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Symposium 29: Toxicovigilance to reduce poisoning and suicide

Tracks
Track 5
Friday, July 17, 2026
11:15 AM - 1:15 PM

Details

The most effective method to reduce suicide and poisoning is to restrict access to lethal means. Restricting access to dangerous substances reduces fatal accidental and intentional poisonings. While some substances can be identified as extremely hazardous before they are released, greater human toxicity is usually only identified after agents are in use. This session will highlight the benefits of active surveillance to identify substances with greater risks. This includes identifying more toxic pesticides, psychotropic medicines, novel illicit drugs and contaminated products. Talks: 1) Reducing global suicide rates through pesticide restrictions in the Asia-Pacific region 2) The effect of means restriction on poisoning suicide - a systematic review & Poisons Centre driven scheduling changes 3) Detecting novel psychoactive substances resulting in hospitalisation and the EuroDEN project 4) Toxicovigilance for adulterated and counterfeit traditional medicines 5) Linking medicines data to deaths to identify drugs linked to suicide and fatal poisoning


Speaker

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Prof Michael Eddleston
The University of Edinburgh

Regulatory action on hazardous pesticides: Evidence from South Asia for suicide prevention

11:15 AM - 11:45 AM

Abstract

Biography

Prof Michael Eddleston is Professor of Clinical Toxicology at the University of Edinburgh, Honorary Consultant Physician and Pharmacologist at the Royal Infirmary of Edinburgh, and Clinical Lead for the UK National Poisons Information Service. He trained in medicine at Cambridge and Oxford, completing a PhD at the Scripps Research Institute, La Jolla. While a medical student, he developed an interest in self-poisoning in rural Sri Lanka, leading to a year-long clinical trial and co-authoring the Oxford Handbook of Tropical Medicine. After basic medical training, he spent four years in Sri Lanka as a Wellcome Trust Career Development Fellow before completing specialist medical training in Edinburgh. He became a Senior Clinical Fellow and Consultant in 2009 and was appointed Professor in 2013. He now leads an international research group focused on preventing deaths from acute poisoning while continuing clinical work at the Royal Infirmary of Edinburgh.
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Assoc Prof Rose Cairns
Associate Professor In Pharmacy
The University Of Sydney

The effect of means restriction on poisoning suicide - a systematic review & Poisons Centre driven scheduling changes

11:45 AM - 12:15 PM

Abstract

Biography

Dr Rose Cairns is a NHMRC emerging leadership fellow and senior lecturer in Pharmacy at The University of Sydney. She is also Director of Research at the New South Wales Poisons Information Centre. She is a practicing poisons information specialist, providing clinical advice to healthcare professionals and members of the public on poisoning. Her research focus is on intentional poisoning and suicide, and evaluating the impact of legislative changes on poisoning.
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Prof David Wood
Professor Of Clinical Toxicology And Consultant Physician
Guy's And St Thomas' Nhs Foundation Trust

Using the Euro-DEN Plus registry to detect the new psychoactive substances (NPS) associated with hospitalisation across Europe and in surrounding countries

12:15 PM - 12:45 PM

Abstract

Biography

Dr David Wood is a Consultant Physician and Clinical Toxicologist at the Guy’s and St Thomas’ NHS Foundation Trust and King’s Health Partners and a Reader in Clinical Toxicology at King’s College London in London, UK. He has a research and academic interest in the epidemiology of use of and harms related to recreational drugs, new psychoactive substances and misused prescription medicines, and co-founded the European Drug Emergencies Network (Euro-DEN) Plus project and registry.
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Dr Man-Li Tse
Consultant
Hong Kong Poison Control Centre, Hospital Authority

Toxicovigilance for traditional Chinese medicine - experience from Hong Kong

12:45 PM - 1:00 PM

Abstract

Biography

Dr Man Li TSE is an emergency physician and clinical toxicologist based in Hong Kong. After acting as the consultant-.in-charge of the Hong Kong Poison Information Centre from 2008-2023, he was appointed the founding Medical Director of the Hong Kong Poison Control Centre under Hospital Authority from 2023-2025. He was an ex-President of the Asia Pacific Association of Medical Toxicology 2021-2022. He is elected the Chairman of Clinical Toxicology Board in the Hong Kong College of Emergency Medicine since 2023 and is a member in several advisory committees to the government of the Hong Kong Special Administrative Region in the People’s Republic of China that includes the Kong Poison Control Network, Expert Committee on Food Safety, Core Team in the Expert Group on Drug Registration under the Pharmacy and Poison Board and Vetting Panel for the Chinese Medicine Development Fund. Dr Tse has published around 100 peer-reviewed papers relating to clinical toxicology and poisoning.
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Dr Thanjira Jiranantakan
Clinical Toxicologist and Public Health Advisor
Centre for Alcohol and Other Drugs, NSW Ministry of Health

Multifaceted approaches to reduce drug-related harm at music festivals in NSW, Australia

1:00 PM - 1:15 PM

Abstract

Biography

Dr Thanjira Jiranantakan is the NSW Health Clinical Toxicologist and Public Health Advisor, translating clinical expertise into public health practice for the benefit of both individuals and broader communities. Her portfolio includes, but is not limited to, music festival harm reduction, toxico-surveillance and early warning system, and other Centre for Alcohol and Other Drugs priorities to enable policy, strategy and program related to the prevention, harm minimisation and treatment of alcohol and other drug harms, and to support the legislative frameworks. Thanjira has extensive experience in stakeholder management and partnerships with multiple government agencies, industries, people with lived and living experience, and broader community engagement. She provides advice to and communicates with government officials and has appeared before various legislative processes, including representing NSW Health at the Parliament Inquiry. She is the senior NSW Health medical officer on duty during the music festival operations, with a high risk of multiple drug-related harm. She serves as the Clinical Lead and the Clinical Toxicologist for the NSW Drug Checking Trial, with extensive involvement in establishing, implementing, and supporting the evaluation. Thanjira works clinically as a Senior Staff Specialist in the Drug Health Services department at Royal Prince Alfred Hospital and in the Sydney Local Health District Area Toxicology. She is a Clinical Senior Lecturer at the Faculty of Medicine and Health, The University of Sydney. She is the current President-Elect of the Asia Pacific Association of Medical Toxicology (APAMT) and is a member of many state, national and internal committees.

Session chair

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Nick Buckley
The University of Sydney

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Rose Cairns
Associate Professor In Pharmacy
The University Of Sydney

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