Toxicological hazards of natural environments: Clinical reports from Poison Control Centre of Milan

Abstract

The belief that approaching nature can enhance well-being, widely promoted by mass media, is widespread. People explore parks and forests searching for wild herbs, berries and mushrooms that could be used as food or medicines, thinking that all things natural are healthy and harmless while picking up toxic species or encountering a snake is not so infrequent. To point out the Italian cases concerning these natural poisons, all cases handled between 2001 and 2005 by Poison Control Centre of Milan, the leading toxicological centre in Italy, have been reviewed. Regarding plants, 4432 records were collected; the patients most frequently involved were children that had picked poisonous species at home, at school or in other public places, but the most serious cases were related to wild plants used by adults for health enhancement: three deaths were recorded. Among 4289 calls concerning mushrooms several life-threatening cases, 6 transplants and 9 deaths were recorded. Eventually, 2072 records connected to snake bites were collected, among them at least 1061 were related to Vipera spp.: three patients died. These accidents can lead to severe or lethal poisonings that, requiring intensive medical cares and antidotes, have also a social and economic cost to the National Health Service. A public information campaign should be promoted to make people more aware of the risks of these events and of the detrimental consequences that this could have. Some cases of poisonings have arisen due to incorrect information conveyed through radio, television, press and the Internet; we highlight the need for better control on the content of messages diffused through mass media.