Demand for poison control center services "surged" during the 2003 blackout.
BACKGROUND
Beginning 8/14/03, for 24 hours, the largest geographic power failure in U.S. history occurred. Our Poison Control Center (PCC) catchment area was one of the most severely affected, with most of the population left without electricity, fuel, water pressure, or municipal potable water. The paucity of reports on the impact of disasters on PCC operations led us to summarize our experience.


METHODS
Data sources included 1) Toxicall human exposures during 8/03 (with comparison to 2002 and to national trends) and 2) an after-action report completed by Specialists-in-Poison Information (SPI's) on duty during the disaster.


RESULTS
The average call volume for 8/03 increased by 7.8%. Significant increases in human exposure and information calls occurred in four categories: gasoline, carbon monoxide, food poisoning, and water contamination. After-action report findings included: vulnerability of PCC operations to interruptions in power supply; lack of redundant communication methods; staffing challenges; and exclusion of PCC staff from hospital disaster plans despite co-location.


CONCLUSIONS
During the blackout of 2003, there was a measurably increased demand for poison center services. PCC disaster plans should address increased staffing needs during the time of disaster, communication system redundancy, back-up power supply, and SPI needs (food, water, transportation, environmental safety, and rest/rotation).
Klein
Kelly R
KR
Department of Emergency Medicine, Wayne State University/Michigan Department of Commuity Health, Detroit, Michigan, USA.
Herzog
Perri
P
Smolinske
Susan
S
White
Suzanne R
SR
D002249:Carbon Monoxide Poisoning; D004190:Disasters / Q000706:statistics & numerical data*; D011211:Electric Power Supplies / Q000706:statistics & numerical data*; D004630:Emergencies; D005506:Food Contamination / Q000706:statistics & numerical data; D005742:Gasoline / Q000506:poisoning; D006801:Humans; D011039:Poison Control Centers / Q000706:statistics & numerical data*; D011210:Power Plants / Q000706:statistics & numerical data*; D012189:Retrospective Studies; D014481:United States; D014876:Water Pollution / Q000706:statistics & numerical data
D005742:Gasoline