Acute Illnesses Associated With Pesticide Exposure at Schools
CONTEXT Pesticides continue to be used on school property, and some schools are at risk of pesticide drift exposure from neighboring farms, which leads to pesticide exposure among students and school employees. However, information on the magnitude of illnesses and risk factors associated with these...
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| Veröffentlicht in: | JAMA : the journal of the American Medical Association 2005-07, Vol.294 (4), p.455-465 |
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| creator | Alarcon, Walter A Calvert, Geoffrey M Blondell, Jerome M Mehler, Louise N Sievert, Jennifer Propeck, Maria Tibbetts, Dorothy S Becker, Alan Lackovic, Michelle Soileau, Shannon B Das, Rupali Beckman, John Male, Dorilee P Thomsen, Catherine L Stanbury, Martha |
| description | CONTEXT Pesticides continue to be used on school property, and some schools
are at risk of pesticide drift exposure from neighboring farms, which leads
to pesticide exposure among students and school employees. However, information
on the magnitude of illnesses and risk factors associated with these pesticide
exposures is not available. OBJECTIVE To estimate the magnitude of and associated risk factors for pesticide-related
illnesses at schools. DESIGN, SETTING, AND PARTICIPANTS Analysis of surveillance data from 1998 to 2002 of 2593 persons with
acute pesticide-related illnesses associated with exposure at schools. Nationwide
information on pesticide-related illnesses is routinely collected by 3 national
pesticide surveillance systems: the National Institute for Occupational Safety
and Health’s Sentinel Event Notification System for Occupational Risks
pesticides program, the California Department of Pesticide Regulation, and
the Toxic Exposure Surveillance System. MAIN OUTCOME MEASURES Incidence rates and severity of acute pesticide-related illnesses. RESULTS Incidence rates for 1998-2002 were 7.4 cases per million children and
27.3 cases per million school employee full-time equivalents. The incidence
rates among children increased significantly from 1998 to 2002. Illness of
high severity was found in 3 cases (0.1%), moderate severity in 275 cases
(11%), and low severity in 2315 cases (89%). Most illnesses were associated
with insecticides (n = 895, 35%), disinfectants (n = 830,
32%), repellents (n = 335, 13%), or herbicides (n = 279,
11%). Among 406 cases with detailed information on the source of pesticide
exposure, 281 (69%) were associated with pesticides used at schools and 125
(31%) were associated with pesticide drift exposure from farmland. CONCLUSIONS Pesticide exposure at schools produces acute illnesses among school
employees and students. To prevent pesticide-related illnesses at schools,
implementation of integrated pest management programs in schools, practices
to reduce pesticide drift, and adoption of pesticide spray buffer zones around
schools are recommended. |
| doi_str_mv | 10.1001/jama.294.4.455 |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_17648347</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><ama_id>201292</ama_id><sourcerecordid>17648347</sourcerecordid><originalsourceid>FETCH-LOGICAL-a400t-b0958657f639335a972fcca5ea9988255ba26497a744a132f0eb4d341ffbcfc83</originalsourceid><addsrcrecordid>eNpd0UtLw0AQAOBFFFurV8GLBEFvqft-HDyUUrVQUFDxGCabXZqSR80moP_ehVYRZw5zmI9hmEHonOApwZjcbqCGKTV8GlOIAzQmgumUCaMP0Rhjo1PFNR-hkxA2OAZh6hiNiMRcSkHH6G5mh94ly6pqXAguJLMQWltC74rkvezXybMLfWnLwiWLz20bhs4l0Ccvdt22VThFRx6q4M72dYLe7hev88d09fSwnM9WKXCM-zTHRmgplJfMMCbAKOqtBeHAGK2pEDlQyY0CxTkQRj12OS8YJ97n1lvNJuhmN3fbtR9D3Ciry2BdVUHj2iFkREmuGVcRXv2Dm3bomrhbRgnhjHEqIrrcoyGvXZFtu7KG7iv7uUoE13sAwULlO2hsGf44IzHWLLqLnYtP-O1STKih7BvHundN</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>211433425</pqid></control><display><type>article</type><title>Acute Illnesses Associated With Pesticide Exposure at Schools</title><source>MEDLINE</source><source>American Medical Association Journals</source><creator>Alarcon, Walter A ; Calvert, Geoffrey M ; Blondell, Jerome M ; Mehler, Louise N ; Sievert, Jennifer ; Propeck, Maria ; Tibbetts, Dorothy S ; Becker, Alan ; Lackovic, Michelle ; Soileau, Shannon B ; Das, Rupali ; Beckman, John ; Male, Dorilee P ; Thomsen, Catherine L ; Stanbury, Martha</creator><creatorcontrib>Alarcon, Walter A ; Calvert, Geoffrey M ; Blondell, Jerome M ; Mehler, Louise N ; Sievert, Jennifer ; Propeck, Maria ; Tibbetts, Dorothy S ; Becker, Alan ; Lackovic, Michelle ; Soileau, Shannon B ; Das, Rupali ; Beckman, John ; Male, Dorilee P ; Thomsen, Catherine L ; Stanbury, Martha</creatorcontrib><description>CONTEXT Pesticides continue to be used on school property, and some schools
are at risk of pesticide drift exposure from neighboring farms, which leads
to pesticide exposure among students and school employees. However, information
on the magnitude of illnesses and risk factors associated with these pesticide
exposures is not available. OBJECTIVE To estimate the magnitude of and associated risk factors for pesticide-related
illnesses at schools. DESIGN, SETTING, AND PARTICIPANTS Analysis of surveillance data from 1998 to 2002 of 2593 persons with
acute pesticide-related illnesses associated with exposure at schools. Nationwide
information on pesticide-related illnesses is routinely collected by 3 national
pesticide surveillance systems: the National Institute for Occupational Safety
and Health’s Sentinel Event Notification System for Occupational Risks
pesticides program, the California Department of Pesticide Regulation, and
the Toxic Exposure Surveillance System. MAIN OUTCOME MEASURES Incidence rates and severity of acute pesticide-related illnesses. RESULTS Incidence rates for 1998-2002 were 7.4 cases per million children and
27.3 cases per million school employee full-time equivalents. The incidence
rates among children increased significantly from 1998 to 2002. Illness of
high severity was found in 3 cases (0.1%), moderate severity in 275 cases
(11%), and low severity in 2315 cases (89%). Most illnesses were associated
with insecticides (n = 895, 35%), disinfectants (n = 830,
32%), repellents (n = 335, 13%), or herbicides (n = 279,
11%). Among 406 cases with detailed information on the source of pesticide
exposure, 281 (69%) were associated with pesticides used at schools and 125
(31%) were associated with pesticide drift exposure from farmland. CONCLUSIONS Pesticide exposure at schools produces acute illnesses among school
employees and students. To prevent pesticide-related illnesses at schools,
implementation of integrated pest management programs in schools, practices
to reduce pesticide drift, and adoption of pesticide spray buffer zones around
schools are recommended.</description><identifier>ISSN: 0098-7484</identifier><identifier>EISSN: 1538-3598</identifier><identifier>DOI: 10.1001/jama.294.4.455</identifier><identifier>PMID: 16046652</identifier><identifier>CODEN: JAMAAP</identifier><language>eng</language><publisher>Chicago, IL: American Medical Association</publisher><subject>Acute Disease ; Adult ; Biological and medical sciences ; Child ; Environmental Exposure - adverse effects ; Environmental Exposure - statistics & numerical data ; Female ; General aspects ; Health risk assessment ; Health Surveys ; Human exposure ; Humans ; Illnesses ; Male ; Medical sciences ; Pesticides ; Pesticides - toxicity ; Poisoning - epidemiology ; Prevention programs ; Risk Factors ; School environment ; Schools - statistics & numerical data ; United States - epidemiology</subject><ispartof>JAMA : the journal of the American Medical Association, 2005-07, Vol.294 (4), p.455-465</ispartof><rights>2005 INIST-CNRS</rights><rights>Copyright American Medical Association Jul 27, 2005</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-a400t-b0958657f639335a972fcca5ea9988255ba26497a744a132f0eb4d341ffbcfc83</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://jamanetwork.com/journals/jama/articlepdf/10.1001/jama.294.4.455$$EPDF$$P50$$Gama$$H</linktopdf><linktohtml>$$Uhttps://jamanetwork.com/journals/jama/fullarticle/10.1001/jama.294.4.455$$EHTML$$P50$$Gama$$H</linktohtml><link.rule.ids>64,314,776,780,3327,27901,27902,76231,76234</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=16960083$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/16046652$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Alarcon, Walter A</creatorcontrib><creatorcontrib>Calvert, Geoffrey M</creatorcontrib><creatorcontrib>Blondell, Jerome M</creatorcontrib><creatorcontrib>Mehler, Louise N</creatorcontrib><creatorcontrib>Sievert, Jennifer</creatorcontrib><creatorcontrib>Propeck, Maria</creatorcontrib><creatorcontrib>Tibbetts, Dorothy S</creatorcontrib><creatorcontrib>Becker, Alan</creatorcontrib><creatorcontrib>Lackovic, Michelle</creatorcontrib><creatorcontrib>Soileau, Shannon B</creatorcontrib><creatorcontrib>Das, Rupali</creatorcontrib><creatorcontrib>Beckman, John</creatorcontrib><creatorcontrib>Male, Dorilee P</creatorcontrib><creatorcontrib>Thomsen, Catherine L</creatorcontrib><creatorcontrib>Stanbury, Martha</creatorcontrib><title>Acute Illnesses Associated With Pesticide Exposure at Schools</title><title>JAMA : the journal of the American Medical Association</title><addtitle>JAMA</addtitle><description>CONTEXT Pesticides continue to be used on school property, and some schools
are at risk of pesticide drift exposure from neighboring farms, which leads
to pesticide exposure among students and school employees. However, information
on the magnitude of illnesses and risk factors associated with these pesticide
exposures is not available. OBJECTIVE To estimate the magnitude of and associated risk factors for pesticide-related
illnesses at schools. DESIGN, SETTING, AND PARTICIPANTS Analysis of surveillance data from 1998 to 2002 of 2593 persons with
acute pesticide-related illnesses associated with exposure at schools. Nationwide
information on pesticide-related illnesses is routinely collected by 3 national
pesticide surveillance systems: the National Institute for Occupational Safety
and Health’s Sentinel Event Notification System for Occupational Risks
pesticides program, the California Department of Pesticide Regulation, and
the Toxic Exposure Surveillance System. MAIN OUTCOME MEASURES Incidence rates and severity of acute pesticide-related illnesses. RESULTS Incidence rates for 1998-2002 were 7.4 cases per million children and
27.3 cases per million school employee full-time equivalents. The incidence
rates among children increased significantly from 1998 to 2002. Illness of
high severity was found in 3 cases (0.1%), moderate severity in 275 cases
(11%), and low severity in 2315 cases (89%). Most illnesses were associated
with insecticides (n = 895, 35%), disinfectants (n = 830,
32%), repellents (n = 335, 13%), or herbicides (n = 279,
11%). Among 406 cases with detailed information on the source of pesticide
exposure, 281 (69%) were associated with pesticides used at schools and 125
(31%) were associated with pesticide drift exposure from farmland. CONCLUSIONS Pesticide exposure at schools produces acute illnesses among school
employees and students. To prevent pesticide-related illnesses at schools,
implementation of integrated pest management programs in schools, practices
to reduce pesticide drift, and adoption of pesticide spray buffer zones around
schools are recommended.</description><subject>Acute Disease</subject><subject>Adult</subject><subject>Biological and medical sciences</subject><subject>Child</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental Exposure - statistics & numerical data</subject><subject>Female</subject><subject>General aspects</subject><subject>Health risk assessment</subject><subject>Health Surveys</subject><subject>Human exposure</subject><subject>Humans</subject><subject>Illnesses</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Pesticides</subject><subject>Pesticides - toxicity</subject><subject>Poisoning - epidemiology</subject><subject>Prevention programs</subject><subject>Risk Factors</subject><subject>School environment</subject><subject>Schools - statistics & numerical data</subject><subject>United States - epidemiology</subject><issn>0098-7484</issn><issn>1538-3598</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2005</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNpd0UtLw0AQAOBFFFurV8GLBEFvqft-HDyUUrVQUFDxGCabXZqSR80moP_ehVYRZw5zmI9hmEHonOApwZjcbqCGKTV8GlOIAzQmgumUCaMP0Rhjo1PFNR-hkxA2OAZh6hiNiMRcSkHH6G5mh94ly6pqXAguJLMQWltC74rkvezXybMLfWnLwiWLz20bhs4l0Ccvdt22VThFRx6q4M72dYLe7hev88d09fSwnM9WKXCM-zTHRmgplJfMMCbAKOqtBeHAGK2pEDlQyY0CxTkQRj12OS8YJ97n1lvNJuhmN3fbtR9D3Ciry2BdVUHj2iFkREmuGVcRXv2Dm3bomrhbRgnhjHEqIrrcoyGvXZFtu7KG7iv7uUoE13sAwULlO2hsGf44IzHWLLqLnYtP-O1STKih7BvHundN</recordid><startdate>20050727</startdate><enddate>20050727</enddate><creator>Alarcon, Walter A</creator><creator>Calvert, Geoffrey M</creator><creator>Blondell, Jerome M</creator><creator>Mehler, Louise N</creator><creator>Sievert, Jennifer</creator><creator>Propeck, Maria</creator><creator>Tibbetts, Dorothy S</creator><creator>Becker, Alan</creator><creator>Lackovic, Michelle</creator><creator>Soileau, Shannon B</creator><creator>Das, Rupali</creator><creator>Beckman, John</creator><creator>Male, Dorilee P</creator><creator>Thomsen, Catherine L</creator><creator>Stanbury, Martha</creator><general>American Medical Association</general><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7QL</scope><scope>7QP</scope><scope>7TK</scope><scope>7TS</scope><scope>7U7</scope><scope>7U9</scope><scope>8FD</scope><scope>C1K</scope><scope>FR3</scope><scope>H94</scope><scope>K9.</scope><scope>M7N</scope><scope>NAPCQ</scope><scope>P64</scope><scope>RC3</scope><scope>7T2</scope><scope>7U2</scope></search><sort><creationdate>20050727</creationdate><title>Acute Illnesses Associated With Pesticide Exposure at Schools</title><author>Alarcon, Walter A ; Calvert, Geoffrey M ; Blondell, Jerome M ; Mehler, Louise N ; Sievert, Jennifer ; Propeck, Maria ; Tibbetts, Dorothy S ; Becker, Alan ; Lackovic, Michelle ; Soileau, Shannon B ; Das, Rupali ; Beckman, John ; Male, Dorilee P ; Thomsen, Catherine L ; Stanbury, Martha</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-a400t-b0958657f639335a972fcca5ea9988255ba26497a744a132f0eb4d341ffbcfc83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2005</creationdate><topic>Acute Disease</topic><topic>Adult</topic><topic>Biological and medical sciences</topic><topic>Child</topic><topic>Environmental Exposure - adverse effects</topic><topic>Environmental Exposure - statistics & numerical data</topic><topic>Female</topic><topic>General aspects</topic><topic>Health risk assessment</topic><topic>Health Surveys</topic><topic>Human exposure</topic><topic>Humans</topic><topic>Illnesses</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Pesticides</topic><topic>Pesticides - toxicity</topic><topic>Poisoning - epidemiology</topic><topic>Prevention programs</topic><topic>Risk Factors</topic><topic>School environment</topic><topic>Schools - statistics & numerical data</topic><topic>United States - epidemiology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Alarcon, Walter A</creatorcontrib><creatorcontrib>Calvert, Geoffrey M</creatorcontrib><creatorcontrib>Blondell, Jerome M</creatorcontrib><creatorcontrib>Mehler, Louise N</creatorcontrib><creatorcontrib>Sievert, Jennifer</creatorcontrib><creatorcontrib>Propeck, Maria</creatorcontrib><creatorcontrib>Tibbetts, Dorothy S</creatorcontrib><creatorcontrib>Becker, Alan</creatorcontrib><creatorcontrib>Lackovic, Michelle</creatorcontrib><creatorcontrib>Soileau, Shannon B</creatorcontrib><creatorcontrib>Das, Rupali</creatorcontrib><creatorcontrib>Beckman, John</creatorcontrib><creatorcontrib>Male, Dorilee P</creatorcontrib><creatorcontrib>Thomsen, Catherine L</creatorcontrib><creatorcontrib>Stanbury, Martha</creatorcontrib><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>Bacteriology Abstracts (Microbiology B)</collection><collection>Calcium & Calcified Tissue Abstracts</collection><collection>Neurosciences Abstracts</collection><collection>Physical Education Index</collection><collection>Toxicology Abstracts</collection><collection>Virology and AIDS Abstracts</collection><collection>Technology Research Database</collection><collection>Environmental Sciences and Pollution Management</collection><collection>Engineering Research Database</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Algology Mycology and Protozoology Abstracts (Microbiology C)</collection><collection>Nursing & Allied Health Premium</collection><collection>Biotechnology and BioEngineering Abstracts</collection><collection>Genetics Abstracts</collection><collection>Health and Safety Science Abstracts (Full archive)</collection><collection>Safety Science and Risk</collection><jtitle>JAMA : the journal of the American Medical Association</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Alarcon, Walter A</au><au>Calvert, Geoffrey M</au><au>Blondell, Jerome M</au><au>Mehler, Louise N</au><au>Sievert, Jennifer</au><au>Propeck, Maria</au><au>Tibbetts, Dorothy S</au><au>Becker, Alan</au><au>Lackovic, Michelle</au><au>Soileau, Shannon B</au><au>Das, Rupali</au><au>Beckman, John</au><au>Male, Dorilee P</au><au>Thomsen, Catherine L</au><au>Stanbury, Martha</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Acute Illnesses Associated With Pesticide Exposure at Schools</atitle><jtitle>JAMA : the journal of the American Medical Association</jtitle><addtitle>JAMA</addtitle><date>2005-07-27</date><risdate>2005</risdate><volume>294</volume><issue>4</issue><spage>455</spage><epage>465</epage><pages>455-465</pages><issn>0098-7484</issn><eissn>1538-3598</eissn><coden>JAMAAP</coden><abstract>CONTEXT Pesticides continue to be used on school property, and some schools
are at risk of pesticide drift exposure from neighboring farms, which leads
to pesticide exposure among students and school employees. However, information
on the magnitude of illnesses and risk factors associated with these pesticide
exposures is not available. OBJECTIVE To estimate the magnitude of and associated risk factors for pesticide-related
illnesses at schools. DESIGN, SETTING, AND PARTICIPANTS Analysis of surveillance data from 1998 to 2002 of 2593 persons with
acute pesticide-related illnesses associated with exposure at schools. Nationwide
information on pesticide-related illnesses is routinely collected by 3 national
pesticide surveillance systems: the National Institute for Occupational Safety
and Health’s Sentinel Event Notification System for Occupational Risks
pesticides program, the California Department of Pesticide Regulation, and
the Toxic Exposure Surveillance System. MAIN OUTCOME MEASURES Incidence rates and severity of acute pesticide-related illnesses. RESULTS Incidence rates for 1998-2002 were 7.4 cases per million children and
27.3 cases per million school employee full-time equivalents. The incidence
rates among children increased significantly from 1998 to 2002. Illness of
high severity was found in 3 cases (0.1%), moderate severity in 275 cases
(11%), and low severity in 2315 cases (89%). Most illnesses were associated
with insecticides (n = 895, 35%), disinfectants (n = 830,
32%), repellents (n = 335, 13%), or herbicides (n = 279,
11%). Among 406 cases with detailed information on the source of pesticide
exposure, 281 (69%) were associated with pesticides used at schools and 125
(31%) were associated with pesticide drift exposure from farmland. CONCLUSIONS Pesticide exposure at schools produces acute illnesses among school
employees and students. To prevent pesticide-related illnesses at schools,
implementation of integrated pest management programs in schools, practices
to reduce pesticide drift, and adoption of pesticide spray buffer zones around
schools are recommended.</abstract><cop>Chicago, IL</cop><pub>American Medical Association</pub><pmid>16046652</pmid><doi>10.1001/jama.294.4.455</doi><tpages>11</tpages><oa>free_for_read</oa></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0098-7484 |
| ispartof | JAMA : the journal of the American Medical Association, 2005-07, Vol.294 (4), p.455-465 |
| issn | 0098-7484 1538-3598 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_17648347 |
| source | MEDLINE; American Medical Association Journals |
| subjects | Acute Disease Adult Biological and medical sciences Child Environmental Exposure - adverse effects Environmental Exposure - statistics & numerical data Female General aspects Health risk assessment Health Surveys Human exposure Humans Illnesses Male Medical sciences Pesticides Pesticides - toxicity Poisoning - epidemiology Prevention programs Risk Factors School environment Schools - statistics & numerical data United States - epidemiology |
| title | Acute Illnesses Associated With Pesticide Exposure at Schools |
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