HOSPITAL j DUKE VOL. 7, NO. 1 OCTOBER, I960 DURHAM, N. C. POISON The little misM iii tlii.s iiicture (proparod liy Uoli lUake foi- a Poison Control c.xhibit that lias been shown around tliu world) is having loa. Aftor lun- doll linislics that sip, sho’ll havo a sip, too. We hope it is .just water, and not kerosene or another of the quarter of a million diingerous household substances we all have around the house at some time or other. Why not check .vour home tonight? Saved—. A Life a Day This is the enviable record we can attribute to a program hero at Duke Hospital that is little known to most of the hosjiital family, yet it is one of the most dramatic services to the largest number of people that Duke offers. The i)rogram is the Poison Control Center and the man behind its in ception and its brilliant record is Dr. Jay M. Arena, Professor of Pedi atrics. Back in 1952 the American Medical Association’s Committee on Toxicology (of which Dr. Arena was an eirthusiastic member), canvassed private doctors across the nation and confirmed their worst iiii])ressions concerning the alarming rise in the deaths by accidental poisoning, esj)eci- allj" in small children. They decided to try to do something about this distressing situation that they felt eould be cheeked, if someone ju.st took the trouble to try. Within months of that eomnuttee’s report a pilot con trol center was working in Chicago and a year later the first full-fledged l)oison control center in the country was set up at Duke Hospital by Dr. Arena. What was causing these 1')()() chil dren to die each year of j)oisoning? The answer, unfortuiuitely, says Dr. Arena is cai'clessness—careh'ssuess combined with ignorance on the part of parents, doctors and manufacturers alike. The ))roblem is a result of the fantastic increase over the ]>ast fifteen years of powerful new drugs aiul the 250,()()() new, labor-saving household ])roducts now on the market that are l)oteutially dangerous to children. For lack of strict laws, most of these detergents, insecticides, deodorants, and the like are not juarked as to dangerous content. This nuikes it difYicidt for parents to know what to be careful of—even if wc are suf ficiently w'ary, which most of us arc not. It also makes an impossible situa tion for the uu).st conscientious doctor 1() kee]) abreast of new i)roduets and their content. The biggest single boost in j)oisouing in children was the introduction of candy-flavored as])i- rin. Since the aspirin has Ix'eu made more palatable and ])arents have made the mistake of calling it candy, in cidents of overdoses of asi)irin now ac count for over 20 i>er cent of all child poisoning. Th(> solution of this tragic i)i-ol)lem has been of vital importance to Dr. Arena and as a result, Duke’s (’ontrol Center becanui a model, grew I'apidly and enjoys a real record of vital serv ice to hundreds of victims from all over the United States ('vcM-y year. Now there arc centers in 48 states and 4 territories, but almost daily emer gency cidls comi' from local doctors all over the southeast (and recently one from Montaiui) for ipiick iufor- (Contiuu('d on page 2)