Graczyk Halshka, Hopf Nancy B, Mediouni Zakia, Guseva-Canu Irina, Sanvido Olivier, Schmid Kaspar, Berthet Aurelie
Institute for Work and Health, University of Lausanne, Epalinges-Lausanne, Switzerland.
State Secretariat for Economic Affairs (SECO), Bern, Switzerland.
Swiss Med Wkly. 2018 Apr 26;148:w14610. doi: 10.4414/smw.2018.14610. eCollection 2018.
There is currently no centralised database on workers' exposures to plant protection products (PPPs) in Switzerland, nor a national register for negative health effects linking them to occupational PPP exposure. This lack of basic data makes it difficult to implement either epidemiological research or prevention campaigns for the agricultural sector. The first objective was to understand the level of information and flow of data on occupational PPP exposures and health effects in the Canton of Vaud, Switzerland. Then, to apply this information to develop recommendations for improving a vigilance system for occupational health effects related to PPP exposure.
A mapping study and semistructured stakeholder interviews were conducted to better understand the flow of data on occupational PPP exposures and health effects. A clinical records investigation of workers occupationally exposed to PPPs was undertaken to understand the magnitude of this potential problem. Finally, a workshop brought together relevant stakeholders to discuss recommendations for the way forwards.
A lack of data on PPP exposures and associated health effects was revealed. This highlighted important knowledge gaps at different levels of the current institutional information flow system. We found that although there were numerous stakeholders that worked efficiently in their own mandate, there was a clear need for increased collaboration and coordination in order to make use of existing data to promote safer PPP use among agricultural workers in Switzerland.
Due to increasing evidence of an association between PPP exposure and health effects, increased collaboration between stakeholders is necessary to develop links between the data sources that already exist. Our study was the first to investigate the health effects linked to PPP exposure among the Swiss agricultural population. The recommendations presented in this paper would help promote a safer and healthier agricultural workforce in Switzerland, as well as the population at large.
目前瑞士没有关于工人接触植物保护产品（PPP）的集中数据库，也没有将职业性PPP接触与负面健康影响相关联的国家登记册。缺乏这些基础数据使得开展农业领域的流行病学研究或预防活动变得困难。第一个目标是了解瑞士沃州职业性PPP接触及健康影响的信息水平和数据流动情况。然后，运用这些信息制定建议，以改进与PPP接触相关的职业健康影响监测系统。
开展了一项映射研究和半结构化利益相关者访谈，以更好地了解职业性PPP接触及健康影响的数据流动情况。对职业性接触PPP的工人进行了临床记录调查，以了解这一潜在问题的严重程度。最后，举办了一次研讨会，召集相关利益相关者讨论未来的前进方向建议。
揭示了PPP接触及相关健康影响方面的数据缺失问题。这凸显了当前机构信息流系统不同层面存在的重要知识空白。我们发现，尽管有众多利益相关者在各自职责范围内高效工作，但显然需要加强协作与协调，以便利用现有数据促进瑞士农业工人更安全地使用PPP。
由于越来越多的证据表明PPP接触与健康影响之间存在关联，利益相关者之间有必要加强协作，以建立现有数据源之间的联系。我们的研究首次调查了瑞士农业人口中与PPP接触相关的健康影响。本文提出的建议将有助于促进瑞士农业劳动力以及广大民众更安全、更健康。
