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菲律宾本格特省菜农的农药相关污染与职业健康评估

Assessment of Pesticide-Related Pollution and Occupational Health of Vegetable Farmers in Benguet Province, Philippines.

作者信息

Lu Jinky Leilanie

机构信息

National Institutes of Health, University of the Philippines Manila, Republic of the Philippines.

College of Arts and Sciences, University of the Philippines Manila, Republic of the Philippines.

出版信息

J Health Pollut. 2017 Dec 18;7(16):49-57. doi: 10.5696/2156-9614-7.16.49. eCollection 2017 Dec.

DOI:10.5696/2156-9614-7.16.49
PMID:30524840
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6221443/
Abstract

BACKGROUND

Agriculture accounts for 20% of the national income in the Philippines. In order to boost agricultural activity and prevent crop damage, farmers rely on pesticides for vector control and management.

OBJECTIVES

The present study assessed the pesticide exposure and occupational health of agricultural farmers in the Philippines. The study site is one of the largest vegetable-producing provinces in the Philippines.

METHODS

This study employed both a survey questionnaire and physical health assessment, including a mental state examination. Pesticide exposure was estimated based on the duration of pesticide use, as well as the amount per spray application. The data results were segregated by gender, as women are also heavily engaged in agriculture in this part of the Philippines.

RESULTS

The results showed that pesticide exposure usually occurred during agricultural activities such as spray applications in the field (63.7%), mixing (38.4%), loading (34.1%) and field re-entry (9.7%). The most frequently used pesticides were Tamaron, Selecron, and Dithane. The mean duration of pesticide exposure was 14.23 years for males and 15.4 years for females. The longest used pesticide among males was Sumicidine (16.2 years), and Tamaron for females (18 years). In terms of amount used, the average was 147 ml per spray application for males and 65.5 ml for females. Exposure to pesticides was expressed in number of years and amount used per spray application, and the average exposure of males was 2,024.43 ml/years and 993.55 ml/years for females. Among farmers, 49% complained of being sick due to their work. Of those who became ill, a large percentage (69.8%) did not receive any medical attention. The most prevalent health symptoms were muscle pains (63.3%), muscle weakness (55%), and easy fatigability (52.4%). For the mini-mental state examination, abnormalities were found in 5.4% of males and 13.3% of females. The use of insecticides was associated with weakness, easy fatigability and weight loss.

DISCUSSION

The present study demonstrated frequent and significant duration of pesticide use among farmers in Benguet province, Philippines.

CONCLUSIONS

Pesticide exposure was considerable among the farmers in the present study. The occupational health conditions reported by the study subjects can be linked to their pesticide use. Although this study assessed risk factors associated with general health symptoms, further investigation is needed to determine specific pesticide exposure-health correlations.

PARTICIPANT CONSENT

Obtained.

ETHICS APPROVAL

The study was approved by the Research Ethics Board of the University of the Philippines, Manila, which is recognized and accredited by the Forum for Ethical Review Committees in Asia and the Western Pacific (FERCAP).

摘要

背景

农业占菲律宾国民收入的20%。为了促进农业活动并防止作物受损,农民依靠农药进行病媒控制和管理。

目的

本研究评估了菲律宾农民的农药暴露情况和职业健康状况。研究地点是菲律宾最大的蔬菜生产省份之一。

方法

本研究采用了调查问卷和身体健康评估,包括精神状态检查。根据农药使用时长以及每次喷洒的用量来估算农药暴露情况。数据结果按性别分类,因为在菲律宾的这一地区,女性也大量从事农业工作。

结果

结果显示,农药暴露通常发生在田间喷洒(63.7%)、混合(38.4%)、装载(34.1%)和重新进入田间(9.7%)等农业活动期间。最常用的农药是杀螟松、西力生和代森锰。男性农药暴露的平均时长为14.23年,女性为15.4年。男性使用时间最长的农药是速灭威(16.2年),女性是杀螟松(18年)。就用量而言,男性每次喷洒的平均用量为147毫升,女性为65.5毫升。农药暴露以使用年限和每次喷洒的用量来表示,男性的平均暴露量为每年2024.43毫升,女性为每年993.55毫升。在农民中,49%抱怨因工作而生病。在生病的人中,很大一部分(69.8%)没有接受任何医疗护理。最常见的健康症状是肌肉疼痛(63.3%)、肌肉无力(55%)和易疲劳(52.4%)。在简易精神状态检查中,5.4%的男性和13.3%的女性存在异常。使用杀虫剂与虚弱、易疲劳和体重减轻有关。

讨论

本研究表明,菲律宾本格特省的农民频繁且大量使用农药。

结论

在本研究中,农民的农药暴露情况相当严重。研究对象报告的职业健康状况与他们使用农药有关。尽管本研究评估了与一般健康症状相关的风险因素,但仍需要进一步调查以确定特定的农药暴露与健康的相关性。

参与者同意

已获得。

伦理批准

该研究得到了菲律宾大学马尼拉分校研究伦理委员会的批准,该委员会得到了亚洲及西太平洋地区伦理审查委员会论坛(FERCAP)的认可和认证。