|Titre :||Increase in emergency department visits related to cannabis reported using syndromic surveillance system (2019)|
|Auteurs :||G. N. NOEL ; A. M. MAGHOO ; F. F. FRANKE ; G. V. VIUDES ; P. M. MINODIER|
|Type de document :||Article : Périodique|
|Dans :||European Journal of Public Health (Vol.29, n°4, August 2019)|
|Article en page(s) :||621-625|
|Discipline :||EPI (Epidémiologie / Epidemiology)|
Thésaurus TOXIBASECANNABIS ; URGENCE ; SURVEILLANCE EPIDEMIOLOGIQUE ; EVOLUTION ; ETUDE TRANSVERSALE ; INTOXICATION ; ADMISSION ; AGE ; ENFANT ; ADOLESCENT
BACKGROUND: Cannabis is illegal in France but, as in many countries, legalization is under debate. In the United States, an increase of emergency department (ED) visits related to cannabis exposure (CE) in infants and adults was reported. In France, a retrospective observational study also suggested an increase of CE in children under 6 years old. This study only included toddlers and the data sources used did not allow repeated analysis for monitoring.
METHODS: Our study aimed to evaluate the trend in visits for CE in ED in patients younger than 27 years old in Southern France. A cross-sectional study using the Electronic Emergency Department Abstracts (EEDA) included in the national Syndromic Surveillance System. CE visits were defined using International Classification of Disease (ICD-10).
RESULTS: From 2009 to 2014, 16 EDs consistently reported EEDA with CONCLUSION: These trends occurred despite cannabis remaining illegal. EEDA could be useful for monitoring CE in EDs.
- In the USA, in a context of cannabis legalization, an increase in cannabis intoxication was reported in adults and children.
- Originally, using data included in the French Syndromic Surveillance System we reported a significant increase of cannabis intoxication for all age groups including accidental ingestion in children under 8 years old.
- This increase, observed out of any change in cannabis law, has to be taken into account for the ongoing debate on cannabis legalization.
- Prevention campaigns against cannabis use should highlight the risks for serious unintentional infant poisoning.
|Domaine :||Drogues illicites / Illicit drugs|
|Refs biblio. :||25|
|Affiliation :||PACA Regional Emergency Department Observatory (ORUPACA), Hyères, France|