Department of Environmental and Occupational Health, School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences, Dar es Salaam, TZ.
Ann Glob Health. 2018 Aug 31;84(3):369-379. doi: 10.29024/aogh.2303.
Pesticides are extensively used in agriculture to control harmful pests and prevent crop yield losses or product damage. In Tanzania several studies have been conducted on health effects of pesticides on agricultural workers. However, there are few studies on neurological health symptoms associated with pesticide exposure in flower and onion farms.
The objective of this cross-sectional study was to assess health symptoms associated with pesticide exposure among flower and onion pesticide applicators in the Arusha region, Tanzania.
Data on demographic variables and health symptoms associated with pesticide exposure were collected from 140 males who were employed in spraying pesticides on flower and onion farms in Arusha, Meru and Karatu districts between April and May 2017. The study participants were interviewed using a structured questionnaire with questions focusing sociodemographic characteristics, occupation, pesticide exposure, common type of pesticide used in the area and neurological symptoms experienced during and after pesticide spraying. To determine the intensity of pesticide exposure, acetylcholinesterase assay was done by using the Test-mate Model 400 device with a photometric sensor.
Ninety-five percent of pesticide applicators reported handling organophosphate pesticides. Body weakness was the most frequently reported neurological symptom (57.1%) followed by perspiration and headache (40.7%), poor appetite and depression (29.3%) and irritation (26.4%). About 27% of pesticide applicators had an acetylcholinesterase level below the limit value.
A high proportion of neurological health symptoms and cholinesterase test depression was noted among pesticide applicators in both farms. There is a need to conduct further studies to ascertain causality for such high instances of neurological symptoms.
农药在农业中被广泛用于控制有害害虫,防止作物减产或产品受损。在坦桑尼亚,已经有几项关于农药对农业工人健康影响的研究。然而,关于与花卉和洋葱种植场接触农药相关的神经健康症状的研究较少。
本横断面研究的目的是评估坦桑尼亚阿鲁沙地区花卉和洋葱农药施药者接触农药相关的健康症状。
2017 年 4 月至 5 月期间,从阿鲁沙、默鲁和卡里阿托区在花卉和洋葱种植场喷洒农药的 140 名男性中收集了与农药接触相关的人口统计学变量和健康症状数据。研究参与者接受了结构化问卷访谈,问题重点关注社会人口统计学特征、职业、农药暴露、该地区常用的农药类型以及在喷洒农药期间和之后经历的神经症状。为了确定农药暴露的强度,使用带有光度计传感器的 Test-mate Model 400 设备进行了乙酰胆碱酯酶测定。
95%的农药施药者报告处理有机磷农药。身体无力是最常报告的神经症状(57.1%),其次是出汗和头痛(40.7%)、食欲不振和抑郁(29.3%)和刺激(26.4%)。约 27%的农药施药者的乙酰胆碱酯酶水平低于限值。
在两个农场中,农药施药者都有很高比例的神经健康症状和胆碱酯酶测试抑郁。有必要进行进一步的研究以确定此类高神经症状的因果关系。