DOI: http://dx.doi.org/10.18203/2320-6012.ijrms20175730

Trend of fatal poisoning in Kanpur: a two year autopsy based study

Puneet M. Awasthi, Soni Verma, Rahul Dev, Anand Bajpai

Abstract


Background: Kanpur is not only the biggest city of the Uttar Pradesh but also 9th most populated city of the India and is the main centre of commercial and industrial activities. Kanpur is situated at the bank of holy river Ganga. It is very crowded city and facing the problems of population influx from neighboring towns and villages. Apart from fame for industry, Kanpur lies between two rivers Ganga and Pandu. The land of Kanpur district is plain and fertile with Cultivable Barren Land 185480 Hectare. Kanpur is an only notified metropolitan area by UP Government under Code of Criminal Procedure 1973, and therefore has a Chief Metropolitan Magistrate. Poisoning is an important public health issue in India and worldwide. The present study is aimed to assess the epidemiological variables of fatal poisonings in Kanpur.

Methods: All medico legal autopsies of the city were conducted in the GSVM Medical College mortuary, Kanpur. During the study period, 582 cases of fatal poisoning were autopsied. Only autopsies with confirmed diagnosis of poisoning were included in this prospective study.

Results: A total of 7648 medico legal autopsies were performed at the aforementioned centre. Poisoning deaths comprised 582 cases (7.6%) of the total autopsies conducted during the study period.

Conclusions: Suicidal poisoning is accountable for majority of poisoning deaths in India. Societies at large owe a collective responsibility to this manner of death and mere condemnation or sympathy is not sufficient to curb these avoidable deaths.


Keywords


Fatal poisoning, Medico-legal autopsy, Pesticides, Suicide

Full Text:

PDF

References


District Survey Report Kanpur Nagar, 2016. Available at http://kanpurnagar. nic.in/ New% 20 DSR-Kanpur%20Nagar.docx.Accessed 28 October 2017.

History of Kanpur Judiciary, 2017. Available at http://www.ecourts.gov.in/kanpurnagar. Accessed 28 October 2017.

Metro Cities in UP, 2016. Available at https://sites.google.com/site/devaligarian/metro-cities-in-up. Accessed 28 October 2017.

Arun, M, Palimar V, Menezes R, Babu Y, Bhagavath P. and Mohanty M. Autopsy study of fatal deliberate self harm. Medicine, Science and the Law. 2007;47(1):69-73.

About GSVM Medical College, 2016. Available at http://www.gsvmmedicalcollege.com. Accessed 28 October 2017.

Haloi M, Haloi MD, Patowary A. Death due to Poisoning in District of Kamrup, Assam; A Medico -legal Study. J Indian Aca Forensic Med. 2013;35(1):17-20.

Eddleston M. Patterns and problems of deliberate self-poisoning in the developing world. Q J Med. 2000;93:715-31.

Eddleston M, Phillips MR. Self poisoning with pesticides. BMJ. 2004;328:42-4.

Buckley NA, Karalliedde L, Dawson A, Senanayake N, Eddleston M. Where is the evidence for the management of pesticide poisoning - is clinical toxicology fiddling while the developing world burns? J Toxicol Clin Toxicol. 2004;42:113-6.

Bruyndonckx RB, Meulemans AI, Sabbe MB, Kumar AA, Delooz HH. Fatal intentional poisoning cases admitted to the University Hospitals of Leuven, Belgium, from 1993 to 1996. Eur J Emerg Med. 2002;9:238-43.

Langley R, Sumner D. Pesticide mortality in the United States, 1979-1998. Vet Hum Toxicol. 2002;44:101-5.

Lu C, Barr DB, Barr, Pearson MA, Waller LA. Dietary Intake and Its Contribution to Longitudinal Organophosphorus Pesticide Exposure in Urban/Suburban Children. Environ Health Perspectives. 2008;116(4):537-42.

Dhattarwal SK, Singh H. Profile of deaths due to poisoning in Rohtak, Haryana. J For Med Tox. 2001;18:28-9.

Kapila P, Sekhon HS, Mishra VK. Study of Poisoning Deaths In and around Shimla (H.P.). IIJFMT. 2003;1(2):6-12.

Nigam M, Jain AK, Dubey BP, Sharma VK. Trends of organophosphorus poisoning in Bhopal region - An autopsy based study. J Ind Academ Forens Medic. 2004;26(2):62-5.

Dash SK, Raju AS, Mohanty MK, Patnaika KK, Siddharatha P, Mohanty S. Sociodemographic Profile of Poisoning Cases. JIAFM. 2005;27:133-8.

Gupta BD, Vaghela PC. Profile of fatal poisoning in and around Jamnagar. JIAFM. 2005;27:145-8.

Kanchan T, Menezes RG. Suicidal poisoning in Southern India: gender differences. J Forensic Leg Med. 2008;15(1):7-14.

Ahmad M, FN Rahman FM, Islam MM, Majumder MRU. Death due to Poisoning -A Medicolegal Study at Dhaka Medical College, Dhaka. Faridpur Med. Coll J. 2014;9(2):76-9.

Kumar A, Pathak MK. Epidemiology of Unnatural Death Due to Suspected Poisoning in Varanasi, India. International Journal of Science and Research. (IJSR). 2014;3:178-81.

Koulapur V, Pujar S, Honnungar R, Jirli P, Patil S. Epidemiological Profile of Pesticide Poisoning Cases in Bijapur, Karnataka in Southwest India: a Retrospective Study. Internat J Medic Toxicol Forens Medic. 2015;5(4):180-4.

Chakrabarty P, Tudu NK, Saren AB, Dwari AK, Haldar D, Samanta S. Epidemiology of unnatural death from suspected poisoning: an autopsy based study. IOSR J Dental Medic Sci. 2015;14(8):1-8.

Mathiharan K, Patnaik (editors). Modi’s Medical Jurisprudence and Toxicology. 23rd edition Lexis Nexis Butterworths; 2005:20-6.

Job C. A retrospective study of poisoning cases in Thrissur district of Kerala for the year 1995. JIST. 2009;5(1):23-7.

Zariwala RC, Merchant SP, Mehta T, Bhise R. Trends of poisoning in Ahmedabad. J Indian Acad Forensic Med. 2009;31(2):125-32.

Datir SB, Petkar M, Farooqui JM, Makhani CS, Hussaini SN, Chavan KD, et al. Study of autopsy findings in case of acute poisoning. Journal of Forensic Medicine, Science and Law A Journal of Medicolegal Association of Maharashtra. 2015;24(1):1-5.