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印度南部部分茶园喷雾器操作人员的发病情况及胆碱酯酶水平

Morbidity Profile and Cholinesterase Levels among Sprayers in Selected Tea Plantations in South India.

作者信息

Kannan Radhika, Ramesh Naveen

机构信息

Department of Community Medicine, PK DAS Institute of Medical Sciences, Palakkad, Kerala, India.

Department of Community Medicine, St John's Medical College, Bengaluru, Karnataka, India.

出版信息

Indian J Occup Environ Med. 2022 Apr-Jun;26(2):100-104. doi: 10.4103/ijoem.ijoem_183_21. Epub 2022 Jul 4.

Abstract

BACKGROUND

The tea plantation industry is composed of a complex chain of workers whose functions often overlap. There has been an extensive use of pesticides in this sector, and in the long term, these can have detrimental effects on the chemical sprayers working in the tea plantations.

AIMS

To assess the morbidities related to pesticide toxicity and document the most recent plasma cholinesterase levels among the pesticide sprayers working in selected tea plantations in South India.

METHODS

A cross-sectional study was conducted among 290 chemical sprayers in selected tea plantations in South India after approval from the Institutional Ethics Committee and permission from the plantations. A structured interview schedule was administered by face-to-face interview with the selected sample. The blood cholinesterase detection done at the Estate Hospital was documented by the interviewer.

RESULTS

The mean age of the participants was 45.6 ± 8.5 years and all of them were males. About 35.2% of the participants had reported at least one symptom of organophosphorus toxicity. The most common symptom was headache (21.7%) followed by itching of the eyes (20%) and watering of the eyes (16.2%). The blood cholinesterase values were normal in most of the sprayers in the study and only four (1.4%) sprayers had values less than the reference range. There was a significant association between the duration of work, method of spraying, and the blood cholinesterase levels indicating that greater duration of exposure and more direct contact with the chemical raise the cholinesterase levels significantly.

CONCLUSION

The symptoms of pesticide toxicity were reported among the sprayers. The blood cholinesterase levels were normal for most of them.

摘要

背景

茶园产业由一系列职能经常重叠的复杂工人链条组成。该行业广泛使用农药,从长远来看,这些农药可能会对在茶园工作的化学喷雾器操作人员产生有害影响。

目的

评估与农药毒性相关的发病率,并记录印度南部选定茶园中农药喷雾器操作人员最新的血浆胆碱酯酶水平。

方法

在获得机构伦理委员会批准和茶园许可后,对印度南部选定茶园的290名化学喷雾器操作人员进行了横断面研究。通过与选定样本进行面对面访谈来实施结构化访谈时间表。访谈者记录在茶园医院进行的血液胆碱酯酶检测结果。

结果

参与者的平均年龄为45.6±8.5岁,均为男性。约35.2%的参与者报告至少有一种有机磷中毒症状。最常见的症状是头痛(21.7%),其次是眼睛瘙痒(20%)和流泪(16.2%)。研究中的大多数喷雾器操作人员血液胆碱酯酶值正常,只有四名(1.4%)喷雾器操作人员的值低于参考范围。工作时长、喷洒方法与血液胆碱酯酶水平之间存在显著关联,表明接触时间越长和与化学物质的直接接触越多,胆碱酯酶水平显著升高。

结论

喷雾器操作人员报告了农药中毒症状。他们中的大多数人血液胆碱酯酶水平正常。

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