The WHO has launched an advance preview of its new International Classification of Diseases (ICD-11). Available electronically and containing about 55,000 unique codes for injuries, diseases and causes of death, ICD-11 provides significant improvements on previous versions, WHO reports. Among the changes are codes relating to antimicrobial resistance that are more in line with the Global Antimicrobial Resistance Surveillance System, new chapters on traditional medicine and sexual health, and the addition of gaming disorders to the section on addictive disorders. The ICD-11 will be presented at the World Health Assembly in 2019 and come into effect in 2022. Access the ICD-11 online: http://www.who.int/classifications/icd/en/.
In 2015 there were more than 170,000 calls to Australia’s four Poisons Information Centres relating to 164,363 poison exposure events, according to recent figures published in the Medical Journal of Australia (Med J Aust 2018; 209: 74-79). The retrospective analysis details, for the first time, the different patterns of poisoning exposure in Australia at different ages, the study authors note. Among the findings, 64.4% of exposures in 2015 were unintentional, 18.1% were the result of medication error (more common in neonates and older adults) and 10.7% were due to deliberate self-poisoning (highest proportion in adolescents). Most exposures were in 20- to 74-year-old adults (40.1%) or 1- to 4-year-old toddlers (36.0%). Household cleaners and paracetamol-containing analgesics were the most common substances involved in exposures. In adults over 74 years, exposures were usually medication errors involving cardiovascular (23.6%), anticoagulant (4.6%) or antidiabetic (4.1%) medications.