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<record><TEI><teiHeader><fileDesc><titleStmt><title xml:lang="en">Identification of strategies to prevent death after pesticide self‐poisoning using a Haddon matrix</title><author><name sortKey="Eddleston, M" sort="Eddleston, M" uniqKey="Eddleston M" first="M" last="Eddleston">M. Eddleston</name></author><author><name sortKey="Buckley, N A" sort="Buckley, N A" uniqKey="Buckley N" first="N A" last="Buckley">N A Buckley</name></author><author><name sortKey="Gunnell, D" sort="Gunnell, D" uniqKey="Gunnell D" first="D" last="Gunnell">D. Gunnell</name></author><author><name sortKey="Dawson, A H" sort="Dawson, A H" uniqKey="Dawson A" first="A H" last="Dawson">A H Dawson</name></author><author><name sortKey="Konradsen, F" sort="Konradsen, F" uniqKey="Konradsen F" first="F" last="Konradsen">F. Konradsen</name></author></titleStmt><publicationStmt><idno type="wicri:source">PMC</idno><idno type="pmid">17018677</idno><idno type="pmc">1950775</idno><idno type="url">http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1950775</idno><idno type="RBID">PMC:1950775</idno><idno type="doi">10.1136/ip.2006.012641</idno><date when="2006">2006</date><idno type="wicri:Area/Pmc/Corpus">001138</idno><idno type="wicri:explorRef" wicri:stream="Pmc" wicri:step="Corpus" wicri:corpus="PMC">001138</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en" level="a" type="main">Identification of strategies to prevent death after pesticide self‐poisoning using a Haddon matrix</title><author><name sortKey="Eddleston, M" sort="Eddleston, M" uniqKey="Eddleston M" first="M" last="Eddleston">M. Eddleston</name></author><author><name sortKey="Buckley, N A" sort="Buckley, N A" uniqKey="Buckley N" first="N A" last="Buckley">N A Buckley</name></author><author><name sortKey="Gunnell, D" sort="Gunnell, D" uniqKey="Gunnell D" first="D" last="Gunnell">D. Gunnell</name></author><author><name sortKey="Dawson, A H" sort="Dawson, A H" uniqKey="Dawson A" first="A H" last="Dawson">A H Dawson</name></author><author><name sortKey="Konradsen, F" sort="Konradsen, F" uniqKey="Konradsen F" first="F" last="Konradsen">F. Konradsen</name></author></analytic><series><title level="j">Injury Prevention</title><idno type="ISSN">1353-8047</idno><imprint><date when="2006">2006</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en"><p>Despite pesticide self‐poisoning causing around 300 000 deaths each year in the rural Asia Pacific region, no comprehensive public health response has yet been formulated. The authors have developed a Haddon matrix to identify factors that increase the risk of fatal rather than non‐fatal pesticide self‐poisoning in Sri Lanka. Many important host factors such as age, gender, and genetics are not alterable; factors that could be changed—alcohol use and mental health—have previously proved difficult to change. Interventions affecting agent or environmental factors may be easier to implement and more effective, in particular those limiting the human toxicity and accessibility of the pesticides, and the quality, affordability, and accessibility of health care in the community. Controlled studies are required to identify effective strategies for prevention and harm minimization and to garner political support for making the changes necessary to reduce this waste of life. Lessons learnt from Sri Lanka are likely to be highly relevant for much of rural Asia.</p></div></front></TEI><pmc article-type="review-article"><pmc-comment>The publisher of this article does not allow downloading of the full text in XML form.</pmc-comment>
<front><journal-meta><journal-id journal-id-type="nlm-ta">Inj Prev</journal-id><journal-title>Injury Prevention</journal-title><issn pub-type="ppub">1353-8047</issn><publisher><publisher-name>BMJ Group</publisher-name></publisher></journal-meta><article-meta><article-id pub-id-type="pmid">17018677</article-id><article-id pub-id-type="pmc">1950775</article-id><article-id pub-id-type="publisher-id">ip12641</article-id><article-id pub-id-type="doi">10.1136/ip.2006.012641</article-id><article-categories><subj-group subj-group-type="heading"><subject>Systematic Review</subject></subj-group></article-categories><title-group><article-title>Identification of strategies to prevent death after pesticide self‐poisoning using a Haddon matrix</article-title></title-group><contrib-group><contrib contrib-type="author"><name><surname>Eddleston</surname><given-names>M</given-names></name></contrib><contrib contrib-type="author"><name><surname>Buckley</surname><given-names>N A</given-names></name></contrib><contrib contrib-type="author"><name><surname>Gunnell</surname><given-names>D</given-names></name></contrib><contrib contrib-type="author"><name><surname>Dawson</surname><given-names>A H</given-names></name></contrib><contrib contrib-type="author"><name><surname>Konradsen</surname><given-names>F</given-names></name></contrib></contrib-group><aff><bold>M Eddleston</bold>, Centre for Tropical Medicine, Nuffield Department of Clinical Medicine, University of Oxford, Oxford, UK</aff><aff><bold>M Eddleston</bold>,<bold>N A Buckley</bold>,<bold>A H Dawson</bold>,<bold>F Konradsen</bold>, South Asian Clinical Toxicology Research Collaboration</aff><aff><bold>M Eddleston</bold>, Ox‐Col Collaboration, Department of Clinical Medicine, University of Colombo, Sri Lanka</aff><aff><bold>N A Buckley</bold>, Department of Clinical Pharmacology and Toxicology, ANU Medical School, ACT, Australia</aff><aff><bold>D Gunnell</bold>, Department of Social Medicine, University of Bristol, Bristol, UK</aff><aff><bold>A H Dawson</bold>, Department of Clinical Medicine, University of Peradeniya, Sri Lanka</aff><aff><bold>F Konradsen</bold>, Department of International Health, University of Copenhagen, Copenhagen, Denmark</aff><author-notes><corresp>Correspondence to: Dr M Eddleston<break></break>Scottish Poisons Information Bureau, Royal Infirmary, Little France, Edinburgh EH16 4SA, UK; eddlestonm@yahoo.com</corresp></author-notes><pub-date pub-type="ppub"><month>10</month><year>2006</year></pub-date><volume>12</volume><issue>5</issue><fpage>333</fpage><lpage>337</lpage><history><date date-type="accepted"><day>30</day><month>6</month><year>2006</year></date></history><permissions><copyright-statement>Copyright ©2006 BMJ Publishing Group.</copyright-statement></permissions><abstract><p>Despite pesticide self‐poisoning causing around 300 000 deaths each year in the rural Asia Pacific region, no comprehensive public health response has yet been formulated. The authors have developed a Haddon matrix to identify factors that increase the risk of fatal rather than non‐fatal pesticide self‐poisoning in Sri Lanka. Many important host factors such as age, gender, and genetics are not alterable; factors that could be changed—alcohol use and mental health—have previously proved difficult to change. Interventions affecting agent or environmental factors may be easier to implement and more effective, in particular those limiting the human toxicity and accessibility of the pesticides, and the quality, affordability, and accessibility of health care in the community. Controlled studies are required to identify effective strategies for prevention and harm minimization and to garner political support for making the changes necessary to reduce this waste of life. Lessons learnt from Sri Lanka are likely to be highly relevant for much of rural Asia.</p></abstract><kwd-group><kwd>Haddon matrix</kwd><kwd>pesticide</kwd><kwd>prevention</kwd><kwd>self‐poisoning</kwd><kwd>suicide</kwd></kwd-group></article-meta></front></pmc></record>Pour manipuler ce document sous Unix (Dilib)
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