data on toxicological exposures in companion animals, one of which is the Animal Poison Control Center (APCC) operated by the American Society for the Prevention of Cruelty to Animals (ASPCA). Each year the APCC receives thousands of reports of suspected animal poisonings and collects extensive information from each case, including location of caller, exposure history, diagnostic findings, and outcome. The records from each case are subsequently entered and stored in the AnTox database, an electronic medical record database maintained by the APCC. Therefore, the AnTox database represents a novel source of data for real-time surveillance of toxicological events in companion animals, and may be used for surveillance of pet food and environmental contamination events that may negatively impact both veterinary and human health.
Objective:
Our objective was to assess the suitability of the data collected by the Animal Poison Control Center, run by the American Society for the Prevention of Cruelty to Animals, for the surveillance of toxicological exposures in companion animals in the United States.