Epidemiological studies of anticholinesterase pesticide poisoning in Spain

This retrospective study was conducted to describe the epidemiology of 597 pesticide exposures to the epidemiological surveillance program on acute pesticide poisoning (ESPAPP) in the province of Almeria in the seven years from 2000 to 2006. In addition, the study addresses the pattern of poisoning and the recent trends of pesticide-induced disorder to highlight the common agents implicated and plan a prevention program. The poisoning pattern of this study is consistent with male gender, of an age between the third and fourth decades of life, and with the episode occurring in the months of September and October. About one-third of individuals had the antecedent of a previous poisoning by pesticides. The absorption route was preferentially cutaneous, the major clinical manifestations were digestive, and the secondary ones were neurological. The exposure was of occupational origin, occurred in farm workers who had failed to be certified as pesticide applicators, and less than half were PPE at the time of poisoning. OP poisoning occurred in combination with other pesticides, a circumstance that was not observed in bipyridyls. Case fatality associated with pesticide poisoning in this series was low, very likely because health personnel are trained in the management of these situations, and prevention and control activities were put in place.

Authors: Hernandez, Antonio F.; Parron, Tesifon; Serrano, Jose L.; Marin, Porfirio ;Full Source: Anticholinesterase Pesticides 2010, 495-508 (Eng) ;