|Document ID (ISN)||61172|
|ISSN - Serial title
||0096-1736 - Journal of Occupational Medicine
|Convention or series no.
||Fillmore C.M., Lessenger J.E.
||A cholinesterase testing program for pesticide applicators
||Jan. 1993, Vol.35, No.1, p.61-70. Illus. 17 ref.
||Illnesses associated with increased use of cholinesterase-inhibiting pesticides have brought about recommendations for monitoring pesticide applicators. The State of California requires medical supervision and monitoring. In this study, 103 worker-years of cholinesterase monitoring are reported. Twenty-four workers (24%) were temporarily removed from spraying because their cholinesterase plasma activity levels were below 60% of baseline. Five workers (5%) had mild symptoms of toxicity but none reported a specific incident of exposure. The relative risk of pesticide poisoning was increased in workers whose initial baseline plasma levels were low or if their levels had already dropped to 60%-80% of their baseline previously in the season. Case studies and differences in baselines by month of determination suggest poor monitoring compliance by the companies and employees. Suggestions as to how the physician can overcome these problems and for improvements of the guidelines are discussed.
||cholinesterase monitoring; pesticides; cholinesterase; USA
||toxic effects; race-linked differences; California; agriculture; plasma changes; symptoms; case study
||D - Periodical articles
|Country / State or Province||USA|
||Agriculture, fishing, animal husbandry
|Broad subject area(s)
||Occupational medicine, epidemiology