Mortalidade por intoxicacao ocupacional relacionada a agrotoxicos, 2000-2009, Brasil / Occupational pesticide poisoning mortality, 2000-2009, Brazil / Occupational pesticide poisoning mortality, 2000-2009, Brazil / Mortalidad por intoxicacion ocupacional relacionada con agrotoxicos, 2000-2009, Brasil

OBJETIVO: Estimar o coeficiente de mortalidade por intoxicações ocupacionais relacionadas aos agrotóxicos no Brasil. MÉTODOS: Utilizaram-se dados do Sistema de Informações sobre Mortalidade de 2000 a 2009 referentes aos diagnósticos de intoxicação por agrotóxicos, T60.0-T60.4, T60.8 e T60.9, X48, Y18, e Z578 da CID-10, para a causa básica ou associadas; a natureza ocupacional foi identificada pelo registro no campo <acidente de trabalho>, <circunstância do óbito> e se a <ocupação> era na agropecuária. Foram excluídos homicídios e suicídios. Para cálculo da mortalidade, o número de trabalhadores da agropecuária foi obtido do Instituto Brasileiro de Geografia e Estatística, projeções do Sistema de Contas Nacionais. RESULTADOS: Foram encontrados registros de 2.052 óbitos por intoxicação por agrotóxicos no Brasil, dos quais 36,2% (n = 743) não continham dados sobre a ocupação. Dentre os 1.309 restantes, 679 (51,9%) eram trabalhadores da agropecuária. A mortalidade por intoxicação ocupacional por agrotóxicos caiu de 0,56/100.000 (2000 a 2001) para 0,39/100.000 (2008 a 2009) entre trabalhadores no período, maior queda entre os homens que entre as mulheres. Os homens tiveram maiores estimativas de mortalidade por esse tipo de intoxicação em todos os anos. A maior parte dos óbitos foi causada por agrotóxicos do tipo organofosforados e carbamatos. O número de óbitos por esse tipo de intoxicação declinou em todas as regiões, exceto no Nordeste. CONCLUSÕES: É necessária a melhoria dos registros das declarações de óbito, em especial da ocupação e da relação dos diagnósticos com o trabalho, fundamentais para o controle e prevenção ...

OBJETIVO: Estimar el coeficiente de mortalidad por intoxicaciones ocupacionales relacionadas con agrotóxicos en Brasil MÉTODOS: Se utilizaron datos del Sistema de Informaciones sobre Mortalidad de 2000 a 2009 sobre los diagnósticos de intoxicación por agrotóxicos, T60.0-T60.4, T60.8 y T60.9, X48, Y18, y Z578 de la CID-10, para la causa básica o asociadas; la naturaleza ocupacional fue identificada por el registro en el campo [accidente en el trabajo], [circunstancia de óbito] y si la [ocupación] era en agropecuaria. Se excluyeron homicidios y suicidios. Para el cálculo de mortalidad, el número de trabajadores de la agropecuaria fue obtenido del Instituto Brasileño de Geografía y Estadística, proyecciones del Sistema de Cuentas Nacionales. RESULTADOS: Se encontraron registros de 2.052 óbitos por intoxicación por agrotóxicos en Brasil, de los cuales 36,2% (n=743) de los registros contenían datos sobre ocupación. Entre los 1.309 restantes, 679 (51,9% eran trabajadores de la agropecuaria). La mortalidad por intoxicación ocupacional por agrotóxicos cayó de 0,56/100.000 (2000 a 2001) a 0,39/100.000 (2008 a 2009) entre trabajadores en el período, mayor disminución entre hombres que entre las mujeres. Los hombres tuvieron mayores estimaciones de mortalidad por ese tipo de intoxicación en todos los años. La mayor parte de los óbitos fue causada por agrotóxicos de tipo organofosforados y carbamatos. El número de óbitos por este tipo de intoxicación declinó en todas las regiones, excepto en el Noreste. CONCLUSIONES: Es necesario mejorar los registros de las declaraciones de óbito, en especial, de la ocupación y de la relación de los diagnósticos con el trabajo, fundamentales para el control y prevención más adecuados para estos accidentes de trabajo. ...

OBJECTIVE: To estimate the mortality rate due to occupational pesticide poisoning in Brazil. METHODS: Data on diagnoses of death from pesticide poisoning between 2000 and 2009 were obtained from the Mortality Information System. ICD-10 codes T60.0-T60.4, T60.8 and T60.9, Y18, X487 and Z578 as the main or secondary cause of death; data on work-related deaths were obtained from the death certificate, from the fields <work related accident>, <circumstances of death> and whether cases were agricultural workers. Homicides and suicides were excluded. To calculate mortality, the number of agricultural workers was obtained from the Brazilian Institute of Geography and Statistics, National System of Accounts estimates. RESULTS: There were 2,052 deaths recorded as caused by pesticide poisoning in Brazil, between 2000 and 2009, of which 36.2% (n = 743) had no occupation data. Of the remaining 1,309, 679 (51.9%) were agricultural workers. Mortality from occupational pesticide poisoning declined from 0.56/100.000 (2000-2001) to 0.39/100.000 (2008-2009) workers during the study period, and there was a larger decrease among men compared with women. Males had a higher mortality from this type of poisoning than women in all study years. Most deaths were caused by organophosphates and carbamate pesticides poisoning. During the study period the number of cases declined in all regions, except for the Northeast. CONCLUSIONS: Improvement in the quality of Death Certificate records is needed, particularly for occupation and the assessment of causes of death as work related, crucial for work injuries control and prevention programs. Special attention is required in the Northeast region. .

The pattern of poisoning in khammam.

This study was undertaken to study the patterns of poisoning cases admitted at Mamata General Hospital Khammam, Andhra Pradesh from June 2005 to June 2010. The poisoning was common mode of suicide and one of the common causes of death in developing countries, particularly in agricultural workers. The emphasis was given on age, sex, socioeconomic status, etc. type and mode of poisoning. Organophosphate compounds were the most commonly 74.10% abused substance. The common motive of poisoning was suicidal 93.43% in both male 85.85% and female 14.14% with male to female ratio 6.07: 1%. Peak incidence was observed in the age group 21-30 years 50.59% and majority were from Hindu community 90.83% as compared to other community. The overall mortality of poisoning is 17.33%. Majority 366 (72.90%) were consumed the approximate amount of poison is 400-500 ml and maximum number of deaths 74 985.05%) are associated with highly toxic amount of 400-500ml of poison consumed. The study observed increasing trend of suicide by organophosphate compounds and rat poison ,whereas other poisons for committing suicide are less commonly used and here with–reflecting the pattern of poisoning in Khammam.

Trends of poisoning and gross stomach mucosal appearance in fatal poisoning cases: An autopsy study.

The study was of one year duration from 3rd December 2007 to 2nd December 2008 on fatal poisoning cases autopsied at Chigateri Government District hospital mortuary, attached to JJM Medical College, Davangere. The purpose was to know the trends of fatal poisoning cases in the region and also to know the gross stomach mucosal appearances in those cases. Material for the study included fatal poisoning cases autopsied. These poisoning cases included fatal animal bites also. All the data collected in detail was entered in the Proforma and later critically analyzed, tabulated, & compared with other various studies. Significant correlations were seen between- types of poison ingested & survival period, and between treatment intervention & survival period. It was an attempt to try to furnish poison suspected to the FSL based on case files and autopsy findings so as to hasten analysis and reporting.

A study of serum cholinesterase levels in organo phosphorous poisoning cases.

The study period is 11 months that is from 01-01-2007 to 28-11-2007, 35 cases of organ phosphorus poisoning were admitted at Mamata General Hospital, khammam, Andhra Pradesh, India. The cases were studied on various epidemiological parameters and Proforma prepared for detailed data. In our study the majority of victims were males, married, Hindu, Literate, from rural area, medium socioeconomic group and common age of victims is 21 to 30 years. The common mode of poisoning is suicidal, one is accidental poison in child and one is occupational as contact poison while spraying .No homicidal poison was reported in our study. Majority victims have consumed poison in day time, commonly abused poison is monochrotophos, and approximate amount of poison consumed by majority of the victims is 250 ml to 500 ml and majority were admitted within 3 to 6 hours of consumption of poison. The common motive of poisoning was suicidal in both male [24 cases] and female [10 cases], especially young victims from rural domicile with agricultural occupation. The majority of victims consumed poison in summer followed by winter season. The probable reason is rain dependent agricultural occupation, unemployment, joint family and medium socioeconomic status of population of this area.

An epidemiological study of organophosphorus poisoning at manipal teaching hospital, Pokhara, Nepal.

Organophosphorus compounds are chemical compounds containing carbon-phosphorus bonds (apart from phosphate and phosphite esters), primarily used in pest control and are often persistent organic pollutants. Acute poisoning by organophosphorus (OP) compounds is a major global clinical problem, with thousands of deaths occurring every year in Nepal. Most of these pesticide poisoning and subsequent deaths occur due to deliberate self ingestion of the poison. Sixty five patients with severe organophosphorus poisoning were admitted to the emergency ward of Manipal Teaching Hospital, Pokhara, Nepal from January 2008 to December 2008. History of ingestion, clinical signs & symptoms and survival time in case of death was also recorded to diagnose the OP poisoning. The mean age of patients was about 27 years. Most of the admitted cases were of suicidal in nature and women are the main victim. Suicidal deaths due to ingestion of organophosphorus compound are very common in Nepal especially in women. The reason may be the increasing stress in the family and economic constraints. Further study should be needed by government and NGO to evaluate it.

Sociodemographic profile of poisoning cases.

Acute poisoning is an important medical emergency and one of the causes of death. A thorough knowledge of the profile of the victim is essential for management and prevention of poisoning. The present paper evaluates pattern of poisoning cases including deaths over a period of two years from 1999 to 2001 in Berhampur, Orissa. 53.3% of the cases were male with male to female ratio 1.14:1. Peak incidence was observed in the age group 21-30 years(124 cases). More than four-fifth of the cases belonged to medium socioeconomic status and 58.1% cases were from rural areas. Majority of the victims were literate and married outnumbered the unmarried cases. Occurrence of poisoning was more common in day time and during Summer season. Organophosphate compounds was the most commonly (22.9%) abused substance. Based on these findings preventive measures like restriction of sale and strengthening the legislature on availability of poison, promoting poison information center etc have been put forward.

Intermediate syndrome in organophosphorous poisoning.

One hundred and fifty three cases of Organophosphorous poisoning cases presented to Kasturba Hospital, Manipal, India during a 2 year period ( 2001- 2002), out of which 45 cases (29.4%) had features of Intermediate Syndrome. Largest number of victims were in the age group of 21-30 years (37.7%). Males predominated (71.1%). Methyl Parathion was the commonest compound (57.7%). Respiratory muscle weakness was the most common manifestation seen (84.4%). Mortality was 22.3%.