Lu Jinky Leilanie
University of the Philippines, National Institutes of Health, and Affiliate, College of Arts and Sciences, Manila, The Philippines.
Int J Environ Health Res. 2005 Jun;15(3):161-9. doi: 10.1080/09603120500105638.
The study looked into the risk factors associated with pesticide exposure among cut-flower farmers. A survey questionnaire was given to 102 respondents in Barangay Bahong in La Trinidad, the center of cut-flower production in the Philippines. Results showed that 32% were symptomatic or had experienced pesticide-related illnesses since their first use of pesticides. The majority of the pesticides used by the farmers were Categories Ib and II which are moderately or highly hazardous chemicals. Individuals with signs and symptoms most often centered on the eye, ear, nose and throat (EENT) (44 respondents reporting these symptoms) followed by general and neuralgic (16 respondents) and the integumentary (14 respondents). The most common general signs and symptoms manifested were weakness followed by fatigue and muscle pain then by chills and fever. The most common EENT manifestations were eye itchiness and blurring of vision. For neurological signs and symptoms, dizziness followed by headache was reported. Logistic regression showed that illnesses for the past 12 months were associated with certain risk factors such as farm use of pesticides, exposure to pesticide while applying it, respiratory inhalation of pesticide vapours and mists (p = 0.05). Moreover, those who re-entered a recently sprayed area were 20 times more likely to get ill during the past 12 months than those who did not. Those who used pesticide-contaminated pieces of fabric to wipe sweat off their faces were 2% more likely to get ill, and those who had spills on their bodies while applying pesticide were 26 times more likely to get ill. The study suggested that the risk factors to pesticide exposure should be considered in policy formulations for the cut-flower farmers in the country.
该研究调查了切花种植农民接触农药的相关风险因素。向菲律宾切花生产中心拉特里尼达巴洪村的102名受访者发放了调查问卷。结果显示，自首次使用农药以来，32%的受访者出现了症状或患有与农药相关的疾病。农民使用的大多数农药属于Ib类和II类，即中度或高度危险化学品。有体征和症状的个体，症状大多集中在眼、耳、鼻和喉（EENT）（44名受访者报告了这些症状），其次是全身和神经痛（16名受访者）以及皮肤（14名受访者）。最常见的全身体征和症状表现为虚弱，其次是疲劳和肌肉疼痛，然后是寒战和发热。最常见的EENT表现为眼睛瘙痒和视力模糊。对于神经体征和症状，报告最多的是头晕，其次是头痛。逻辑回归显示，过去12个月的疾病与某些风险因素有关，如农场使用农药、施药时接触农药、呼吸道吸入农药蒸气和雾气（p = 0.05）。此外，在过去12个月里，重新进入最近喷洒过农药区域的人患病的可能性是未进入者的20倍。使用受农药污染的织物擦脸的人患病的可能性高2%，施药时身上有农药溅洒的人患病的可能性高26倍。该研究表明，在为该国切花种植农民制定政策时应考虑农药接触的风险因素。
