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    "title": "Chron. File, February 1997 [1]",
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    "ocrText": "NEW JERSEY POISON INFORMATION AND EDUCATION SYSTEM\n201 Lyons Avenue Newark, New Jersey 07112\nSteven Marcus, M.D., Executive Director\nEmergency :\n1-800-POISON-1\nDiplomate, American Board of Medical Toxicology\n(1-800-764-7661)\nFacsimile :\n1-201-926-0013\nOffice :\n1-201-926-7443\nTTY:\n1-201-926-8008\nJanuary 16, 1997\nErskine Bowles\nChief of Staff\nOffice of the President of the United States\nhand\nWhite House\nPennsylvania Avenue\nWashington, D.C.\nDear Mr. Bowles:\nI am the executive Director of the New Jersey Poison Information and Education System, the regionally\ndesignated poison control center for the state of New Jersey. More important, perhaps, is the fact that I am\nLeigh Marcus' father. Leigh and your daughter are sorority sisters at The University of North Carolina at\nChapel Hill. I don't know if that makes us quasi \"kin,\" or not, but, I hope it will break the ice for what I\nbelieve is a discussion about a very important subject.\nPoison centers have existed in this country since 1955. They serve as telephone consultants to the lay and\nprofessional public in times of emergencies, when a poison exposure is suspected, or when information\nabout drug utilization is required. In New Jersey, we handled over 103,000 calls for help in 1996 alone.\nWe are beginning our 15th year of activity in New Jersey as its regional poison control system.\nHistorically, poison centers have been funded in precarious ways. Many were established as departments\nin hospitals as public health programs whose cost was covered by that hospital and incorporated into the\ngeneral overhead of those hospitals. As times have gotten \"tight\" for hospitals, many centers are in\njeopardy, financially. This is particularly sad since, at this time, there are several initiatives calling for\nexpansion of poison center services.\nCongress has called upon the Department of Health and Human Services, to provide a report on the future\nof poison center services for the country. This report is due in 1997. The Robert Wood Johnson\nFoundation funded a research project by George Washington University to study the economies of scale\nfor a poison center system and to try to develop a nationwide model for poison control services. I,\npersonally, have been working to establish a single, toll free telephone number to allow citizens from any\nlocation in the United States to reach his/her regional poison control center. In the last 2 years, the states of\nNew Jersey, Texas, Michigan and Oklahoma have agreed to use the same telephone number, 1-800-\nPOISON-1 (1-800-764-7661) to access their poison centers. This system works! Florida, California and\nLouisiana are poised for this effort as well.\nAll we need to make everything \"fall into place,\" is an igniter, a catalyst, someone or something to bring\nall the pieces together. I believe that the White House can be just such a force.\nPreliminary results from George Washington appear to show enormous savings in health care costs by\npoison centers who prevent unnecessary visits to emergency rooms and stream-line the care of those who\nneed hospital care. Poison centers save lives!\nThe Regional Drug and Poison Information Center for New Jersey, Designated as a Regional Poison\nControl Center and a Member, American Association Of Poison Control Centers"
}