Poison Information Centres

Increasing capacity of Poison Information Centres (PICs) and operationalising WHO guidelines.

Poison Information Centres (PICs) assist in the prevention, diagnosis, and management of poisoning.

Their primary role is clinical, taking phone calls and supporting clinicians to treat patients. Some host specialist physicians who treat poisoning patients in toxicology wards and a laboratory to identify poisons. 

PICs are needed because poisons are many and diverse, and non-specialist clinicians lack knowledge about all but the most common.

Data routinely collected by PICs is used for public health purposes and for toxicovigilance, allowing identification of hazardous chemicals and emergence of new toxicological hazards.

Although the World Health Organisation considers PICs pivotal in addressing global poisoning, there are few PICs in some parts of the world, particularly Africa. There is also a great need to increase capacity in many PICs in low and middle-income countries.

 

What are we doing?

We are working with the World Health Organisation to implement guidelines for establishing poison centres.

This involves supporting visits by staff to PICs to observe processes and supply standard operating procedures.

We are providing access to TOXBASE - an online and app-based poison database providing guidance on the management of patients exposed to more than 21,000 poisons. It is provided free of charge to PICs in low and middle-income countries registered with the World Health Organisation.

We also work with clinical toxicology associations (APAMT and MENATOX) to teach PIC procedures at annual congresses. Ten scholarships per year will be provided to enable attendees from under- represented groups/countries to attend. 

Please contact Annie Watt (annie.watt@nhslothian.scot.nhs.uk) for further information about the training scholarships and the application process.

Mentorship will be offered from experienced PICs to less experienced PICs.

To address funding limitations in Africa, we will work with clinicians in Malawi, Zambia, Zimbabwe, and Botswana to explore ways in which appropriate poison information can be provided as a model for the continent.

 

Training Opportunities

We offer limited number of scholarships to individuals from low- and middle-income countries who apply to Stellenbosch University Postgraduate Diploma in Medical Toxicology (7 to 8 scholarships per year):

InstitutionProgrammesGradeDuration
Stellenbosch UniversityPostgraduate Diploma in Medical ToxicologyDiploma18 months

Applications for these scholarships should be submitted alongside your application for the Postgraduate Diploma in Medical Toxicology at Stellenbosch University. Prospective applicants are encouraged to contact the Stellenbosch University Course Director, Ms Carine Marks. To apply for the scholarship, you will need to submit an expression of interest. This should include why this opportunity aligns with your academic and professional goals as well as an overview of your intended career path and how the diploma and scholarship will support your aspirations.

This scholarship is funded by an NIHR RIGHT4 grant and is specifically designed to support individuals from low- and middle-income countries (LMICs) accepted into the postgraduate diploma program. The scholarship will cover: 

  • Institution fees for the duration of the diploma.
  • Limited travel costs, primarily for the conclusion of the program.
  • NOTE: Recipients will need to secure supplementary funding to cover any other required travel expenses, insurance, and living costs during their studies. It is strongly recommended that applicants explore external funding sources to ensure comprehensive financial support.

Through the Asia Pacific Association of Medical Toxicology (APAMT), we support emerging toxicologists present their research. The virtual seminar series covers a breadth of topics from across the Asia Pacific region. From emerging trends in poisoning and drug overdose management to the latest research on environmental and occupational toxins, these webinars are designed to be interactive, informative, and accessible to medical professionals, researchers, and students.

Rapid drug surveillance & response in NSW: collaborating with the Poisons Information Centre, by Dr Thanjira Jiranantakan and Jared Brown

Concomitant poisoning in a pregnant woman and her neonate, by Dr Shiva Samsamshariat

Role of the Ramathibodi PCC in Seasonal Mushroom Poisoning, by Dr Satariya Trakulsrichai

Unexplained Hepatic Failure, by Dr Ashish Bhallah

Challenge in the management of non-native snake envenomation in Hong Kong, by Dr James Chan

Acute gastroenteritis after a day of meetings and a celebratory dinner, by Dr Ziad Kazzi


 

Work Package 5 Investigators

Ms Carine MarksStellenbosch University
Dr Euan SandilandsUK National Poisons Information Service – Edinburgh Unit and NHS Lothian