Magnitude and characteristics of acute paraquat- and diquat-related illnesses in the US: 1998-2013

被引：65

作者：

Fortenberry, Gamola Z. ^{[1
]}

Beckman, John ^{[2
,3
]}

Schwartz, Abby ^{[4
]}

Prado, Joanne Bonnar ^{[5
]}

Graham, Lucia S. ^{[6
]}

Higgins, Sheila ^{[7
]}

Lackovic, Michelle ^{[8
]}

Mulay, Prakash ^{[9
]}

Bojes, Heidi ^{[10
]}

Waltz, Justin ^{[11
]}

Mitchell, Yvette ^{[12
]}

Leinenkugel, Kathy ^{[13
]}

Oriel, Michel S. ^{[6
]}

Evans, Elizabeth ^{[14
]}

Calvert, Geoffrey M. ^{[1
]}

机构：

[1] NIOSH, Div Surveillance Hazard Evaluat & Field Studies, Ctr Dis Control & Prevent, Cincinnati, OH 45226 USA

[2] Inst Publ Hlth, Oakland, CA USA

[3] Calif Dept Publ Hlth, Richmond, CA USA

[4] Michigan Dept Hlth & Human Serv, Lansing, MI USA

[5] Washington State Dept Hlth, Olympia, WA USA

[6] Calif Dept Pesticide Regulat, Sacramento, CA USA

[7] North Carolina Dept Hlth & Human Serv, Raleigh, NC USA

[8] Louisiana Dept Hlth & Hosp, New Orleans, LA USA

[9] Florida Dept Hlth, Tallahassee, FL USA

[10] Texas Dept State Hlth Serv, Austin, TX USA

[11] Oregon Hlth Author, Portland, OR USA

[12] New York State Dept Hlth, Albany, NY USA

[13] Iowa Dept Publ Hlth, Des Moines, IA 50319 USA

[14] US EPA, Off Pesticide Programs, Washington, DC 20460 USA

来源：

ENVIRONMENTAL RESEARCH | 2016年 / 146卷

基金：

美国国家环境保护局;

关键词：

Paraquat; Diquat; Pesticides; Acute Poisonings; Surveillance; CLINICAL-FEATURES; FORMULATION; MANAGEMENT; INGESTION;

D O I：

10.1016/j.envres.2016.01.003

中图分类号：

X [环境科学、安全科学];

学科分类号：

08 ; 0830 ;

摘要：

Background: Paraquat and diquat are among the most commonly used herbicides in the world. Objectives: Determine the magnitude, characteristics, and root causes for acute paraquat- and diquatrelated illnesses in the US Methods: Illnesses associated with paraquat or diquat exposure occurring from 1998 through 2011 were identified from the Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides Program, the California Department of Pesticide Regulation (CDPR) Pesticide Illness Surveillance Program (PISP), and the Incident Data System (IDS). Cases identified by the National Poison Data System (NPDS) were reviewed for the years 1998-2003 and 2006-2013. Results: A total of 300 paraquat- and 144 diquat-related acute illnesses were identified by SENSOR, PISP, and IDS. NPDS identified 693 paraquat- and 2128 diquat-related acute illnesses. In SENSOR/PISP/IDS, illnesses were commonly low severity (paraquat=41%; diquat=81%); however, SENSOR/PISP/IDS identified 24 deaths caused by paraquat and 5 deaths associated with diquat. Nineteen paraquat-related deaths were due to ingestion, seven of which were unintentional, often due to improper storage in beverage bottles. In SENSOR/PISP/IDS, paraquat and diquat-related acute illnesses were work-related in 68% (n=203) and 29% (n=42) of cases, respectively. When herbicide application site was known, the vast majority of acute paraquat-related illnesses (81%) arose from agricultural applications. Common root causes of illness were failure to use adequate personal protective equipment (PPE), application equipment failure, and spill/splash of herbicide. Conclusions: Although the magnitude of acute paraquat/diquat-related illnesses was relatively low, several fatalities were identified. Many illnesses could be prevented through stricter compliance with label requirements (e.g. ensuring proper herbicide storage and PPE use), and through enhanced training of certified applicators. Published by Elsevier Inc.

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页码：191 / 199

页数：9

共 1 条

[1] Characteristics and Magnitude of Acute Pesticide-Related Illnesses and Injuries Associated With Pyrethrin and Pyrethroid Exposures-11 States, 2000-2008
Hudson, Naomi L.
Kasner, Edward J.
Beckman, John
Mehler, Louise
Schwartz, Abby
Higgins, Sheila
Bonnar-Prado, Joanne
Lackovic, Michelle
Mulay, Prakash
Mitchell, Yvette
Larios, Leo
Walker, Rob
Waltz, Justin
Moraga-McHaley, Stephanie
Roisman, Rachel
Calvert, Geoffrey M.
AMERICAN JOURNAL OF INDUSTRIAL MEDICINE, 2014, 57 (01) : 15 - 30

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