OA2043. Childhood poisoning in Armenia: Causes, parental influence and medical outcomes

Abstract Background Poisoning is a significant public health issue, especially in developing countries. The World Health Organization (WHO) highlights that unintentional injuries, including poisoning, are major causes of child morbidity and mortality. In regions like the Eastern Mediterranean, including Armenia, the poisoning mortality rate for children under five is particularly high. Methods This retrospective, observational study analyzes poisoning cases in children under 18 in Armenia from 2021-2022, using medical records and secondary data analysis with a developed questionnaire. Results A total of 507 poisoning cases were identified, with 456 meeting the inclusion criteria. Most cases (58.8%) involved boys, and the highest incidence was observed in children aged 1-3 years (43%). Most cases occurred in Yerevan (49%), followed by other urban areas (26%) and rural regions (25%). Poisonings mostly occurred at home (82%), often in the presence of parents. Medications (36.4%), chemical substances (35.3%), and household chemicals (21.5%) were the leading causes. Parental negligence was the leading cause of poisoning (68.8%), followed by accidental ingestion (19.3%). In 337 instances, the parent was at home with the child (in the same or nearby room or engaged in another activity like laundry). A total of 311 children were admitted to the hospital in a moderate condition, while 145 children were in a severe condition. Conclusions Childhood poisoning is a significant concern in Armenia, mainly occurring at home among boys aged 1–3. Medications, chemicals, and household substances are the leading causes, with parental negligence being the primary contributing factor. These findings highlight the urgent need for improved parental awareness, safety measures, and preventive strategies such as education on safe storage. Timely medical care is essential to prevent severe outcomes, emphasizing the importance of prompt intervention in poisoning cases. Key messages • Childhood poisoning in Armenia is mainly caused by parental negligence at home; boys aged 1–3 are most affected. Prevention needs stronger parental awareness and safe storage. • Medications, chemicals, and household products are leading causes of poisoning in young children. Timely medical care and preventive education can reduce severe outcomes. Topic Childhood poisoning, parental negligence, unintentional injury.