Poisonings from tobacco/nicotine products : April 15, 2009 - April 15, 2014

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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