Characteristics of occupational pesticide poisoning in agricultural workers treated at the Hospital Barranca Cajatambo during 2008 – 2017

Authors

DOI:

https://doi.org/10.24265/horizmed.2019.v19n2.06

Keywords:

Occupational medicine, Pesticide exposure, Farmers

Abstract

Objective: To determine the characteristics of occupational pesticide poisoning in agricultural workers treated at the Hospital Barranca Cajatambo during 2008-2017. Materials and methods: A descriptive, retrospective and cross-sectional study conducted in a population of 295 agricultural workers poisoned by occupational pesticide exposure and treated at the Hospital Barranca Cajatambo from 2008 to 2017. Every male or female agricultural worker aged over 14 with a complete medical record of pesticide poisoning was included in the study. The variables were the sociodemographic and epidemiological characteristics of the pesticide and intoxication. Absolute frequencies (n) were used for the qualitative variables and relative frequencies (%) for the relative variables. Measures of central tendency (average) and dispersion tendency (standard deviation) were used for the quantitative variables. Data was processed using software SPSS v25.0 and presented in simple tables. Results: Ninety-eight percent (98.0 %) of the study subjects were males, 47.5 % were between 15 and 25 years, 53.6 % were single, 68.1 % had secondary education, 67.5 % worked as pesticide applicators, 56.9 % had a normal BMI, and 97.6 % presented no comorbidities. Pesticides were classified as fungicide (39.7 %), herbicide (37.6 %), organophosphorus (98.0 %) and moderately toxic (96.3 %). The routes of entry to the body were the airways (57.3 %) and skin (42.0 %). In relation to poisoning, the time between pesticide exposure and arrival to the hospital ranged from 1 to 3 hours (53.9 %). The severity of poisoning was moderate (94.2 %). The most frequent clinical manifestations were vomiting (79 %) and nausea (72.5 %). Treatment included IV medication (99.7 %) and atropine (81.7 %). Ninety-nine point three percent (99.3 %) of the study population progressed with no hospital- cquired complications. Finally, 100 % of the patients improved their health condition at discharge. Conclusions: Most agricultural workers poisoned by pesticides were young, male and single; had secondary education; worked as pesticide applicators; did not present comorbidities; and had a normal BMI. The most frequently used pesticides were fungicides, herbicides, those moderately toxic and those entering the body through the airways. Poisoning was moderate with no hospital-acquired complications. The present study evaluates the short-term effects of pesticide poisoning in agricultural production. It is necessary to take into account its long-term effects such as cancer and neurological conditions. In this regard, the government should review the policy related to reducing the production and application of pesticides.

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References

Maksymiv I. Pesticides: benefits and hazards. J Vasyl Stefanyk Precarpathian National University. 2015; 2(1): p. 70-76.

Damalas CA, Eleftherohorinos IG. Pesticide Exposure, safety Issues, and risk assessment indicators. Int J Environ Res Public Health. 2011; 8(5): p. 1402-1419.

Vander H. UN human rights experts call for global treaty to regulate dangerous pesticides [internet]. UN News. 2017 [citado 7 Mayo 2017]. Disponible en: https://news.un.org/en/story/2017/03/552872-un-human-rights-experts-call-global-treaty-regulate-dangerous-pesticides

Plazas D, Olarte M. Intoxicación por inhibidores de la colinesterasa (organofosforados y carbamatos) en niños y adolescentes: revisión de la literatura y guía de manejo. Acta Colombiana de Cuidado Intensivo. 2011; 1: p. 26-33.

Pardo Abdala LM, Pérez Rodríguez S, Gámez Bacallao A. Reportes al Centro Nacional de Toxicología de mujeres en edad fértil expuestas a plaguicidas. Rev Cub Med Mil. 2017; 46(1): 10-8.

Pedrozo M, Ocampos S, Galeano R, Ojeda A, Cabello A, De Assis D. Casos de intoxicación aguda por plaguicidas en la colonia Puerto Pirapó, Itapúa, Paraguay, febrero de 2014. Biomédica. 2017 37(1):158-63.

Gutiérrez Lesmes OA, Loboa Rodríguez NJ, Plata Casas LI. Situación epidemiológica de la intoxicación por sustancias químicas en el departamento del Meta-Colombia, periodo 2009-2014. Biosalud. 201716(1):30-42.

Diaz S, Sánchez F, Varona M, Eljach V, Muñoz N. Niveles de colinesterasa en cultivadores de papa expuestos ocupacionalmente a plaguicidas, Totoró, Cauca. Rev Univ Ind Santander Salud. 2017;49(1):85-92.

Cerna Urrutia LE, Trigueros Jovel JR. Epidemiología y evolución clínica de pacientes intoxicados por plaguicidas atendidos en el Hospital Nacional San Rafael en el período de enero 2013 a junio 2014. Tesis doctoral. El Salvador: Universidad Dr. José Matías Delgado; 2015.

Amador Rosa ME, González Flores OM, Paz Jiménez HG. Caracterización de intoxicaciones agudas por plaguicidas en el departamento de Intibucá. Rev Med Hondur. 2016; 84(3-4):92-94.

Varona ME, Díaz SM, Briceño L, Sánchez CI, Torres CH, Palma RM, et al. Determinantes sociales de la intoxicación por plaguicidas entre cultivadores de arroz en Colombia. Rev salud pública. 2016; 18(4): p. 617-629.

Lee DH, Jung KY, Choi YH, Cheon Y. Body mass index as a prognostic factor in organophosphate-poisoned patients. Am J Emerg Med. 2014; 32(7):693-6.

El-Zaemey S, Fritschi L, Heyworth J. Occupational pesticide exposure among Yemeni women. Environ Res. 122(1):45-51.

Peña J. Caracterización de los casos por intoxicaciones agudas por plaguicidas en la región de Arica y Parinacota, período 2005-2010. [Tesis]. Chile: Universidad de Chile; 2016.

FAO. Código Internacional de Conducta para la Distribucion y Utilizacion de Plaguicidas. Roma: Grupo de la FAO; 2013.

Del Puerto A, Suárez S, Palacio D. Efectos de los plaguicidas sobre el ambiente y la salud. Rev Cubana Hig Epidemiol 2014; 52(3): p. 372-387.

Jimenez C, Pantoja A, Ferney H. Riesgos en la salud de agricultores por uso y manejo de plaguicidas, microcuenca "La Pila". Univ Salud 2016; 18(3):417-31.

López K, Villamil D, Zambrano MF. Diagnóstico ocupacional de las condiciones de trabajo en unas poblaciones agrícolas expuestas a plaguicidas organofosforados. Rev CES Salud Pública. 2016; 7(1):17-24.

Published

2019-06-08

How to Cite

1.
Cruz Aquino LM, Placencia Medina MD. Characteristics of occupational pesticide poisoning in agricultural workers treated at the Hospital Barranca Cajatambo during 2008 – 2017. Horiz Med [Internet]. 2019Jun.8 [cited 2025May1];19(2):39-48. Available from: https://www.horizontemedico.usmp.edu.pe/index.php/horizontemed/article/view/738

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