Li X H, Leng P B, Mao G C, Wang A H
Zhejiang Provincial Key Laboratory of Health Risk Appraisal for Trace Toxic Chemicals, Ningbo Municipal Center for Disease Control and Prevention, Ningbo 315010, China.
Zhonghua Lao Dong Wei Sheng Zhi Ye Bing Za Zhi. 2018 Jan 20;36(1):26-29. doi: 10.3760/cma.j.issn.1001-9391.2018.01.007.
To analyze the characteristics of acute pesticide poisoning in Ningbo, and to provide scientific basis for the prevention and control strategy. In February 2017, the pesticide poisoning report card of Ningbo from 2011 to 2016 was drawn from the China Disease Control and prevention information system. The data of the report card was organized by Excel and analyzed by SPSS19.0 software. 2593 cases of acute pesticide poisoning were reported in Ningbo from 2011 to 2016, 125 deaths, and the case fatality rate was 4.82%. The productive pesticide poisoning and unproductive pesticide poisoning were 299 and 2294, respectively, the ratio was 1: 7.67. The case fatality rate were 0.33% and 5.41%, respectively. The difference was statistically significant (χ(2)=14.83, P<0.01). The productive Pesticide poisoning mainly occurred from July to September (55.85%) , the unproductive pesticides mainly occurred from April to June (30.64%) and July to September (30.34%). The seasonal distribution of the pesticide poisoning in the two groups was statistically significant (χ2=82.21, P<0.01). The productive pesticide poisoning in male (80.27%) was significantly higher than the proportion of unproductive pesticide poisoning (52.09%) , the differences in gender composition between the two types of pesticide poisoning was significant (χ2=84.97, P<0.01). The productive pesticide poisoning from 55 to 65 years old group was in the largest number (35.45%) , and the distribution of unproductive pesticide poisoning was uniform in each age group including 25 years old and above, the difference in age composition between two types of pesticide poisoning was statistically significant (χ2=177.84, P<0.01). All of the 10 counties of Ningbo had reports of pesticide poisoning. The counties with more reports were Ninghai county (18.28%) , Fenghua district (14.69%) and Yuyao (12.42%). The acute pesticide poisoning was mainly caused by pesticides and herbicides, mainly in organophosphorus (45.74%) and paraquat (16.81%) . At present, the pesticide poisoning in Ningbo is given priority to unproductive pesticide poisoning currently, seasonal distribution characteristics was obvious, and occurred both in different sex and age groups, suggesting that the relevant departments should carry out targeted health education, and strengthen the management of high toxic and highly toxic pesticides.
分析宁波市急性农药中毒的特征，为防控策略提供科学依据。2017年2月，从中国疾病预防控制信息系统中提取了宁波市2011 - 2016年的农药中毒报告卡。报告卡数据用Excel整理，并用SPSS19.0软件进行分析。2011 - 2016年宁波市共报告急性农药中毒2593例，死亡125例，病死率为4.82%。生产性农药中毒和非生产性农药中毒分别为299例和2294例，比例为1:7.67。病死率分别为0.33%和5.41%，差异有统计学意义（χ(2)=14.83，P<0.01）。生产性农药中毒主要发生在7 - 9月（55.85%），非生产性农药中毒主要发生在4 - 6月（30.64%）和7 - 9月（30.34%）。两组农药中毒的季节分布差异有统计学意义（χ2=82.21，P<0.01）。生产性农药中毒男性比例（80.27%）显著高于非生产性农药中毒（52.09%），两种类型农药中毒的性别构成差异有统计学意义（χ2=84.97，P<0.01）。55 - 65岁组生产性农药中毒人数最多（35.45%），非生产性农药中毒在25岁及以上各年龄组分布均匀，两种类型农药中毒的年龄构成差异有统计学意义（χ2=177.84，P<0.01）。宁波市10个县均有农药中毒报告。报告较多的县有宁海县（18.28%）、奉化区（14.69%）和余姚市（12.42%）。急性农药中毒主要由杀虫剂和除草剂引起，主要为有机磷类（45.74%）和百草枯（16.81%）。目前，宁波市农药中毒以非生产性农药中毒为主，季节分布特征明显，不同性别和年龄组均有发生，提示相关部门应开展针对性健康教育，加强对高毒和剧毒农药的管理。
