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. 2020 Apr 24;69(16):496-498.
doi: 10.15585/mmwr.mm6916e1.

Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 - National Poison Data System, United States, January 1, 2020-March 31, 2020

Arthur Chang, Amy H Schnall, Royal Law, Alvin C Bronstein, Jeanna M Marraffa, Henry A Spiller, Hannah L Hays, Alexandra R Funk, Maria Mercurio-Zappala, Diane P Calello, Alfred Aleguas, Douglas J Borys, Tegan Boehmer, Erik Svendsen

Cleaning and Disinfectant Chemical Exposures and Temporal Associations with COVID-19 - National Poison Data System, United States, January 1, 2020-March 31, 2020

Arthur Chang et al. MMWR Morb Mortal Wkly Rep. .

Abstract

On January 19, 2020, the state of Washington reported the first U.S. laboratory-confirmed case of coronavirus disease 2019 (COVID-19) caused by infection with SARS-CoV-2 (1). As of April 19, a total of 720,630 COVID-19 cases and 37,202 associated deaths* had been reported to CDC from all 50 states, the District of Columbia, and four U.S. territories (2). CDC recommends, with precautions, the proper cleaning and disinfection of high-touch surfaces to help mitigate the transmission of SARS-CoV-2 (3). To assess whether there might be a possible association between COVID-19 cleaning recommendations from public health agencies and the media and the number of chemical exposures reported to the National Poison Data System (NPDS), CDC and the American Association of Poison Control Centers surveillance team compared the number of exposures reported for the period January-March 2020 with the number of reports during the same 3-month period in 2018 and 2019. Fifty-five poison centers in the United States provide free, 24-hour professional advice and medical management information regarding exposures to poisons, chemicals, drugs, and medications. Call data from poison centers are uploaded in near real-time to NPDS. During January-March 2020, poison centers received 45,550 exposure calls related to cleaners (28,158) and disinfectants (17,392), representing overall increases of 20.4% and 16.4% from January-March 2019 (37,822) and January-March 2018 (39,122), respectively. Although NPDS data do not provide information showing a definite link between exposures and COVID-19 cleaning efforts, there appears to be a clear temporal association with increased use of these products.

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Conflict of interest statement

All authors have completed and submitted the International Committee of Medical Journal Editors form for disclosure of potential conflicts of interest. No potential conflicts of interest were disclosed.

Figures

FIGURE
FIGURE
Number of daily exposures to cleaners and disinfectants reported to U.S. poison centers — United States, January–March 2018, 2019, and 2020,† * Excluding February 29, 2020. † Increase in exposures to cleaners on January 29, 2020, came from an unintentional exposure to a cleaning agent within a school.
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References

    1. Holshue ML, DeBolt C, Lindquist S, et al.; Washington State 2019-nCoV Case Investigation Team. First case of 2019 novel coronavirus in the United States. N Engl J Med 2020;382:929–36. - PMC - PubMed
    1. CDC. Coronavirus disease 2019 (COVID-19): cases in US. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/cases-updates/cases-in-us.html
    1. CDC. Coronavirus disease 2019 (COVID-19): cleaning and disinfecting your home. Atlanta, GA: US Department of Health and Human Services, CDC; 2020. https://www.cdc.gov/coronavirus/2019-ncov/prevent-getting-sick/disinfect...
    1. Guynn J. Looking for Lysol spray and Clorox wipes? COVID-19 wiped out disinfectants, but here’s when you can buy again. McLean, VA: USA Today; 2020. https://www.usatoday.com/story/money/2020/04/09/coronavirus-clorox-lysol...

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