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中国江苏省农药中毒的类型;2006 年至 2018 年的流行趋势。

Types of Exposure Pesticide Poisoning in Jiangsu Province, China; The Epidemiologic Trend between 2006 and 2018.

机构信息

School of Public Health, Southeast University, Nanjing 210009, China.

Jiangsu Provincial Center for Disease Control and Prevention, Nanjing 210009, China.

出版信息

Int J Environ Res Public Health. 2019 Jul 19;16(14):2586. doi: 10.3390/ijerph16142586.

DOI:10.3390/ijerph16142586
PMID:31331061
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC6679074/
Abstract

BACKGROUND

Pesticide poisoning is an important issue in rural China, and is also a major public health problem that affects the health of farmers. The purpose of this paper is to explore the epidemiology of pesticide poisoning in Jiangsu Province, and to put forward the relevant suggestions on the logical and discerning utilization of the pesticides.

METHODS

According to the data of the pesticide poisoning report card established by the health hazard detection information system, the cases of pesticide poisoning in Jiangsu Province from 2006 to 2018 were exported to Excel, and the database of pesticide poisoning was established. Furthermore, the imported data was screened and collected. A descriptive statistical analysis had been employed on this data utilizing SPSS 20.0.

RESULTS

Between the years 2006 and 2018, 38,513 pesticide poisoning cases were registered in Jiangsu Province, with a downward trend. Meanwhile, 77.83% of poisoning cases involved insecticide poisoning, followed by herbicide and rodenticide. The greater part of the diverse sorts of studied insecticide poisoning cases involved people aged between 30 and 59 years (57.51%). Poisoning cases caused by rodenticide accounted for a large proportion of people aged between 0 and 14 years (23.72%) in non-occupational pesticide poisoning. Regarding seasons, it was distinguished that more insecticide cases were reported in autumn (46.95% of the total number of cases). Pesticide poisoning was reported in 13 cities of Jiangsu Province, and among these, insecticide poisoning was reported mainly from the northern Jiangsu area, which was the same as rodenticide and herbicide.

CONCLUSIONS

Although there is a decreased risk for pesticide poisoning among farmworkers in Jiangsu Province, the number of farmworkers with pesticide poisoning is still high. Further management of the pesticide utilization is necessary, especially insecticide. More attention ought to be paid to the protection of vulnerable groups, including children and the elderly.

摘要

背景

在中国农村,农药中毒是一个重要问题,也是影响农民健康的主要公共卫生问题。本文旨在探讨江苏省农药中毒的流行病学特点,并提出合理、审慎使用农药的相关建议。

方法

根据江苏省卫生危害监测信息系统建立的农药中毒报告卡,导出 2006 年至 2018 年江苏省农药中毒病例数据,建立农药中毒数据库,并对导入数据进行筛选和整理。采用 SPSS 20.0 对数据进行描述性统计分析。

结果

2006-2018 年江苏省共报告农药中毒 38513 例,呈下降趋势,中毒农药种类以杀虫剂为主,占 77.83%,其次为除草剂和杀鼠剂;不同种类的杀虫剂中毒以 3059 岁人群为主,占 57.51%;非职业性农药中毒中,鼠药中毒以 014 岁人群为主,占 23.72%;季节分布以秋季杀虫剂中毒为主,占 46.95%;江苏省 13 个市均有农药中毒报告,其中杀虫剂中毒主要集中在苏北地区,与鼠药、除草剂分布一致。

结论

江苏省农民农药中毒风险虽有所降低,但中毒人数仍较多,应进一步加强农药管理,尤其是杀虫剂管理,同时加强对儿童、老人等脆弱人群的保护。

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