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奥莫州北部农场接触毒死蜱和丙溴磷的工人的健康状况。

The health status of northern Omo State Farm workers exposed to chlorpyrifos and profenofos.

作者信息

Lakew K, Mekonnen Y

机构信息

Occupational Safety and Health Division, Region 14 Labour and Social Affairs Bureau, Addis Ababa.

出版信息

Ethiop Med J. 1998 Jul;36(3):175-84.

Abstract

The health effects of organophosphorus (OP) pesticides on cholinesterase (ChE) activities were assessed among 81 pest control workers from Northern Omo State Farm (Ethiopia), following the occupational use of Chlorpyrifos 25 and 48% ULV and Profenifos 250 EC/ULV. Plasma ChE (PChE) and erythrocyte ChE (AChE) activities were determined electrometrically before and after pesticide exposure. Plasma alkaline phosphatase (AP) and glutamic pyruvic transaminase (GPT) values were estimated colorimetrically. Risk factors of pesticide poisoning and related occupational factors were assessed following the WHO recommendations. The mean PChE and AChE activities determined after pesticide exposures were significantly lower than the pre-exposure values (P < 0.05); 16% and 40% of the pest control workers had PChE and AChE levels below 50% of the pre-exposure values, respectively. The mean plasma AP and GPT values were found to be within the recommended normal limits. No significant difference in either of the ChE activities was observed between the spray men and the pest assessors, although the former were believed to have frequent contact with the concentrated OP formulations. Risk factors of pesticide poisoning such as workers ignorance about the toxicity of pesticides, poor personal hygiene and total absence or improper use of personal protective devices were prevalent. Measures that should be considered to minimize the problem in the farm population are recommended.

摘要

在埃塞俄比亚北奥莫州农场的81名害虫防治工人中,评估了有机磷(OP)农药对胆碱酯酶(ChE)活性的健康影响,这些工人职业性使用了25%和48%超低容量的毒死蜱以及250 EC/ULV的丙溴磷。在农药暴露前后,通过电位滴定法测定血浆ChE(PChE)和红细胞ChE(AChE)活性。通过比色法估算血浆碱性磷酸酶(AP)和谷丙转氨酶(GPT)值。按照世界卫生组织的建议,评估农药中毒的风险因素和相关职业因素。农药暴露后测定的平均PChE和AChE活性显著低于暴露前的值(P < 0.05);分别有16%和40%的害虫防治工人的PChE和AChE水平低于暴露前值的50%。发现平均血浆AP和GPT值在推荐的正常范围内。尽管认为喷雾人员经常接触浓缩的OP制剂,但在喷雾人员和害虫评估人员之间未观察到ChE活性有显著差异。农药中毒的风险因素普遍存在,如工人对农药毒性无知、个人卫生差以及完全没有或不正确使用个人防护设备。建议考虑采取措施以尽量减少农场人群中的这一问题。

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