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Zhang L, Chen QY, Xiong SF, Zhu S, Tian JG, Li J, Guo H. Mushroom poisoning outbreaks in Guizhou Province, China: a prediction study using SARIMA and Prophet models. Sci Rep 2023; 13:22517. [PMID: 38110518 PMCID: PMC10728177 DOI: 10.1038/s41598-023-49095-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/22/2023] [Accepted: 12/04/2023] [Indexed: 12/20/2023] Open
Abstract
Mushroom poisoning is a public health concern worldwide that not only harms the physical and mental health of those who are poisoned but also increases the medical and financial burden on families and society. The present study aimed to describe and analyze the current situations and factors influencing mushroom poisoning outbreaks in Guizhou province, Southwest China, between January 2012 and June 2022, and to predict the future trends of its occurrence. Our study provides a basis for the rational formulation of prevention and control and medical resource allocation policies for mushroom poisoning. The epidemiological characteristics and factors influencing mushroom poisoning incidence were analyzed using descriptive epidemiological methods and the chi-squared test, respectively. Then, future occurrence trends were predicted using the SARIMA and Prophet models. In total, 1577 mushroom poisoning incidents were recorded in Guizhou Province, with 7347 exposures, 5497 cases, 3654 hospitalizations, and 93 fatalities. The mortality rate was 4.45% in 1 ~ 6 years higher than other age groups. There were notable geographic and seasonal characteristics, with the number of occurrences much higher in rural areas (1198) than in cities (379), and poisoning cases were more common during the rainy season (June to September). The mortality rate of household poisoning cases was 1.86%, with the most deaths occurring in households. Statistically significant differences were observed in the incidence across various cities, periods, and poisoning locations (P < 0.05). Both models had advantages and disadvantages for prediction. Nevertheless, the SARIMA model had better overall prediction results than the Prophet model (R > 0.9, the residual plot of the prediction results was randomly distributed, and RMSESARIMA < RMSEProphet). However, the prediction result plot of the Prophet model was more explanatory than the SARIMA model and could visualize overall and seasonal trends. Both models predicted that the prevalence of mushroom poisoning would continue to increase in the future; however, the number of fatalities is generally declining. Seasonal patterns indicated that a high number of deaths from gooseberry mushroom poisoning occurred in October. The epidemiological trends of mushroom poisoning remain severe, and health education on related knowledge must be strengthened in rural areas, with June to October as the key prevention and control phase. Further, medical treatment of mushroom poisoning cases with clinical symptoms should pay attention to inquiries to check whether the mushroom is similar in appearance to the Amanita, particularly in October.
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Affiliation(s)
- Li Zhang
- Institute of Public Health Surveillance and Evaluation, Guizhou Center for Disease Control and Prevention, Guiyang, 550005, China
- Department of Labor Hygiene and Environmental Health, School of Public Health and Wellness, Guizhou Medical University, Guiyang, 550025, China
| | - Qing-Yuan Chen
- Institute of Public Health Surveillance and Evaluation, Guizhou Center for Disease Control and Prevention, Guiyang, 550005, China
| | - Su-Fang Xiong
- Institute of Public Health Surveillance and Evaluation, Guizhou Center for Disease Control and Prevention, Guiyang, 550005, China
- Department of Labor Hygiene and Environmental Health, School of Public Health and Wellness, Guizhou Medical University, Guiyang, 550025, China
| | - Shu Zhu
- Institute of Public Health Surveillance and Evaluation, Guizhou Center for Disease Control and Prevention, Guiyang, 550005, China
| | - Ji-Gui Tian
- Institute of Public Health Surveillance and Evaluation, Guizhou Center for Disease Control and Prevention, Guiyang, 550005, China
| | - Jun Li
- Department of Labor Hygiene and Environmental Health, School of Public Health and Wellness, Guizhou Medical University, Guiyang, 550025, China
| | - Hua Guo
- Institute of Public Health Surveillance and Evaluation, Guizhou Center for Disease Control and Prevention, Guiyang, 550005, China.
- Department of Labor Hygiene and Environmental Health, School of Public Health and Wellness, Guizhou Medical University, Guiyang, 550025, China.
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Nasiri E, Orimi JR, Hashemimehr M, Aghabeiglooei Z, Rezghi M, Amrollahi-Sharifabadi M. Avicenna's clinical toxicology approach and beneficial materia medica against oral poisoning. Arch Toxicol 2023; 97:981-989. [PMID: 36862191 DOI: 10.1007/s00204-023-03464-w] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/04/2023] [Accepted: 02/16/2023] [Indexed: 03/03/2023]
Abstract
Considering the rich background of Persian Medicine in the use of materia medica for the treatment of diseases, the huge burden of oral poisonings in the world, and the urgent need to find scientific solutions, the purpose of this study was to determine Avicenna's approach toward clinical toxicology and his proposed treatments for oral poisonings. In Al-Qanun Fi Al-Tibb, Avicenna addressed the materia medica for the treatments of oral poisonings after explaining the ingestion of different toxins and also elucidating the clinical toxicology approach toward poisoned patients. These materia medica were from different classes including emetics, purgatives, enemas, diaphoretics, antidiarrheals, inhaled drugs, sternutators, anticoagulants, antiepileptics, antitussives, diuretics, cooling drugs, stimulants, cardiotonic drugs, and heating oils. By applying different therapies, Avicenna endeavored to attain main goals in clinical toxicology that are comparable with modern medicine. They included removing the toxins from the body, decreasing the severity of the deleterious effects of toxins on the body, and counteracting the effects of toxins inside the body. Aside from introducing different therapeutic agents that played an important role in the treatment of oral poisonings, he emphasized the ameliorating effects of nutritive foods and beverages. Further research using other Persian medical resources is recommended to elucidate the applicable approaches and treatments for different poisonings.
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Affiliation(s)
- Ebrahim Nasiri
- Department of Anesthesiology and Operating Room, Traditional and Complementary Medicine Research Center, Addiction Institute, Mazandaran University of Medical Sciences, Sari, Iran
| | - Jamal Rezaei Orimi
- Department of History of Medical Sciences, School of Allied of Medical Sciences, Mazanadaran University of Medical Sciences, Sari, Iran
- Traditional and Complementary Medicine Research Center, Arak University of Medical Sciences, Arak, Iran
| | - Mohammad Hashemimehr
- Traditional Medicine and History of Medical Sciences Research Center, Health Research Institute, Babol University of Medical Sciences, Babol, Iran
| | - Zahra Aghabeiglooei
- Department of Traditional Medicine, School of Persian Medicine, Tehran University of Medical Sciences, Tehran, Iran
| | - Maedeh Rezghi
- Department of Persian Medicine, School of Persian Medicine, Babol University of Medical Sciences, Babol, Iran
| | - Mohammad Amrollahi-Sharifabadi
- Department of Basic Sciences, Faculty of Veterinary Medicine, Lorestan University, 5Th Kilometer of Khorramabad-Boroujerd Highway, Khoramabad, Lorestan, Iran.
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