职业性农药接触与呼吸健康。
Occupational pesticide exposures and respiratory health.
作者信息
Ye Ming, Beach Jeremy, Martin Jonathan W, Senthilselvan Ambikaipakan
机构信息
School of Public Health, University of Alberta, 3-276 Edmonton Heath Clinic Academy, 11405-87 Avenue, Edmonton, AB T6G 1C9, Canada.
出版信息
Int J Environ Res Public Health. 2013 Nov 28;10(12):6442-71. doi: 10.3390/ijerph10126442.
Pesticides have been widely used to control pest and pest-related diseases in agriculture, fishery, forestry and the food industry. In this review, we identify a number of respiratory symptoms and diseases that have been associated with occupational pesticide exposures. Impaired lung function has also been observed among people occupationally exposed to pesticides. There was strong evidence for an association between occupational pesticide exposure and asthma, especially in agricultural occupations. In addition, we found suggestive evidence for a link between occupational pesticide exposure and chronic bronchitis or COPD. There was inconclusive evidence for the association between occupational pesticide exposure and lung cancer. Better control of pesticide uses and enforcement of safety behaviors, such as using personal protection equipment (PPE) in the workplace, are critical for reducing the risk of developing pesticide-related symptoms and diseases. Educational training programs focusing on basic safety precautions and proper uses of personal protection equipment (PPE) are possible interventions that could be used to control the respiratory diseases associated with pesticide exposure in occupational setting.
农药已被广泛用于农业、渔业、林业和食品工业中控制害虫及与害虫相关的疾病。在本综述中，我们确定了一些与职业性接触农药相关的呼吸道症状和疾病。在职业性接触农药的人群中也观察到肺功能受损。有强有力的证据表明职业性接触农药与哮喘之间存在关联，尤其是在农业职业中。此外，我们发现有提示性证据表明职业性接触农药与慢性支气管炎或慢性阻塞性肺疾病（COPD）之间存在联系。关于职业性接触农药与肺癌之间的关联，证据尚无定论。更好地控制农药使用并加强安全行为的执行，例如在工作场所使用个人防护装备（PPE），对于降低出现与农药相关的症状和疾病的风险至关重要。专注于基本安全预防措施和个人防护装备（PPE）正确使用的教育培训项目是可用于控制职业环境中与农药接触相关的呼吸道疾病的可能干预措施。
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