Knowledge and practices of in-home pesticide use: a community survey in Uganda

Improving the efficiency of aerosolized insecticide testing against mosquitoes

Developing robust and standardised approaches for testing mosquito populations against insecticides is vital for understanding the effectiveness of new active ingredients or formulations. Methods for testing mosquito susceptibility against contact insecticides or products, such as those delivered through public health programmes, are well-established and standardised. Nevertheless, approaches for testing volatile or aerosolized insecticides used in household products can be challenging to implement efficiently. We adapted WHO guidelines for household insecticides to develop a standardised and higher-throughput methodology for testing aerosolized products in a Peet Grady test chamber (PG-chamber) using caged mosquitoes and an efficient decontamination method. The new approach was validated using insecticide resistant and susceptible Aedes and Anopheles mosquito colonies. An added feature is the inclusion of cage-facing cameras to allow real-time quantification of knockdown following insecticide exposure. The wipe-based decontamination method was highly effective for removing pyrethroids' aerosolized oil-based residues from chamber surfaces, with < 2% mortality recorded for susceptible mosquitoes tested directly on the surfaces. There was no spatial heterogeneity for knockdown or mortality of caged mosquitoes within the PG chamber. The dual-cage approach we implement yields eight-times the throughput compared to a free-flight protocol, allows simultaneous testing of different mosquito strains and effectively discriminates susceptible and resistant mosquito colonies tested side-by-side.

Evaluating wipe sampling parameters to assess method performance and data confidence during remediation of hazardous pesticide misuse chemicals on indoor materials

Pesticide misuse incidents are reported worldwide each year. The potential exposure to pesticides creates a concern for occupants in affected homes, apartments, and other occupied buildings. Pesticides that are improperly applied within these locations may require remediation prior to reoccupation. Incident response personnel rely heavily on data from sampling results to identify residue levels and determine when site remediation is complete. Surface wipe samples are often collected for this purpose. Therefore, it is important to ensure sampling and analysis procedures are well established for the contaminants of concern, particularly for wipe sampling variables that can affect analysis results. This investigation evaluated the effects of surface wipe media, wipe wetting solvents, pesticide concentrations effects, composite sampling, surface types, and pesticide formulation effects on analysis results for fipronil, permethrin, and deltamethrin. Tested surface types included galvanized steel, vinyl tile, and plywood. Wipe media included pre-packaged, sterile cotton gauze, pre-cleaned cotton twill, and a pre-packaged, pre-wetted wipes. Surface recovery results are reported for commercially available fipronil formulations and compared to technical grade fipronil solutions. Fipronil recoveries were 92-107 % for twill wipes, 81-98 % for cotton gauze wipes, and 79 % for pre-packaged, pre-wetted wipes on a galvanized steel surface. Permethrin recoveries were 83-116 % for twill wipes, 66-94 % for cotton gauze wipes, and 73 % for pre-packaged, pre-wetted wipes on a galvanized steel surface. Deltamethrin recoveries were 67-88 % for twill wipes, 55-71 % for cotton gauze wipes, and 63 % for pre-packaged, pre-wetted wipes on a galvanized steel surface. The data collected in this study can inform surface wipe sampling methods and potentially assist in obtaining more accurate sampling data associated with pesticide misuse incidents involving the target analytes.

The need for alternative pest management methods to mitigate risks among cocoa farmers in the Volta region, Ghana

The objective of this study is to assess the adoption of alternative pest management methods to reduce risks among cocoa farmers in the Volta region. Cultural control methods found to be the most practiced alternative pest management, especially in the Ho West district where majority of the farmers were more knowledgeable of alternative pest control methods. There was significant relationship between agrochemical shop services (χ² = 13,028, p < 0.000), farming years of experience (χ² = 16.424, p < 0.002), knowledge in degree of pest infestation (χ² = 8.498, p < 0.000), education (χ² = 10.557, p < 0.014), farmers' community (χ² = 39.275, p < 0.000) and farmers' knowledge on alternative pest control methods. Farmers who relied on agrochemical shop services for pest control methods were 87% less likely to be knowledgeable on alternative pest control methods while those who considered degree of pest infestation in pest management were (OR = 1.150, p <0.008) more likely to be knowledgeable on alternative pest control methods. For the socio-cultural factors, Leklebi Kame (OR = 9.53-e 08, p < 0.000), Bla (OR = 0.280, p < 0.027) and Gbledi Chebi (OR = 0.287, p < 0.053) were less likely to be knowledgeable on alternative method of pest control compared to Kpedze. Fellow farmers and extension agents were the major sources of information on alternative pest control methods in the study area. Economic, technical, unavailability of labour, and farm implements were factors hampering adoption of alternative pest control methods in the study area. The most pesticide toxicological symptom reported was skin irritation and was recorded among majority of the farmers in Hohoe and Afadjato South districts where low knowledge and patronage of alternative pests control methods were identified. Awareness creation and capacity building programs should be organized through fellow farmers and extension agents on the need to reduce the use of chemical pesticide in pest management.

Morphological, Molecular and MALDI-TOF MS Identification of Bedbugs and Associated Wolbachia Species in Rural Senegal

Bed bugs are known to carry several microorganisms. The purpose of this study was to assess the prevalence of bed bug infestation in two rural areas of Senegal and determine the species present in the population. A screening was conducted to detect some arthropod associated pathogenic bacteria in bed bugs and to evaluate the prevalence of endosymbiont carriage. One survey took place in 17 villages in Niakhar and two surveys in Dielmo and Ndiop and surroundings area in the same 20 villages. Bed bugs collected were identified morphologically and by MALDI-TOF MS tools. Microorganisms screening was performed by qPCR and confirmed by sequencing. During the survey in the Niakhar region, only one household 1/255 (0.4%) in the village of Ngayokhem was found infested by bed bugs. In a monitoring survey of the surroundings of Dielmo and Ndiop area, high prevalence was found during the two rounds of surveys in 65/314 (21%) in 16/20 villages (January-March) and 93/351 (26%) in 19/20 villages (December). All bed bugs were morphologically identified as the species Cimex hemipterus, of which 285/1,637 (17%) were randomly selected for MALDI-TOF MS analysis and bacteria screening. Among the Bacteria tested only Wolbachia (Alphaproteobacteria, Rickettsiales, Rickettsiaceae) DNA was found in 248/276 (90%) of the bedbugs. We briefly describe a high level of non-generalized bed bug infestation in rural Senegal and the diversity of Wolbachia strains carried by C. hemipterus. This study opens perspectives for raising household awareness of bed bug infestations and possibilities for appropriate control.

Small-scale Farmer Pesticide Knowledge and Practice and Impacts on the Environment and Human Health in Ethiopia

BACKGROUND

Inappropriate use and application of pesticides in Ethiopia pose a major threat to the health of farmers and the environment.

OBJECTIVE

The present study aimed to assess the level of knowledge, attitudes, and practices of small-scale vegetable farmers towards the use of pesticides in Ethiopia along the Lake Ziway watershed.

METHODS

This was a cross-sectional study involving a total of 210 farmers randomly selected during a period of pesticide application from a purposively selected village located in the immediate vicinity of Lake Ziway, Ethiopia. Data were generated through structured in-depth interviews and on-site observations on farms. A Chi-square test was applied to evaluate whether the collected data and their probable associations were significant.

RESULTS

World Health Organization (WHO) class II pesticides (moderately toxic) were the most frequently used pesticides in the study area. There was no reported use of WHO classes 1a and 1b and banned or restricted pesticides such as dichlorodiphenyltrichloroethane (DDT) and endosulfan. Most (92%) farmers reported indiscriminately disposing of empty containers in the field, while 86.7% applied the leftover pesticides to other crops. More than 90% of small-scale farmers did not use any personal protective equipment (PPE) when handling pesticides. About 95% of farmers had poor knowledge regarding pesticides. A significant association (p < 0.001) was observed between the knowledge of farmers and their practices related to pesticides.

CONCLUSIONS

Generally, the knowledge of small-scale farmers on pesticides was poor. Moreover, the inappropriate disposal of pesticides and pesticide containers poses a risk to the environment. The findings of the present study underline the need to train farmers concerning the safe and proper use of pesticides to mitigate hazards to human health and the environment.

PARTICIPANT CONSENT

Obtained.

ETHICS APPROVAL

The study was granted an exemption from requiring ethics approval from the Hawassa University College of Natural and Computational Science, Research and Review Committee.

COMPETING INTERESTS

The authors declare no competing financial interests.

First evaluation of DDT (dichlorodiphenyltrichloroethane) residues and other Persistence Organic Pollutants in soils of Rwanda: Nyabarongo urban versus rural wetlands

This study was the first to evaluate the occurrence, residue levels, spatial distribution and sources of DDT and other Persistence Organic Pollutants (POPs), which can be found in the Nyabarongo lower catchment (NLC) in Rwanda. These include Aldrin, Dieldrin, Endosulfan, Endrin, Hexachlorocyclohexane (HCH), Heptachlor, Heptachlorepoxide, Hexachlorobenzene (HCB), Isodrin, Methoxychlor, Mirex and Polychlorinated biphenyls (PCBs). A total of 108 soil samples were collected in the wetland area, both extracted and eluted with cyclohexane and analysed by GC-MS. The results indicated that DDT isomers and degradation products were major POPs and were detected in 44 samples (40%). Their detection frequency followed the order of 4,4'-DDE > 4,4' -DDT > 4,4' -DDD > 2,4' -DDT > 2,4' -DDD and 2,4' -DDE. Residues varied from non-detected (nd) to 120 μg kg^-1 dry weight (dw), with a mean value of 3.93 μg kg^-1 dw and a high variation (SD = 10.17 μg kg^-1 dw). The degradation ratios confirmed both the historical and recent application of DDT and Dieldrin (0.53-18 μg kg^-1 dw). Other detected POPs included PCBs in Kigali city which ranged from 0.1 to 0.21 μg kg^-1 dw, confirming that the old contamination drifted from electric transformers. Aldrin (0.38-0.59 μg kg^-1 dw); Heptachlor (0.14-0.19 μg kg^-1 dw) residues probably reached the catchment through rain-washout. This study confirms that even though Rwanda banned the use of DDT and other POPs including pesticides (Aldrine, Chlordane, DDT, Dieldrine, Endrine, Heptachlor, Hexachlorobenzene, Mirex, and Toxaphene); Industrial products (Hexachlorobenzene and Polychlorobiphenyl PCBS) and unintentional sub-products, since 2002, some of above products are still used in random areas (e.g: DDT, Dieldrin). The highest residues were detected close to Lake Muhazi and areas surrounding Kigali city. This study recommends full evaluation of human health and ecological risks from exposure to DDT. Additionally, the National Implementation Plan (NIP) for the Stockholm Convention to eliminate POPs should be reinforcement through strengthening the market control and educational programs.

Changes in Indoor Insecticide Residue Levels after Adopting an Integrated Pest Management Program to Control German Cockroach Infestations in an Apartment Building

Insecticide use in homes leads to human exposure to insecticide residues that persist in the environment. Integrated pest management (IPM) programs have been known to be more environmentally friendly for managing German cockroach (Blattella germanica L.) infestations, but their effect on indoor insecticide residue levels are not well understood. An IPM program consisting of applying cockroach gel baits and placing insect sticky traps as the primary treatment methods were implemented. Floor wipe samples were collected from the bedroom and kitchen floors of 69 apartments with German cockroach infestations at 0 months and again at 12 months from 49 of the 69 apartments sampled at 0 months. Levels of 18 insecticide residues were measured. The mean insecticide residue concentration per apartment decreased by 74% after 12 months. The number of insecticides detected per apartment decreased from 2.5 ± 0.2 to 1.5 ± 0.2 (mean ± standard error). Indoxacarb residue was only detected in two apartments at 12 months despite the fact that an average of 32 ± 4 g 0.6% indoxacarb gel bait was applied per apartment. IPM implementation can result in significant reduction in the insecticide residue concentrations and number of detected insecticides in floor dust samples.

Knowledge and behavior regarding pesticide use: a survey among caregivers of children aged 1-6 years from rural China

Little is known about pesticide exposure risks for children in rural areas in China, many of whom have been left behind by migrant workers. To survey caregivers of children in rural China and assess their pesticide use and disposal methods, the measures were used to protect the children and their perceptions of the adverse effects of pesticides on children's health. Three or four villages in each of Xinhua, Gongan and Sansui Counties in China were selected by random cluster sampling. The main caregivers of children aged 1-6 years were surveyed in face-to-face interviews. The questionnaire used was adapted from the World Health Organization "Exposure to Pesticides: Standard Protocol" survey and similar studies. The study included 464 caregivers (mean age, 46.4 years), who were most commonly the children's grandparents (65.3%). Among the caregivers, 41.9% were educated to middle school level or higher, 45.4% had a household income < 297 USD, and 29.7% had received education/training about pesticide use/adverse health effects in children. The score for caregivers' knowledge of the adverse effects of pesticides on children's health was higher in those who had received education/training (5.1 ± 2.6 vs. 3.4 ± 2.5, P < 0.001). Factors associated with unsafe behaviors during pesticide use included grandparent as the caregiver (odds ratio [OR] 0.551; 95% confidence interval [95% CI] 0.368-0.824; P = 0.004), annual income < 297 USD (OR 0.580; 95% CI 0.395-0.853; P = 0.006), and insufficient health-related education/training (OR 0.436; 95% CI 0.286-0.665; P < 0.001). Improved education and training are needed to promote the safe use of pesticides by caregivers of children in rural China.

Increased Biting Rate of Insecticide-Resistant Culex Mosquitoes and Community Adherence to IRS for Malaria Control in Urban Malabo, Bioko Island, Equatorial Guinea

Sustaining high levels of indoor residual spraying (IRS) coverage (≥85%) for community protection against malaria remains a challenge for IRS campaigns. We examined biting rates and insecticide resistance in Culex species and Anopheles gambiae s.l., and their potential effect on community adherence to IRS. The average IRS coverage in urban Malabo between 2015 and 2017 remained at 80%. Culex biting rate increased 6.0-fold (P < 0.001) between 2014 and 2017, reaching 8.08 bites per person per night, whereas that of An. gambiae s.l. remained steady at around 0.68. Although An. gambiae s.l. was susceptible to carbamates and organophosphates insecticides, Culex spp. were phenotypically resistant to all four main classes of WHO-recommended IRS insecticides. Similarly, the residual activity of the organophosphate insecticide used since 2017, ACTELLIC 300CS, was 8 mo for An. gambiae s.l., but was almost absent against Culex for 2 mo post-spray. A survey conducted in 2018 within urban Malabo indicated that 77.0% of respondents related IRS as means of protection against mosquito bites, but only 3.2% knew that only Anopheles mosquitoes transmit malaria. Therefore, the increasing biting rates of culicines in urban Malabo, and their resistance to all IRS insecticides, is raising concern that a growing number of people may refuse to participate in IRS as result of its perceived failure in controlling mosquitoes. Although this is not yet the case on Bioko Island, communication strategies need refining to sensitize communities about the effectiveness of IRS in controlling malaria vectors in the midst of insecticide resistance in nonmalaria vector mosquitoes.

Fatal cases associated with eating chapatti contaminated with organophosphate in Tororo District, Eastern Uganda, 2015: case series

BACKGROUND

Few cases of organophosphate poisoning in developing countries have been investigated using clinical and epidemiological methods. On 30 October 2015, 3 students at Mukuju School, Tororo District, Uganda, died soon after eating chapatti (locally-made flat bread) from the same food stand. Ministry of Health investigated to identify the cause and recommend prevention measures.

METHODS

We defined a case as onset during 30-31 October 2015 in a resident of Mukuju Town of ≥1 of the following symptoms: excessive saliva, profuse sweating, dizziness, low blood pressure, constricted pupils or loss of consciousness. We reviewed medical/police records and interviewed survivors, healthcare workers, and police officers. We collected samples of implicated food for toxicological analysis. Autopsies were performed on decedents to identify the cause of death.

RESULTS

We identified 7 cases with 3 deaths (case-fatality ratio = 43%). Clinical manifestations included acute onset of confusion (100%), constricted pupils (43%), excessive saliva (43%), and low blood pressure (43%). All 7 cases had onset from 16:00-18:00 h on 30 October, with a point-source exposure pattern. Of the 7 cases, 86% (6/7) were men; the mean age was 24 (range: 20-32) years. The 3 decedents each ate a whole chapatti while the other 4 cases ate half or less. Autopsy findings of the 3 decedents indicated organophosphate poisoning. Toxicological analysis found high levels of malathion in leftover foods (266 mg/L in dough and 258 mg/L in chapatti) and malaoxon (a highly toxic malathion derivative) in decedents' postmortem specimens (mean levels of 19 mg/L in the blood and 22 mg/L in the gastric contents). There was a delay of 4 h before the patients received appropriate treatment. Police investigations revealed that flour used to make the chapatti was intentionally contaminated with an organophosphate pesticide.

CONCLUSION

This fatal outbreak of organophosphate poisoning was associated with consumption of roadside-vended chapatti made of flour contaminated with pesticide. Clinicians should be aware of symptoms of organophosphate poisoning and prepared to treat it quickly. Street vendors should carefully consider the source of their ingredients. An in-depth surveillance review of such poisonings in Uganda would guide policymakers in reducing access by criminals and accidental exposures for the public.

A Pest to Mental Health? Exploring the Link between Exposure to Agrichemicals in Farmers and Mental Health

The current literature acknowledges that occupational exposures can adversely affect mental health. This review seeks to elucidate the current understanding of the effect of agrichemical exposure on mental health in the agricultural sector, including low-dose, chronic pesticide exposure. This scoping review adopted a snowballing and saturation approach. The review highlights inconsistencies in linking poor mental health and pesticide use. While some studies specifically showed that both high- and low-dose pesticide exposure were associated with poor mental health, consistent and rigorous research methods are lacking. The review also proposes terms to delineate exposure types described in the literature. The review outcomes direct efforts to protect the health, wellbeing and safety of farming communities across the globe.

Local selection in the presence of high levels of gene flow: Evidence of heterogeneous insecticide selection pressure across Ugandan Culex quinquefasciatus populations

BACKGROUND

Culex quinquefasciatus collected in Uganda, where no vector control interventions directly targeting this species have been conducted, was used as a model to determine if it is possible to detect heterogeneities in selection pressure driven by insecticide application targeting other insect species.

METHODOLOGY/PRINCIPAL FINDINGS

Population genetic structure was assessed through microsatellite analysis, and the impact of insecticide pressure by genotyping two target-site mutations, Vgsc-1014F of the voltage-gated sodium channel target of pyrethroid and DDT insecticides, and Ace1-119S of the acetylcholinesterase gene, target of carbamate and organophosphate insecticides. No significant differences in genetic diversity were observed among populations by microsatellite markers with HE ranging from 0.597 to 0.612 and low, but significant, genetic differentiation among populations (FST = 0.019, P = 0.001). By contrast, the insecticide-resistance markers display heterogeneous allelic distributions with significant differences detected between Central Ugandan (urban) populations relative to Eastern and Southwestern (rural) populations. In the central region, a frequency of 62% for Vgsc-1014F, and 32% for the Ace1-119S resistant allele were observed. Conversely, in both Eastern and Southwestern regions the Vgsc-1014F alleles were close to fixation, whilst Ace1-119S allele frequency was 12% (although frequencies may be underestimated due to copy number variation at both loci).

CONCLUSIONS/SIGNIFICANCE

Taken together, the microsatellite and both insecticide resistance target-site markers provide evidence that in the face of intense gene flow among populations, disjunction in resistance frequencies arise due to intense local selection pressures despite an absence of insecticidal control interventions targeting Culex.

Insecticide resistance and resistance mechanisms in bed bugs, Cimex spp. (Hemiptera: Cimicidae)

The worldwide resurgence of bed bugs [both Cimex lectularius L. and Cimex hemipterus (F.)] over the past two decades is believed in large part to be due to the development of insecticide resistance. The transcriptomic and genomic studies since 2010, as well as morphological, biochemical and behavioral studies, have helped insecticide resistance research on bed bugs. Multiple resistance mechanisms, including penetration resistance through thickening or remodelling of the cuticle, metabolic resistance by increased activities of detoxification enzymes (e.g. cytochrome P450 monooxygenases and esterases), and knockdown resistance by kdr mutations, have been experimentally identified as conferring insecticide resistance in bed bugs. Other candidate resistance mechanisms, including behavioral resistance, some types of physiological resistance (e.g. increasing activities of esterases by point mutations, glutathione S-transferase, target site insensitivity including altered AChEs, GABA receptor insensitivity and altered nAChRs), symbiont-mediated resistance and other potential, yet undiscovered mechanisms may exist. This article reviews recent studies of resistance mechanisms and the genes governing insecticide resistance, potential candidate resistance mechanisms, and methods of monitoring insecticide resistance in bed bugs. This article provides an insight into the knowledge essential for the development of both insecticide resistance management (IRM) and integrated pest management (IPM) strategies for successful bed bug management.

Characteristics of Pesticide Poisoning in Rural and Urban Settings in Uganda

Pesticide poisoning is a significant burden on health care systems in many low-income countries. This study evaluates cases of registered pesticide poisonings treated in selected rural (N = 101) and urban (N = 212) health facilities in Uganda from January 2010 to August 2016. In the urban setting, pesticides were the most prevalent single poison responsible for intoxications (N = 212 [28.8%]). Self-harm constituted a significantly higher proportion of the total number of poisonings in urban (63.3%) compared with rural areas (25.6%) where unintentional poisonings prevailed. Men were older than women and represented a majority of around 60% of the cases in both the urban and rural settings. Unintentional cases were almost the only ones seen below the age of 10, whereas self-harm dominated among adolescents and young persons from 10 to 29 years of age. Organophosphorus insecticides accounted for 73.0% of the poisonings. Urban hospitals provided a more intensive treatment and had registered fever complications than rural health care settings. To minimize self-harm with pesticides, a restriction of pesticide availability as shown to be effective in other low-income countries is recommended. Training of health care workers in proper diagnosis and treatment of poisonings and improved equipment in the health care settings should be strengthened.

Environmental contaminants of honeybee products in Uganda detected using LC-MS/MS and GC-ECD

Pollinator services and the development of beekeeping as a poverty alleviating tool have gained considerable focus in recent years in sub-Saharan Africa. An improved understanding of the pervasive environmental extent of agro-chemical contaminants is critical to the success of beekeeping development and the production of clean hive products. This study developed and validated a multi-residue method for screening 36 pesticides in honeybees, honey and beeswax using LC-MS/MS and GC-ECD. Of the 36 screened pesticides, 20 were detected. The highest frequencies occurred in beeswax and in samples from apiaries located in the proximity of citrus and tobacco farms. Fungicides were the most prevalent chemical class. Detected insecticides included neonicotinoids, organophosphates, carbamates, organophosphorus, tetrazines and diacylhydrazines. All detected pesticide levels were below maximum residue limits (according to EU regulations) and the lethal doses known for honeybees. However, future risk assessment is needed to determine the health effects on the African genotype of honeybees by these pesticide classes and combinations of these. In conclusion, our data present a significant challenge to the burgeoning organic honey sector in Uganda, but to achieve this, there is an urgent need to regulate the contact routes of pesticides into the beehive products. Interestingly, the "zero" detection rate of pesticides in the Mid-Northern zone is a significant indicator of the large potential to promote Ugandan organic honey for the export market.

Farmers Knowledge, Attitudes, Practices and Health Problems Associated with Pesticide Use in Rural Irrigation Villages, Southwest Ethiopia

Background

In Ethiopia, pesticides are widely used for a variety of purposes. The occurrence of contamination and poisoning for farmers is highly reported due to unsafe handling practices and their usage. We assessed knowledge, attitudes and experiences of previous pesticide exposure, and related health problems among farmers who use irrigation in Jimma Zone, Southwest Ethiopia.

Methods

A community based cross-sectional study was conducted among farmers living in the zone. Respondents were 796 irrigation farmers from 20 kebeles (lowest administration unit) in Jimma Zone. Data were collected using a pretested and structured questionnaire via face-to-face interviews. Both descriptive and inferential statistics analysis were performed. A binary logistic regression was used to identify factors associated with attitudes of farmers towards the safe use of pesticides at P value of ≤ 0.05 in the final model.

Results

Among the participants, 54.4% (95%CI, 50.7–58%) knew at least one pesticide control method and 53.7% had positive attitudes towards safe use of pesticide. The mean score of attitudes was found to be 3.9(±0.4). Knowledge including each of the following: the names of the pesticides (AOR, 0.41; 95%CI, 0.25–0.67), methods of pest control and the use of gloves during pesticide exposure (AOR, 1.52; 95%CI, 1.07–2.16) was found to be independent predictor of the farmers’ attitudes about safe use of pesticides. Past exposure of pesticide was reported by 89.6% of farmers. Participants reported ingestion (88.9%) and inhalation (90.4%) as possible mechanisms of pesticide exposure. Nearly 42% of farmers had never used any personal protective equipment (PPE) to protect themselves against pesticide exposure. Farmers reported several health complications, which were perceived as complications of pesticide exposure, including: headache, nausea and vomiting, skin rash and irritation and abdominal pain.

Conclusions

The study exposed the existence of high probability of pesticide exposure, the low safe use of pesticide and the low use of PPE. However, but farmers had positive attitudes towards safe use of pesticides. These findings appeal for the development of effective public health strategies to improve farmers’ awareness and safe use of PPE. In addition, there is a need to inform farmers about integrated pest management to prevent severe health complications, which may occur as a result of unsafe and inappropriate use of pesticides.

Household use of insecticide consumer products in a dengue-endemic area in México

OBJECTIVES

To evaluate the household use of insecticide consumer products to kill mosquitoes and other insect pests, as well as the expenditures for using these products, in a dengue-endemic area of México.

METHODS

A questionnaire was administered to 441 households in Mérida City and other communities in Yucatán to assess household use of insecticide consumer products.

RESULTS

A total of 86.6% of surveyed households took action to kill insect pests with consumer products. The most commonly used product types were insecticide aerosol spray cans (73.6%), electric plug-in insecticide emitters (37.4%) and mosquito coils (28.3%). Mosquitoes were targeted by 89.7% of households using insecticide aerosol spray cans and >99% of households using electric plug-in insecticide emitters or mosquito coils. Products were used daily or every 2 days in most of the households for insecticide aerosol spray cans (61.4%), electric plug-in insecticide emitters (76.2%) and mosquito coils (82.1%). For all products used to kill insect pests, the median annual estimated expenditure per household that took action was 408 Mexican pesos ($MXN), which corresponded to approximately 31 $US. These numbers are suggestive of an annual market in excess of 75 million $MXN (>5.7 million $US) for Mérida City alone.

CONCLUSION

Mosquitoes threaten human health and are major nuisances in homes in the study area in México. Households were found to have taken vigorous action to kill mosquitoes and other insect pests and spent substantial amounts of money on insecticide consumer products.

Farmers' knowledge, practices and injuries associated with pesticide exposure in rural farming villages in Tanzania

Background

Pesticides in Tanzania are extensively used for pest control in agriculture. Their usage and unsafe handling practices may potentially result in high farmer exposures and adverse health effects.

The aim of this study was to describe farmers’ pesticide exposure profile, knowledge about pesticide hazards, experience of previous poisoning, hazardous practices that may lead to Acute Pesticide Poisoning (APP) and the extent to which APP is reported.

Methods

The study involved 121 head- of-household respondents from Arumeru district in Arusha region. Data collection involved administration of a standardised questionnaire to farmers and documentation of storage practices. Unsafe pesticide handling practices were assessed through observation of pesticide storage, conditions of personal protective equipment (PPE) and through self-reports of pesticide disposal and equipment calibration.

Results

Past lifetime pesticide poisoning was reported by 93% of farmers. The agents reported as responsible for poisoning were Organophosphates (42%) and WHO Class II agents (77.6%).

Storage of pesticides in the home was reported by 79% of farmers. Respondents with higher education levels were significantly less likely to store pesticides in their home (PRR High/Low = 0.3; 95% CI = 0.1-0.7) and more likely to practice calibration of spray equipment (PRR High/Low = 1.2; 95% CI = 1.03-1.4). However, knowledge of routes of exposure was not associated with safety practices particularly for disposal, equipment wash area, storage and use of PPE . The majority of farmers experiencing APP in the past (79%) did not attend hospital and of the 23 farmers who did so in the preceding year, records could be traced for only 22% of these cases.

Conclusions

The study found a high potential for pesticide exposure in the selected community in rural Tanzania, a high frequency of self-reported APP and poor recording in hospital records. Farmers’ knowledge levels appeared to be unrelated to their risk. Rather than simply focusing on knowledge-based strategies, comprehensive interventions are needed to reduce both exposure and health risks, including training, improvements in labeling, measures to reduce cost barriers to the adoption of safe behaviours, , promotion of control measures other than PPE and support for Integrated Pest Management (IPM).

Knowledge attitude and practice of pesticide use among agricultural workers in Puducherry, South India

OBJECTIVES

To study the level of knowledge and practice related to pesticides and their adverse effects among agricultural workers.

MATERIALS AND METHODS

A cross sectional study among 100 randomly selected agricultural workers, using or ever used pesticide within last one year was conducted in Puducherry, South India. The questionnaire was adapted from WHO field surveys of 'Exposure to Pesticides Standard Protocol' and similar studies. Data were collected by face to face interview.

RESULTS

All the participants were male with mean age of 54.3 yrs. While 70% of respondents perceived pesticide spraying affects a person's health, only 40% were aware that it affects the environment. Two thirds of the respondents (62%) were aware that pesticide enters the body through nose and affects lungs. Awareness on other modes of entry was less. Majority (76%) of them was aware of training programs conducted by government agriculture department on pest management. About 42% of farmers had good knowledge regarding pesticide. Between 40% and 70% of respondents were not using any protective equipments during pesticide spraying. Around 68% of farmers indiscriminately disposed empty containers while 48% buried the leftover pesticides. Significant association (p < 0.05) was observed between knowledge of the farmers and their practices related to pesticides.

CONCLUSION

Overall awareness of agricultural workers on pesticide was inadequate. Improper disposal of pesticides and its container can produce harm to the environment. The findings of the study emphasize the need to educate agricultural workers regarding safe and adequate use of pesticides to prevent health and environmental hazards.