Chemical Safety and Health
Through the Chemical Safety and Health Unit, WHO works to establish the scientific basis for the sound management of chemicals, and to strengthen national capabilities and capacities for chemical safety.

Prevention and management of cases of poisoning

Poisoning from pharmaceuticals, industrial chemicals, pesticides, chemical products and natural toxins is a significant global public health problem. WHO seeks to build capacity in countries to deal with these problems, and an important area of activity is promoting the establishment and strengthening of poisons centres.

A poisons centre is a specialized service that advises on the diagnosis and management of poisoning and collects data to inform poisons prevention activities. Poisons centres play an important role in identifying and assessing the toxic risks in a population, e.g. from emerging toxicological hazards – this is called toxicovigilance. Poisons centres also collect data to improve knowledge about the human health effects of chemicals. Poisons centres contribute to the national capacities required under the International Health Regulations for surveillance, preparedness and response for public health events involving chemical agents.

WHO maintains a global directory of poisons centres. To support countries to establish and/or strengthen poisons centres, WHO has developed guidance and training materials (Training manual - trainee's version and Training manual - trainer's version) on poisons centres and poisons centre operations and on analytical toxicology for low-resource settings.

WHO also facilitates the provision of training placements at well-established poisons centres and, through its poisons centre network, it fosters links between poisons centres.

WHO has developed tools to facilitate the collection of internationally harmonized data on poisoning in the form of a multilingual controlled terminology and classifications, as well as materials for documenting pesticide exposures.

47%

of Member States

have a poisons centre (as of 1 January 2023)

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20%

of global suicides

are due to pesticide self-poisoning

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106 683

deaths

from unintentional poisoning in 2016

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Publications

Guidelines for establishing a poison centre

This publication is an update of the Guidelines for poison control, published by WHO in 1997 under the auspices of the International Programme on Chemical...

The WHO Recommended Classification of Pesticides by Hazard and guidelines to classification, 2019 edition

This document sets out a classification system to distinguish between the more and the less hazardous forms of selected pesticides based on acute risk...

Improving the availability of poisons centre services in Eastern Africa

This booklet presents a summarised synthesis of a project carried out to explore the feasibility of a subregional poisons centre in Eastern Africa. The...

Clinical management of acute pesticide intoxication: prevention of suicidal behaviours

The specific purpose of this document is to improve medical management and mental health care of people with pesticide poisoning in health care facilities...

Guidelines on the prevention of toxic exposures

A large number of people are injured or die each year as a result of exposure to both man-made chemicals and naturally occurring toxins. Furthermore, misuse...

Guidelines for poison control

The International Programme on Chemical Safety (IPCS) was established in 1980 as a collaborative programme of the International Labour Organisation (ILO),...

Basic analytical toxicology

The aim of this manual is to help hospital laboratories in developing countries to provide a basic analytical toxicology service using a minimum of special...