Chaparro-Narváez Pablo, Castañeda-Orjuela Carlos
Observatorio Nacional de Salud, Instituto Nacional de Salud, Bogotá, D.C, Colombia.
Biomedica. 2015 Aug;35 Spec:90-102. doi: 10.1590/S0120-41572015000500010.
Poisoning due to pesticides is an important public health problem worldwide due its morbidity and mortality. In Colombia, there are no exact data on mortality due to pesticide poisoning.
To estimate the trend of mortality rate due to pesticide poisoning in Colombia between 1998 and 2011.
We carried out a descriptive analysis with the database reports of death as unintentional poisoning, self-inflicted intentional poisoning, aggression with pesticides, and poisoning with non-identified intentionality, population projections between 1998 and 2011, and rurality indexes. Crude and age-adjusted mortality rates were estimated and trends and Spearman coefficients were evaluated.
A total of 4,835 deaths were registered (age-adjusted mortality rate of 2.38 deaths per 100,000 people). Mortality rates were higher in rural areas, for self-inflicted intentional poisoning, in men and in age groups between 15 and 39 years old. The trend has been decreasing since 2002. Municipality mortality rates due to unintentional poisoning and aggression correlated significantly with the rurality index in less rural municipalities.
Mortality rates due to pesticide poisoning presented a mild decrease between 1998 and 2011. It is necessary to adjust and reinforce the measures conducive to reducing pesticide exposure in order to avoid poisoning and reduce mortality.
由于农药中毒的发病率和死亡率，农药中毒是一个全球范围内重要的公共卫生问题。在哥伦比亚，没有关于农药中毒死亡率的确切数据。
估计1998年至2011年期间哥伦比亚农药中毒死亡率的趋势。
我们对1998年至2011年期间的意外中毒死亡、自我蓄意中毒、农药攻击中毒和中毒意图不明的数据库报告、人口预测以及农村指数进行了描述性分析。估计了粗死亡率和年龄调整死亡率，并评估了趋势和斯皮尔曼系数。
共登记了4835例死亡（年龄调整死亡率为每10万人2.38例死亡）。农村地区、自我蓄意中毒、男性以及15至39岁年龄组的死亡率较高。自2002年以来，死亡率呈下降趋势。在农村程度较低的市镇，意外中毒和攻击中毒的市镇死亡率与农村指数显著相关。
农药中毒死亡率在1998年至2011年期间略有下降。有必要调整和加强有利于减少农药接触的措施，以避免中毒并降低死亡率。
