Estimating underreported pesticide poisonings in Nicaragua.
Keifer M; McConnell R; Pacheco AF; Daniel W; Rosenstock L
Am J Ind Med 1996 Aug; 30(2):195-201
In order to estimate the degree of underreporting of pesticide poisonings in Nicaragua, a cross sectional survey of agricultural workers was conducted. Interviews were conducted with 633 workers concerning pesticide use, poisonings, and symptoms. A poisoning was considered verified if the worker listed at least three symptoms commonly associated with pesticide poisoning. Of the participants, 48% reported at least one poisoning in their lifetime and 11% reported a poisoning in the past month. Poisoning was more common among male pesticide users than among female users. Children under 17 years of age reported more pesticide poisonings in the past year than all other age groups combined. Of the chemicals which caused poisoning, organophosphates were most frequently reported. A significant relationship between seeking medical attention and reporting at least three symptoms was observed. Only eight of the 23 workers who reported a verified poisoning within the past month were listed in the Regional Pesticide Poisoning Registry. Thus, an underreporting estimate of 65% was established. Despite the limitations of self reporting, the authors conclude that significantly more pesticide poisonings occur in Nicaragua than are officially registered.
NIOSH-Author; Humans; Agricultural-chemicals; Sex-factors; Organo-phosphorus-pesticides; Agricultural-workers; Health-survey; Age-groups; Medical-treatment; Occupational-exposure; Epidemiology
American Journal of Industrial Medicine