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Accidental poisoning, despite the impact of child resistant containers, remains a common problem. In England and Wales the Home Accident Surveillance System suggests that 36 000 children presented to accident and emergency departments in 1986 (Department of Trade and Industry, 1988, personal communication). Nevertheless most of these children do not have serious symptoms' and have either taken a rela- tively non-toxic substance or not enough of a toxic substance to cause problems. Neverthe- less, a few children do die from accidental poisoning, and a few would die without expert medical care. Is it possible to avoid admitting children unnecessarily while still maintaining safety?
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Sibert et al. (1991) studied this question.
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