Weerasinghe Manjula, Pearson Melissa, Peiris Ravi, Dawson Andrew H, Eddleston Michael, Jayamanne Shaluka, Agampodi Suneth, Konradsen Flemming
South Asian Clinical Toxicology Research Collaboration, Faculty of Medicine, , University of Peradeniya, Peradeniya, Sri Lanka.
Inj Prev. 2014 Apr;20(2):134-7. doi: 10.1136/injuryprev-2012-040748. Epub 2013 Jun 4.
In 15% to 20% of self-poisoning cases, the pesticides used are purchased from shops just prior to ingestion. We explored how pesticide vendors interacted with customers at risk of self-poisoning to identify interventions to prevent such poisonings. Two strategies were specifically discussed: selling pesticides only to farmers bearing identity cards or customers bearing pesticide 'prescriptions'. Vendors reported refusing to sell pesticides to people thought to be at risk of self-poisoning, but acknowledged the difficulty of distinguishing them from legitimate customers; vendors also stated they did want to help to improve identification of such customers. The community did not blame vendors when pesticides used for self-poison were purchased from their shops. Vendors have already taken steps to restrict access, including selling low toxic products, counselling and asking customer to return the next day. However, there was little support for the proposed interventions of 'identity cards' and 'prescriptions'. Novel public health approaches are required to complement this approach.
在15%至20%的自我中毒案例中，所使用的农药是在摄入前刚刚从商店购买的。我们探讨了农药销售商如何与有自我中毒风险的顾客互动，以确定预防此类中毒的干预措施。具体讨论了两种策略：仅向持有身份证的农民或持有农药“处方”的顾客出售农药。销售商报告称拒绝向被认为有自我中毒风险的人出售农药，但承认很难将他们与合法顾客区分开来；销售商还表示他们确实希望帮助改进对此类顾客的识别。当用于自我中毒的农药是从他们的商店购买时，社区并没有责怪销售商。销售商已经采取措施限制销售，包括出售低毒产品、提供咨询并要求顾客次日再来。然而，对于“身份证”和“处方”这两项拟议的干预措施，几乎没有得到支持。需要采用新的公共卫生方法来补充这一方法。
