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PESTICIDES
 The US Environmental Protection
Agency (EPA) defines pesticides as
 any materials manufactured or
    formulated to kill a pest.
As defined by the Federal Insecticide, Fungicide, and
Rodenticide Act (FIFRA), the federal low that
regulates the manufacture, sale, and use of pesticides
in USA, a pesticide is “any substance or mixture of
substances intended for preventing, destroying, repelling,
or mitigating any insects, rodents, nematodes, fungi or any
other forms of life declared to be pests; any substance or
mixture of substances intended for use as a plant
regulator, defoliant or desiccant.”
The principal goal of pesticide application
 in commercial agriculture is to reduce
    crop loss or decrease growing or
  cultivation costs in order to enhance
            economic returns.
There are over 1200 chemical
  compounds used as pesticides and
marketed in over 30 000 formulations
  and under different brand names.
Prior to World War II, most pesticides
      were inorganic chemicals.
   Since then, most have come to be
     synthetic organic chemicals.
Most of these can be divided into
  categories, or families, according to
     structure or use, with certain
  properties in common – including
 health effects on workers and others
exposed to toxic quantities by various
                 routes.
Classification by usage:

- herbicides – (weeds)
- fungicides – (fungi)
- rodenticides (rats and other rodents)
- repellents (insects)
- growth regulators (plants and insects)
- bactericides (bacteria)
- virucides (viruses)
- acaricides or miticides (mites)
- nematocides (nematodes)
Classification by chemical type
Helps to determine similarities of mode of
action and metabolism in target organs.
examples of different compounds are:

- organophosphate
- carbamate
- thiocarbamate
- chlornitrophenol derivates
- pyridyl derivates
- pyretroid
The Farm Chemical Handbook is a useful
source of identification of a pesticide by
common name, chemical name, trade
name, and manufacturer or marketer.
Classification by HAZARD
Recommended by IPCS (International
    Program on Chemical Safety)

  Based primarily on the acute oral and
dermal toxicity in rats (LD50), four groups
are proposed. Substances with LD50 lower
than characterized in Class III are thought
unlikely to present acute hazard in normal
                    use.
Distinction should be made between toxicity –
innate capacity of a substance to cause damage
and
- hazard – the risk of poisoning arising in
practice.

Hazard is based on the toxicity of the compound
and its formulation.

Hazard is also a function of two variables other
than toxicity – contamination and time.
Hazard (Risk) = Toxicity x Exposure
(Contamination x Time)

- Hazard = risk of poisoning
- Toxicity = ability to cause damage
- Contamination = prerequisite for
entering the body
time – duration of contact
In all cases the toxicity is dose-
related.
     The aim of pesticide use is to apply
an amount that is non toxic for humans
and other animals but is poisonous for
the target pest. When this is impossible
additional precautions and preventive
measures are needed.
Toxic effects due to pesticides
exposure may result from a single
exposure (acute toxicity) or from
repetitive exposures (chronic toxicity).
     LD50 values are standard
measurements (cited in mg/kg of body
weight), often used to compare acute
toxicity of pesticides.
LD50 values provide measures of acute
toxicity when test animals are fed with
pesticide-treated feed or water (oral LD50) or
in case of dermal pesticide application
(dermal LD50).
     The toxicity of a pesticide is related
with the route of entry into the organism.
     Pesticides toxic effects vary significantly
among species. The aim is to produce
pesticide with low mammalian toxicity and
sufficiently toxic to the target pest.
Table 30-6. Environmental protection agency
      (EPA) labeling toxicity categories.
             Toxicity Categories
Hazard           1                       II                        Ill                      IV
Indicators
Oral LD50        < 50 mg/kg              50-500 mg/kg              500-5000 mg/kg           > 5000 mg/kg
Inhalation LD50 < 0.2 mg/L               0.2-2 mg/L                2-20 mg/L                > 20 mg/L


Dermal LD50      < 200 mg/kg             200-2000 mg/kg            2000-5000 mg/kg          > 5,000 mg/kg

Eye effects      Corrosive; corneal      Corneal opacity           No corneal opacity;      No irritation
                 opacity irreversible    reversible in 8-21days;   irritation reversible
                                         irritation                in 7 days
Skin effects     Corrosive               Severe irritation at 72   Moderate irritation at   Mild or slight
                                         hours                     72 hours                 irritation at 72
                                                                                            hours
Signal word      "Danger"                "Warning"                 "Caution"                "Caution"
Precautionary    Fatal (poisonous) if    May be fatal if swal­     Harmful if               No
state­ments      swallowed, inhaled,     lowed, inhaled, or        swallowed, inhaled,      precautionary
                 or absorbed through     absorbed through          or absorbed through      statements
                 skin. Do not breathe    skin. Do not breathe      skin. Avoid              required.
                 vapor, dust, or spray   vapor, dust, or spray     breathing vapor,
                 mist. Do not get in     mist. Do not get in       dust, or spray mist.
                 eyes or on skin or      eyes or on skin or        Avoid contact with
                 clothing.               clothing.                 skin, eyes, or cloth­
                                                                   ing.
The toxicity of a pesticide product is
expressed by signal words DANGER,
WARNING and CAUTION.
    - DANGER – highly toxic
    - WARNING – moderately toxic
    - CAUTION – slightly toxic.
Signal words could also reflect
formulation’s lethal effects such as skin
and eye irritation.
However, a highly toxic
pesticide could be specially
formulated (microencapsulated) to
reduce its toxicity if compared to a
similar, non-encapsulated product.

The aim of the signal words is to
alert the user about the toxicity of
the product.
HAZARD
     Hazard in pesticide use should be
   considered on the toxicity of a given
       pesticide or pesticide product.
 Therefore, hazard (risk) depends on the
     toxicity of the compound and the
          probability of exposure.
      The hazard could be reduced by
- use of products with lower toxicity or by
       - proper preventive measures.
A pesticide as applied consists of the
      technical grade chemical (“active”
ingredient), formulated with diluents (often
 organic solvents), additives (“adjuvants”),
   and other “inert” ingredients, and then
applied mixed or unmixed, as sprays, dusts,
     aerosols, granular or impregnated
          preparations, fumigants.
    "Inert" ingredients are not necessarily
nontoxic; many are organic solvents such as
             methylene chloride.
The degree of hazard depends on the:

- toxicity of the active ingradient
- concentration of the active ingradient
- type of formulation
- rate and frequency of application
- method of application
- type of protective clothing worn
- persistence in the environment
HEALTH EFFECTS
  Studies report association of pesticides use and
non-Hodgkin lymphoma, leukemia, prostate cancer,
 multiple myeloma, soft tissues sarcoma and other
                  types of cancer.
 The application of organophosphate pesticides is
    associated with abdominal pain, dizziness,
headache, nausea, vomiting, skin and eye problems.

Long-term effects as respiratory problems, memory
  disorders, neurological deficits and depression,
  birth defects also have been reported to follow
                 pesticide exposure.
Occupational and environmental
      pesticide exposure


  Typical occupational and no
 occupational pesticide exposure
  situations are listed below.
Occupational and environmental pesticide
            exposure situations.
   Occupational exposures
 Research and development

 Manufacturing: Technical grade material produced.

 Formulation: Technical grade material mixed with "inert"

ingredients such as solvents, adjuvants.
 Transportation

 Pest control

 Mixing: Commercial material diluted with water or other
   material.
 Loading: Into tanks in planes, ground rigs, backpacks, or

hand-held sprayers.
Occupational exposures

   Application
   Flagging: Standing at the end of fields to mark the
    rows to be sprayed by crop-dusting aircraft.
   Farm work: Field workers, pickers, sorters, packers,
    and others who come into contact with pesticide
    residues on leaves and fruit.
   Emergency and medical work: Personnel exposed to
    con-taminated persons and equipment in the process
    of responding to spills, accidents, and poisonings.
Environmental and consumer
              exposures
 Accidents and spills: Especially ingestion
  by children
 Suicide and homicide

 Home use: House and garden

 Structural use: Residents and occupants
  of buildings
 Bystanders

 Contamination: Food, water, air
The highest exposures and highest
incidence of poisoning occur in those
involved in agricultural pest control
             operations:

              - mixing,
           - loading and
             - applying.
Mixers and loaders are exposed to
 concentrated pesticides and large
      volumes, respectively.

The use of closed systems for mixing
  and loading has reduced these
     exposures and poisoning
            considerably.
The exposure of applicators varies
with the type of application - from
 leaking sprayers to enclosed-cab
  vehicles with filtered cooled air.

 Exposures in formulating facilities
may be much higher, particularly if
dusty formulations (dusts, powders,
  granules) are produced in open
             systems.
The most important route for most
occupational exposures is dermal, though
     in some occupations such as
   manufacturing inhalation may be
          equally significant.

A high percentage of pesticides are absorbed
  across intact human skin to a significant
degree, since they must be absorbed through
   the coverings of insects or plants to be
                  effective.
The ratio of dermal LD50 to oral LD50
 – values that are available for most
  pesticides – can provide a rough
    indication of degree of dermal
              absorption.
The nature of exposure depends on
        whether exposure is to
- commercial formulation of pesticide,
as applied in a field or structure, or
   - only to the active ingredient, as
  occurs in manufacturing facility.
Environmental effects of pesticides
Over 95% of sprayed pesticides could spread
 to destination other than their target species,
  including non-target species, air, water and
                       soil.
  When pesticides are suspended in the air as
   particles they are carried by wind to other
    areas, potentially contaminating them.
   Pesticides could be a water pollutant, and
some of them are persistent organic pollutants
      contributing to soil contamination.
Prevention
             Work Practices:
 Manufacturing and formulation workers,
  mixers, loaders, applicators are directly
   exposed to the concentrated or diluted
   product and can only be protected by
        - engineering controls and
- personal protective clothing and devices.
Field workers are exposed primarily
  to residues on plants and in soil.

   They are protected primarily by
 reentry intervals – the minimum time
    allowed between application of
pesticide on a field and entry into that
                  field.
The rate of degradation and the toxicity
    of the degradation products are
important determinants of the extent
 and effect of exposure in this group.

 Pesticide degradation rates often vary
   among geographic regions, so that
reentry intervals may need to be specific
          to an area or climate.
Since skin contamination is the most
important route of most occupational
exposures, the focus of prevention is to
reduce dermal exposure, though the use
   of respirators by manufacturing of
   formulation workers or pesticide
     applicators is often necessary.
Contamination of clothing, irritated skin, heat,
     and sweat are all factors common in
  agricultural work that promote absorption
   through the skin. The use of protective
clothing in agricultural work is impeded by
the fact that most agricultural works takes
     place in hot and frequently humid
   environments. Therefore, need for skin
  protection, which is difficult to quantify,
  must be balanced against the risk of heat-
               related disorders.
Medical surveillance

Chronic exposure to organophosphate and
  carbamate pesticides may suppress the
levels of acetylcholin-esterase resulting in
   endogenous acetylcholine poisoning.

Specific medical and biologic monitoring is
   available for cholinesterase-inhibiting
                 pesticides.
Different types of analytic methods are
used to measure plasma cholinesterase,
with results usually reported in different
                  units.

Accurate methods for express determination
      of both serum and erythrocyte
 cholynesterase activity have been used for
 diagnosis of acute and subacute poisoning
      (Colortest, Merk, Boeringer).
As the individual baseline cholinesterase activity
 may vary up to 22% from day to day even when
 measured by the same method and by the same
laboratory, these levels must be established prior
                  the exposure.
  Therefore, 25-30 % inhibition of the baseline
 level during periodic monitoring (Kaloyanova,
  Izmirova) can be taken as a warming level of
    biological response to chronic exposure to
   organophosphate and carbamate pesticides,
     approaching a level likely to produce
                  intoxication.
Removal of workers at this level (30 % of
 baseline) and prevention of further exposure
until levels return to approximately baseline is
 likely to prevent the development of clinical
        signs and symptoms of toxicity.

  For most other pesticides, surveillance is
limited to general and occupational histories
  and physical examination with available
              laboratory tests.
Treatment
       Treatment of pesticide poisoning in
   general proceeds in 3 steps, as described
                     below.
1. Decontamination: this is the first priority
  unless life-saving measures are required. In
 the case of acute dermal overexposure, the
     skin and clothing are reservoirs for
        continued exposure, as is the
     gastrointestinal tract in the case of
                   ingestion.
All clothings should be removed and
   placed in double plastic bags for
 latter analysis, decontamination, or
 disposal. The skin and, if necessary,
the hair should be washed with soap.
Contamination should be looked for
         under the fingernails.
 If the eyes have been contaminated,
       they should be irrigated.
The need for gastrointestinal lavage or
   activated charcoal instillation should be
determined case-by-case basis, i.e., depending
   on the pesticide, on whether vomiting or
    diarrhea has occurred, and the level of
                consciousness.
All procedures should be done in such way as to
minimize the contamination of medical personnel
 and equipment without compromising patient
                      care.
2. Specific Antidotes: they are
 available only in the form of atropine
for cholinesterase-inhibiting pesticides,
 and chelating agents for heavy metal
pesticides such as arsenic and mercury,
   which rarely result in the need for
treatment except for cases of ingestion.
3. Supportive care: it may be the only
    treatment indicated and may be
                lifesaving.
  Assessment of respiratory status and
  provision of appropriate ventilatory
 support are critical, since most fatal or
serious poisonings are mediated at least
       in part through respiratory
        embarrassment or arrest.
REGULATION OF USE OF
            PESTICIDES
  The pesticide industry is regulated
differently in most countries that have
      chemical regulatory system.
              - Labeling,
   - application to plants and soil,
    - training in pesticide use and

   - transportation are controlled.
When a pesticide is approved for use, its use is
specified as either general or restricted (many
  pesticides can only be spread by licensed
                  applicators).

Labels contain useful information such as use
  instruction, application methods, first-aid
 recommendations, hazard information. The
   use of pesticide in any way other than as
        specified by the label is illegal.
Another problem is the disposal of
 empty containers. It is not advisable,
and in many places it is illegal, to reuse
 pesticide containers. Many advances
   have been made to mitigate this
                problem.
 Plastic containers have been collected
by the distributors and reprocessed into
 plastic pipe. Bulk, reliable containers
            have been used.
Triple rinsing the container into the
 solution tank gives the applicator a
method to decontaminate the container
   before landfilling or recycling.

   Hand lances that can pierce the
 container are used to assure proper
   cleaning and destruction of the
container so that it can not be reused.
Preventing pesticide exposure
   Select the safest formulation – granular or
    microencapsulated materials
   Reduce the rate of application to the lowest effective
    level
   Mix only enough pesticide to complete the assigned
    task
   Select a method for application to minimize the
    personal contact
   Wear all protective clothing noted on the label
   Avoid direct contact when mixing and filling the
    equipment
-

 - Use pesticides only in well-ventilated areas
 - Consider the safety of others around you
during application
 - Dispose the pesticide containers properly
 - Be attentive to the re-entry intervals specified
on the label
 - Keep pesticides in their original, labeled
containers
 - Avoid pesticide drift
 - Avoid conditions that might lead to ground
water contamination
Pesticide safety tips
       - Always read the label before use
    - Pesticides requiring special protective
     equipment should be used by trained,
             experienced applicators
- Do not eat or smoke or eat during application
 - Never spray pesticides outdoors on a windy
                        days
    - Store pesticides under lock in original
          containers with proper label.
 - Never transfer pesticide to another container
            (e.g. soft drinking water)
Health control in pesticide use – most important
           assignments of medical specialists
   1. To become acquainted with the list of approved
    pesticides for use via the running year, with their
    categorization and the instructions for first aid in
                        poisoning.
2. To carry out health instructions for persons working
                     with pesticides.
 3. To supply the tractor drivers and aviators applying
pesticides with first-aid medicine chest with atropine,
 sodium bicarbonate, carbon medicinally, magnesium
sulfate and other antidote substances at the beginning
            of the campaign of pesticide use.
4. To organize and participate in the
      preliminary and periodical medical
examinations and perform a dispensary system
      for people working with pesticides.
5. To organize health control about the storage,
transportation and application of pesticides and
 provision of workers with protective clothing
        and personal protective devices.
  6. To render a first aid in case of poisoning.
7. To carry out health education among people
   about prevention of pesticide poisoning.

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Pesricides

  • 1. PESTICIDES The US Environmental Protection Agency (EPA) defines pesticides as any materials manufactured or formulated to kill a pest.
  • 2. As defined by the Federal Insecticide, Fungicide, and Rodenticide Act (FIFRA), the federal low that regulates the manufacture, sale, and use of pesticides in USA, a pesticide is “any substance or mixture of substances intended for preventing, destroying, repelling, or mitigating any insects, rodents, nematodes, fungi or any other forms of life declared to be pests; any substance or mixture of substances intended for use as a plant regulator, defoliant or desiccant.”
  • 3. The principal goal of pesticide application in commercial agriculture is to reduce crop loss or decrease growing or cultivation costs in order to enhance economic returns.
  • 4. There are over 1200 chemical compounds used as pesticides and marketed in over 30 000 formulations and under different brand names. Prior to World War II, most pesticides were inorganic chemicals. Since then, most have come to be synthetic organic chemicals.
  • 5. Most of these can be divided into categories, or families, according to structure or use, with certain properties in common – including health effects on workers and others exposed to toxic quantities by various routes.
  • 6. Classification by usage: - herbicides – (weeds) - fungicides – (fungi) - rodenticides (rats and other rodents) - repellents (insects) - growth regulators (plants and insects) - bactericides (bacteria) - virucides (viruses) - acaricides or miticides (mites) - nematocides (nematodes)
  • 7. Classification by chemical type Helps to determine similarities of mode of action and metabolism in target organs. examples of different compounds are: - organophosphate - carbamate - thiocarbamate - chlornitrophenol derivates - pyridyl derivates - pyretroid
  • 8. The Farm Chemical Handbook is a useful source of identification of a pesticide by common name, chemical name, trade name, and manufacturer or marketer.
  • 9. Classification by HAZARD Recommended by IPCS (International Program on Chemical Safety) Based primarily on the acute oral and dermal toxicity in rats (LD50), four groups are proposed. Substances with LD50 lower than characterized in Class III are thought unlikely to present acute hazard in normal use.
  • 10. Distinction should be made between toxicity – innate capacity of a substance to cause damage and - hazard – the risk of poisoning arising in practice. Hazard is based on the toxicity of the compound and its formulation. Hazard is also a function of two variables other than toxicity – contamination and time.
  • 11. Hazard (Risk) = Toxicity x Exposure (Contamination x Time) - Hazard = risk of poisoning - Toxicity = ability to cause damage - Contamination = prerequisite for entering the body time – duration of contact
  • 12. In all cases the toxicity is dose- related. The aim of pesticide use is to apply an amount that is non toxic for humans and other animals but is poisonous for the target pest. When this is impossible additional precautions and preventive measures are needed.
  • 13. Toxic effects due to pesticides exposure may result from a single exposure (acute toxicity) or from repetitive exposures (chronic toxicity). LD50 values are standard measurements (cited in mg/kg of body weight), often used to compare acute toxicity of pesticides.
  • 14. LD50 values provide measures of acute toxicity when test animals are fed with pesticide-treated feed or water (oral LD50) or in case of dermal pesticide application (dermal LD50). The toxicity of a pesticide is related with the route of entry into the organism. Pesticides toxic effects vary significantly among species. The aim is to produce pesticide with low mammalian toxicity and sufficiently toxic to the target pest.
  • 15. Table 30-6. Environmental protection agency (EPA) labeling toxicity categories. Toxicity Categories Hazard 1 II Ill IV Indicators Oral LD50 < 50 mg/kg 50-500 mg/kg 500-5000 mg/kg > 5000 mg/kg Inhalation LD50 < 0.2 mg/L 0.2-2 mg/L 2-20 mg/L > 20 mg/L Dermal LD50 < 200 mg/kg 200-2000 mg/kg 2000-5000 mg/kg > 5,000 mg/kg Eye effects Corrosive; corneal Corneal opacity No corneal opacity; No irritation opacity irreversible reversible in 8-21days; irritation reversible irritation in 7 days Skin effects Corrosive Severe irritation at 72 Moderate irritation at Mild or slight hours 72 hours irritation at 72 hours Signal word "Danger" "Warning" "Caution" "Caution" Precautionary Fatal (poisonous) if May be fatal if swal­ Harmful if No state­ments swallowed, inhaled, lowed, inhaled, or swallowed, inhaled, precautionary or absorbed through absorbed through or absorbed through statements skin. Do not breathe skin. Do not breathe skin. Avoid required. vapor, dust, or spray vapor, dust, or spray breathing vapor, mist. Do not get in mist. Do not get in dust, or spray mist. eyes or on skin or eyes or on skin or Avoid contact with clothing. clothing. skin, eyes, or cloth­ ing.
  • 16. The toxicity of a pesticide product is expressed by signal words DANGER, WARNING and CAUTION. - DANGER – highly toxic - WARNING – moderately toxic - CAUTION – slightly toxic. Signal words could also reflect formulation’s lethal effects such as skin and eye irritation.
  • 17. However, a highly toxic pesticide could be specially formulated (microencapsulated) to reduce its toxicity if compared to a similar, non-encapsulated product. The aim of the signal words is to alert the user about the toxicity of the product.
  • 18. HAZARD Hazard in pesticide use should be considered on the toxicity of a given pesticide or pesticide product. Therefore, hazard (risk) depends on the toxicity of the compound and the probability of exposure. The hazard could be reduced by - use of products with lower toxicity or by - proper preventive measures.
  • 19. A pesticide as applied consists of the technical grade chemical (“active” ingredient), formulated with diluents (often organic solvents), additives (“adjuvants”), and other “inert” ingredients, and then applied mixed or unmixed, as sprays, dusts, aerosols, granular or impregnated preparations, fumigants. "Inert" ingredients are not necessarily nontoxic; many are organic solvents such as methylene chloride.
  • 20. The degree of hazard depends on the: - toxicity of the active ingradient - concentration of the active ingradient - type of formulation - rate and frequency of application - method of application - type of protective clothing worn - persistence in the environment
  • 21. HEALTH EFFECTS Studies report association of pesticides use and non-Hodgkin lymphoma, leukemia, prostate cancer, multiple myeloma, soft tissues sarcoma and other types of cancer. The application of organophosphate pesticides is associated with abdominal pain, dizziness, headache, nausea, vomiting, skin and eye problems. Long-term effects as respiratory problems, memory disorders, neurological deficits and depression, birth defects also have been reported to follow pesticide exposure.
  • 22. Occupational and environmental pesticide exposure Typical occupational and no occupational pesticide exposure situations are listed below.
  • 23. Occupational and environmental pesticide exposure situations. Occupational exposures  Research and development  Manufacturing: Technical grade material produced.  Formulation: Technical grade material mixed with "inert" ingredients such as solvents, adjuvants.  Transportation  Pest control  Mixing: Commercial material diluted with water or other material.  Loading: Into tanks in planes, ground rigs, backpacks, or hand-held sprayers.
  • 24. Occupational exposures  Application  Flagging: Standing at the end of fields to mark the rows to be sprayed by crop-dusting aircraft.  Farm work: Field workers, pickers, sorters, packers, and others who come into contact with pesticide residues on leaves and fruit.  Emergency and medical work: Personnel exposed to con-taminated persons and equipment in the process of responding to spills, accidents, and poisonings.
  • 25. Environmental and consumer exposures  Accidents and spills: Especially ingestion by children  Suicide and homicide  Home use: House and garden  Structural use: Residents and occupants of buildings  Bystanders  Contamination: Food, water, air
  • 26. The highest exposures and highest incidence of poisoning occur in those involved in agricultural pest control operations: - mixing, - loading and - applying.
  • 27. Mixers and loaders are exposed to concentrated pesticides and large volumes, respectively. The use of closed systems for mixing and loading has reduced these exposures and poisoning considerably.
  • 28. The exposure of applicators varies with the type of application - from leaking sprayers to enclosed-cab vehicles with filtered cooled air. Exposures in formulating facilities may be much higher, particularly if dusty formulations (dusts, powders, granules) are produced in open systems.
  • 29. The most important route for most occupational exposures is dermal, though in some occupations such as manufacturing inhalation may be equally significant. A high percentage of pesticides are absorbed across intact human skin to a significant degree, since they must be absorbed through the coverings of insects or plants to be effective.
  • 30. The ratio of dermal LD50 to oral LD50 – values that are available for most pesticides – can provide a rough indication of degree of dermal absorption.
  • 31. The nature of exposure depends on whether exposure is to - commercial formulation of pesticide, as applied in a field or structure, or - only to the active ingredient, as occurs in manufacturing facility.
  • 32. Environmental effects of pesticides Over 95% of sprayed pesticides could spread to destination other than their target species, including non-target species, air, water and soil. When pesticides are suspended in the air as particles they are carried by wind to other areas, potentially contaminating them. Pesticides could be a water pollutant, and some of them are persistent organic pollutants contributing to soil contamination.
  • 33. Prevention  Work Practices: Manufacturing and formulation workers, mixers, loaders, applicators are directly exposed to the concentrated or diluted product and can only be protected by - engineering controls and - personal protective clothing and devices.
  • 34. Field workers are exposed primarily to residues on plants and in soil. They are protected primarily by reentry intervals – the minimum time allowed between application of pesticide on a field and entry into that field.
  • 35. The rate of degradation and the toxicity of the degradation products are important determinants of the extent and effect of exposure in this group. Pesticide degradation rates often vary among geographic regions, so that reentry intervals may need to be specific to an area or climate.
  • 36. Since skin contamination is the most important route of most occupational exposures, the focus of prevention is to reduce dermal exposure, though the use of respirators by manufacturing of formulation workers or pesticide applicators is often necessary.
  • 37. Contamination of clothing, irritated skin, heat, and sweat are all factors common in agricultural work that promote absorption through the skin. The use of protective clothing in agricultural work is impeded by the fact that most agricultural works takes place in hot and frequently humid environments. Therefore, need for skin protection, which is difficult to quantify, must be balanced against the risk of heat- related disorders.
  • 38. Medical surveillance Chronic exposure to organophosphate and carbamate pesticides may suppress the levels of acetylcholin-esterase resulting in endogenous acetylcholine poisoning. Specific medical and biologic monitoring is available for cholinesterase-inhibiting pesticides.
  • 39. Different types of analytic methods are used to measure plasma cholinesterase, with results usually reported in different units. Accurate methods for express determination of both serum and erythrocyte cholynesterase activity have been used for diagnosis of acute and subacute poisoning (Colortest, Merk, Boeringer).
  • 40. As the individual baseline cholinesterase activity may vary up to 22% from day to day even when measured by the same method and by the same laboratory, these levels must be established prior the exposure. Therefore, 25-30 % inhibition of the baseline level during periodic monitoring (Kaloyanova, Izmirova) can be taken as a warming level of biological response to chronic exposure to organophosphate and carbamate pesticides, approaching a level likely to produce intoxication.
  • 41. Removal of workers at this level (30 % of baseline) and prevention of further exposure until levels return to approximately baseline is likely to prevent the development of clinical signs and symptoms of toxicity. For most other pesticides, surveillance is limited to general and occupational histories and physical examination with available laboratory tests.
  • 42. Treatment Treatment of pesticide poisoning in general proceeds in 3 steps, as described below. 1. Decontamination: this is the first priority unless life-saving measures are required. In the case of acute dermal overexposure, the skin and clothing are reservoirs for continued exposure, as is the gastrointestinal tract in the case of ingestion.
  • 43. All clothings should be removed and placed in double plastic bags for latter analysis, decontamination, or disposal. The skin and, if necessary, the hair should be washed with soap. Contamination should be looked for under the fingernails. If the eyes have been contaminated, they should be irrigated.
  • 44. The need for gastrointestinal lavage or activated charcoal instillation should be determined case-by-case basis, i.e., depending on the pesticide, on whether vomiting or diarrhea has occurred, and the level of consciousness. All procedures should be done in such way as to minimize the contamination of medical personnel and equipment without compromising patient care.
  • 45. 2. Specific Antidotes: they are available only in the form of atropine for cholinesterase-inhibiting pesticides, and chelating agents for heavy metal pesticides such as arsenic and mercury, which rarely result in the need for treatment except for cases of ingestion.
  • 46. 3. Supportive care: it may be the only treatment indicated and may be lifesaving. Assessment of respiratory status and provision of appropriate ventilatory support are critical, since most fatal or serious poisonings are mediated at least in part through respiratory embarrassment or arrest.
  • 47. REGULATION OF USE OF PESTICIDES The pesticide industry is regulated differently in most countries that have chemical regulatory system. - Labeling, - application to plants and soil, - training in pesticide use and - transportation are controlled.
  • 48. When a pesticide is approved for use, its use is specified as either general or restricted (many pesticides can only be spread by licensed applicators). Labels contain useful information such as use instruction, application methods, first-aid recommendations, hazard information. The use of pesticide in any way other than as specified by the label is illegal.
  • 49. Another problem is the disposal of empty containers. It is not advisable, and in many places it is illegal, to reuse pesticide containers. Many advances have been made to mitigate this problem. Plastic containers have been collected by the distributors and reprocessed into plastic pipe. Bulk, reliable containers have been used.
  • 50. Triple rinsing the container into the solution tank gives the applicator a method to decontaminate the container before landfilling or recycling. Hand lances that can pierce the container are used to assure proper cleaning and destruction of the container so that it can not be reused.
  • 51. Preventing pesticide exposure  Select the safest formulation – granular or microencapsulated materials  Reduce the rate of application to the lowest effective level  Mix only enough pesticide to complete the assigned task  Select a method for application to minimize the personal contact  Wear all protective clothing noted on the label  Avoid direct contact when mixing and filling the equipment
  • 52. - - Use pesticides only in well-ventilated areas - Consider the safety of others around you during application - Dispose the pesticide containers properly - Be attentive to the re-entry intervals specified on the label - Keep pesticides in their original, labeled containers - Avoid pesticide drift - Avoid conditions that might lead to ground water contamination
  • 53. Pesticide safety tips - Always read the label before use - Pesticides requiring special protective equipment should be used by trained, experienced applicators - Do not eat or smoke or eat during application - Never spray pesticides outdoors on a windy days - Store pesticides under lock in original containers with proper label. - Never transfer pesticide to another container (e.g. soft drinking water)
  • 54. Health control in pesticide use – most important assignments of medical specialists 1. To become acquainted with the list of approved pesticides for use via the running year, with their categorization and the instructions for first aid in poisoning. 2. To carry out health instructions for persons working with pesticides. 3. To supply the tractor drivers and aviators applying pesticides with first-aid medicine chest with atropine, sodium bicarbonate, carbon medicinally, magnesium sulfate and other antidote substances at the beginning of the campaign of pesticide use.
  • 55. 4. To organize and participate in the preliminary and periodical medical examinations and perform a dispensary system for people working with pesticides. 5. To organize health control about the storage, transportation and application of pesticides and provision of workers with protective clothing and personal protective devices. 6. To render a first aid in case of poisoning. 7. To carry out health education among people about prevention of pesticide poisoning.