Segunda selección de abstracts para plaguicidas



Descargar 0,91 Mb.
Página8/24
Fecha de conversión10.04.2017
Tamaño0,91 Mb.
1   ...   4   5   6   7   8   9   10   11   ...   24

Sistema de Vigilancia Epidemiológica para Intoxicaciones Agudas por Plaguicidas


Autor (es): OPS

Publicación (nombre, volumen, nº, fecha, página): Boletín Epidemiológico, Vol. 22 No. 4, Diciembre 2001. http://www.paho.org/spanish/sha/be_v22n4-plaguicidas.htm

Tipo de documento: guía

Abstract: documento que explica los objetivos de la vigilancia, define “caso” sospechoso o confirmado, según las características de la exposición, del plaguicida y su clasificación toxicológica. Indica como se organiza un sistema de vigilancia, los datos a recolectar y los instrumentos a usar. También el análisis de los datos y cómo se usa para tomar las decisiones.
Título: Protocolo de Intoxicaciones por Sustancias Químicas

Autor (es): Instituto Nacional de Salud. Ministerio de Protección Social de Colombia

Publicación (nombre, volumen, nº, fecha, página): Versión acutualizada 2007. Código INS 410. Disponible en http://www.bvsde.paho.org/bvstox/fulltext/protocolo2007.pdf

Tipo de publicación (periódica, libro, fecha, páginas): Libro

Tipo de documento (artículo, investigación original, revisión sistemática, metanálisis, protocolo, guía, norma, legal) Guía

Abstract original: Guía técnica cuyo objetivo es el mejoramiento del sistema de vigilancia en salud pública de las intoxicaciones agudas por plaguicidas para la planeación, implementación y evaluación de las estrategias de prevención y control que disminuyan el impacto negativo en la salud de las poblaciones en territorios concretos. Caracteriza las intoxicaciones, define lo que es intoxicación ocupacional, exposición aguda y crónica, caso, brote, alertas. Lista la clasificación toxicológica de los plaguicidas. Explica lo que se entiende por monitoreo biológico y ambiental, los proceso operativos de la vigilancia en cuanto al flujo de información, notificación, el análisis de los datos y los indicadores de la vigilancia. En el capítulo elementos técnicos de la vigilancia define vigilancia activa y pasiva, pruebas de campo, evaluación de los factores de riesgo, manejo de brotes y acciones del laboratorio. Luego para cada grupo de plaguicidas indica los síntomas de intoxicación y el tratamiento. En el capítulo evaluación del riego, explica como se identifica el riesgo, evalúa la exposición y caracteriza el riesgo,
Vigilancia de enfermedades por pesticidas

Autor (es): OEHHA Office of Environmental Health Hazard Assessment

Publicación (nombre, volumen, nº, fecha, página): disponible en http://www.oehha.org/pesticides/programs/Pestrpt.html

Tipo de publicación (periódica, libro, fecha, páginas):

Tipo de documento (artículo, investigación original, revisión sistemática, metanálisis, protocolo, guía, norma, legal) Norma

Abstract : Define los requerimientos para reportar los efectos adversos a plaguicidas, el formulario, las responsabilidades y la divulgación de la información.



Surveillance for pesticide-related disease.

Osorio, Ana Maria

J Agromedicine. 2007;12(1):57-66.

Publication Types:* Review. Journal article

Public health surveillance for acute pesticide intoxications is discussed. Abstract: Explanation of the goals, components and functions of population-based surveillance is provided with reference to key informational sources. Both a state-based pesticide intoxication program and a nearly nationwide poison control center data base program are used to illustrate the potential uses inherent in these types of system. There is additional discussion on the investigation of disease clusters, the use of complementary exposure monitoring data and confidentiality issues.

Palabras clave:- Agricultural Workers' Diseases/*epidemiology/etiology/*prevention & control - California/epidemiology - Environmental Monitoring- Pesticides/poisoning/*toxicity - Poison Control Centers/statistics & numerical data - Poisoning/epidemiology/etiology/prevention & control - *Population Surveillance

PMID- 18032336
Comparison of Assessment Methods for Pesticide Exposure in a Case-Control Interview Study

Autor: Julie L. Daniels - Andrew F. Olshan - Kay Teschke - Irva Hertz-Picciotto - David A. Savitz - Julie Blatt

Publicación: American Journal of Epidemiology Jun 15, 2001 SN - 00029262 VL - 153

IS- 12 SP- 1227 http://proquest.umi.com/pqdweb?did=923685771&Fmt=7&clientId=52738&RQT=309&VName=PQD

Tipo documento: Journal article. Comparative Study. Research Support, U.S. Gov't, P.H.S.
Abstract: In epidemiologic studies, much of the variation in disease risk estimates associated with occupational pesticide exposure may be due to variation in exposure classification. The authors compared five different methods of using interview information to assess occupational pesticide exposure in a US-Canada case-control study of neuroblastoma (1992-1994). For each method, exposure assignment was compared with that of a reference method, and neuroblastoma effect estimates were calculated. Compared with the reference method, which included a complete review of occupation, industry, job tasks, and exposure-specific activities, the use of occupation-industry groups alone or in combination with general job task information diluted the exposed group by including individuals who were unlikely to have been truly exposed. The effect estimates representing associations between each exposure method and neuroblastoma were different enough to influence the study's conclusions, especially when the exposure was rare (for maternal occupational pesticide exposure, the odds ratio was 0.7 using the reference exposure assessment method and 3.2 using the occupation-industry group exposure assessment method). Exposure-specific questions about work activities can help investigators distinguish truly exposed individuals from those who report exposure but are unlikely to have been exposed above background levels and from those who have not been exposed but are misclassified as exposed because of their employment in an occupation-industry group determined a priori to be exposed.

PMID- 10217928


Risk assessment and health surveillance of pesticide workers.

Autor: FAU - Maroni, M AU - Maroni M FAU - Fait, A AU - Fait A

Título en español : Evaluación de riesgo y vigilancia de la salud en trabajadores expuesos a pesticidas

Publicación: Med Lav. 1998;89 Suppl 2:S81-90.

Publication Types: Comparative Study

Abstract: - Occupational health has two main objectives: the protection of workers from health hazards associated with the working environment, and the promotion of workers' health. Fundamental aspects of health protection are health risk management, information and training, first aid and medical treatment. Risk management comprises risk characterization, and exposure assessment. Integrating information on the identified hazards and exposure levels, and assessing the

likelihood and severity of health effects performs risk characterization. Health surveillance includes medical surveillance and biological monitoring. The physician in charge of the occupational health programme, taking into account the results of the risk assessment process should determine frequency and contents of

periodical medical examinations. Pre-employment medical examinations should be carried out in order to determine the physical ability to do the job the candidate is recruited for. Periodical medical examinations are aimed at detecting, in an early and reversible phase, any adverse effect attributable to exposure. A worker should undergo a broad medical examination when returning to work after a significant illness. Records of occupational health programmes should be filed and kept for at least 30 years.

PMID: 10217928 [PubMed - indexed for MEDLINE]


Acute pesticide poisoning: a proposed classification tool.
Thundiyil, Josef G.- Stober, Judy - Besbelli, Nida - Pronczuk, Jenny

Bulletin of the World Health Organization - 2008/03//86 IS - 3

Type of publication: Article

Abstract: - Cases of acute pesticide poisoning (APP) account for significant morbidity and mortality worldwide. Developing countries are particularly susceptible due to poorer regulation, lack of surveillance systems, less enforcement, lack of training and inadequate access to information systems. Previous research has demonstrated wide variability in incidence rates for APP. This is possibly due to inconsistent reporting methodology and exclusion of occupational and non-intentional poisonings. The purpose of this document is to create a standard case definition to facilitate the identification and diagnosis of all causes of APP, especially at the field level, rural clinics and primary health-care systems. This document is a synthesis of existing literature and case definitions that have been previously proposed by other authors around the world. It provides a standardized case definition and classification scheme for APP into categories of probable, possible and unlikely/unknown cases. Its use is intended to be applicable worldwide to contribute to identification of the scope of existing problems and thus promote action for improved management and prevention. By enabling a field diagnosis for APP, this standardized case definition may facilitate immediate medical management of pesticide poisoning and aid in estimating its incidence. (English) [ABSTRACT FROM AUTHOR]
Palabras clave:- PESTICIDES - AGRICULTURAL chemicals - POISONING - COMPLIANCE- DISEASE incidence

Accession Number: 31371541


NIOSH offers pesticide-exposure surveillance guide.

Naso, Markisan

Safety & Health 2006/01// VL - 173 IS - 1

Type of publication: Article



Abstract: - The article reports that the U.S. National Institute for Occupational Safety and Health has offered an online guide on how to develop and maintain surveillance programs on the health effects of pesticide exposure. The Environmental Protection Agency noted that agricultural workers, groundskeepers, pet groomers, fumigators and a variety of other occupations are at risk for exposure to pesticides.

Palabras clave:- AGRICULTURAL chemicals- ENVIRONMENTAL policy- PESTICIDES -- Environmental aspects- PESTICIDES -- Toxicology- ENVIRONMENTAL protection- INDUSTRIAL safety- NATIONAL Institute for Occupational Safety & Health


General process for the risk assessment of pesticides that interact with or affect the endocrine system

Autor: Hamernik, K

Título en español: Proceso para la evaluación del riesgo de pesticidas que interactúan o afectan al sistema endocrino.

Publicación: INT UNION PURE APPLIED CHEMISTRY VL 75 IS 11-12 BP 2531 EP 2534 nov dic 2003

Tipo documento: Proceedings Paper

Abstract: The U.S. Environmental Protection Agency's Office of Pesticide Programs evaluates human health risk associated with exposure to pesticide chemicals. Chemical hazard and exposure assessment are components of the risk assessment process. For the risk assessment of single chemical conventional-type pesticides, there may be multiple exposure scenarios depending on the use pattern. Examples include acute and chronic dietary, and short-, intermediate-, and long-term occupational/residential exposures. For hazard assessment, available toxicity data and a weight-of the-evidence approach are used in the process of selecting appropriate toxicity endpoints for relevant exposure scenarios. The pesticide registration process requires that certain types of supporting toxicity data be submitted by the registrant depending in part on the chemical use pattern (e.g., food use). Types of toxicity data that might be submitted and used in hazard assessment include acute, subchronic, chronic, carcinogenicity, mutagenicity, metabolism, reproduction, developmental, neurotoxicity, and mechanistic studies. There may be data from multiple exposure routes (e.g., oral, dermal, inhalation) and from the scientific literature to consider. Dose-response information is also taken into account. In endpoint selection for a chemical, endocrine system-related effect(s) and dose-response relationship(s) are assessed in context of other types of effects, toxicities, and dose-response relationships noted. Endocrine system-related endpoints may include frank effects (e.g., endocrine organ hyperplasia or cancer) or precursor events (blood hormone level elevations). Endocrine system-related endpoints are generally treated like other cancer or non-cancer toxicity endpoints (e.g., hepatic cancer, neurotoxicity) in the risk assessment process. For chemicals with evidence of endocrine system interaction(s), an endocrine system-related effect may or may not be the most sensitive or relevant endpoint for a particular risk assessment exposure scenario. Some chemical examples will be presented. In the final risk assessment, hazard assessment information is integrated with exposure information. The assessment may be adjusted, at some point, for uncertainties in hazard or exposure data. An aggregate risk assessment, in which multiple sources or routes of exposure are considered, is typically performed for occupational and residential exposure scenarios. A cumulative risk assessment may be considered for groups of chemicals with a common mechanism of toxicity.

UT ISI:000188233800078



Biological monitoring of pesticide exposure: a review of analytical methods

Auteur(s) / Author(s) APREA Cristina (1) ; COLOSIO Claudio (2) ; MAMMONE Teresa (2) ; MINOIA Claudio (3) ; MARONI Marco (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)



(1) Department of Occupational Toxicology and Industrial Hygiene, National Health Service (Local Health Unit 7), Strada del Ruffolo, Siena, ITALIE
(2) International Centre for Pesticide Safety, Busto Garolfo, Milan, ITALIE
(3) Laboratory of Environmental Hygiene and Industrial Toxicology, Foundation S. Maugeri, Clinica del Lavoro e della Riabilitazione, Pavia, ITALIE

Título en español: Monitoreo biologico de la exposición a pesticidas: una revisión de métodos analíticos

Publicación: Journal of chromatography. B, Biomedical sciences and applications   ISSN 1387-2273  2002, vol. 769, no2, pp. 191-219 (156 ref.) Fuente Pay: http://cat.inist.fr/?aModele=afficheN&cpsidt=13535175

Tipo documento: Revue / Journal Title



Résumé / Abstract A wide range of studies concerned with analytical methods for biological monitoring of exposure to pesticides is reviewed. All phases of analytical procedures are assessed, including sampling and storage, sample preparation and analysis, and validation of methods. Most of the studies aimed at measuring metabolites or unchanged compounds in urine andlor blood as biological indicators of exposure or dose. Biological indicators of effect, such as cholinesterase, are also evaluated. The principal groups of pesticides are considered: organophosphorus pesticides, carbamate pesticides, organochlorine pesticides, pyrethroid pesticides, herbicides, fungicides and other compounds. Choice of the method for biological monitoring of exposure depends on the study population: a detection limit of 1 μg/l or less is required for the general population; higher values are adequate for occupationally exposed subjects. Interpretation of results is also discussed. Since biological indices of exposure are only available for a few compounds, biological reference values, established for the general population, may be used for comparison with levels of professionally exposed subjects.

Palabras clave: pesticides


Vigilancia de las Intoxicaciones con Plaguicidas en Colombia

Autor: ALVARO JAVIER IDROVO

Publicación : Int J Environ Health Res. 2005 Jun;15(3):161-9.

Tipo de documento: Journal Article



RESUMEN

El objetivo del presente trabajo es revisar críticamente la forma en la cual se lleva a cabo la vigilancia epidemiológica de los efectos sobre la salud aso­ciados con la exposición a plaguicidas en Colombia. Para tal fin, primero se describen los cambios históricos en la exposición a los plaguicidas en el país, se plantean los esperados y potenciales efectos adversos sobre la salud (crónicos, agudos y sub-agudos). Luego se revisan algunos de los sistemas de vigilancia epidemiológica existentes en el país, se analizan sus fortalezas y debilidades, y por último se proponen algunas pautas básicas para mejorar dicha labor.



Palabras claves: Plaguicida, vigilancia epidemiológica, Colombia, salud pú­blica.

ABSTRACT

Surveillance of pesticide poisoning in Colombia

The objective of this article is to realize a critical review of the epidemiologic surveillance of pesticide-related health effects in Colombia. First, it describes  the historic changes in the exposure to pesticides in the country, the expected and potential adverse health effects (chronic, acute, and sub-acute). Second, it reviews some epidemiologic surveillance systems actually used in Colombia with their strongholds and weakness. Finally, it proposes some basic issues to improve this important public health activity.



Key words: Pesticide, epidemiologic surveillance, Colombia, public health

Nombre del artículo



NTP 660: Control biológico de trabajadores expuestos a plaguicidas (I): aspectos generales

Autor (es) Obiols Quinto, Jordi

Publicación: NTP 660. Instituto Nacional de Condiciones del Trabajo de España. Centro Nacional de Condiciones de Trabajo. 1999 http//www.insht.es/InshtWeb/Contenidos/Documentacion/FichasTecnicas/NTP/Ficheros/601a700/ntp_660.pdf x

Tipo de documento: Notas técnicas de prevención de 11 páginas

Abstract: Esta NTP constituye la primera de una serie de dos Notas Técnicas que tratan del control biológico de los trabajadores expuestos a plaguicidas. Los peligros para la salud que representan los plaguicidas, las características relativas al control biológico y su relación con la vigilancia de la salud de los trabajadores desde los puntos de vista normativo y técnico, son objeto de esta primera nota. En la segunda, se desglosan las técnicas concretas a emplear para los distintos tipos de plaguicidas.

Desarrollo e implementacion de un sistema de vigilancia de intoxicaciones con plaguicidas: experiencia en Costa Rica: informe tecnico:

Autor:Rodríguez, Ana Cecilia; Haar, Rudolf van der; Antich, Daniel; Jarquin, Cesar.

Poyecto Plagsalud Costa Rica Fase I / Development and implementation of surveillance system of pesticides poisoned: experience in Costa Rica: technical report: project Plagsalud Costa Rica: Stage I.



Fuente:San José; Costa Rica. Ministerio de Salud. Departamento de Sustancias Toxicas y Medicina del Trabajo; jul. 1997. 32 p. ilus.

Idioma: Es.

Descriptores:Plaguicidas Exposición a Plaguicidas Envenenamiento Vigilancia Epidemiológica Proyectos Piloto -Costa Rica

Responsable: US1.1 - HQ Library US1.1, S COR WA240.R696d 1997

Id:377149
Diagnóstico y normas de vigilancia epidemiológica intoxicaciones agudas y crónicas por plaguicidas: Consultoría / Diagnostic and rules of epidemiological vigilance intoxications chronic and acutes for pesticides.

Autor: Pinto Lara, José Angel.

Publicación: Managua; Organización Panamericana de la Salud; ene. 1996. 42 p.

Idioma: Es.

Descriptores:Envenenamiento/epidemiología Plaguicidas/efectos adversos

Exposición a Plaguicidas Uso de Plaguicidas/administración & dosificación

-Diagnóstico Límites:Humanos

Responsable: NI1.1 - Biblioteca Nacional de Salud

NI2.1; CN, WA 670, 074 Id:178532


Surveillance systems for pesticide intoxications

Autor: Ana Maria Osorio

Título em español: Sistemas de vigilância para intoxicaciones por pesticidas

Publicación: Int J Occup Environ Health. 2002 Jan-Mar;8(1):1-13

http://proquest.umi.com/pqdweb?did=109928353&Fmt=7&clientId=52738&RQT=309&VName=PQD

Publication Types: Review



Abstract - The intent of this article is to provide an overview of surveillance systems dealing with pesticide intoxications. Surveillance, medical monitoring, and the components of a surveillance system are discussed. Information is presented on how to make a diagnosis of environmental or occupational pesticide intoxication, examples of different case definitions, and the steps in investigating a pesticide disease outbreak. Examples from various countries are used to illustrate acute pesticide intoxication surveillance, pesticide exposure surveillance, and medical monitoring of pesticide-exposed workers. Finally, a list of informational sources for pesticide toxicology, medical diagnosis and treatment, and surveillance data is provided. It is anticipated that this information will assist those individuals or organizations seeking to develop such a system, evaluate an existing system, or gain a better understanding of data derived from such systems.

PMID: 11843434 [PubMed - indexed for MEDLINE


Development of a surveillance program for occupational pesticide poisoning: Lessons learned and future directions

Autor: Jackilen Shannon Patricia G Schnitzer

Título en español: Desarrollo de un programa de vigilancia para intoxicaciones por pesticidas: lecciones aprendidas y direcciones futures.

Publicación: Public Health Rep. 1999 May-Jun;114(3):242-8.

http://proquest.umi.com/pqdweb?did=41384014&Fmt=7&clientId=52738&RQT=309&VName=PQD

Abstract: The authors describe the growth from 1987 through 1996 of the Occupational Pesticide Poisoning Surveillance Program at the Texas Department of Health. The program was initially based on a Sentinel Event Notification System for Occupational Risks (SENSOR) model, using sentinel providers to report cases, supplementing the passive reporting by physicians that was required by law. The model was evaluated after five years, and significant changes were implemented to improve case ascertainment. Current active surveillance methods emphasize collaboration with a number of agencies and organizations for identification of cases and follow-up. The number of confirmed occupational cases increased from 9 workers in 1987 to 99 workers in 1996. The evolution from a passive system to an active surveillance program expanded the number of reported cases and strengthened inter-agency collaborations.

Palabras clave: KW – Pesticides – Poisoning - Public health - Surveillance

PMID: 10476993 [PubMed - indexed for MEDLINE]
Assessment of occupational exposure in a population based case-control study: Comparing postal questionnaires with personal interviews

Autor:- B M Blatter AU - N Roeleveld AU - G A Zielhuis AU - A L M Verbeek

Título en español: Evaluación de la exposición ocupacional en un estudio caso control poblacional: comparando cuestionarios versus entrevistas personales.

Publicación: Occup Environ Med. 1997 Jan;54(1):54-9.



http://proquest.umi.com/pqdweb?did=13373750&Fmt=7&clientId=52738&RQT=309&VName=PQD

Tipo documento: ublication Types: Comparative Study Research Support, Non-U.S. Gov't



Abstract: In case-control studies, data collection on occupational exposures by means of personal interviews is usually costly and time consuming. As detailed semiquantitative information on exposure from these interviews often has to be dichotomised in the analyses due to the small numbers of exposed subjects, the question is raised whether simple postal questionnaires yield the same results for occupational exposure in epidemiological studies as job specific personal interviews. METHODS: Data on occupational exposures during pregnancy were compared from 121 women who both completed a checklist with 17 occupational exposure categories in a postal questionnaire and were personally interviewed with specific questions on exposure with details of job and task. kappa Coefficients were calculated as measures of agreement corrected for chance, and sensitivity and positive predictive values as measures of validity and usefulness, with the exposure assessment based on information from the interview as the gold standard. RESULTS: Values of kappa varied from 0.09 for domestic cleaning agents to 0.70 for pesticides, indicating only low to moderate agreement between the questionnaire and the interview. Sensitivity ranged from 38% to 100%, with the highest values for agents used by healthcare workers. Positive predictive values were lower, between 9% and 63%, which indicates that overreporting was more common than underreporting in the questionnaire. CONCLUSIONS: These results underline the high potential for misclassification of occupational exposure in studies based on questionnaires. Therefore, postal questionnaires are not considered an alternative to job and task specific personal interviews in epidemiological studies.

PMID: 9072035 [PubMed - indexed for MEDLINE]


Biomonitoring of Exposure in Farmworker Studies

Autor: Barr DB, Thomas K, Curwin B, Landsittel D, Raymer J, Lu C, Donnelly KC, Acquavella J.

Título en español: Monitoreo biologic de la exposición en estudios en trabajadores agrícolas

Publicación: Environ Health Perspect. 2006 Jun;114(6):936-42.

http://proquest.umi.com/pqdweb?did=109928353&Fmt=7&clientId=52738&RQT=309&VName=PQD

Tipo documento: Research Support, N.I.H., Extramural. Research Support, Non-U.S. Gov't. Review



Abstract - Although biomonitoring has been used in many occupational and environmental health and exposure studies, we are only beginning to understand the complexities and uncertainties involved with the biomonitoring process--from study design, to sample collection, to chemical analysis--and with interpreting the resulting data. We present an overview of concepts that should be considered when using biomonitoring or biomonitoring data, assess the current status of biomonitoring, and detail potential advancements in the field that may improve our ability to both collect and interpret biomonitoring data. We discuss issues such as the appropriateness of biomonitoring for a given study, the sampling time frame, temporal variability in biological measurements to nonpersistent chemicals, and the complex issues surrounding data interpretation. In addition, we provide recommendations to improve the utility of biomonitoring in farmworker studies.

PMID: 16759998 [PubMed - indexed for MEDLINE]-


Challenges for improving surveillance for pesticide poisoning: policy implications for developing countries.

Autor: London L, Bailie R.

Publicación: Int J Epidemiol. 2001 Jun;30(3):564-70.

http://proquest.umi.com/pqdweb?did=998293541&Fmt=7&clientId=52738&RQT=309&VName=PQD

Tipo documento: Comparative Study. * Research Support, Non-U.S. Gov't

Abstract: Background Surveillance is a critical public health tool for the control of pesticide poisoning. However, surveillance activities in developing countries are bedevilled by multiple problems, and inferences made from review of flawed data may lead to mistaken policy decisions. Methods Results of intensified surveillance from an intervention project in the Western Cape Province of South Africa were compared to the pattern of poisonings reported in routine notifications to the health authorities for a control farming district and in the study district over a 5-year period preceding the study. Intensified surveillance data results were also contrasted with policy approaches based on routine notifications and on Regional Poison Centre reports. Results Poisoning rates reported in the study area increased almost 10-fold during the intervention period. Compared to intensified surveillance, hospital and health authority sources greatly underestimate the proportion of cases due to occupational poisoning, and overestimate suicide as a proportional cause. In addition, the risks for women appear underestimated from routine notifications. Assumptions that a lack of awareness is responsible for most poisonings are not borne out by the empirical data when reporting is intensified. Conclusions Current policy assumptions are faulty, may result in inappropriate blame being attributed to victims and, by relying on information as the main element of education, may shift responsibility onto the individual. Improvements in the surveillance system should aim to restructure the types of data collected, and facilitate intra-governmental and inter-sector collaboration. The culture of monitoring based on report writing must change to one of surveillance that leads to intervention.

PMID: 11416084 [PubMed - indexed for MEDLINE]


The surveillance of work-related pesticide illness: An application of the Sentinel Event Notification System for Occupational Risks (SENSOR)

Autor: Maizlish N, Rudolph L, Dervin K.

Título en español: La vigilancia de las enfermedades laorales relacionadas con pesticidas

Publicación: American Journal of Public Health, Jun 1995, vol 85, IS-6 SP-806



http://proquest.umi.com/pqdweb?did=209224051&Fmt=7&clientId=52738&RQT=309&VName=PQD

Tipo documento: Research Support, U.S. Gov't, P.H.S.

Abstract: OBJECTIVES. In response to limitations in state-based occupational disease surveillance, the California Department of Health Services developed a model for surveillance of acute, work-related pesticide illness. The objectives were to enhance case reporting and link case reports to preventive interventions. METHODS. Elements from surveillance of communicable diseases and sentinel health events were used to integrate a model into the preexisting system in one agricultural country. RESULTS. Between 1988 and 1991, 45 Fresno County health care providers reported 230 suspected cases, of which 217 from 80 work sites met reporting guidelines. Risk factors were profiled from interviews of 81 prioritized case patients and 36 employers. Fifteen work sites were visited and 117 recommendations were made, of which 6% were identified in enforcement inspections. Pest management experts consulted with growers on reducing future pesticide use. CONCLUSIONS. Risk factors for pesticide illness were prevalent. Agricultural inspectors did not detect routine and serious hazards. Integrated pest management should be expanded and linked to occupational health. Agricultural enforcement personnel should be oriented and trained in occupational safety and health.

Palabras claves: - Preventive medicine – Pesticides - Occupational hazards - Medical screening

PMID: 7762714 [PubMed - indexed for MEDLINE
Acute occupational pesticide-related illness in the US, 1998-1999: surveillance findings from the SENSOR-pesticides program.

Calvert GM, Plate DK, Das R, Rosales R, Shafey O, Thomsen C, Male D, Beckman J, Arvizu E, Lackovic M


Am J Ind Med. 2004 Jan;45(1):14-23.

Abstract: -Concern about the adverse public health and environmental effects of pesticide use is persistent. Recognizing the importance of surveillance for acute occupational pesticide-related illness, we report on surveillance for this condition across multiple states. METHODS: Survey data collected between 1998 and 1999 were obtained from the seven states that conduct acute occupational pesticide-related illness surveillance as part of the Sentinel Event Notification System for Occupational Risks (SENSOR) program. Data were collected by these state programs in a standardized manner and analyzed. Acute occupational pesticide-related illness incidence rates for those employed in agriculture and those employed in non-agricultural industries were also calculated. RESULTS: Between 1998 and 1999, a total of 1,009 individuals with acute occupational pesticide-related illness were identified by states participating in the SENSOR-pesticides program. The mean age was 36 years, and incidence rates peaked among 20-24 year-old workers. The overall incidence rate was 1.17 per 100,000 full time equivalents (FTEs). The incidence rate among those employed in agriculture was higher (18.2/100,000 FTEs) compared to those employed in non-agricultural industries (0.53/100,000 FTEs). Most of the illnesses were of low severity (69.7%). Severity was moderate in 29.6% of the cases, and high in four cases (0.4%). Three fatalities were identified. Insecticides were responsible for 49% of all illnesses. CONCLUSIONS: Surveillance is an important tool to assess acute pesticide-related illness, and to identify associated risk factors. Our findings suggest that these illnesses continue to be an important occupational health problem, especially in agriculture. As such, greater efforts are needed to prevent acute occupational pesticide-related illness.

MH - Acute Disease/epidemiology - Agricultural Workers' Diseases/chemically induced/epidemiology – Incidence - Occupational Diseases/chemically induced/*epidemiology Occupational Exposure/*adverse effects/statistics & numerical data - Pesticides/classification/*toxicity

MH - Risk Factors

MH - Sentinel Surveillance

MH - United States/epidemiology
PMID- 14691965
Workplace, household, and personal predictors of pesticide exposure for farmworkers.

Autor: - Quandt, SA - Hernández-Valero, MA - Grzywacz, JG - Hovey, JD - Gonzales, M - Arcury, TA

Título en español: Predictores de exposición a pesticidas en trabajadores agrícolas (trabajo, domésticos y personales9

Publicación: Environ Health Perspect 114:943–952 (2006) . doi:10.1289/ehp.8529 http://dx.doi.org/ http://search.ebscohost.com/login.aspx?direct=true&db=cin20&AN=2009209568&lang=es&site=ehost-live

Accession Number: 2009209568. Language: English. Entry Date: 20070907. Tipo Tipo documento: journal article; review; tables/charts. Journal Subset: Blind Peer

Abstract: - In this article we identify factors potentially associated with pesticide exposure among farmworkers, grade the evidence in the peer-reviewed literature for such associations, and propose a minimum set of measures necessary to understand farmworker risk for pesticide exposure. Data sources we reviewed included Medline, Science Citation Index, Social Science Citation Index, PsycINFO, and AGRICOLA databases. Data extraction was restricted to those articles that reported primary data collection and analysis published in 1990 or later. We read and summarized evidence for pesticide exposure associations. For data synthesis, articles were graded by type of evidence for association of risk factor with pesticide exposure as follows: 1 = association demonstrated in farmworkers; 2 = association demonstrated in nonfarmworker sample; 3 = plausible association proposed for farmworkers; or 4 = association plausible but not published for farmworkers. Of more than 80 studies we identified, only a third used environmental or biomarker evidence to document farmworker exposure to pesticides. Summaries of articles were compiled by level of evidence and presented in tabular form. A minimum list of data to be collected in farmworker pesticide studies was derived from these evidence tables. Despite ongoing concern about pesticide exposure of farmworkers and their families, relatively few studies have tried to test directly the association of behavioral and environmental factors with pesticide exposure in this population. Future studies should attempt to use similar behavioral, environmental, and psychosocial measures to build a body of evidence with which to better understand the risk factors for pesticide exposure among farmworkers.

Palabras clave: - Agriculture - Occupational Exposure – Pesticides - Work Environment - Biological Markers – Analysis - Home Environment

PMID: 16759999
Pesticide-related illness and injury surveillance - A how-to guide for state-based programs

Autor: NIOSH

Título en español: Vigilancia de las enfermedades y accidents relacionados con pesticidas. Guía para la implementación de programas

Publicación: 2005. Publications Dissemination, National Institute for Occupational Safety and Health (NIOSH), 4676 Columbia Parkway, Cincinnati, OH 45226-2002, USA, Nov. 2005. xv, 272p. Illus. Bibl. ref. URL: http://www.cdc.gov/niosh/docs/2006-102/pdfs/2006-102.pdf

Document type: books, reports, proceedings

Summary: Guide to defining and operating medical surveillance programmes for pesticide-related illness (USA), 2005

Abstract: This guide explains how to define and operate medical surveillance programmes for acute and subacute effects of pesticide exposure. It includes guidelines for case investigation, data collection, outreach, and occupational hygiene education. Additional useful information for use both in the initial phases of developing a surveillance programme and the ongoing implementation of the surveillance system is provided in the appendices. The guide also addresses issues of capturing data on pesticide-related illnesses and injuries in workplace and non-workplace settings.

Language(s):

English

Descriptor(s): AGRICULTURE // HEALTH PROGRAMMES // MEDICAL SUPERVISION // PESTICIDE POISONING // PESTICIDES // USA // COMPILATION OF STATISTICS // EXPOSURE EVALUATION // IMPLEMENTATION OF CONTROL MEASURES // INSPECTION // LEGAL ASPECTS // NOTIFICATION OF ACCIDENTS AND DISEASES // RESPONSIBILITIES OF EMPLOYERS
Sistema de Vigilancia Epidemiológica para Intoxicaciones Agudas por Plaguicidas

Autor (es): OPS

Publicación: Boletín Epidemiológico, Vol. 22 No. 4, Diciembre 2001

Tipo de documento:periódica. Guía, accequible en http://www.paho.org/spanish/sha/be_v22n4-plaguicidas.htm

Abstract: documento que explica los objetivos de la vigilancia, define “caso” sospechoso o confirmado, según las características de la exposición, del plaguicida y su clasificación toxicológica. Indica como se organiza un sistema de vigilancia, los datos a recolectar y los instrumentos a usar. También el análisis de los datos y cómo se usa para tomar las decisiones.
Desarrollo e implementacion de un sistema de vigilancia de intoxicaciones con plaguicidas: experiencia en Costa Rica / Development and implementation of a surveillance system of intoxication with pesticides: experience in Costa Rica.

Autor: Rodríguez, Ana Cecilia. Van Der Haar, Rudolf. Antich, Daniel. Jarquín, Cesar. Costa Rica. Ministerio de Salud. Dpto. de Sustancias Tóxicas y Medicina del Trabajo.

Publicación:s.l; Costa Rica. Ministerio de Salud; jul. 1997. 32 p. ilus, mapas, tab, graf.

Tipo documento: informe técnico



Abstract: Informe técnico proyecto Costa Rica. Ministerio de Salud. Proyecto Plagsalud Costa Rica Fase I.

Descriptores: Exposición a Plaguicidas, Vigilancia Sanitaria, Envenenamiento, Costa Rica, Proyectos Piloto

Responsable: BR1.1 - BIREME

BR1.1; 3327.00


OEHHA California Guidelines for Physicians who supervise workers exposed to Ach inhibitin pesticides.

Autor: OEHHA Office of Environmental Health Hazard Assessment, Pesticide and Environmental Toxicology Section; California EPA Environmental Protection Agency

Nombre del artículo en español: Guía para medicos que supervisan trabajadores expuestos a pesticidas inhibidores de la colinesterasa

Publicación: Fourth edition 2002

Tipo de documento: Protocolo

Abstract: Protocolo técnico que describe lo que son los servicios médicos de salud ocupacional, los exámenes preempleo, el monitoreo de la colinesterasa, los tipos de exámenes, las acciones a realizar según los resultados, la periodicidad del monitoreo y el tratamiento médico. En la parte ambiental se refiere a aspectos de la gestión del uso de plaguicidas desde los EPP, supervisión, descontaminación, períodos de reentrada, capacitación. En el apéndice muestra los formularios a usar en cada caso
Pesticide Illness Surveillance

Autor (es): OEHHA Office of Environmental Health Hazard Assessment,

Nombre del artículo en español: Vigilancia de enfermedades por pesticidas

Publicación: disponible en http://www.oehha.org/pesticides/programs/Pestrpt.html

Tipo de documento Norma

Abstract: Define los requerimientos para reportar los efectos adversos a plaguicidas, el formulario, las reponsabilidades y la divulgación de la información
Pesticide illness surveillance: review of the National Pesticide Hazard Assessment Program.

Wagner SL.

Am J Ind Med. 1990;18(3):307-12.

Abstract: Regarding consultations on pesticide exposures by Oregon State University, the following information is summarized: 1) source of queries; 2) locations of exposure; 3) types of chemicals; and 4) nature of the illnesses. The majority of queries involve nonagricultural exposures in the home and workplace. Principal sources of referral are from the National Pesticide Telecommunications Network (toll-free number), state departments of agriculture, and state extension services. In addition to illnesses, the system also responds to press releases such as those that occurred after the withdrawal of chlordane. Previously unsuspected clinical problems have been reported (suggesting new areas of research need), including cases associated with long-acting organophosphates, such as chlorpyrifos, and with the pyrethroids.

Palabras clave: Environmental Exposure# Hotlines/utilization*

# Pesticides/adverse effects*# Referral and Consultation# Respiratory Tract Diseases/chemically induced

PMID: 2220836 [PubMed - indexed for MEDLINE]
Farmworker Exposure to Pesticides: Methodologic Issues for the Collection of Comparable Data

Autor: Thomas A. Arcury,1 Sara A. Quandt,2 Dana B. Barr,3 Jane A. Hoppin,4 Linda McCauley,5 Joseph G. Grzywacz,1 and Mark G. Robson6

Título en español: Exposición a pesticidas en trabajadores agrícolas: aspectos metodológicos para la recolección de información comparable.

Publicación: Environmental Health Perspectives Volume 114, Number 6, June 2006 http://proquest.umi.com/pqdweb?did=1181392111&Fmt=7&clientId=52738&RQT=309&VName=PQD

Tipo documento: Mini-Monograph



Abstract: The exposure of migrant and seasonal farmworkers and their families to agricultural and residential pesticides is a continuing public health concern. Pesticide exposure research has been spurred on by the development of sensitive and reliable laboratory techniques that allow the detection of minute amounts of pesticides or pesticide metabolites. The power of research on farmworker pesticide exposure has been limited because of variability in the collection of exposure data, the predictors of exposure considered, the laboratory procedures used in analyzing the exposure, and the measurement of exposure. The Farmworker Pesticide Exposure Comparable Data Conference assembled 25 scientists from diverse disciplinary and organizational backgrounds to develop methodologic consensus in four areas of farmworker pesticide exposure research: environmental exposure assessment, biomarkers, personal and occupational predictors of exposure, and health outcomes of exposure. In this introduction to this mini-monograph, first, we present the rationale for the conference and its organization. Second, we discuss some of the important challenges in conducting farmworker pesticide research, including the definition and size of the farmworker population, problems in communication and access, and the organization of agricultural work. Third, we summarize major findings from each of the conference's four foci-environmental exposure assessment, biomonitoring, predictors of exposure, and health outcomes of exposure-as well as important laboratory and statistical analysis issues that cross-cut the four foci.
Toxicología laboral - Criterios para la vigilancia de los trabajadores expuestos a sustancias químicas peligrosas

Autor: Albiano N.F.

Publicación: SRT Superintendencia de Riesgos del Trabajo, Florida 537, Piso 11°, C1005AAK Buenos Aires, Argentina, 2003. 366p. 41 ref. Index.

Tipo de documento: books, reports, proceedings. Chemical safety. CIS Accession Number: 05- 168



Summary: Criteria for the monitoring of workers exposed to harmful chemicals

Abstract: Aimed at occupational physicians, this manual provides information on the toxicology of various groups of chemicals, including: metals and their compounds; hydrocarbons (solvents); alcohols and ketones; ethers and aldehydes; phenol derivatives; crude coke-oven gas; petroleum derivatives; natural or synthetic acids and greases; respiratory tract irritants; inorganic powders; cotton and other vegetable fibres; asphyxiating gases; skin, respiratory tract and lung sensitizers; enzymes; pesticides; pharmaceutical industry products (oestrogens, penicillin, cephalosporin); plastics; substances that cause skin hypopigmentation; substances that are harmful to tooth enamel or tooth structure. For each product, a table presents the general characteristics, areas of use and permissible levels, acute and chronic effects, periodical medical examinations and recommended biological sampling. Surveillance criteria for exposed workers are also summarised and accompanied by information on the course of action to be followed by the occupational physician.
Descriptor(s): CHEMICAL PRODUCTS // HARMFUL SUBSTANCES // HEALTH HAZARDS // MEDICAL SUPERVISION // THRESHOLD LIMIT VALUES // TOXICOLOGY // BIOLOGICAL THRESHOLD LIMITS // DENTAL EROSION // EXPOSURE TESTS // GLOSSARY // HYDROCARBONS // IRRITANTS // MANUALS // METALS // OESTROGENS // PENICILLINS // PIGMENTATION DISORDERS // RESPIRABLE DUST // SENSITIZERS // SOLVENTS // TOXIC EFFECTS
Surveillance for Pesticide-Related Disease.

Journal of Agromedicine 2007, Vol. 12 Issue 1, p57

Type of document: Journal article

Abstract: - Public health surveillance for acute pesticide intoxications is discussed. Explanation of the goals, components and functions of population-based surveillance is provided with reference to key informational sources. Both a state-based pesticide intoxication program and a nearly nationwide poison control center data base program are used to illustrate the potential uses inherent in these types of system. There is additional discussion on the investigation of disease clusters, the use of complementary exposure monitoring data and confidentiality issues. [ABSTRACT FROM AUTHOR]

Palabras clave:- PUBLIC health surveillance - PESTICIDESKW - TOXICITY testing

- POISONINGKW - PUBLIC health - AGRICULTURAL chemicals

- disease clustersKW - exposure monitoringKW - pesticide-related disease

Accession Number: 26460247


PROGRAMA DE VIGILANCIA DE EXPOSICIONES E INTOXICACIONES POR PLAGUICIDAS.
Ministerio de Salud, Argentina.

http://www.msal.gov.ar/htm/site/pdf/3a-Protocolo%20UC%20PLAG%20-%20PROGRAMA%20VIGILANCIA.pdf

Abstract: Protocolo que define los objetivos, caso, indicadores; estandariza definiciones; indica la organización desde las unidades locales a las centrales y las unidades de eventos centinela además del flujo de información junto con las actividades a realizar.
Vigilancia epidemiológica para la prevención de las intoxicaciones por plaguicidas. Ministerio de Salud. Argentina.
http://www.msal.gov.ar/htm/site/pdf/1-Protocolo%20UC%20PLAG%20-%20Intro.pdf

Abstract: protoclo que describe la importancia de los plaguicids, los efectos agudos y crónicos; establece la definición de caso confirmado. Lo importante es que plantea deficiniones de exposición aguda y crónica.

OSHA Proposes Standard for Ethylene Dibromide

Labor Law Journal. Jan84, Vol. 35 Issue 1, p57

Type of publication: Journal article

Abstract: - The article reports that the U.S. Occupational Safety and Health Administration (OSHA) has proposed standard for ethylene dibromide (EDB). The OSHA has proposed reducing the permissible exposure level for EDB from 20 to 0.1 parts per million. The proposal sets a short-term exposure limit of 0.5 ppm for a 15-minute average, prohibits eye and skin contact, and adds an action level of 0.50 ppm for triggering various monitoring, medical surveillance, and other requirements. The OSHA standard requires employers to monitor within 60 days of the standard's effective date and within 15 days of any change in production or control that may increase exposure levels. If initial exposures are below the action level, no further monitoring is required. The U.S. Environmental Protection Agency ordered an immediate emergency suspension of the use of EDB as a soil fumigant for agricultural crops and announced the cancellation and phase out of all other major pesticide uses of the substance.

Palabras clave: ENVIRONMENTAL law - ENVIRONMENTAL protection - ETHYLENE dibromide - UNITED States. -- Environmental Protection Agency

Accession Number: 17536194


Farmers' self-surveillance of pesticide poisoning: A 12-month pilot in

Northern Vietnam

Murphy HH, Hoan NP, Matteson P, Abubakar AL.

Int J Occup Environ Health. 2002 Jul-Sep;8(3):201-11

Publication Types: * Research Support, Non-U.S. Gov't



Abstract: This pilot program was designed to: 1) determine whether farmers could use a simple, self-reporting system to estimate the incidence of

occupationally related, self-limited pesticide poisonings; 2) describe the frequencies and types of pesticide products used in spraying operations; and 3) assess whether self-reporting and feedback would influence spraying behaviors. For 12 months, 50 farmers in northern Vietnam recorded after every spraying session any adverse health effect and the pesticide used. Data were also gathered from 50 controls. Of the 1,798 recorded spray operations, 8% were asymptomatic, 61% associated with vague ill-defined effects, and 31% accompanied by a least one clear or symptom of poisoning. After six months, the

self-reporting farmers' spraying frequency and use of highly hazardous products (Ia/Ib) had declined more significantly than in the controls, as had their moderate adverse health effects. This low-cost surveillance method influenced the behaviors of farmers given access to IPM farmer field schools. The study also demonstrated the value of farmers as informants.

PMID: 12358076 [PubMed - indexed for MEDLINE]


Surveillance of occupational, accidental, and incidental exposure to organophosphate pesticides using urine alkyl phosphate and phenolic metabolite measurements.
Davies JE, Peterson JC.

1: Ann N Y Acad Sci. 1997 Dec 26;837:257-68.

Publication Types: * Case Reports

No abstract available

PMID: 9472345 [PubMed - indexed for MEDLINE]

P5

Exámenes de salud incluidos en el sistema de vigilancia a expuestos a plaguicidas, indicadores biológicos de expuestos a plaguicidas u otros, considerando el tipo de plaguicidas.

Biological monitoring of pesticide exposure: a review of analytical methods

Auteur(s) / Author(s) APREA Cristina (1) ; COLOSIO Claudio (2) ; MAMMONE Teresa (2) ; MINOIA Claudio (3) ; MARONI Marco (2) ;

Affiliation(s) du ou des auteurs / Author(s) Affiliation(s)



(1) Department of Occupational Toxicology and Industrial Hygiene, National Health Service (Local Health Unit 7), Strada del Ruffolo, Siena, ITALIE
(2) International Centre for Pesticide Safety, Busto Garolfo, Milan, ITALIE
(3) Laboratory of Environmental Hygiene and Industrial Toxicology, Foundation S. Maugeri, Clinica del Lavoro e della Riabilitazione, Pavia, ITALIE

Título en español: Monitoreo biologico de la exposición a pesticidas: una revisión de métodos analíticos

Publicación: Journal of chromatography. B, Biomedical sciences and applications   ISSN 1387-2273  2002, vol. 769, no2, pp. 191-219 (156 ref.) Fuente Pay: http://cat.inist.fr/?aModele=afficheN&cpsidt=13535175

Tipo documento: Revue / Review article



Résumé / Abstract A wide range of studies concerned with analytical methods for biological monitoring of exposure to pesticides is reviewed. All phases of analytical procedures are assessed, including sampling and storage, sample preparation and analysis, and validation of methods. Most of the studies aimed at measuring metabolites or unchanged compounds in urine andlor blood as biological indicators of exposure or dose. Biological indicators of effect, such as cholinesterase, are also evaluated. The principal groups of pesticides are considered: organophosphorus pesticides, carbamate pesticides, organochlorine pesticides, pyrethroid pesticides, herbicides, fungicides and other compounds. Choice of the method for biological monitoring of exposure depends on the study population: a detection limit of 1 μg/l or less is required for the general population; higher values are adequate for occupationally exposed subjects. Interpretation of results is also discussed. Since biological indices of exposure are only available for a few compounds, biological reference values, established for the general population, may be used for comparison with levels of professionally exposed subjects.

Palabras clave: pesticides


Biological monitoring of exposure: Trends and key developments
Autor: Jakubowski M, Trzcinka-Ochocka M.
Publicación: J Occup Health. 2005 Jan;47(1):22-48.Click here to read
Tipo documento: Review * Research Support, Non-U.S. Gov't *
Abstract: The concept of biological monitoring (BM) has gained the special interest of individual scientists and international organizations. Today, when analytical problems have almost ceased due to new laboratory techniques and quality assurance systems, the methods for interpretation of results have become the most important issue. There are important discrepancies regarding the role of biological monitoring of occupational exposure between Europe and the United States. BM has been an important tool of medical health surveillance in the European countries. In the United States it belongs rather to the field of occupational hygiene. It seems that both the approaches can be accepted. More attention should be paid to the development of the truly health-based biomarkers of exposure based on the dose-effect and dose-response relationships. New areas of application of BM of occupational exposure include determination of DNA and protein adducts, unchanged volatile organic compounds in urine, monitoring of exposure to pesticides, antineoplastic drugs, hard metals, and polycyclic aromatic hydrocarbons. In the general environment BM is the most valuable tool for acquiring knowledge of current levels of internal exposure to xenobiotics, identifying the hot spots and developments in trends of exposure. BM can provide policy makers with more accurate information on the control measures undertaken. At present, the main areas include heavy metals, persistent organic pollutants and pesticides. BM of chemical exposure has become increasingly important in the assessment of the health risk in occupational and environmental medicine. Therefore it would be worthwhile to include BM in the curricula for the training of occupational hygienists.
PMID: 15703450 [PubMed - indexed for MEDLINE]

Biological Monitoring of Chemical Exposure in the Workplace. Vol 2
Nombre del artículo en español: Monitoreo biológico de la exposición a químicos en el trabajo. Vol 2
Autor (es): World Health Organization.
Publicación:Guidelines. Vol 2. 1996. Publicado con el apoyo del Finnish Institute of Occupational Health ISBN 951-802-167-8
Tipo de documento: Guía. Libro 203 páginas
Abstract: Guía de OMS y del Programa de Seguridad Química que provee referencias, conceptos y métodos para la determinación de biomarcadores de exposición con énfasis en que se usen los biomarcadores adecuados y se asegure la calidad. En el capítulo 3 se refiere al monitoreo de algunos pesticidas mencionando a los ditiocarbamatos y a los piretroides. Se explican las propiedades físico químicas, las fuentes de exposición ocupacional y no ocupacional. La tóxicocinética los indicadores de monitoreo biológico y las brechas de investigación sobre el tema.


1   ...   4   5   6   7   8   9   10   11   ...   24


La base de datos está protegida por derechos de autor ©absta.info 2016
enviar mensaje

    Página principal