Acute pesticide poisoning: Comparison of epidemiological characteristics between the rural and urban population
DOI:
https://doi.org/10.17533/udea.rfnsp.e351613Keywords:
rural population, mortality, urban population, pesticides, poisoningAbstract
Objective: To analyze the behavior of pesticide poisoning associated with lethality in rural and urban populations in Colombia from 2007 to 2017.
Methodology: Retrospective observational study that included a descriptive cross-sectional study and an ecological design that analyzed aggregate measures of morbidity, mortality, and risk attributable to the population in rural and urban areas. In the cross-sectional study, the relative risk was estimated to measure the factors associated with lethality among intoxications using Poisson regression with logarithmic function. For the time series, the trends were established with simple linear regression, and the seasonal decomposition was performed using the multiplicative model. Autocorrelations were tested using the Box-Ljung statistic.
Results: Between 2007-2017; 89 490 cases were reported. The Morbidity due to poisoning showed a higher proportion in the rural population 36.03 cases per 100 000; this indicator was three times higher than in urban areas (12.33 cases per 100 000). The mortality rates in rural and urban areas were 1.00 and 0.13 cases per 100 000, respectively. The relative risk of fatality in case of intoxication was associated with the intention of suicide in the rural population Relative Risk (RR): 5.9 (95% CI: 5.0-6.9).
Conclusion: A higher proportion of lethality associated with these events occurred in populations living in rural areas and reporting cases of suicidal intent. In addition, morbidity and mortality due to pesticide poisoning had the highest proportion in rural areas and a growing trend over time.
Downloads
References
Almeida J. A industrialização da agricultura na usina Nova América. In A extinção do arco-íris: ecologia e história. Rio de Janeiro: Centro Edelstein de Pesquisa Social; 2008. p. 35-56. Available from SciELO Books <http://books.scielo.org>
Payne K, Andreotti G, Bell E, Blair A, Coble J, Alavanja M. Determinants of high pesticide exposure events in the agricultural health cohort study from enrollment (1993-1997) through phase II (1999-2003). J Agric Saf Health. [online]. 2012 Jul. [cited 2021 august 10]; 18(3): p. 167-79. doi: 10.13031/2013.41955
Slavica V, Dubravko , Milan J. Acute organophosphate poisoning: 17 years of experience of the National Poison Control Center in Serbia. Toxicology. [online]. 2018 November. [cited 2021 august 15]; 409: p. 73-79. doi: 10.1016/j.tox.2018.07.010
Shelton J, Geraghty E, Tancredi D, Delwiche L, Schmidt R, Ritz b, et al. Neurodevelopmental disorders and prenatal residential proximity to agricultural pesticides: the CHARGE study. Environmental health perspective.[online]. 2014. [cited 2021 august 10]; 122(10).
Perry J, Cotton J, Rahman M A, Brumby S A. Organophosphate exposure and the chronic effects on farmers: a narrative review. Rural remote health.[online]. 2020. [cited 2021 august 11]; 20(4508). doi:10.22605/RRH4508
Darcey E, Carey R, Reid A, Driscoll T, Glass D, Benke G, et al. Prevalence of exposure to occupational carcinogens among farmers. Rural remote health. [online]. 2018. [cited 2021 august 10] ; 18(3). doi: 10.22605/RRH4348
Boedeker W, Watts M, Clausing P, Marquez E. The global distribution of acute unintentional pesticide poisoning: estimations based on a systematic review. BMC Public Health. [online]. 2020 Dec. [cited 2021 august 11]; 20(1). doi: 10.1186/s12889-020-09939-0
Ngowi AV, Wesseling C, London L. Developing countries: pesticide health impacts. In Ngowi AV, Wesseling C, London L. Managing Human and Social Systems.: CRC Press; [online] 2020. [cited 2021 august 12]; p. 221-226.
Thundiyil J, Stober J, Besbelli N. Acute pesticide poisoning: a proposed classification tool. Bulletin of the World Health Organization.[online]. 2008. [cited 2021 august 11]; 86: p. 205-209. doi: 10.2471/BLT.08.041814
Wang N, Wang B, Wen J, Li X, Pan L, Zhang J, et al. Types of Exposure Pesticide Poisoning in Jiangsu Province, China; The Epidemiologic Trend between 2006 and 2018. Int J Environ Res Public Health. [online]. 2019. [cited 2021 august 12]; 16(14). doi: 10.3390/ijerph16142586
Gyenwali D, Vaidya A, Tiwari S, Khatiwada P, Lamsal DR, Giri S. Pesticide poisoning in Chitwan, Nepal: A descriptive epidemiological study. BMC Public Health. [online]. 2017. [cited 2021 august 10]; 17(1): p. 1-8. doi: 10.1186/s12889-017-4542-y
Parekh U, Gupta S. Epidemio-toxicological profile of poisoning cases - A five years retrospective study. J Forensic Leg Med.[online]. 2019. [cited 2021 august 15]; 65: p. 124-132. doi: 10.1016/j.jflm.2019.05.013
Muñoz Guerrero M, Diaz Criollo S, Martinez Duran M. Perfil epidemiológico de las intoxicaciones por sustancias químicas en Colombia, 2008-2015. IQEN. [online]. 2017. [cited 2021 august 15]; 22(2): p. 26-48. Available from: https://www.ins.gov.co/buscador/IQEN/IQEN%20vol%2022%202017%20num%202.pdf
Chaparro-Narváez P, Castañeda-Orjuela C. Mortality due to pesticide poisoning in Colombia, 1998-2011. Biomedica. [online]. 2015. [cited 2021 august 11] ; 35: p. 90–102. doi: 10.1590/S0120-41572015000500010
DANE. DANE. [Online] ; 2018 [cited 2021 august 15]. Available from: https://www.dane.gov.co/files/censo2018/informacion-tecnica/cnpv-2018-glosario.pdf.
Barros A, Hirakata V. Alternatives for logistic regression in cross-sectional studies: an empirical comparison of models that directly estimate the prevalence ratio. BMC Med Res Methodol.[Online]. 2003. [cited 2021 august 16]; 3(21): p. 1-13. doi:10.1186/1471-2288-3-21
DANE. Proyecciones municipales 2006-2020 metodología. [Online].; 2008 [cited 2020 august 10. Available from: https://www.dane.gov.co/files/investigaciones/poblacion/proyepobla06_20/MProyeccionesMunicipalesedadsexo.pdf.
Morgenstern H. Ecologic Studies in Epidemiology: Concepts, Principles, and Methods. Annual Review of Public Health. [online]. 1996. [cited 2021 august 10] ; 16: p. 61-81. doi: 10.1146/annurev.pu.16.050195.000425 1
Benichou J, Gail M. Variance calculations and confidence intervals for estimates of the attributable risk based on logistic models. Biometrics. [online] 1990. [cited 2021 august 12] ; 46(4): p. 991–1003.
Schneider A, Hommel G, Blettner M. Linear regression analysis: part 14 of a series on evaluation of scientific publications. Dtsch Arztebl Int. [online]. 2010. [cited 2021 august 10] ; 107(44): p. 776-782. doi: 10.3238/arztebl.2010.0776
Wang N, Jiang Q, Han L, Zhang H, Zhu B, Liu X. Epidemiological characteristics of pesticide poisoning in Jiangsu Province, China, from 2007 to 2016. Scientific Reports. [online]. 2019. [cited 2021 august 10]; 9(1). doi: 10.1038/s41598-019-44986-7
Domínguez Majin L. Caracterización epidemiológica de las intoxicaciones por plaguicidas en Colombia 2011-2012. Instituto Nacional de Salud [online]. 2013.[cited 2021 august 12]; Report No.: 18.
World Health Organization and Food and Agriculture Organization of the United Nations. Preventing suicide: a resource for pesticide registrars and regulators. Geneva:; 2019.
Troya C, Tufiño A, Herrera D, Tulcanaz K. El intento suicida en zonas rurales como un desafío a los modelos explicativos vigentes: discusión de una serie de casos. Práctica Familiar Rural.[online]. 2019. [cited 2021 august 10]; 4(3). doi: 10.23936/pfr.v4i3.117
Ruiz Lopez H. Perfiles de pacientes asociados con intento de suicidio impulsivo que acudieron al hospital Homero Castanier Crespo de ciudad de Azogues en el periodo 2010-2012. INNOVA research Journal. [online]. 2018. [cited 2021 august 15] ; 3(4). doi: 10.33890/innova.v3.n4.2018.661
Forte A, Trobia F, Gualtieri F, Lamis D, Cardamone G, Giallonardo V, et al. Suicide Risk among Immigrants and Ethnic Minorities: A Literature Overview. Int. J. Environ. Res. Public Health. [online]. 2018.[cited 2021 august 13] ; 15(7). doi: 10.3390/ijerph15071438
Liu I, Liao S, Lee W, Kao C, Jenkins R, Cheng A. A cross-ethnic comparison on incidence of suicide. Psychol Med. 2001 Jun; 6: p. 1213-1221. doi: 10.1017/S0033291710001807
Freire C, Koifman S. Pesticides, depression and suicide: a systematic review of the epidemiological evidence. Int J Hyg Environ Health. [online]. 2013. [cited 2021 august 12]; 216(4): p. 445-60. doi: 10.1016/j.ijheh.2012.12.003
Koh S, Kim T, Min S, Lee K, Kang D, Choi J. Exposure to pesticide as a risk factor for depression: A population-based longitudinal study in Korea. NeuroToxicology. [online]. 2017. [cited 2021 august 12]; p. 181-185. doi: 10.1016/j.neuro.2017.07.005
Khan N, Kennedy A, Cotton J, Brumby S. A Pest to Mental Health? Exploring the Link between Exposure to Agrichemicals in Farmers and Mental Health. Int J Environ Res Public Health. [online]. 2019. [cited 2021 august 12] ; 16(8). doi:10.3390/ijerph16081327
Benavides Piracón J, Lozada M. Práticas de pulverização entre os produtores de batata, conhecimentos e crenças sobre pesticidas e saúde. Revista Tempus - Actas De Saúde Coletiva. 2014; 8(2): p. 93-106.
Moebus S, Boedeker W. Frequency and trends of hospital treated pesticide poisonings in Germany 2000-2014. German medical science : GMS e-journal. [online]. 2017. [cited 2021 august 11]; 15. doi: 10.3205/000254
Henao S,&AM. Epidemiologic situation of acute pesticide poisoning in Central America, 1992-2000. Epidemiol Bull. [online]. 2002. [cited 2021 august 12]; 23(3): p. 5-9.
Published
How to Cite
Issue
Section
Categories
License
Copyright (c) 2023 Universidad de Antioquia
This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike 4.0 International License.
The contents of the articles are the responsibility of the authors
The editorial committee has editorial independence from the National School of Public Health "Héctor Abad Gómez" of the University of Antioquia.
The editorial committee is not responsible for aspects related to copying, plagiarism or fraud that may appear in the articles published in it.
When you are going to reproduce and disclose photographs or personal data in printed or digital format, informed consent is required. Therefore, this requirement is required of the author at the time of receipt of the manuscript.
Authors are responsible for obtaining the necessary permissions to reproduce any material protected by reproduction rights.
The authors preserve the moral rights and assign the economic rights that will correspond to the University of Antioquia, to publish it, distribute electronic copies, include them in indexing services, directories or national and international databases in Open Access, under the Creative Commons Attribution license -Not Commercial-Share Equal 4.0 International Commercial (CC BY-NC-SA) which allows others to distribute, remix, retouch, and create from the work in a non-commercial way, as long as the respective credit and license are granted. new creations under the same conditions.
The authors will sign the declaration of transfer of economic rights to the University of Antioquia, after the acceptance of the manuscript.
The editorial committee reserves the right to reject the articles whose authors do not offer satisfactory explanations about the contribution of each author, to meet the criteria of authorship in the submission letter. All authors must meet the four criteria of authorship according to ICMJE: "a) .- That there is a substantial contribution to the conception or design of the article or to the acquisition, analysis or interpretation of the data. b) That they have participated in the design of the research work or in the critical review of its intellectual content. c) .- That has been intervened in the approval of the final version that will be published.d). That they have the capacity to respond to all aspects of the article in order to ensure that issues related to the accuracy or integrity of any part of the work are adequately investigated and resolved. "
-- 
--
