de Cock J, Heederik D, Kromhout H, Boleij J S, Hoek F, Wegh H, Tjoe Ny E
Department of Epidemiology and Public Health, University of Wageningen, The Netherlands.
Am Ind Hyg Assoc J. 1998 Mar;59(3):166-72. doi: 10.1080/15428119891010424.
A series of studies investigated occupational exposure to pesticides among fruit growers in The Netherlands during spraying and reentry of orchards between 1990 and 1992 to identify and quantify determinants of exposure. Determinants of exposure are discussed as a starting point for hazard identification and control. Captan was used as a marker for exposure. Cabin use of the tractor was the most prominent determinant of dermal exposure during spraying. For respiratory exposure, factors related to preparation of pesticides were most prominent. A long duration of exposure may reflect a different exposure situation compared with a short duration of exposure. As different determinants of exposure prevailed for each subgroup, consideration should be given to constructing exposure models for each group separately. Dislodgeable foliar residue (DFR) was the most prominent determinant of exposure for both respiratory and dermal exposure during reentry. However, no significant relation between DFR and dermal exposure of forehead and sternal area was found, perhaps because there was no direct contact with foliage here. Therefore, use of a transfer factor based on DFR to estimate total dermal exposure is only a crude estimate. The half-life of captan on crops varied from 10-17 days, so substantial exposure when entering the orchard is very likely, particularly when spraying frequency is high. The main starting points for reduction of exposure are use of a cabin, DFR, and individual time spent on different tasks. Determinants that are constant over time (cabin use) may have an especially great influence on grouping workers, according to long-term exposure in epidemiological studies. As determinants of exposure vary for the different exposure routes and body locations (for dermal exposure), the measure of interest for a specific study design will decide which determinants are most relevant.
一系列研究调查了1990年至1992年间荷兰果农在果园喷洒农药和重新进入果园期间的职业性农药暴露情况,以识别和量化暴露的决定因素。作为危害识别和控制的起点,对暴露的决定因素进行了讨论。克菌丹被用作暴露的标志物。拖拉机驾驶室的使用是喷洒过程中皮肤暴露最主要的决定因素。对于呼吸道暴露,与农药配制相关的因素最为突出。长时间暴露可能反映出与短时间暴露不同的暴露情况。由于每个亚组的暴露决定因素不同,应考虑为每个组分别构建暴露模型。在重新进入果园期间,可去除叶面残留量(DFR)是呼吸道和皮肤暴露最主要的决定因素。然而,未发现DFR与前额和胸骨区域的皮肤暴露之间存在显著关系,可能是因为此处未直接接触树叶。因此,使用基于DFR的转移因子来估计总皮肤暴露只是一个粗略的估计。克菌丹在作物上的半衰期为10 - 17天,所以进入果园时很可能会有大量暴露,尤其是在喷洒频率较高时。减少暴露的主要起点是使用驾驶室、DFR以及在不同任务上花费的个人时间。在流行病学研究中,随着时间推移保持不变的决定因素(如驾驶室的使用)可能对工人分组有特别大的影响。由于不同暴露途径和身体部位(对于皮肤暴露)的暴露决定因素不同,特定研究设计关注的指标将决定哪些决定因素最为相关。