Investigation of a fatality among parathion applicators in California

Skin decontamination: Importance of the wash-in effect

That skin washing/decontamination may increase percutaneous absorption is commonly referred to as the 'wash-in' (W-I) effect. This article traces the development of the W-I effect both in vivo and more recently in vitro. The mechanism(s) responsible for this effect are examined particularly in relation to the laboratory method used in vitro. The importance of the W-I effect is presented and it is recommended that caution be practiced when skin is washed as the W-I effect may increase both local cutaneous and general systemic toxicity. Experimental data on a wide variety of chemicals are urgently needed.

Agrochemical Poisoning

A general increase in the use of chemicals in agriculture has brought about a concomitant increase in the incidence of agrochemical poisoning. Organophosphates are the most common agrochemical poisons followed closely by herbicides. Many agricultural poisons, such as parathion and paraquat are now mixed with a coloring agent such as indigocarmine to prevent their use criminally. In addition, paraquat is fortified with a “stenching” agent. Organo-chlorines have an entirely different mechanism of action. Whereas organophosphates have an anticholinesterase activity, organochlorines act on nerve cells interfering with the transmission of impulses through them. A kerosene-like smell also emanates from death due to organochlorines. The diagnosis lies in the chemical identification of organochlorines in the stomach contents or viscera. Organochlorines also resist putrefaction and can be detected long after death. Paraquat has been involved in suicidal, accidental, and homicidal poisonings. It is mildly corrosive and ulceration around lips and mouth is common in this poisoning. However, the hallmark of paraquat poisoning, especially when the victim has survived a few days, are the profound changes in lungs. Other agrochemicals such as algicides, aphicides, herbicide safeneres, fertilizers, and so on, are less commonly encountered. Governments in most countries have passed legislations to prevent accidental poisonings with these agents. The US government passed the Federal Insecticide, Fungicide and Rodenticide Act (FIFRA) in 1962 and the Indian government passed The Insecticides Act in 1968. Among other things, these acts require manufacturers to use signal words on the labels of insecticides, so the public is warned of their toxicity and accompanying danger.

Evaluation of a tractor cab using real-time aerosol counting instrumentation

Aerosol instrumentation was used to evaluate air infiltration into tractor cabs that are used to protect the agricultural worker during pesticide applications. Preliminary surveys were conducted on three different manufactured agriculture enclosures. The results of these preliminary surveys indicated that aerosols are entering the cab through leak sources or are being generated inside the cab. These results identified the need for in-depth field evaluations of tractor cabs to identify any leak sources. To evaluate the ability of tractor cabs to reduce operator air contaminant exposure, field evaluations were conducted on two tractor cabs. Specifically, we evaluated: 1) the particle size distribution and the effectiveness of the filter system; and 2) air infiltration into the cab. These evaluations were also conducted to demonstrate the ease and practicality of using optical particle counters to evaluate the ability of cabin filtration systems. Pesticide particle size distribution during an air blast spray operation was also evaluated during the study. The field tests were conducted on a John Deere 7000 series tractor cab (tractor manufacturer's cab) and a Nelson spraycab (retrofit cab). Both cabs were equipped with high efficiency particulate air (HEPA) filter media which were assumed to be 99.97 percent efficient at removing the test aerosol, atmospheric condensation nuclei. Thus, the major source of aerosols inside the cab was assumed to be leakage around filters at the seals. Using a portable dust monitor (PDM), the ratio of the outside to inside aerosol measurements was used to calculate a cab protection factor. During the evaluations, one PDM was placed inside the tractor cab (near the tractor operator) and one PDM was placed outside (near the air intake) to count particles. During the evaluations, the instruments were switched to prevent instrument bias from affecting the findings. The ratio of the two measurements (i.e., protection factor = outside concentration / inside concentration) was used to calculate how efficient the tractor cab was at removing aerosols. The John Deere cab was more than 99 percent efficient at removing aerosols larger than 3.0 microm in diameter and had protection factors greater than 260 for particles larger than 3.0 microm (indicated by the PDM results). The Nelson cab was more than 99 percent efficient at removing aerosols larger than 3.0 microm in diameter and had protection factors greater than 200 for particles larger than 3.0 microm (indicated by the PDM results). For aerosols smaller than 1.0 microm in diameter (indicated by a PortaCount Plus instrument), the John Deere cab provided a mean protection factor of 43 and the Nelson cab provided a mean protection factor of 16. The results from this study indicate that tractor cabs can be effective at removing different size aerosols depending on the seals and filters used with the enclosure. This study has also demonstrated the practical use of real-time aerosol counting instrumentation to evaluate the effectiveness of enclosures and to help identify leak sources. The method used in this study can be applied to various cabs used in different industries including agriculture, construction, and manufacturing.

Factors associated with safe use of agricultural pesticides in Minnesota

How farmers protect themselves against pesticide exposure has important public health consequences. To obtain insights into pesticide self-protection, this study obtained data on chemically resistant glove and other protective equipment use as they relate to the type of farming practice, demographic characteristics of farmers and their farming operations, farmers' preventive health beliefs and behaviors, and factors related to their health care. Data were obtained by telephone interviews conducted in six rural Minnesota counties. Survey respondents totaled 1, 327 (87% response rate), with 502 reporting pesticide use. Ninety-five percent of the latter respondents believed in the effectiveness of protective equipment and 88 percent believed that pesticide exposures are harmful. Fifty-six percent of the subjects wore chemically resistant gloves and 22 percent wore other protective clothing 75 percent of the time or more when using pesticides. Glove use and certification to use restricted pesticides was less frequent for women. The use of protective equipment in this group of Minnesota farmers was weakly related to being certified to apply restricted pesticides, believing in the effectiveness of protective clothing, believing that smoking causes serious health problems, using crop insecticides, and distance to a health care facility.

REM sleep pathways and anticholinesterase intoxication: a mechanism for nerve agent-induced, central respiratory failure

The mechanism of death following exposure to anticholinesterases, such as the highly toxic nerve agents soman and VX, and other organophosphate anticholinesterases such as the insecticide parathion, remains unclear, although evidence from nerve agent research suggests that death occurs by an atropine blockable respiratory failure mediated through mechanisms involving the central nervous system. It is proposed that REM sleep pathways, which can be triggered by acetylcholine accumulation in the pontomedullar reticular field, mediate respiratory failure through the inhibition of respiratory muscles. Cholinergic activation of REM sleep activities may also account for other physiological and behavioural effects that follow exposure to nerve agents. These include forebrain activation, which is associated with EEG desynchronization and seizures, locomotor depression with concomitant loss of righting reflex, and limb jerks and extensions. Pharmacologic evidence for atropine and clonidine protection against soman intoxication effects is entirely consistent with a scenario of cholinergic receptor activation in the pontomedullar reticular field.