Postgraduate Program in Pharmaceutical Sciences, Federal University of Espírito Santo, Vitória, ES, Brazil.
Toxicological Service Center of Espírito Santo (TOXCEN), Vitória, ES, Brazil.
Arch Environ Occup Health. 2021;76(8):494-503. doi: 10.1080/19338244.2020.1848773. Epub 2020 Nov 30.
Pesticide poisoning is a significant public health problem responsible for an estimated three million poisoning cases per year and more than 250,000 deaths, most of which occur in underdeveloped countries. We evaluated pesticide exposure cases reported to a toxicological service center in Brazil, between 2012 and 2016. There were 3211 cases of pesticide exposure, with a high prevalence in adults aged 20-39 years (41.2%). Attempted suicide was the leading cause of pesticide cases (48%). Occupational exposure to pesticides of agricultural use was more frequently observed among men. Accidental exposure and attempted suicide were more frequently observed in urban areas while occupational exposure was more prevalent in rural areas. A higher exposure rate was observed among men in counties with higher agricultural activities. Establishing prevalence and cause of pesticide exposure is important to provide subsidy for evidence-based interventions in the field.
农药中毒是一个重大的公共卫生问题，据估计，每年有 300 万例中毒病例和超过 25 万例死亡，其中大多数发生在欠发达国家。我们评估了巴西一个毒理学服务中心报告的农药中毒病例，时间范围是 2012 年至 2016 年。共有 3211 例农药中毒病例，20-39 岁的成年人中发病率较高（41.2%）。自杀未遂是农药中毒的主要原因（48%）。农业用农药的职业暴露更多见于男性。意外暴露和自杀未遂更多见于城市地区，而职业暴露在农村地区更为普遍。在农业活动较多的县，男性的暴露率更高。确定农药暴露的流行率和原因对于提供基于证据的干预措施的补贴非常重要。
