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Characteristics of pesticide-related hospitalizations, Louisiana, 1998-2007.

Authors
Badakhsh-R; Lackovic-M; Ratard-R
Source
Public Health Rep 2010 May-Jun; 125(3):457-467
NIOSHTIC No.
20042410
Abstract
OBJECTIVE: Pesticides are widely used on agricultural crops and in homes, workplaces, and public spaces. Exposure to pesticides can cause acute and chronic health effects. We analyzed data from the Louisiana Hospital Inpatient Discharge Database from 1998 through 2007 to characterize hospitalizations involving pesticides. METHODS: Data for the study period consisted of 384 pesticide-related hospitalizations. We used demographic information and diagnosis codes for analysis. RESULTS: Males consistently had higher hospitalization rates than females (p=0.0073). Children aged 0-4 years had the highest pesticide-related hospitalization rate of all age groups (2.69 hospitalizations per 100,000); children aged 5-9 years had the lowest rate (0.36 hospitalizations per 100,000). Compared with adults, children had a higher rate of disinfectant exposure (15% vs. 5%; odds ratio [OR] = 3.41, 95% confidence interval [CI] 1.61, 7.21; p=0.0008) and rodenticide exposure (14% vs. 2%; OR=8.55, 95% CI 3.07, 23.78; p<0.0001). Rural parishes (counties) were more likely than urban parishes to have higher pesticide hospitalization rates (OR=4.72, 95% CI 2.34, 9.54; p<0.0001). Intentional poisonings accounted for 27% of cases. Only eight cases were coded as work-related. CONCLUSIONS: Analyzing pesticide-related hospitalization data provides important information about some of the most severe pesticide poisoning cases. Significant findings include the elevated rate of hospitalizations among young children and men, and the large proportion of self-inflicted poisonings. Health departments and health-care providers may use these findings to target outreach and prevention activities.
Keywords
Agricultural-chemicals; Pesticides; Pesticides-and-agricultural-chemicals; Medical-care; Medical-treatment; Health-care; Health-services; Surveillance-programs; Demographic-characteristics; Men; Women; Children; Age-groups; Disinfectants; Rodenticides; Poisons; Injury-prevention
Contact
Michelle Lackovic, MPH, Section of Environmental Epidemiology & Toxicology, Louisiana Office of Public Health, 1450 L&A Road, Metairie, LA 70001
CODEN
PHRPA6
Publication Date
20100501
Document Type
Journal Article
Email Address
michelle.lackovic@la.gov
Funding Type
Cooperative Agreement
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-008470
Issue of Publication
3
ISSN
0033-3549
Source Name
Public Health Reports
State
LA
Performing Organization
Louisiana State Office of Public Health
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