Sak Zafer Hasan Ali, Kurtuluş Şerif, Ocakli Birsen, Töreyin Zehra Nur, Bayhan İbrahim, Yeşilnacar M İrfan, Akgün Metin, Arbak Peri
Department of Chest Diseases, University School of Medicine, Harran, Turkey.
Chest Diseases and Thoracic Surgery Training and Research, Süreyyapaşa, Turkey.
Ann Agric Environ Med. 2018 Dec 20;25(4):701-707. doi: 10.26444/aaem/99561. Epub 2018 Dec 5.
To investigate respiratory health problems related to pesticide exposure in the inhabitants of agricultural areas.
This study included 252 participants prior to pesticide application and 66 participants from the first group after pesticide application across four cotton farms. Symptom questionnaires were filled out by participants and respiratory function tests were measured before and after pesticide exposure. In addition, PM, PM, air temperature, and humidity were measured in all four farming villages before and after pesticide administration.
PM and PM levels were significantly increased after pesticide application. After pesticide application, all participants' nose, throat, eye, and respiratory complaints increased significantly. Expected forced vital capacity (FVC) and forced expiratory volume in one second (FEV1) percentage values decreased significantly. The rates of FVC and FEV1 values lower than 80% were 23.5% and 22%, espectively, before pesticide application, and this rate increased to 42.4% and 43.1%, respectively, after pesticide application. There was a significant negative correlation between PM levels and FVC, FEV1, and PEF values. After PM pesticide application, the risk of experiencing burning in the mouth, nose, and throat increased by 2.3-fold (OR: 2.316), 2.6-fold for burning symptoms in the eyes (OR: 2.593), 2.1-fold for wheezing (OR: 2.153), and 2.2-fold for chest tightness (OR: 2.211). With increased PM levels, the risk of chest tightness increased 1.1-fold (OR: 1.123).
After pesticide administration, the respiratory health of the participants deteriorated. Performing pesticide applications in agriculture with harmless methods is the most important measure to be taken to protect public health.
调查农业地区居民中与接触农药相关的呼吸健康问题。
本研究纳入了四个棉花农场施药前的252名参与者以及第一组施药后的66名参与者。参与者填写症状问卷,并在接触农药前后进行呼吸功能测试。此外,在四个村庄施药前后测量了可吸入颗粒物(PM)、细颗粒物(PM)、气温和湿度。
施药后PM和PM水平显著升高。施药后,所有参与者的鼻、喉、眼及呼吸方面的不适均显著增加。预计用力肺活量(FVC)和一秒用力呼气容积(FEV1)的百分比值显著下降。施药前FVC和FEV1值低于80%的比例分别为23.5%和22%,施药后该比例分别增至42.4%和43.1%。PM水平与FVC、FEV1和呼气峰值流速(PEF)值之间存在显著负相关。施药后,口腔、鼻子和喉咙有灼烧感的风险增加了2.3倍(比值比:2.316),眼睛有灼烧症状的风险增加了2.6倍(比值比:2.593),喘息风险增加了2.1倍(比值比:2.153),胸闷风险增加了2.2倍(比值比:2.211)。随着PM水平的升高,胸闷风险增加了1.1倍(比值比:1.123)。
施药后,参与者的呼吸健康状况恶化。采用无害方法进行农业施药是保护公众健康应采取的最重要措施。