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

Knowledge and perception of cereal farmers and extension agents on fungicide use in northern Ghana

BACKGROUND

Agricultural pesticide use in sub-Saharan Africa has doubled over the past three decades, with a greater relative increase for fungicides. As pesticide inputs continue to rise, so does the potential for the development of resistance. Here, we report on a survey conducted to understand pesticide resistance awareness, pesticide-use knowledge and practices of growers and agricultural extension officers (AEOs) in the cereals growing-belt of northern Ghana, with emphasis on fungicides. The results may inform development of strategies for improving pesticide literacy including resistance awareness, extension services and crop protection outcomes.

RESULTS

The survey revealed a low level of pesticide-use knowledge for AEOs and growers. This was more so for growers with low education, predominantly women. Education level (and indirectly gender) influenced perceived effectiveness of fungicides and levels of adoption of cultural and agrochemical best practices. Only 28% of growers and 11% of AEOs practiced crop and fungicide rotations, respectively. More than half (53%) of the respondents indicated that fungicides used in northern Ghana are not effective.

CONCLUSION

Given the low level of pesticide literacy of AEOs and growers, training programs on best practice for the use of pesticides, with targeted initiatives for female growers, would improve crop protection outcomes and safety. The limited adoptions of crop rotation and repeated use of fungicides with the same active ingredients, along with >50% of respondents reporting 'fungicides not working' suggest the potential presence of fungicide resistance cases in growers' fields in the Northern region of Ghana. Further work is needed to determine the incidence of resistance in the region. It is recommended that a key policy priority should focus on understanding broader agrochemical-use practices, crop losses and household-level food security in the presence of resistance risks. © 2024 The Authors. Pest Management Science published by John Wiley & Sons Ltd on behalf of Society of Chemical Industry.

Insecticide exposure and associated acute health effects in farmers in a rice growing district of India

This study investigated insecticide usage and associated acute health hazards in rice farming in Odisha, India. A retrospective cross-sectional study design was used to collect data from 139 participants, in the post-monsoon period, 2023. The participants were overwhelmingly male, mostly aged 30 and over, with basic literacy and a range of educational attainment, three-quarters ceasing education by 10th grade and a significant number never attending school. Most farmers/farmworkers used low or moderately toxic insecticides in low doses, typically 3 times/year. However, uptake of appropriate PPE was poor when mixing and applying insecticides. Almost two-thirds (63.4%) of participants reported discomfort/illness after insecticide exposure. Over 90% reported up to 3 symptoms, most experiencing skin irritation. The reported health symptoms were significantly higher among those who ate and drank during insecticide application, compared to those who did not. The number of symptoms reported was also significantly higher in participants who had seen or heard of community insecticide poisoning cases in the previous 12 months, compared with those who had not. Further research is needed on barriers to using effective PPE and on information and training on risks and controls of insecticide exposure that are appropriate for rice farmers in Odisha, India.

Chronic exposures to cholinesterase-inhibiting pesticides adversely affects the health of agricultural workers in India

Biomonitoring of pesticide exposure has become a public concern because of its potential health effects. The present study investigated the acetylcholinesterase (AChE) inhibitory levels and their associated health effects in agricultural areas in Telangana, India. This cross-sectional included 341 exposed participants and 152 control participants from agricultural areas. A structured questionnaire was completed and blood and urine samples were collected to measure pesticides, dialkyle phosphate (DAP) metabolites, and AChE activity using liquid chromatography-tandem mass spectrometry and reversed-phase high-performance liquid chromatography. twenty-eight pesticides were detected in blood samples at concentrations ranging 0.42-45.77 ng/mL. Six DAP metabolites were also measured in urine, and all DAP metabolites were significantly higher in the exposed group. AChE activity is significantly reduced in individuals exposed for >10 years, raising concerns regarding possible neurological disorders. These results emphasise the urgent need to investigate the health effects of pesticides exposure, especially in agriculture.

A phenomenological inquiry into farmers' experiences growing cotton in Punjab, Pakistan

Sustainability in cotton production is inevitable because producing more cotton means more employment, economic acceleration, and industrial expansion. India, China, the United States, Brazil, and Pakistan contribute 74% of worldwide cotton production. Pakistan is contributing only 5%, despite the high potential of cotton. The average yield of cotton in Pakistan is stagnant at 570.99 kg hm-2, whereas it entails the highest cost of production among all other crops. The yield obtained in Pakistan is less than the potential, profitability is drastically lessening, and farmers are abandoning cotton for alternative kharif crops. Some traditional quantitative studies have unveiled different factors that affect cotton production. However, an in-depth qualitative study has never been conducted in Pakistan to explore the root causes of growing cotton crop failure. Following Moustakas's traditional phenomenological guidelines, this phenomenological study was conducted in the district of Rahim Yar Khan in the core cotton zone of Punjab province. A total of 10 interviews were conducted with purposively selected cotton growers based on a criterion: (i) having more than 10 years of cotton growing experience, (ii) being a cotton grower, and (iii) having at least 10 years of formal schooling. Interviews were conducted face to face on an interview guide. One interview lasted 45-50 min, and responses were recorded and analyzed using a thematic analysis approach. A total of 6 themes emerged from the collected data, including (i) climate change, (ii) varietal problems, (iii) pesticide usage, (iv) sense of institutional services, (v) attitude of farmers and (vi) soil health and environment. These six merging themes contributed to cotton crop failure and yield decline. The deep exploration further summarized that researchers, extensionists, and farmers need to seriously consider variety, sowing time, and the environment to revive cotton crops. The detailed recommendations and policy guidelines are presented in this paper, highlighting the cotton sector's research, development and investment areas.

Patterns, Clinical Outcome, and Factors Associated with Poisoning Outcomes among Poisoned Patients in Northwest Ethiopia

Introduction

Poison is a substance that can hurt or cause dysfunction in the body due to its chemical action. Poisoning related to pesticides used in agriculture is a major public health issue in developing countries. However, there is a limited epidemiological data on poisoning in Ethiopia.

Objective

The aim of this study was to determine poisoning patterns, clinical outcome, and factors associated with poisoned patients in Northwest Ethiopia.

Methods

A cross-sectional study was conducted in July 2021 to include data of 1 year period. Data of all poisoned patients were collected using a standardized checklist from the registration book and patient medical records. The association between variables and outcomes was analyzed using a multivariable logistic regression model. A p-value of < 0.05 was considered to declare a statistically significant association.

Result

Over one-third of the poisoning cases (35.9%) were seen in the spring, according to a survey of 315 patient medical data. The majority of patients were in the age group of 21-30 years (44.1%). The most common form of poison consumed was organophosphate (OP), which accounts for 61.3% of all visits, and the least common was food poisoning, which accounts for 1.9%. About 82.5% of poisoning cases survived, while the remaining 17.5% were died. Time of arrival to the hospital ≥1 h (adjusted odds ratio (AOR) = 7.02; 95% confidence interval (CI): 1.16, 11.40), lack of oxygen support (AOR = 6.64; 95% CI: 3.56-6.78), and lack of adrenaline/dopamine medication (AOR = 3.57; 95% CI: 1.17-5.78) were all substantially linked with death of poisoned cases.

Conclusions

Three-fourth of poisoning cases survived, while the remaining one-fourth died. Ingestion of OPs is the most prevalent type of poisoning, and most cases are intentional. Delayed arrival ≥1 h, lack of oxygen support, and adrenaline/dopamine treatment were all linked to death. On-time arrival, oxygen assistance, and adrenaline/dopamine treatment in a healthcare setting are all recommended.

Knowledge and practices of commercial banana farmers related to pesticide use in Chitwan district, Nepal; a cross-sectional study and meta-analyses

The exposure of farmers to pesticides due to inadequate safety measures is a concern in low-income countries in Africa and Asia. However, until now, there have been limited studies on the farmers' risk due to pesticide application to fruit crops. The knowledge of farmers' exposure related to pesticide use and their safety practices was studied among 100 banana farmers in three areas (Padampur, Jagatpur, and Thimura) of Chitwan district, Nepal. More than 75% of the farmers complained about problems related to insects. Most frequently used insecticides in the area were chlorpyrifos and cypermethrin. Ten percent (10%) of the applied pesticides were highly hazardous to humans, according to the World Health Organization hazard category, with skin rash being the most common acute symptom reported by 29% of the farmers. Banned organochlorine and organophosphate insecticides, such as endosulfan and triazophos, respectively, are still being used by farmers in the aforementioned areas. Spearman's correlation analysis revealed the lack of knowledge and safety practices among farmers leading to inadequate awareness related to the negative effects of pesticide use on human health and the environment. Therefore, government extension service can play a crucial role in improving banana farmers' knowledge of the toxic effects of pesticides as well as enforcing the Nepali language in the labeling of pesticide containers and packages.

Research progress on pesticide residue detection based on microfluidic technology

The problem of pesticide residue contamination has attracted widespread attention and poses a risk to human health. The current traditional pesticide residue detection methods have difficulty meeting rapid and diverse field screening requirements. Microfluidic technology integrates functions from sample preparation to detection, showing great potential for quick and accurate high-throughput detection of pesticide residues. This paper reviews the latest research progress on microfluidic technology for pesticide residue detection. First, the commonly used microfluidic materials are summarized, including silicon, glass, paper, polydimethylsiloxane, and polymethyl methacrylate. We evaluated their advantages and disadvantages in pesticide residue detection applications. Second, the current pesticide residue detection technology based on microfluidics and its application to real samples are summarized. Finally, we discuss this technology's present challenges and future research directions. This study is expected to provide a reference for the future development of microfluidic technology for pesticide residue detection.

Esophageal and Head and Neck Cancer Patients Attending Ocean Road Cancer Institute in Tanzania from 2019 to 2021: An Observational Study

BACKGROUND

Cancer in Africa is an emerging public health problem that needs urgent preventive measures, particularly in workplaces where exposure to carcinogens may occur. In Tanzania, the incidence rate of cancer and mortality rates due to cancers are increasing, with approximately 50,000 new cases each year. This is estimated to double by 2030.

METHODS

Our hospital-based cross-sectional study describes the characteristics of newly diagnosed patients with head and neck or esophageal cancer from the Ocean Road Cancer Institute (ORCI), Tanzania. We used an ORCI electronic system to extract secondary data for these patients.

RESULTS

According to the cancer registration, there were 611 head and neck and 975 esophageal cancers recorded in 2019-2021. Two-thirds of these cancer patients were male. About 25% of the cancer patients used tobacco and alcohol, and over 50% were involved in agriculture.

CONCLUSION

Descriptions of 1586 head and neck cancer patients and esophageal cancer patients enrolled in a cancer hospital in Tanzania are given. The information may be important for designing future studies of these cancers and may be of value in the development of cancer prevention measures.

How to reduce pesticide exposure in farmers: An intervention study

BACKGROUND

Pesticide poisoning is a serious public health problem.

OBJECTIVE

The aim was to investigate the effect of safe pesticide application training given to farmers on their behaviors towards compliance with protective measures.

METHODS

In this interventional study, the target population was 9750 farmers living in Turkey. To achieve a study power of 95% , type I error and the effect size were assumed as 5% and 0.50 respectively. In the study, 61 farmers were selected using the systematic sampling method. Farmers were interviewed twice, before and after the training, and at each interview, they were asked questions about their pesticide use-related behaviors in the last four sprayings. In the analysis, the paired t test, repeated measures of ANOVA (post hoc: Bonferroni) were used.

RESULTS

The scores the participants obtained from the Pesticide Exposure Prevention Behavior Form which questions their compliance with protective measures taken during pesticide applications at the post-interview were significantly higher than were the scores they obtained at the pre-interview (P <  0.001). The analysis of the independent variables demonstrated that the scores obtained from the Pesticide Exposure Prevention Behavior Form at the post-interview were significantly different from those obtained at the pre-interview in almost all of the subgroups in terms of their sociodemographic characteristics.

CONCLUSION

It was observed that the training given to the farmers on the safe use of pesticides encouraged the farmers to develop positive behavioral changes. The study emphasizes the importance of implementing ongoing health education programs for farmers.

Determination of pesticide residues in the serum of flower farm workers: A growing occupational hazards in low income countries

Ethiopia is one the major exporter of cut flowers in East Africa. However, the sector is blamed for the intensive use of pesticides which leads to exposure of workers. This study aims to investigate the level of pesticides in blood serum of flower farm workers as a predictor to occupational exposure. A cross-sectional laboratory based study was conducted in central Ethiopia among 194 flower farm workers. Blood sample were collected from 100 study participants (50 from farm workers and 50 civil servants as control). Blood-serum separation, extraction, and clean-up was performed following standard analytical methods. Ten organochlorine pesticides (OCPs) (o,p'-DDT, p,p'-DDD, p,p'-DDE, p,p'-DDT, heptachlor, heptachlor epoxide, endosulfan, dieldrin, methoxychlor, dibutychloridate), and three pyrethroids (cypermethrin, permethrin and deltamethrin) were detected in the serum of the study participants. From the detected pesticides p,p'-DDT and p,p'-DDE were observed at high mean concentration (81.5 ± 83.5, and 12.5 ± 6.7 ng/mL),(38.0 ± 31.8 and 6.84 ± 7.4 ng/mL) in the flower farm and controls, respectively. From the Mann-Whitney U-test, there is a significant difference for total DDT (P < 0.02), p,p'-DDE (P < 0.001), cypermethrin (P < 0.001), heptachlor (P < 0.04), heptachlor-epoxide (P < 0.001) and dibutyl chlorendate (P < 0.01) among the flower farm workers and controls. Multinomial regression revealed, being flower farm worker is a significant predictor of moderate to high residues of p,p'-DDE, total DDT, heptachlor-epoxide and dibutyl chlorendate. The pesticides under study were detected more frequently in the flower farm workers than controls which is an indicative for occupational exposure to pesticides and strict regulation is important for the safety of workers.

Occupational and environmental pesticide exposure and associated health risks among pesticide applicators and non-applicator residents in rural Ethiopia

Intensive pesticide use increased concern about the potential acute and chronic health effects of pesticides in general and among applicators in particular. This study aims to explore occupational and environmental pesticide exposure and health risks among pesticide applicators and residents. A community-based cross-sectional study was conducted involving 1,073 individuals. We examined the health effects potentially attributable to pesticide exposure using regression to estimate prevalence ratios (PR). A higher proportion of good knowledge of pesticides [75 vs. 14%; APR = 1.542 (1.358-1.752), p < 0.001] and a higher mean score of perceived health risk of pesticide use [4.21 vs. 3.90; APR = 1.079 (1.004-1.159), p < 0.05] were observed among applicators than residents. A significantly higher proportion of applicators experienced health effects presumably related to pesticide exposure among themselves (36%) than residents (16%), and a higher proportion of them used prescribed drugs in the past 12 months [51 vs. 32%; APR = 1.140 (1.003-1.295), p < 0.05]. Skin irritation, shortness of breath, cough, and dizziness were more likely reported by applicators than residents. Perceived toxicity of currently applied pesticide products, mix pesticides without gloves, regularly maintain and wash sprayer tank after application, occurrence of an incidental splash during mixing and application, and using home-based care after experiencing a symptom presumably due to pesticide exposure were significantly associated with health effects among applicators. Use of face mask and visiting health facility when experiencing a symptom presumably due to pesticide exposure were significantly positively correlated with attending training on the health risks and use of pesticides. A substantial proportion of applicators reported improper use of preventive measures and methods of pesticide waste disposal. These observations point out that applicators can face high health risks of occupational pesticide exposure in Ethiopia. Even trained applicators pursued poor preventive practices; hence, comprehensive practice-oriented in-depth training focusing on safety precautions and proper use of personal protective equipment, and provision of adequate pesticide waste disposal means are crucial interventions.

Pesticide Safety Awareness among Rural Farmers in Dadinkowa, Gombe State, Nigeria

INTRODUCTION

Because of the longer growing season and warmer climate, weeds and insect pests spread are on the rise, thereby increasing the demand for pesticide use and consequently harmful emissions that further exacerbate climate change. Unsafe occupational exposure to pesticide residue is associated with a lack of product knowledge and safety awareness among farmers in low- and middle-income countries (LMICs).

MATERIALS AND METHODS

A cross-sectional descriptive study design was adopted for this study in which a face-to-face administered questionnaire was used to collect data from 285 respondents who were selected using convenient snowball sampling technique. Knowledge, awareness, and practices related to pesticide storage, handling, application, and containers disposal among the farmers were measured. Categorical variables were analysed and presented using descriptive statistics in the form of frequency count and percentage, while numeric items were summarized using mean and standard deviation.

RESULTS

Dichlorvos and Perfekthion 2.5 EC listed in the WHO Group I pesticide classification were among the most frequently used pesticides. Symptoms of pesticide intoxication reported include headaches (56.1%), dizziness (56.5%), skin irritation (53.3%), and fatigue (45.6%), respectively. Farmers' behaviour during pesticide application include blowing clogged nozzle with mouth (42.7%), talking while spraying (59.8%), and mixing pesticide with bare hands (31.1%). Furthermore, 38.5% of them use pesticide containers for other domestic purposes.

CONCLUSIONS

Socioeconomic factors, i.e., educational level, age, and years of farm practice, influenced farmers safety behaviour. Based on these findings, an approach that will help strengthen capacity building programmes and the enhancement of knowledge-based initiatives around the adoption of non-synthetic pest-control methods should be encouraged.

Effects of Market Incentives and Livelihood Dependence on Farmers’ Multi-Stage Pesticide Application Behavior—A Case Study of Four Provinces in China

Improvement in pesticide application and efficiency structure has long been recognized as having great significance in reducing pollution, ensuring food safety, and promoting green agricultural development. Based on theoretical analysis, using the survey data of 766 farmers in key tea areas in Shaanxi, Sichuan, Zhejiang, and Anhui provinces in China, the study empirically analyzes the influence of market incentives and livelihood dependence on farmers’ multi-stage pesticide application behavior. More specifically, the study employed ordered probit analysis to craft its findings. The dependent variable of this study is the multi-stage pesticide application problem of farmers, and the core independent variables are market incentives and livelihood dependence, and the judgment is based on the core variable coefficients of the econometric model of farmers at each stage. The study found the following: (i) Market incentives significantly prompted some farmers to give up synthetic pesticide application and farmers tend to choose green pesticides in the type of pesticide application. (ii) Livelihood dependence meant that the proportion of tea income significantly prompts farmers to apply pesticides, and also creates a tendency for farmers to choose green and low-toxic pesticides in the type of pesticide application. The planting period tends to have a moderate impact on applying green and low-toxic pesticides. (iii) The interaction term of market incentives and the proportion of tea income has no significant impact on farmers’ multi-stage pesticide application behavior. The interaction term of market incentives and planting years has impacted negatively on whether farmers apply pesticides, and has no significant impact on farmers’ choice of pesticide application types, but makes farmers increase the amount of green and low-toxic pesticides. (iv) The education level of the household head significantly promotes farmers to choose green and low-toxic pesticides. Seemingly, the brand effect of pesticides significantly encourages farmers to choose green and low-toxic pesticides. In external support, technical training significantly encourages farmers to choose green and low-toxic pesticides. Furthermore, better infrastructure and local market conditions significantly encourage farmers to reduce the use of conventional pesticides.

Multi-residue Analysis, Probabilistic Dietary Risk Assessment of 241 Pesticides in Wheatgrass (Triticum sp.) using LC-MS/MS in Combination with QuEChERS Extraction

Wheatgrass is consumed as an important nutritious herbal food supplement across the globe; however, limited studies have been reported on analysis of multi-class pesticides in this complex nutrient rich natural product. An analytical method was developed for the estimation of 241 pesticides in random Wheatgrass samples collected from Delhi-Northern Capital Region (Delhi-NCR). Extraction was performed by QuEChERS, cleaning was performed by dispersive solid phase and the extracts were analyzed using Triple Quadrupole Liquid Chromatography Mass Spectrometry. The limit of quantification was 0.5 μg /kg, which is well below European Union-Maximum Residue Level. The coefficient of determination was >0.991 across calibration range of 0.5-100 μg /kg. The Relative Standard Deviation values for 231 pesticides based on 10 replicates of samples spiked at 10 μg /kg were <5%. Among random samples, 54% confirmed the presence of at least one pesticide. Results indicated the presence of 8 different pesticides among 38% of total population with Metribuzin at 299.7 μg /kg and Carfentrazone-ethyl at 19.47 μg/kg exceeding the permissible limits among 6% of total estimated population. The chronic and acute risk quotients as calculated were less than 1, indicating non-significant dietary risk to consumers. However, the presence of pesticides above permissible limit is likely to result in adverse health effects to the consumers of herbal supplements from urban population and incorporating measures would be useful to ensure the quality and safety of wheatgrass consumption.

Pesticide handling and waste management: a case study on DDT and HCHs from the Southern Caucasus

Abstract

This study presents a survey on pesticide use, pesticide storage and pesticide disposal among 100 residents near a former pesticide store in rural Georgia using a standardized paper questionnaire. More than one quarter of the participants responded that the age of the pesticides they use is higher than 20 years. Based on this finding, it cannot be excluded that persistent organic pollutants like Dichloro-diphenyl-trichloroethane and hexachlorocyclohexanes still are released to the environment. Knowledge about active ingredients of pesticides is lacking among farmers: More than two thirds state that they know the active ingredients, while less than 10% mention an active ingredient matching the brand name they report. Purchasing pesticides in containers without labels appears to be common practice. Information about the pesticides is mainly obtained from the pesticide retailer, while the label is less important as a source of information. More than 95% of the participants store the pesticides in a separate store, but appropriate possibilities of hazardous waste disposal seem to be insufficient in rural areas in the region. The finding that pesticides are purchased and stored in repacked secondary containers, poses direct risks and hampers communication of risks to users. Improving (implementation of) regulations for pesticide handling and strengthening local knowledge through better vocational training can improve soil and groundwater protection and sustainable use of resources.

Article highlights

Pesticide Use Knowledge, Attitude, Practices and Practices Associated Factors Among Floriculture Workers in Bahirdar City, North West, Ethiopia, 2020

Pesticides are substances that are used to kill, decrease, or repel pests and are used extensively to boost agricultural production. Ethiopian floriculture is one of the pesticide-intensive agricultural production centers and it provides jobs for 1000s of Ethiopians. Despite its significant contribution to the national economy, many issues are raised by the workers. The study aimed to assess the knowledge, attitudes, practices, and factors associated with the practices of workers against pesticide exposure among floriculture workers in Bahirdar city. A cross-sectional occupational study was done. The participants were recruited using a stratified sample technique. The final study participants were chosen using a simple random sampling procedure. The survey received 300 responses, 95.2% response rate from the entire sample size. The mean age of floriculture workers was 20 (SD ± 3.21) years, with a range of 17 to 48 years. The majority of workers (228) were females, and 36 (12.0%) of workers were illiterate. About 259 (86.3%) of floriculture workers did not know the name of the pesticide they were using. More than three-fourth 256 (85.3%) of respondents know at least one type of pesticide-related health problem. In this study, the most known type of pesticide routes of entry into the body were eyes (72.3%), skin (67.3%) followed by ingestion (67.0%). About 100 (33.3%) of the participants had good overall knowledge related to pesticide use and 134 (44.7%) of workers had a positive attitude on safe pesticide application. The level of good practice was 61.3% (N = 184). Knowing the impact of pesticide on environment (AOR, 0.54; 95% CI, 0.30-0.96), Knowing pesticide health problems, (AOR, 0.36; 95% CI, 0.20-0.63), willingness to wear and invest for PPE (AOR, 0.53; 95% CI, 0.28-0.98) and PPE supply (AOR, 0.29; 95% CI, 0.16-0.51) were significantly associated with workers pesticide handling practices. Workers who didn't know pesticide health problems were 36% less likely to have a good practice. The likelihood of having good practices among works who disagree to wear and invest on PPE 53% lower than those who agree on it. The likelihood of having good practices among workers who didn't have any PPE supply was lower than their counterparts with (AOR, 0.29; 95% CI, 0.16-0.51). Floriculture workers had poor handling practices therefore continuous pesticide training programs for workers could be implemented.

Farmers' knowledge and practice regarding good agricultural practices (GAP) on safe pesticide usage in Indonesia

Synthetic pesticides are widely applied for pest and disease control in Indonesia. However, a lack of knowledge and use of Good Agricultural Practices (GAP) for safe pesticide usage among Indonesian farmers remains a problem. This study aims to investigate the gap between farmers' knowledge of GAP for safe pesticide usage and their application of it. This research was conducted in 2020 in five Indonesian provinces. Primary data collection was by means of a survey, in which 298 respondents answered structured questionnaires. The survey also identified the sources of the information recorded and the respondents’ experience of pesticide exposure. The analysis tools used were the Wilcoxon Signed Ranked Test and Importance-Performance Analysis (IPA). There were significant differences in the results of the first analysis. These results appear to confirm the results of further analysis using IPA, which show that a high level of knowledge does not mean that farmers will apply this knowledge in practice: this is particularly relevant to wearing gloves and masks, using tools to remove blockages, never clearing blocked nozzles by blowing into them, and disposing of empty containers properly. Nevertheless, in some cases high levels of knowledge do result in high levels of application. Cases of pesticide exposure affecting human health by causing symptoms such as dizziness, nausea, and vomiting confirm that GAP for pesticide usage are not being implemented properly by some farmers. It is therefore recommended that their knowledge should be enhanced through the series of technical training programs using participatory approaches, so that farmers accumulate knowledge which will drive them to adopt GAP for safe pesticide usage.

Evaluation of two-year recall of self-reported pesticide exposure among Ugandan smallholder farmers

OBJECTIVES

To evaluate smallholder farmers' recall of pesticide use and exposure determinants over a two-year period in a low-income country context.

METHODS

The Pesticide Use in Tropical Settings (PESTROP) study in Uganda consists of 302 smallholder farmers who were interviewed in 2017. In the same season in 2019, these farmers were re-questioned concerning pesticide use (e.g., use of active ingredients) and exposure information (e.g., crops, personal protective equipment [PPE], hygienic behaviours) they had previously provided. The extent of recall bias was assessed by comparing responses at follow-up in 2019 with practices and behaviours reported from the baseline interview in 2017.

RESULTS

An 84% (n = 255) follow-up response rate was attained. We found instances of better recall (e.g., overall agreement >70% and Area Under the Curve (AUC) values > 0.7) for the use of some active ingredients, commonly used PPE items, and washing clothes after application, whereas only 13.3% could correctly recall their three major crops. We observed a trend where more individuals reported the use of active ingredients, while fewer reported the use of PPE items, two years later. In general, we found better agreement in the recall of years working with pesticides compared to hours per day or days per week in the field, with no apparent systematic over or under reporting by demographic characteristics.

CONCLUSIONS

While some of these findings provide consistency with those from high-income countries, more research is needed on recall in poorly educated agriculture communities in low- and middle-income settings to confirm these results.

OUP accepted manuscript

Background

Occupational epidemiological studies on pesticide use commonly rely on self-reported questionnaire or interview data to assess exposure. Insight into recall accuracy is important, as misclassification of exposures due to imperfect recall can bias risk estimates.

Methods

We assessed the ability of workers in three UK cohorts (Prospective Investigation of Pesticide Applicators’ Health [PIPAH], Pesticide Users’ Health Study [PUHS], and Study of Health in Agricultural Work [SHAW]) to remember their working history related to pesticide exposure over time periods ranging from 3 to 14 years prior. During 2019–2020, cohort participants were re-surveyed using a similar questionnaire to that used previously. We compared recall of responses at follow-up to those reported at baseline related to crops/areas of work, use of personal protective equipment (PPE) items, hygiene habits, frequency of pesticide use, and application method. To assess the extent of recall, we used sensitivity, specificity, the percentage of overall agreement, and area under the curve (AUC) values. We also examined the presence of over or underestimation of recalled years, and days and hours per year, of working with pesticides using geometric mean ratios (GMR) and regression analysis to investigate any trends based on demographic characteristics.

Results

There were 643 individuals who completed both the baseline and follow-up surveys in the three cohorts with response rates ranging from 17 to 46%. There was a strong correlation (rho = 0.77) between the baseline and recalled years working with pesticides, though higher values were reported at follow-up (GMR = 1.18 [95% confidence interval: 1.07–1.30]) with no consistent differences by demographic characteristics. There was stronger agreement in the recalled days compared to hours per year in two of the cohorts. Recall for a number of exposure determinants across short and longer periods entailed overall agreement of >70%, though with some differences: for example, sensitivity for long-term recall of crops was poor (<43% in PUHS), whereas short-term recall of hygiene practices was good (AUC range = 0.65–1.00 in PIPAH).

Conclusion

Results indicate that recall ability may deteriorate over a longer period. Although low-response rates may require these findings to be interpreted with caution, recall for a number of exposure determinants appeared reliable, such as crops and hygiene practices within 3 years, as well as days per year working with pesticides.

Persistent organic pollutants: The trade-off between potential risks and sustainable remediation methods

Persistent Organic Pollutants (POPs) have become a very serious issue for the environment because of their toxicity, resistance to conventional degradation mechanisms, and capacity to bioconcentrate, bioaccumulate and biomagnify. In this review article, the safety, regulatory, and remediation aspects of POPs including aromatic, chlorinated, pesticides, brominated, and fluorinated compounds, are discussed. Industrial and agricultural activities are identified as the main sources of these harmful chemicals, which are released to air, soil and water, impacting on social and economic development of society at a global scale. The main types of POPs are presented, illustrating their effects on wildlife and human beings, as well as the ways in which they contaminate the food chain. Some of the most promising and innovative technologies developed for the removal of POPs from water are discussed, contrasting their advantages and disadvantages with those of more conventional treatment processes. The promising methods presented in this work include bioremediation, advanced oxidation, ionizing radiation, and nanotechnology. Finally, some alternatives to define more efficient approaches to overcome the impacts that POPs cause in the hydric sources are pointed out. These alternatives include the formulation of policies, regulations and custom-made legislation for controlling the use of these pollutants.

Pesticide exposure and genotoxic effects as measured by DNA damage and human monitoring biomarkers

Occupational pesticides exposure rises health concern due to genotoxicity and accumulation of pesticides in human biological matrices. Continuous and sublethal exposure to pesticides had been associated with oxidative stress, mutagenic and cell death. Exposure to pesticides exhibits increased level of DNA damage even if no detectable amounts of pesticides are seen in biological matrices by binding specific areas in the DNA. This interferes normal body systems and mutation in gene encoding specific activities which may lead to a wide range of cancer. Presence of pesticides compounds in human biological matrices had been evident from various studies. However, detection methods are complex and inconsistent, making it difficult to compare and generalize findings. This article provides insight into genotoxic effects, presence of pesticides and their metabolites in human biological matrices and the resultant health effects as measured by DNA damage, acetylcholinesterase (AChE) activity inhibition and other biomarkers of pesticides exposure.

Farmers' Knowledge, Attitudes, and Perceptions Regarding Carcinogenic Pesticides in Fez Meknes Region (Morocco)

Pesticides play an important role in the improvement of agricultural production, but their use may result in adverse effects on the environment, consumers, and farmers' health. As there are limited data focusing on the factors influencing safety behavior toward pesticide use in Morocco, we conducted a cross-sectional survey in 15 rural communities of Morocco's Fes Meknes region to assess the attitudes, knowledge, and practices regarding pesticide use. A structured questionnaire was completed, containing the data of the interviewed farmers, their behavior towards safety measures, the type of active ingredient used, as well as the perception of risks to their own health following exposure to pesticides by the existence of chronic, self-perceived symptoms. Non-probability (empirical) sampling with the quota method was carried out, which consists of constructing the sample. Results showed that most respondents have not been trained in the application of pesticides, with almost half of the farmers using a category of pesticides which are classified by the International Agency for Research on Cancer as probable human carcinogenic (i.e., Glyphosate, Malathion). In terms of pesticide storage, 40% of farmers said that they did not store pesticides in a separate room after purchasing or using them. The empty containers were buried or burnt by half of the responders, while the remainder were thrown at the edge of fields or in public dumps. Although the participants were aware of the negative effects on their own health and on the environment caused by the application of pesticides in use, the protection measures by individual equipment were insufficient. A canonical analysis indicates that these behaviors were influenced by the farming experience, the benefit of the agricultural council services, the follow-up of training, and the education level. These variables are important factors in explaining and understanding the dangers to both the environment and health caused by pesticides. The most recorded likely consequences of pesticide exposure were visual impairment (46%), followed by dizziness (44.3%), headache (39.4%), and excessive sweating (34.4%), and 30.2% of participants identified consequent respiratory problems. Extension services targeted at safety and protection measures should be developed and accompanied by educational programs to put farmers' perceptions into practice and encourage them to adopt healthy and environmentally friendly behaviors.

Occupational Contact Dermatitis in Employees of Large-Scale Narcotic Crop Farms of Ethiopia: Prevalence and Risk Factors. A Self-Reported Study Using the Nordic Occupational Skin Questionnaire

BACKGROUND

Occupational skin diseases are the second leading occupational disease, accounting for almost 25% of all missed workdays. Occupational contact dermatitis (OCD) accounts for 70% to 90% of all skin disorders in the workplace. Only a few occupational epidemiology studies have looked into the prevalence and risk factors of occupation-induced dermatitis among narcotic crop farm workers around the world. Related studies in Ethiopia are even fewer.

METHODS

A cross-sectional survey was conducted in the Dirashe district of Southern Ethiopia from March 23 to April 12, 2021. Data was collected using a standardized interviewer-administered questionnaire. The history of contact dermatitis was determined using the standardized Nordic Occupational Skin Questionnaire version 2002 (NOSQ-2002). A total of 578 farm laborers took part in the study, which was conducted using a systematic random sampling. Descriptive statistics and multivariable regression were used to characterize the data and identify factors associated with occupational contact dermatitis.

RESULT

The prevalence of self-reported occupational contact dermatitis in the past 12 months among workers of large-scale Khat farms was (AOR: 67.80%, 95% CI [61.00, 76.23]). In the multivariable regression, being older (AOR: 5.51, 95% CI [1.79, 7.24]), working as a bundle binder (AOR: 5.74, 95% CI [2.12, 15.55]), not wearing personal protective equipment (PPE) (AOR: 2.50, 95% CI [1.64, 3.81]), and having poor knowledge of pesticides use, storage, and disposal methods (AOR: 2.50, 95% CI [1.64, 3.81]) were associated with occupational contact dermatitis.

CONCLUSION

Contact dermatitis caused by work is very common among Khat farm laborers. Measures to promote safe practices and reduce exposure to hazards, such as removing expired and/or banned chemicals, purchasing alternative pesticides that meet legislative requirements, job rotation and routine training of staff on safe practices, increasing safety signage, and performing risk assessments, as well as improving the quantity and quality of institutional protective equipment supplies may thus contribute to the enhancement of safe work practices.

Pesticide Use, Perceived Health Risks and Management in Ethiopia and in Hungary: A Comparative Analysis

Pesticides play a very important role for ensuring food security and economic growth but their use can cause harmful effects to human health and to the environment. The study aimed to investigate the level of knowledge, health risk perceptions, and experiences on the practice of pesticide use and management among extension officers in Ethiopia and plant doctors in Hungary. A questionnaire survey among 326 officers was conducted in the two study areas and data were analyzed by ordinal logistic regression. According to the findings, Hungarian officers had much better knowledge of pesticide products (92%), and less frequently experienced pesticide poisoning among applicators (7%) than the Ethiopians (66% and 41%, respectively). Hungarian officers perceived less health risk of pesticide use (AOR = 0.46, 95%, Cl: 0.27-0.80), were ten times more likely to deem the pesticide management system effective (AOR = 10.23, 95%, Cl: 5.68-18.46) and were nine times more likely to report that applicators used personal protective equipment (AOR = 8.95, 95%, Cl: 4.94-16.28). A significant proportion of officers from both countries reported inappropriate methods of pesticide residue disposal. These observations point out that the situation of pesticide use and knowledge and management of pesticide products is definitely better in Hungary; nevertheless, the issue continues to need more attention in both settings.

High pesticide inhalation exposure from multiple spraying sources amongst applicators in Eswatini, Southern Africa

BACKGROUND

Serious concerns surround the potential risks resulting from inhalation exposure to pesticides amongst agricultural workers when mixing and applying these compounds. In Eswatini (formerly known as Swaziland), Southern Africa, pesticides are widely used to improve the yield and quality of sugar cane production, the largest contributor to the country's economy. We assessed applicators' inhalation exposures from multiple spraying sources to four commonly used herbicides in Eswatini.

RESULTS

Analysis of 76 personal air samples by liquid chromatography with tandem mass spectrometry (LC-MS/MS) revealed four pesticides: ametryn, atrazine, pendimethalin and 2,4-dichlorophenoxyacetic acid, with mean concentrations of 36.91, 21.57, 31.05 and 0.89 μg m^-3 , respectively. These inhalation exposures are much higher than those recorded in previous similar studies.

CONCLUSION

Although all applicators in this study used personal protective equipment (PPE), they nevertheless recorded high levels of inhalation exposure to commonly used pesticides. Our findings suggest that in addition to observing mandated regular changing and cleaning practices with PPE for ultimate personal protection, pesticide applicators should distance themselves from each other when spraying to effectively reduce their exposure to pesticides from multiple spraying sources. Further studies are needed to determine the optimal spraying distance between pesticide applicators. © 2021 Society of Chemical Industry.

Whose Jurisdiction Is Home Contamination? Para-Occupational 'Take-Home' Herbicide Residue Exposure Risks among Forestry Workers' Families in South Africa

Para-occupational “take-home” exposure risks among forestry workers and their families in low-and middle-income countries (LMICs) have not been well characterized. This is a concern because research shows an association between chronic low-dose herbicide exposure and adverse health effects. This study explored take-home herbicide residue exposure risks among forestry workers in the Western Cape, South Africa, through the community-based participatory research approach of photovoice. A key finding of the study was the absence of provisions related to take-home exposure in the national legislation and workplace policies, which largely contributed to poor adherence to risk reduction practices at worksites, in addition to workers transporting residues to their homes. This study demonstrated evidence of the key omissions regarding take-home exposure at the policy level (e.g., recommendations for employers to reduce take-home risks among employees, and training of workers and their families on take-home exposure) and take-home herbicide residue exposure among worker’s families, including children.

Ecological risk assessment of pesticide residues in soils from vegetable production areas: A case study in S-Nepal

Pesticides pose a serious risk to ecosystems. In this study, we used European Food Safety Authority methods, such as risk quotient (RQ) and toxicity exposure ratios (TER), to assess the potential ecological risks of 15 pesticide residues detected in agricultural soils in the Gaidahawa Rural Municipality of Nepal. The mean and maximum concentrations of the detected pesticide residues in the soil were used for risk characterization related to soil organisms. RQ_mean, TER_mean and RQ_maximum, TER_maximum were used to determine general and the worst-case scenarios, respectively. Of all the detected pesticides in soils, the no observed effect concentration (NOEC) for 27% of the pesticides was not available in literature for the tested soil organisms and their TER and RQ could not be calculated. RQ threshold value of ≥1 indicates high risk for organisms. Similarly, TER threshold value of ≥5, which is acceptable trigger point value for chronic exposure, indicates an acceptable risk. The results showed that the worst-case scenario (RQ_maximum) indicated a high risk for soil organisms from chlorpyrifos [RQ_maximum > 9 at depths (cm) of 0-5, 15-20 and 35-40 soil layer]; imidacloprid (1.78 in the 35-40 cm soil layer) and profenofos (3.37 in the 0-5 cm and 1.09 in the 35-40 cm soil layer). Likewise, for all the soil depths, the calculated TER for both the general and worst-case scenarios for chlorpyrifos ranged from 0.37 to 3.22, indicating chronic toxicity to F. candida. Furthermore, the risk of organophosphate pesticides for soil organisms in the sampling sites was mainly due to chlorpyrifos, except for two study sites where the risk was from profenofos. Ecological risk assessment (EcoRA) of the pesticide use in the study area indicated that the EFSA soil organisms were at risk at some of the localities where farmers practiced conventional farming.

Pesticide Spraying and Reduced Cholinesterase Activity among Hill Tribe Farmers in Thailand

BACKGROUND

Farming is an important occupation in Thai hill tribe communities, which are often remote, and lack other economic opportunities along with basic educational, health care, and occupational health and safety services. Additionally, these communities have a unique culture and language.

OBJECTIVES

The present study was conducted in northern Thailand to evaluate pesticide exposures and associated health impacts among hill tribe farmers, and to compare them to Thai farmers.

METHODS

Lahu hill tribe farmers in a mountain community were recruited by public health hospital staff, along with a reference group of lowland Thai farmers. Participants completed a survey on demographic factors and work practices, and blood and urine samples were collected by a trained nurse. Acetylcholinesterase activity (AChE) was quantified to assess pesticide exposure, whereas liver and kidney functions were evaluated using clinical biomarkers.

RESULTS

A large fraction (nearly 50%) of Lahu farmers were illiterate and could not speak Thai. Thai farmers worked fewer hours per week (39.4) than did Lahu farmers. Among Lahu farmers, AChE levels were significantly lower (worse) than those of Thai farmers. However, other health outcomes in these populations were similar. Formal education and language skills were not associated with pesticide exposures or health outcomes. Pesticide spraying was found to be a significant predictor of reduced AChE (OR=8.5, 95% CI 1.1-69.6).

CONCLUSIONS

Pesticide exposures are a significant occupational health hazard among Thai hill tribe farmers. Training, potentially delivered by community health volunteers, is needed to communicate safe pesticide work practices to these farmers.

PARTICIPANT CONSENT

Obtained.

ETHICS APPROVAL

The study protocol was approved by the Institutional Review Board of Mae Fah Luang University (REH-61080).

COMPETING INTERESTS

The authors declare no competing financial interests.

Occupational hazards, health costs, and pesticide handling practices among vegetable growers in Pakistan

Disregarding protective measures when handling pesticides in agricultural production imposes increased health risks and health costs on farmers as well as degrades the natural ecosystem. In Pakistan, where agriculture is the prime occupation in rural communities, there is overwhelming evidence of indiscriminate use of hazardous pesticides by farmers without taking adequate precautions. Using cross-sectional data, we examined personal protection and health costs to vegetable growers due to pesticide exposure and determinants of farmers' pesticide handling practices. The theory of averting behavior was used, and the possible factors affecting farmers' adoption of safety equipment and of disposal methods for pesticide containers were estimated using a logit model. Health effects (P < 0.05) and farmers' protection and health costs (P < 0.01) are found as important determinants of farmers' adoption of safety equipment and of disposal methods for pesticide containers. The mean protection and health cost of pesticide exposure per farmer per vegetable season in 2019 was US $3.60. Analytical outcomes indicate that safe and recommended pesticide handling practices are needed to be introduced through adequate integrated pest management (IPM) training programs and by improving farmers' formal education. Thus, creating awareness through IPM training programs among vegetable growers and enhancing formal education to encourage the adoption of precautionary measures and safe disposal methods for pesticide containers may reduce health risks and health costs. Findings imply that adoption of adequate pesticide handling practices would further help reduce occupational hazards and promote sustainable agriculture in Pakistan.

Long-Term Neurological and Psychological Distress Symptoms among Smallholder Farmers in Costa Rica with a History of Acute Pesticide Poisoning

Studies suggest that acute pesticide poisonings (APP) may be linked with long-term neurological effects. To examine long-term neurological and psychological distress symptoms associated with having experienced an APP, we conducted a cross-sectional study of 300 conventional and organic smallholder farmers from Zarcero County, Costa Rica, May–August 2016. We collected self-reported data on sociodemographic characteristics, occupational history, pesticide exposure, APPs, neurological and psychological distress symptoms (using the Brief Symptom Inventory (BSI)). Adjusted logistic regression models were fit. A total of 14% of the farmers (98% male) reported experiencing at least one APP during their lifetime. Self-reported APP was associated with neurological symptoms during the 12 months prior to interview (e.g., fainting (Odds Ratio: 7.48, 95% Confidence Interval: 1.83, 30.74), shaking hands (3.50; 1.60, 7.60), numbness/tingling in hands or feet (3.23; 1.66, 6.32), insomnia (2.53; 1.34, 4.79), accelerated heartrate (2.42; 1.03, 5.47), dizziness (2.38; 1.19, 4.72), increased irritability/anger (2.37; 1.23, 4.55), low energy (2.33; 1.23, 4.46), and difficulty concentrating (2.01; 1.05, 3.85)). Farmers who reported an APP in the ten years prior to interview experienced increased odds of abnormal BSI scores for hostility (4.51; 1.16, 17.70) and paranoid ideation (3.76; 0.99, 18.18). Having experienced an APP may be associated with long-term neurological and psychological distress symptoms.

A cross sectional survey of knowledge, attitude and practices related to the use of insecticides among farmers in industrial triangle of Punjab, Pakistan

Pesticides in Pakistan are abundantly utilized for pest control in agriculture sector. The over and unsafe use of insecticides plus poor handling leads to the development of resistance, outbreak of secondary pests and hazardous impact on environment. The present study was aimed to access the current knowledge, attitude and common practices of farmers about the use of insecticides against pest in industrial triangle of Province Punjab, Pakistan. This study was conducted during October 2019 to February 2020. In this study farmers (n = 300) took part from three localities of Province Punjab (Gujrat, Gujranwala and Sialkot). Farmers were interviewed using a questionnaire to collect data about the knowledge of pest control by use of chemical method, biological method and combination of both to eradicate the pests. The result shows almost all (93%) farmers were male and they did not know about the insecticides mode of action and its chemical composition. They do not have any knowledge about the biological control of pests and did not get any assistance or help from Agriculture Extension Officer. They even did not properly dispose off the empty containers of insecticides. Statistical analysis reveals that lack of education and awareness about biological control of pest depicts development of resistance and outbreak of secondary pest including health hazards and environmental pollution. Poor understanding about pests, abundant use of insecticides, incorrect perception about application of insecticides and negligence regarding biological control shows that there is need to initiate public awareness programs to ensure the application of integrated pest management (IPM) and sustainable agriculture.

Factors Associated with Practice of Chemical Pesticide Use and Acute Poisoning Experienced by Farmers in Chitwan District, Nepal

In view of increasing irrational use and unsafe handling of pesticides in agriculture in Nepal, a descriptive cross-sectional study was conducted to assess the practice of chemical pesticide use and acute health symptoms experienced by farmers. A total of 790 farmers from the Chitwan district were randomly selected for the study. X2 test, T-test, and Multiple Logistic Regression were used for analysis. Among the farmers, 84% used exclusively chemical pesticide. Farmers with better knowledge on pesticide handling were 8.3 times more likely to practice safe purchasing, four times more likely to practice safe mixing and spraying, and two times more likely to practice safe storage and disposal. Similarly, perception/attitude of farmers about chemical pesticide policy and market management was significantly associated with the practice of farmers during purchasing, mixing and spraying, and storage and disposal. Among the users of chemical pesticides, 18.7% farmers experienced one or more pesticide related acute symptoms of health problems during the previous 12 months. Farmers with unsafe practices of pesticide handling were two times more likely to suffer from acute poisoning. It is concluded that knowledge about pesticide handling and favorable perception/attitude on pesticide policy and market management are the predictors of safe use of pesticide.

Assessment of farmers' understanding of the pictograms displayed on pesticide labels

Pesticide labels and pictograms are the first and utmost source of information for safe use and personal protection of farmers and a legally binding document against environmental degradation reinforced by governments. The influence of pictogram information on the safe use of pesticides depends on the importance of pictogram to farmers and how they interpret its information. The present study explores farmers' interpretation of risk assessment data of pictograms displayed on pesticide labels. The statistical population is composed of all wheat and potato farmers in Ardabil County (N = 4964) of which 200 farmers were sampled based on Morgan's sampling table. Data were collected using a questionnaire for the 2018-2019 cropping year. The content validity of the research instrument was determined by a panel of faculty members and its reliability was confirmed by the coefficient of Cronbach's alpha. Results indicated that farmers had poor understanding of the pictograms. Unclarity of pictograms, inability to understand their meaning, and low literacy or illiteracy were the main causes of poor understanding of pictograms, respectively. Educational level, extension training, and attitude also had a positive significant relationship with pictogram comprehension. On the other hand, pictogram comprehension did not show a significant correlation with the use of personal protective equipment and the adoption of safety measures during pesticide handling and application. The results of multiple regression analysis indicated that the variables of attitude towards pictograms, information sources, educational level, and attending training courses on chemical pesticides were the main factors underpinning pictogram understanding so that they altogether accounted for 58% of the variance in the dependent variable of the research.

Factors Influencing the Adoption of Agricultural Practices in Ghana’s Forest-Fringe Communities

Two-thirds of rural Ghanaians are farmers, and farming is almost the only income source for Ghana’s forest-fringe communities. Some farmers adopt some agricultural practices to augment their operations while others do not. We examined the factors that influence farmers’ adoption and intensity of adoption of agricultural practices, namely, chemical fertilizers, pesticides, herbicides, improved seeds, animal manure, and crop rotation. We surveyed the agricultural systems and livelihoods of 291 smallholder households in forest-fringe communities and developed a multivariate model (canonical correlation analysis) to test the degree to which social, economic, and institutional factors correlate with adoption and intensity of adoption of the above practices. We found that 35.4% of the farmers do not adopt any of the practices because they perceive them to be expensive, not useful, and difficult to adopt. The rest (64.6%) adopt at least one of the practices to control weeds, pests and diseases, and consequently increase crop yields. Our results indicate that farmers that perceive the aforementioned practices to be more beneficial, cultivate multiple plots, and have access to extension services adopt more of the practices. Farmer age and distance to source of inputs negatively correlate with adoption and intensity of adoption of agricultural practices. Almost two-thirds each of adopters and non-adopters do not have access to agricultural extension services and this could pose threats to the sustainability of the forest reserves within and around which the farmers cultivate. Educating farmers on agricultural practices that are forest-friendly is critical in the forest-fringe communities of Ghana. The correct application of practices could double outputs and minimize threats to forests and biodiversity through land-sparing.

Is the Environmental Behavior of Farmers Affecting Their Pesticide Practices? A Case Study from Greece

Policymakers often assume that farmers with pro-environmental behavior are more likely to follow proper pesticide practices and thus, in order to improve the safety of their pesticide practices, they implement strategies and programs designed to raise environmental awareness among the general public. The aim of this paper is to examine whether pro-environmental behavior can instigate proper pesticide practices among farmers. According to our results, farmers’ environmental behavior does not affect their pesticide practices and thus strategies aiming at raising environmental awareness among the general public would not prompt them to follow proper pesticide practices. In addition, the respondents reported following overall proper practices such as wearing masks and appropriate clothes during sprayings as well as rinsing the empty containers by performing the triple-rinse method. However, they did not wear gloves during applications, and many disposed the remaining pesticide concentrate to non-arable land. To conclude, in order to improve farmers’ pesticide practices, strategies and programs specifically designed for farmers must be developed because those addressed to the general public would not be effective. Moreover, certain improper practices found in this study ought to be addressed by policymakers and actors involved in the agricultural sector.

Low levels of knowledge and practice of occupational hazards among flower farm workers in southwest Shewa zone, Ethiopia: a cross-sectional analysis

Background

Over the last decade, flower farms have been rapidly growing in Ethiopia. Following the advent and development of the sector, various work-related chemical, biological, physical, psychosocial, and ergonomic hazards have been emerging unacceptably, with increased risks of exposures for workers and local communities. However, evidence that describes knowledge and prevention practice of occupational hazards among flower farm workers in the country is little documented. The knowledge and safety practice of occupational hazards among flower farm workers in Ethiopia were explored in the current study.

Methods

A cross-sectional survey of 471 flower farm workers was implemented from March to April 2017. A stratified random sampling technique was used to select the eligible participants. An interviewer-administered questionnaire was used to collect data, and the data were entered in to Epi Info program version 7 and analyzed by SPSS program version 20. Bivariate and multivariate linear regression analyses were performed to evaluate significance of associations at < 0.05 p-values.

Results

A total of 451 flower farm workers were interviewed with a response rate of 95.7%. The majority, 72.1% (N = 325) were females. Mean age was 24.1 (SD + 6.5) years. About 39.2% (N = 177) of the participants had good knowledge on occupational hazards. The level of safety practice was 26.6% (N = 120). The level of knowledge on occupational hazards was affected by level of education [AOR: 20.03;95% CI (16.30,23.75)], work experience [AOR: 5.97; 95% CI (4.22,7.72)], and type of employment [AOR: 5.35; 95% CI (2.50,8.19)], whereas the level of safety practice was influenced by regular use of personal protective equipment (PPE) [AOR:17.53;95% CI (13.36,21.71)], level of knowledge [AOR: 7.29; 95% CI (3.87,10.73)], and provision of appropriate PPE [AOR: 4.59; 95% CI (2.34,8.86)].

Conclusion

This study revealed the levels of knowledge and safety practice towards occupational hazards were low. The knowledge on occupational hazards was significantly affected by the level of education and duration of employment. Moreover, the use of PPE and level of knowledge considerably influenced safety practice. Therefore, we recommend employers to ensure that workplace health and safety programs account for workers’ level of education and work experience. It is also pivotal to provide workers witha suitable PPE and instructions on its use, and to arrange safety communication in the local languages at the relevant workplaces.

Supplementary Information

The online version contains supplementary material available at 10.1186/s12889-021-10254-5.

Maternal pesticide exposure and child neuro-development among smallholder tomato farmers in the southern corridor of Tanzania

BACKGROUND

Exposure to pesticides with its associated effects prenatally and in early childhood has not received much attention. There is little scientific data on this aspect in Tanzania therefore this study was meant to contribute to the deficit in the subject.

METHOD

A cross-sectional study was conducted to a sample of 286 participants of mother to child pair, whereby 172 and 114 were exposed and non-exposed respectively. Mothers who had been working in tomato sprayed farms were exposed and mothers who had not been working in the tomato sprayed farms were un-exposed. Child aged 0-6 years was chosen from each mother sampled but only one child found to be the youngest with the classified age was enrolled. Malawi child development Tool (M-DAT) was employed to assess the child level of development, height, and weight of the children were collected and analyzed by the WHO anthropometric calculator. A checklist and questionnaire were used to observe and assess maternal exposure. Bivariate and Multivariate analysis were conducted to assess the relationship between various factors of exposure.

RESULTS

Overall 15% of the children examined were not well developed and the most used pesticides were those posing neuro-development effects. On the bivariate analysis model, mothers who worked while pregnant were more likely to have a child with neuro-developmental effect OR=5.8(1.29-26.3). On multivariate analyses adjusted for age of the mother, variables which remain in the model were a distance from home [AOR=9.4(4.2-20.5)], and working while pregnancy [AOR=5.8(1.29-26.3)] other were removed due to collinearity effect. None of confounders had a potential significant effect but only nutrition seems to be the effect modifier [AOR=7.8(1.29-36.3)] when analyzed with working while pregnancy.

CONCLUSIONS

The findings from this study have indicated that maternal pesticide exposure among farmworker residents in the SAGCOT area has a potential association with child developmental effect.

The pesticides use and the risk for head and neck cancer: A review of case-control studies

BACKGROUND

Tobacco, alcohol consumption, and HPV infection are the most common risk factors for head and neck cancer (HNC). Despite of this, recent evidences are growing on the association between long-term exposure to pesticides and the risk of chronic diseases, including different types of cancer. The present review evaluated in current literature evidence of an association between exposure to pesticides and the occurrence of HNCs.

MATERIAL AND METHODS

A literature search of the case-control studies was conducted in the PubMed, Web of science and Cochrane databases. Methodological quality of each study was rated with the Scottish Intercollegiate Guidelines Network (SIGN 50) checklist.

RESULTS

One thousand and thirty-five studies were identified and twelve met all criteria and, therefore, considered for quality assessment and data extraction. According to SIGN 50 criteria, six studies received an overall high-quality. All the studies considered of high quality found a positive association between exposure to pesticides and different HNC sites, including larynx, pharynx and nasal cavity. In addition, the increased risk was associated with the frequency of exposure.

CONCLUSIONS

Finally, improving pesticide users' awareness of their risks and proper handling, as well as adopting protective measures such as the use of personal protective equipment, appear to be effective in reducing human health damage.

Climate Change, Pesticides and Health: Considering the Risks and Opportunities of Adaptation for Zimbabwean Smallholder Cotton Growers

There is potential for increased pesticide-related adverse health outcomes in the agricultural sector linked to adaptive increases in pesticide use necessitated, in part, by climate change-related increases in pest populations. To understand the role of adaptation practices in pesticide use and health risks, this study assessed Zimbabwean smallholder cotton farmers' adaptive responses linked to their climate change perceptions. In depth interviews were conducted with 50 farmers who had been growing cotton for at least 30 years. The study identified farmers' adaptation practices that increased their pesticide use, as well as those that presented opportunities for reducing pesticide use through non-pesticide-dependent adaptation pathways. The findings show that due to perceived climate change impacts, such as a shorter growing season, farmers were adopting a range of adaptive practices. These included changes in pest management practices, such as increasing pesticide spraying frequencies due to keeping ratoon crops, which were increasing farmers' overall pesticide use. Such incremental adaptive practices are potentially maladaptive, as they may increase farmers' pesticide-related health risks. Other practices, however, such as reducing cotton acreage and diversifying crops, resulting in transformational adaptation, suggest the existence of opportunities for decreasing overall pesticide use or totally eliminating pesticides from the farming system.

Assessing Transitions to Sustainable Agricultural and Food Systems: A Tool for Agroecology Performance Evaluation (TAPE)

There is increasing interest in agroecology as a way to move toward more sustainable agriculture and food systems. However, the evidence of agroecology's contribution to sustainability remains fragmented because of heterogeneous methods and data, differing scales and timeframes, and knowledge gaps. Facing these challenges, 70 representatives of agroecology-related organizations worldwide participated in the development of the Tool for Agroecology Performance Evaluation (TAPE), to produce and consolidate evidence on the multidimensional performances of agroecological systems. TAPE is composed of: Step 0, the preliminary step that includes a description of the main socio-economic and demographic characteristics of the agricultural and food systems and an analysis of the enabling environment in terms of relevant policy, market, technology, socio-cultural and/or historical drivers; Step 1, the Characterization of Agroecological Transitions (CAET), based on the 10 Elements of Agroecology adopted by FAO and its member countries, using descriptive scales to establish scores and assessing the degree of transition, with information from the farm/household and community/territory scale; Step 2, the Core Criteria of Performance listing the key dimensions considered relevant to address the Sustainable Development Goals (SDGs): Environment &amp; climate change; Health &amp; nutrition; Society &amp; culture; Economy and Governance. Finally Step 3, a participatory validation of the results obtained from the previous steps with the producers and relevant stakeholders. TAPE can be used (i) to assess the extent of agroecological transition among agricultural producers in a community or a territory, (ii) to monitor and evaluate projects by characterizing the initial and subsequent steps in an agroecological transition, and/or (iii) to evaluate widely diverse agricultural systems against agroecological elements and how they contribute to the achievement of the SDGs. Its application can support the transition of all forms of agricultural systems toward more sustainable practices and the formulation of adequate policies to enable this transformation. Preliminary results from pilot applications show that TAPE can perform in a variety of geographic regions and agroecosystems and that it allows assessment of performances of various criteria that move beyond classic indicators to begin to build a global evidence base for agroecology and support transformation to sustainable agricultural production and food systems.

Prevalence of Acute Pesticide Poisoning among Pesticide Applicators in Cardamom Plantations: A Cross-Sectional Study from Idukki District, Kerala

Background

Pesticide poisoning is a burning occupational health issue across the world. The pesticide use in the cardamom plantations of Idukki district, Kerala, India is one of the world's highest. However, limited studies addressed its ill effects on the health of pesticide applicators.

Aims

To assess the magnitude of acute pesticide poisoning (APP) among pesticide applicators and understand the nature of severity based on their occupational characteristics.

Settings and Design

A descriptive cross-sectional study was conducted in 2018. A total of 300 pesticide applicators with minimum 1-year experience (79.3% males) were selected from 30 randomly selected cardamom plantations in Udumbanchola Taluk.

Methods

WHO Field Surveys of Exposure to Pesticides Standard Protocol and Murphy's method of Farmer Self-Surveillance system of pesticide poisoning were used for assessing pesticide exposure and APP, respectively. Statistical analysis used: Descriptive (frequencies) and exploratory statistical analyses (Pearson's Chi-square test) were done using IBM SPSS 23.0.

Results

The prevalence of APP in this study was 100% as all the pesticide applicators reported at least one sign and/or symptom of APP. The mild APP was more prevalent (80.7%), followed by moderate (18.7) and severe (0.60). Decrease in duration and frequency of spraying, use of motor pump sprayer, safe storage and disposal of pesticides, and proper personal hygiene were found to reduce the severity of APP.

Conclusion

All the pesticide applicators in cardamom plantations of Idukki are at risk of APP. It is important to train them about the measures to prevent the same.

Farmer's behavior in pesticide use: Insights study from smallholder and intensive agricultural farms in Bangladesh

Since independence and over the years, pesticides have become a dominant feature of Bangladesh agriculture. To protect farmers' health, environment and to improve sustainability of chemical pest control quantitative understanding of farmers' behavior in pesticide use is critical. However, study on the levels of knowledge and awareness of farmers and the practices of pesticide use are often limited. We conducted a broad analysis on the effects of knowledge and awareness of farmers as well as the influence of the different associated stakeholders such as pesticide retailers and the government, on farmers' behavior in pesticide use from a detailed survey of 917 agricultural households in different regions of Bangladesh. Within eight protective behaviors (PBs) or PPEs were largely influenced by the crops growers and regions. Never discarding empty pesticide containers in the field, never applying pesticides more than prescribed by DAE or the instruction manual, selecting new types of pesticides recommended by DAE and purchasing low toxicity pesticides were the most adopted practices. Most farmers from the South-East region were adopting the PB of wearing mask, gloves and long sleeved clothes when spraying and farmers from South trusted the recommendations of pesticides by village leaders and neighbors. Majority of vegetables growers were well informed that pesticides were very harmful to the quality of agricultural products, the environment, and human health but not rice or mixed crops growers. Generally, PBs were positively affected by the perception of the consequences of farmers' behavior and knowledge of pesticide use but negatively influenced by action of governments and trust of retailers. It is important to recognize the differences that exist among different crops growers and locations. Attempt needs to bridge the gap among crop growers, locations and different stakeholder such as government agencies and retailers to develop policy.

The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review

BACKGROUND

Human poisoning by pesticides has long been seen as a severe public health problem. As early as 1990, a task force of the World Health Organization (WHO) estimated that about one million unintentional pesticide poisonings occur annually, leading to approximately 20,000 deaths. Thirty years on there is no up-to-date picture of global pesticide poisoning despite an increase in global pesticide use. Our aim was to systematically review the prevalence of unintentional, acute pesticide poisoning (UAPP), and to estimate the annual global number of UAPP.

METHODS

We carried out a systematic review of the scientific literature published between 2006 and 2018, supplemented by mortality data from WHO. We extracted data from 157 publications and the WHO cause-of-death database, then performed country-wise synopses, and arrived at annual numbers of national UAPP. World-wide UAPP was estimated based on national figures and population data for regions defined by the Food and Agriculture Organization (FAO).

RESULTS

In total 141 countries were covered, including 58 by the 157 articles and an additional 83 by data from the WHO Mortality Database. Approximately 740,000 annual cases of UAPP were reported by the extracted publications resulting from 7446 fatalities and 733,921 non-fatal cases. On this basis, we estimate that about 385 million cases of UAPP occur annually world-wide including around 11,000 fatalities. Based on a worldwide farming population of approximately 860 million this means that about 44% of farmers are poisoned by pesticides every year. The greatest estimated number of UAPP cases is in southern Asia, followed by south-eastern Asia and east Africa with regards to non-fatal UAPP.

CONCLUSIONS

Our study updates outdated figures on world-wide UAPP. Along with other estimates, robust evidence is presented that acute pesticide poisoning is an ongoing major global public health challenge. There is a need to recognize the high burden of non-fatal UAPP, particularly on farmers and farmworkers, and that the current focus solely on fatalities hampers international efforts in risk assessment and prevention of poisoning. Implementation of the international recommendations to phase out highly hazardous pesticides by the FAO Council could significantly reduce the burden of UAPP.

Pesticide handling practices and self-reported morbidity symptoms among farmers

Amid growing concern about the adverse effects of pesticides, a questionnaire-based cross-sectional study was conducted to evaluate farmers' knowledge on pesticides handling. Results of in-depth surveys (n = 217) with field observations revealed that participants had a mean 18 years of farming experience and knapsack-sprays were used for spraying. About 99% were not using any personal-protective-equipments during mixing, loading, application operations. Over 80% reentered the treated farms within two-days of application without following safety protocols and 39% admitted unsafe disposal of empty containers of pesticides. Statistical-analysis revealed a significant association between participant's pesticide handling practices and self-reported morbidity symptoms (p < 0.05). Despite awareness of toxicity, participants were mishandling the pesticides. Training on safe handling practices and incentives in form of personal-protective-equipments could be productive to ensure safety at work.

Occupational acute pesticide poisoning: a cross-sectional study of Turkish vegetable and fruit farmers based on self-reported symptoms and job characteristics

BACKGROUND

Occupational pesticide poisoning is an important public health concern worldwide, especially in developing countries.

OBJECTIVES

This study was aimed at determining the prevalence and risk factors of acute pesticide poisoning (APP) among the vegetable and fruit farmers in Karacabey District in northwest Turkey.

METHODS

The study group consisted of 565 farmers. The dependent variable of the study is APP defined according to the World Health Organization's APP case definition matrix. The study's independent variables are the farmers' sociodemographic characteristics and the preventive measures they use when they are applying pesticides. The chi-square and logistic regression analysis analyzed the relationship between the dependent and independent variables.

RESULTS

A total of 64 (11.3%) farmers reported APP and 75% of them presented to a health institution due to symptoms. The factors associated with increased risk of APP were: illiteracy (odds ratio (OR)=2.5), 14 years and less farming experience (OR=3.3), not reading the pesticide labels (OR=6.4), and contact with liquid pesticides (OR=2.3). -Conclusions: The study shows that approximately one out of ten farmers experience APP. Training programs should be planned and monitored to improve farmers' awareness of the dangers of pesticides, and they should be encouraged to adopt and implement protective measures.

Patterns of pesticide usage in agriculture in rural Tanzania call for integrating agricultural and public health practices in managing insecticide-resistance in malaria vectors

BACKGROUND

Unrestricted use of pesticides in agriculture is likely to increase insecticide resistance in mosquito vectors. Unfortunately, strategies for managing insecticide resistance in agriculture and public health sectors lack integration. This study explored the types and usage of agricultural pesticides, and awareness and management practices among retailers and farmers in Ulanga and Kilombero districts in south-eastern Tanzania, where Anopheles mosquitoes are resistant to pyrethroids.

METHODS

An exploratory sequential mixed-methods approach was employed. First, a survey to characterize pesticide stocks was conducted in agricultural and veterinary (agrovet) retail stores. Interviews to assess general knowledge and practices regarding agricultural pesticides were performed with 17 retailers and 30 farmers, followed by a survey involving 427 farmers. Concurrently, field observations were done to validate the results.

RESULTS

Lambda-cyhalothrin, cypermethrin (both pyrethroids) and imidacloprids (neonicotinoids) were the most common agricultural insecticides sold to farmers. The herbicide glyphosate (amino-phosphonates) (59.0%), and the fungicides dithiocarbamate and acylalanine (54.5%), and organochlorine (27.3%) were also readily available in the agrovet shops and widely used by farmers. Although both retailers and farmers had at least primary-level education and recognized pesticides by their trade names, they lacked knowledge on pest control or proper usage of these pesticides. Most of the farmers (54.4%, n = 316) relied on instructions from pesticides dealers. Overall, 93.7% (400) farmers practised pesticides mixing in their farms, often in close proximity to water sources. One-third of the farmers disposed of their pesticide leftovers (30.0%, n = 128) and most farmers discarded empty pesticide containers into rivers or nearby bushes (55.7%, n = 238).

CONCLUSION

Similarities of active ingredients used in agriculture and malaria vector control, poor pesticide management practices and low-levels of awareness among farmers and pesticides retailers might enhance the selection of insecticide resistance in malaria vectors. This study emphasizes the need for improving awareness among retailers and farmers on proper usage and management of pesticides. The study also highlights the need for an integrated approach, including coordinated education on pesticide use, to improve the overall management of insecticide resistance in both agricultural and public health sectors.

Co-exposure risks of pesticides residues and bacterial contamination in fresh fruits and vegetables under smallholder horticultural production systems in Tanzania

This study was carried out to investigate the risks of simultaneous exposure to pesticide residues and bacteria contaminants in locally produced fresh vegetables and vegetables in Tanzania. A total of 613 samples were analyzed for pesticide residues, out of which 250 were also analyzed for bacterial contamination. Overall, 47.5% had pesticide residues, 74.2% exceeded Maximum Residue Levels (MRLs). Organophosphorus (95.2%), organochlorines (24.0%), pyrethroids (17.3%), and carbamates (9.2%) residues dominated. MRL values were mostly exceeded in tomatoes, onions, watermelons, cucumbers, Chinese cabbage, and sweet paper. Tetramethrin (0.0329-1.3733 mg/kg), pirimiphos-methyl (0.0003-1.4093 mg/kg), permethrin (0.0009-2.4537 mg/kg), endosulfan (beta) (0.0008-2.3416 mg/kg), carbaryl (0.0215-1.5068 mg/kg), profenofos (0.0176-2.1377 mg/kg), chlorpyrifos (0.0004-1.2549 mg/kg) and dieldrin (0.0011-0.5271 mg/kg) exceeded MRLs. The prevalence of bacteria contamination was high (63.2%). Enterobacter (55.6%) Pseudomonas aeruginosa (32.4%), E. coli (28.2%), Citrobacter (26.8%), Klebsiella oxytoca (14.8%), and Salmonella (7.7%) were isolated. Furthermore, 46.4% tested positive for both pesticide residues and bacterial contaminants. Vegetables from farms (60.7%) contained more dual contaminants than market-based vegetables (41.8%). This may have resulted from excessive pesticide use and unhygienic handling of fresh fruits and vegetables at production level. Binary logistic regression showed that fresh fruits and vegetables with pesticide residues were 2.231 times more likely to have bacteria contaminants (OR: 2.231; 95% CI: 0.501, 8.802). The contamination levels of pesticide residues and bacterial contaminants could be perceived as a serious problem as most fresh fruits and vegetables recorded values of pesticide residues far above the MRLs with pathogenic bacteria isolated in higher proportions. MRLs was higher in most vegetables consumed raw or semi-cooked such as watermelons, carrots, cucumber, tomatoes, onion and sweet paper. There is an urgent need to develop pesticide monitoring and surveillance systems at farmer level, educating farmers and promoting the use of greener pesticides to mitigate the health effects of pesticides and bacterial contaminants.

Environmental Health Research in Africa: Important Progress and Promising Opportunities

The World Health Organization in 2016 estimated that over 20% of the global disease burden and deaths were attributed to modifiable environmental factors. However, data clearly characterizing the impact of environmental exposures and health endpoints in African populations is limited. To describe recent progress and identify important research gaps, we reviewed literature on environmental health research in African populations over the last decade, as well as research incorporating both genomic and environmental factors. We queried PubMed for peer-reviewed research articles, reviews, or books examining environmental exposures and health outcomes in human populations in Africa. Searches utilized medical subheading (MeSH) terms for environmental exposure categories listed in the March 2018 US National Report on Human Exposure to Environmental Chemicals, which includes chemicals with worldwide distributions. Our search strategy retrieved 540 relevant publications, with studies evaluating health impacts of ambient air pollution (n=105), indoor air pollution (n = 166), heavy metals (n = 130), pesticides (n = 95), dietary mold (n = 61), indoor mold (n = 9), per- and polyfluoroalkyl substances (PFASs, n = 0), electronic waste (n = 9), environmental phenols (n = 4), flame retardants (n = 8), and phthalates (n = 3), where publications could belong to more than one exposure category. Only 23 publications characterized both environmental and genomic risk factors. Cardiovascular and respiratory health endpoints impacted by air pollution were comparable to observations in other countries. Air pollution exposures unique to Africa and some other resource limited settings were dust and specific occupational exposures. Literature describing harmful health effects of metals, pesticides, and dietary mold represented a context unique to Africa. Studies of exposures to phthalates, PFASs, phenols, and flame retardants were very limited. These results underscore the need for further focus on current and emerging environmental and chemical health risks as well as better integration of genomic and environmental factors in African research studies. Environmental exposures with distinct routes of exposure, unique co-exposures and co-morbidities, combined with the extensive genomic diversity in Africa may lead to the identification of novel mechanisms underlying complex disease and promising potential for translation to global public health.

Ambient temperature and pesticide poisoning: a time-series analysis

Limited studies have explored the association between ambient temperature and the disease burden of pesticide poisoning. Our study aims to estimate associations between daily mean temperature and pesticide poisoning incidence with lag effect. A distributed lag nonlinear model with Poisson distribution was used to examine the nonlinear lagged effects of ambient temperature on pesticide poisoning incidence. Overall, the estimated effects of temperature on pesticide poisoning incidence were non-linear, with higher relative risks (RRs) at hotter temperatures. It was found that the high temperature had acute and short-term effects and then declined rapidly along the lag days with the maximum risk occurring 0 day of exposure. Considering the 5-day cumulative RR for daily mean temperature, the temperature generally showed a positive association with the pesticide poisoning incidence, achieving the maximum risk at 31°C. In general, pesticide poisoning incidence increased with higher temperatures, with the strongest effects occurring shortly.