Child and adolescent mortality associated with pesticide toxicity in Cape Town, South Africa, 2010-2019: a retrospective case review

Pesticide residues in grapes and wine: An overview on detection, health risks, and regulatory challenges

Grapes are fruits widely grown and known throughout the world, and they have significant economic and nutritional value. However, grapes are highly susceptible to attack by pests and insects, which reduces production and product quality. Pesticides are the most utilized solution for meeting global consumption demands and avoiding losses, and they can be used at any production stage. Although the benefits of using pesticides in grape production are evident, the prescribed limits must be observed to minimize their harmful effects on human health, as the accumulation of these compounds in the body over the long term can decrease life expectancy. This review of the literature intends to give a comprehensive analysis of pesticide residues in grape juice and wine, investigate analytical methodologies for pesticide detection, and set maximum residue limits (MRLs). Furthermore, the impacts of pesticide use and exposure to residues on the gut microbiota and adverse effects on human health were examined. Finally, insights into advances in detection and removal methods to mitigate the impact of pesticide residues in grape wine were presented. This review considers future perspectives in the field, including the development of safe and sustainable pesticides, with the improvement of international regulations to ensure food safety, aiming to expand pre-existing knowledge to provide more sustainable agricultural practices, encouraging global wine production. The target audience for this review includes researchers and academics, professionals in the agricultural and wine industry, regulators and government authorities, health professionals, and health and food safety-conscious consumers.

Methamidophos poisoning: A paediatric case report

Methamidophos is a highly hazardous organophosphate and is known to cause an acute cholinergic toxidrome. Methamidophos use is not allowed in South Africa and therefore local data pertaining to methamidophos poisoning is very limited, with no paediatric clinical cases described. Methamidophos is an active metabolite of acephate, a commonly used organophosphate, registered for agricultural use in South Africa. We present a paediatric case of methamidophos poisoning with prolonged clinical effects. The patient experienced a prolonged cholinergic toxidrome lasting 10 days, with a period of near-full recovery during this time. We discuss the biological plausibility of the detected methamidophos being a byproduct of acephate. In addition, we highlight the importance of closer monitoring of patients with organophosphate poisoning in areas where acephate is commonly used.

An approach to the management of acute poisoning in emergency settings

The impact of poisoning can differ significantly depending on the specific substance consumed. Identifying toxic substances in a patient is crucial to obtaining a thorough medical history. Frontline healthcare providers in the emergency department often handle patients presenting with poisoning. Their clinical presentation can vary depending on their dose, duration of exposure, and pre-existing medical conditions. Initially, poisoning management entails administering supportive care such as absorption and enhancing the elimination of poison with charcoal and antidote administration after identifying the poisoning substances. This article aims to provide a basic overview of the concepts involved in evaluating and managing these individuals.