Vitali Matteo, Protano Carmela, Del Monte Annalisa, Ensabella Francesca, Guidotti Maurizio
Dipartimento di Scienze di Sanità Pubblica "G. Sanarelli", Università di Roma "La Sapienza", Rome, Italy.
Arch Environ Contam Toxicol. 2009 Jul;57(1):193-202. doi: 10.1007/s00244-008-9225-3. Epub 2008 Sep 11.
This paper reports the results of a field study of occupational pesticide exposure (respiratory and dermal) among a group of Italian agricultural subcontractors. These workers consistently use pesticides during much of the year, thus resulting in a high exposure risk. Ten complete treatments were monitored during spring/summer. Pesticides that were applied included azinphos-methyl, dicamba, dimethoate, terbuthylazine, and alachlor. Several observations were made on worker operative modalities and the use of personal protective equipment (PPE) during work. Total potential and actual exposure ranged from 14 to 5700 microg and from 0.04 to 4600 microg, respectively. Dermal exposure contributed substantially more than inhalation to the total exposure (93.9-100%). Hand contamination ranged from 0.04 to 4600 microg and was the major contributor to dermal exposure. Penetration through specific protective garments was less than 2.4% in all cases, although penetration through general work clothing was as high as 26.8%. The risk evaluation, based on comparison between acceptable daily intake and total absorbed doses, demonstrates that it is presumable to expect possible health effects for workers regularly operating without PPE and improper tractors. Comparisons between exposure levels and operative modalities highlighted that complete PPE and properly equipped tractors contributed to a significant reduction in total exposure to pesticides during agricultural activities. In conclusion, monitored agricultural subcontractors presented very different levels of pesticide exposure due to the high variability of operative modalities and use of PPE. These results indicate the need to critically evaluate the efficacy of training programs required for obtaining a pesticide license in Italy.
本文报告了对一组意大利农业分包商职业性农药暴露(呼吸道和皮肤)进行实地研究的结果。这些工人一年中大部分时间都持续使用农药,因此面临高暴露风险。在春季/夏季监测了10次完整的施药过程。所施用的农药包括甲基谷硫磷、麦草畏、乐果、特丁津和甲草胺。对工人的操作方式以及工作期间个人防护装备(PPE)的使用情况进行了若干观察。潜在总暴露量和实际总暴露量分别为14至5700微克和0.04至4600微克。皮肤暴露对总暴露的贡献远大于吸入暴露(93.9 - 100%)。手部污染量为0.04至4600微克,是皮肤暴露的主要来源。所有情况下,特定防护服的穿透率均低于2.4%,而普通工作服的穿透率高达26.8%。基于可接受每日摄入量与总吸收剂量的比较进行的风险评估表明,对于经常在无个人防护装备和拖拉机配备不当的情况下作业的工人,预计可能会产生健康影响。暴露水平与操作方式之间的比较突出表明,完整的个人防护装备和配备适当的拖拉机有助于在农业活动期间大幅降低农药总暴露量。总之,由于操作方式和个人防护装备使用情况的高度变异性,受监测的农业分包商呈现出非常不同的农药暴露水平。这些结果表明有必要严格评估意大利获得农药许可证所需培训计划的有效性。