RETRACTED (The article has been retracted due to Data Property Issue)


  • Salma Shazia ayub medical college
  • Abdul Haq Wazir
  • Haroon ur Rashid
  • Zahid Hussain Khalil


--------RETRACTED----- Background: Poison is defined as any substance which harms, endangers or even kills a person irrespective of the quality or quantity. Pakistan is a developing country and farming is the major occupation of the majority of the population. Due to the easy availability and increased use of pesticides, the accidental and suicidal poisoning is very common. The objective of the study is to find out the most common poison used by the people in the general population and its frequency in our setup. Methods: The present cross-sectional study with retrospective data collection was undertaken in the Department of Forensic Medicine, Khyber Medical College (KMC) Peshawar to determine the frequency of different poisons detected in various samples brought to the toxicological laboratory.  A three-year data (1stJanuary 2014 to 31 December 2016) was retrieved from Forensic Laboratory of KMC, Peshawar. Different methods were used for the detection of poisons. All the cases coming from Khyber Pakhtunkhwa province were included whereas; cases from other provinces were excluded. Results: The study revealed that poisoning was more common among females and the most common age group affected was 21–25 years. The incidence of positive cases was more in Peshawar district followed by Swat district. The common poison detected was phosphine (wheat pill). Conclusion: Female and young people from Peshawar and Swat are more prone to Aluminum Phosphide (wheat pill) poison. It is a dangerous and lethal poison, so healthcare workers at emergency department ought to be prepared for such cases. Furthermore, its routine use as a domestic pesticide has to be strictly prohibited by creating awareness among the public. Keywords: Aluminum Phosphate; Poisoning; Phosphine; Wheat pill; Homicide; Suicide


Awan RA. Drug, medicine, poisoning and its management. in: Awan RA, editor. Principle and practice of forensic medicine. Lahore, Pakistan: Zubair book depot, 2018; p.164.

Ghazi MA. Wheat pill (aluminum phosphide) poisoning; commonly ignored dilemma. A comprehensive clinical review. Professional Med J 2013;20(6):855–63.

Bumbrah GS, Krishan K, Kanchan T, Sharma M, Sodhi GS. Phosphide poisoning: a review of literature. Forensic Sci Int 2012;214(1-3):1–6.

Etemadi-Aleagha A, Akhgari M, Iravani FS. Aluminum Phosphide Poisoning-Related Deaths in Tehran, Iran, 2006 to 2013. Medicine (Baltimore) 2015;94(38):e1637.

Yan H, Xiang P, Zhang S, Shen B, Shen M. Diagnosis of aluminum phosphide poisoning using a new analytical approach: forensic application to a lethal intoxication. Int J Legal Med 2017;131(4):1001–7.

Jadhav AP, Nusair MB, Ingole A, Alpert MA. Unresponsive ventricular tachycardia associated with aluminum phosphide poisoning. Am J Emerg Med 2012;30(4):633.e3–5.

Merin O, Fink D, Fink DL, Shahroor S, Schlesinger Y, Amir G, et al. Salvage ECMO deployment for fatal aluminum phosphide poisoning. Am J Emerg Med 2015;33(11):1718.e1–3.

Soltaninejad K, Faryadi M, Sardari F. Acute pesticide poisoning related deaths in Tehran during the period 2003-2004. J Forensic Leg Med 2007;14(6):352–54.

Shadnia S, Soltaninejad K. Spontaneous ignition due to intentional acute aluminum phosphide poisoning. J Emerg Med 2011;40(2):179–81.

Yadav J, Athawal BK, Dubey BP, Yadav VK. Spontaneous ignition in case of celphos poisoning. Am J Forensic Med Pathol 2007;28(4):353–5.

Shokrzadeh M, Zarei H, Jalilian J, Badeli A, EbrahimiFalahtalab F, Shayeste Y. A comparison of mortality rate caused by aluminum phosphide with other poisonings in Golestan Province, Iran, 2010 - 2016. Med J Mashhad Univ Med Sci 2017;60:689–90.

Lall SB, Peshin SS, Mitra S. Methemoglobinemia in aluminium phosphide poisoning in rats. Indian J Exp Biol 2000;38(1):95–7.

Olson KR, Anderson IB, Benowitz NL, Blanc PD, Clark RF, Kearney TE, et al. Poisoning and drug overdose. 7th. New York: McGraw-Hill Education, 2017; p.306–7.

Solgi R, Abdollahi M. Proposing an antidote for poisonous phosphine in view of mitochondrial electrochemistry facts. J Med Hypotheses Ideas 2012;6(1):32–4.

Singh SP, Aggarwal AD, Oberoi SS, Aggarwal KK, Thind AS, Bhullar DS, et al. Study of poisoning trends in north India--a perspective in relation to world statistics. J Forensic Leg Med 2013;20(1):14–8.

Proudfoot AT. Aluminium and zinc phosphide poisoning. Clin Toxicol (Phila) 2009;47(2):89–100.

Qureshi MA, Nadeem S, Ahmed T, Tariq F, Rehman H, Qasim AP. Aluminium Phosphide Poisoning: Clinical Profile and Outcome of Patients Admitted in a Tertiary Care Hospital. Ann Punjab Med Coll 2018;12(3):191–94.

Navabi SM, Navabi J, Aghaei A, Zahra Shaahmadi Z, Heydari R. Mortality from aluminum phosphide poisoning in Kermanshah Province, Iran: characteristics and predictive factors. Epidemiol Health 2018;40:e2018022.

Khan NU, Mir MU, Khan UR, Khan AR, Ara J, Raja K, et al. The Current State of Poison Control Centers in Pakistan and the Need for Capacity Building. Asia Pac J Med Toxicol 2014;3(1):31–5.

Muhammad R, Afridi MAR, Ali Z, Asghar M, Sebtain A, Amer K, et al. Etiological and clinical profile of patients presenting with acute poisoning to a teaching hospital. J Postgrad Med Inst 2018;32(1):54–9.

Jermaine D. Mogali S, Comer SD. Polydrug abuse: a review of opioid and benzodiazepine combination use. Drug Alcohol Depend 2012;125(1-2):8–18.

Bachhuber MA, Hennessy S, Cunningham CO, Starrels JL. Increasing benzodiazepine prescriptions and overdose mortality in the United States, 1996–2013. Am J Public Health 2016;106(4):686–8.

Reyna-Medina M, Vázquez-de Anda GF, García-Monroy J, Valdespino-Salinas EA, Vicente-Cruz DC. [Suicide attempt with aluminum phosphide poisoning]. Rev Med Inst Mex Seguro Soc 2013;51(2):212–7.

Hassan A. Wheat Pill Poisoning: Clinical Manifestation and its Outcome. J Rawal Med Coll 2014;18(1):49–51.

Khodabandeh F, Kahani A, Soleimani G. The study of fatal complications of “rice tablet“poisoning. Iran J Forensic Med 2014;20(2):27–36.

Chaudhary SK, Momin SG, Vora DH, Modi P, Chauhan V, Chotaliya D. An Epidemiological Study of Fatal Aluminium Phosphide Poisoning At Rajkot. J Pharm 2013;3(1):17–23.

Iftikhar R, Tariq KM, Saeed F, Khan MB, Babar NF. Wheat pill: clinical characteristics and outcome. Pak Armed Forces Med J 2011;1(3):20.

Shields LBE, Hunsaker DM, Hunsaker JC 3rd, Ward MK. Toxicologic findings in suicide: a 10-year retrospective review of Kentucky medical examiner cases. Am J Forensic Med Pathol 2006;27:106–12.



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