Cole Donald C, Sherwood Stephen, Crissman Charles, Barrera Victor, Espinosa Patrico
International Potato Center, Quito, Ecuador.
Int J Occup Environ Health. 2002 Jul-Sep;8(3):182-90. doi: 10.1179/107735202800338902.
Pesticide use in highland Ecuador is concentrated in the high-risk, commercial production of potatoes. Small farm families experience considerable exposure and adverse health consequences. The authors describe a three-pronged strategy to reduce health impacts: 1) a community-based process of education and provision of personal protective equipment to reduce exposure; 2) farmer field schools to increase agro-ecosystem understanding and to reduce pesticide use; and 3) policy interventions to restructure incentives and to reduce availability of highly toxic insecticides. They discuss the challenges faced by each and the ongoing need for integrated interventions both to reduce adverse pesticide health impacts in the developing world and to promote sustainability of agricultural production in highland ecosystems.
厄瓜多尔高地的农药使用集中在高风险的商业化马铃薯生产中。小农户家庭面临着大量接触农药的情况，并承受着不利的健康后果。作者描述了一项三管齐下的战略来减少对健康的影响：1）基于社区的教育过程以及提供个人防护装备以减少接触；2）农民田间学校，以增强对农业生态系统的理解并减少农药使用；3）政策干预措施，以调整激励措施并减少高毒性杀虫剂的供应。他们讨论了每一项措施所面临的挑战，以及持续需要综合干预措施，以减少发展中世界农药对健康的不利影响，并促进高地生态系统中农业生产的可持续性。
