坦桑尼亚北部青少年女孩和妇女急性农药中毒。
Acute pesticide poisoning amongst adolescent girls and women in northern Tanzania.
机构信息
Tropical Pesticides Research Institute, P.O. Box 3024, Arusha, Tanzania.
School of Public Health and Social Sciences, Muhimbili University of Health and Allied Sciences (MUHAS), P.O. Box 65015, Dar es Salaam, Tanzania.
出版信息
BMC Public Health. 2020 Mar 6;20(1):303. doi: 10.1186/s12889-020-8374-9.
BACKGROUND
Acute pesticide poisoning (APP) is reported to affect community health worldwide but its burden in Tanzania is unknown particularly in women. This study examines APP involving adult females and adolescent girls 10 to 19 years in 3 regions of Tanzania which are famous for coffee and vegetable production.
METHODS
Over the period of 12 months, health facility-based surveillance for cases of APP was implemented in 10 Tanzanian healthcare facilities in 2006.
RESULTS
The study identified 108 APP cases of whom 31 (28.7%) occurred amongst adolescent girls. Suicide was the leading poisoning circumstances (60.2%) and the most vulnerable women were 20-29 years old who comprised 38.4% of all cases with suicide as circumstance. Organophosphates (OPs), zinc phosphide, paraquat and endosulfan were common amongst known reported poisoning agents. The annual APP incidence, mortality and Case Fatality Rate for women were 5.1/100,000, 0.2/100,000 and 3.7/100, respectively.
CONCLUSION
APP amongst women in Tanzania is common and this call for diverse preventive interventions to reduce poisoning incidents.
背景
据报道，急性农药中毒（APP）影响着全球社区健康，但坦桑尼亚的这方面负担尚不清楚，特别是在女性中。本研究调查了坦桑尼亚三个以咖啡和蔬菜生产而闻名的地区的成年女性和 10 至 19 岁青少年女性的 APP 情况。
方法
在 2006 年的 12 个月期间，在 10 家坦桑尼亚医疗机构实施了基于卫生机构的 APP 病例监测。
结果
该研究确定了 108 例 APP 病例，其中 31 例（28.7%）发生在青少年女孩中。自杀是主要的中毒情况（60.2%），最脆弱的女性是 20-29 岁，占所有自杀情况的 38.4%。有机磷农药、磷化锌、百草枯和硫丹是常见的已知中毒药物。女性的年 APP 发病率、死亡率和病死率分别为 5.1/100,000、0.2/100,000 和 3.7/100。
结论
坦桑尼亚女性 APP 很常见，需要采取多种预防干预措施来减少中毒事件。
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