The Georgia Department of Public Health
Poisonings from Tobacco/Nicotine Products April 15, 2009 April 15, 2014
During the past five years in Georgia (April 15, 2009 to April 15, 2014), there were a total of 1,169 calls made to the Georgia Poison Center (GPC) due to exposures or poisonings from tobacco- or nicotinecontaining products. (Table 1)
On average, about 234 tobacco/nicotine poisoning calls were made each year. Some of the common symptoms of tobacco/ nicotine poisoning include nausea, vomiting, abdominal
pain, fever, dizziness, seizures, headache, tachycardia, hypertension, edema, and throat or eye irritation. More than half of the tobacco/nicotine exposures (n= 644) occurred among males, while there were 511
exposures for females. Among the 1,169 calls, routes of nicotine or tobacco exposures included ingestion (n =1,049), dermal
(n=28), inhalation (n=73), and ocular (n=15). The overwhelming majority of exposures were among children ages 0-5 years (n=965), making up about
83% of the total tobacco/nicotine exposure calls. (Figure 1)
Table 1. Number of Tobacco/Nicotine Poisonings or Exposures, by Product Type,
Georgia, April 15, 2009 to April 15, 2014
Tobacco Product Type/Substance
Number of
Exposure Calls
Cigarette, cigarette butt, cigarette filter tip
707
E-cigarettes
62
Smokeless Tobacco (chewing tobacco, snuff)
231
Nicotine (includes all types of tobacco products,
123
including e-cigarettes)
Other (cigar, Nicorette, hookah, cigarette smoke,
46
etc.)
Total
1,169
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May 2014
Poisonings from Tobacco/Nicotine Products
The most common routes of tobacco/nicotine exposures or poisonings, by age group, were: o 0-5 years ingestion (n= 951) o 6-12 years--ingestion (n= 21) o 13-15 years ingestion (n < 5 ) o 16-18 years--ingestion (n=11) o 19+ years--inhalation (n=57 ) and ingestion (n=56)
The LaGrange, East Metro, Northwest, Cobb-Douglas, and North Public Health Districts had the highest number of tobacco/nicotine poisoning calls. (Table 2)
Table 2. Number of Tobacco/Nicotine Poisonings or Exposures,
by Public Health District, Georgia, April 15, 2009 to April 15, 2014
Public Health District
Number of
Exposure Calls
1-1 Northwest (Rome)
91
1-2 North Georgia (Dalton)
68
2 North (Gainesville)
83
3-1 Cobb-Douglas
90
3-2 Fulton
70
3-3 Clayton (Morrow)
26
3-4 East Metro (Lawrenceville)
91
3-5 DeKalb
51
4 LaGrange
95
5-1 South Central (Dublin)
15
5-2 North Central (Macon)
61
6 East Central (Augusta)
51
7 West Central (Columbus)
52
8-1 South (Valdosta)
38
8-2 Southwest (Albany)
39
9-1 Coastal (Savannah)
70
9-2 Southeast (Waycross)
44
10 Northeast (Athens)
72
Nicotine Poisonings from E-cigarettes Jan 1, 2011 April 15, 2014
The number of calls made to the Georgia Poison Center about nicotine poisoning from electronic cigarettes (e-cigarettes) increased from only five calls in 2011 to 23 calls during the first four months of 2014. (Figure 2)
The total number of nicotine poisonings from e-cigarettes did not vary by sex--females had 31 exposures while males had 26 exposures.
The majority of e-cigarette nicotine exposures occurred among children aged 0-5 years (n =26) and adults aged 19+ years (n=30).
The most common route of exposure for e-cigarette nicotine poisonings among children aged 05 years was ingestion of the nicotine-containing liquid (n=21).
The most common route of exposure for e-cigarette nicotine poisonings among adults ages 19+ years was inhalation (n=11) followed by ingestion (n=8), and ocular (n=7).
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