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To evaluate previous experiences of acute chemical poisoning, hospitals were divided into 9 categories according to the annual number of patients treated for chemical poisoning especially for acute organophosphate poisoning. In half of the hospitals to which more than 50 casualties were admitted, only a few cases of acute organophosphate poisoning had been experienced previously (category 2 to 3). A specific antidote, PAM was out of stock in 80% of the hospitals/clinics investigated.