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Impact of - IDL-BNC @ IDRC - International Development Research ...

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ody temperature. Knowing this, cases <strong>of</strong> workers reporting "no annoyance"<br />

or "resistance to bathing immediately" can be explained more fully. For the<br />

social scientist, understanding the rationale behind responses is essential<br />

because the education process attempts to modify ways <strong>of</strong> thinking, not just<br />

a limited number <strong>of</strong> practices.<br />

The results <strong>of</strong> the study <strong>of</strong> self-diagnosis in the population that used DNOC<br />

were poor. Only 2 <strong>of</strong> 15 cases reported any annoyance at the end <strong>of</strong> the work<br />

day and they were not correlated with the level <strong>of</strong> DNOC in the blood. More<br />

instances <strong>of</strong> annoyance were reported among the 135 people who did not<br />

usually use pesticides than among those who had used DNOC in the past (20%<br />

said they were bothered after using DNOC). For the second phase <strong>of</strong> the<br />

project, the time <strong>of</strong> clinical observation and blood sampling was extended to<br />

24 h after DNOC application.<br />

This raises a point related to the process <strong>of</strong> self-diagnosis, i.e., the concept <strong>of</strong><br />

"normal." Self-diagnosis is the identification <strong>of</strong> an illness by individuals who<br />

recognize in themselves certain symptoms or signs <strong>of</strong> that illness. However,<br />

what individuals take to be a normal state <strong>of</strong> health directly affects their<br />

self-diagnosis ability.<br />

For example, if a grower thinks that it is normal (i.e., logical and not problematic)<br />

to find at the end <strong>of</strong> a day that he is "suffocated" and "hot" because DNOC<br />

is also "hot," he may not report any symptoms when asked "did you experience<br />

any health effects the day you applied DNOC?" For the grower, the<br />

so-called "abnormal" state is considered normal. It is expected and does not<br />

cause alarm, even if body temperature is elevated more than after prolonged<br />

physical exercise.<br />

Only when the logic by which growers interpret all aspects <strong>of</strong> their contact<br />

with DNOC is understood can researchers begin to piece together an accurate<br />

assessment <strong>of</strong> self-diagnosis. Competing concepts <strong>of</strong> normality must be recognized.<br />

In the case <strong>of</strong> the normalities employed by the physicians (the<br />

statistical normality and the deontological normality), there is a consciousness<br />

<strong>of</strong> the difference. In the case <strong>of</strong> the growers, there is only the consciousness <strong>of</strong><br />

a normality, which may deviate from medical concepts.<br />

The project team encountered several other difficulties. The agricultural season<br />

in Mala traditionally begins in March-May and ends in October-November.<br />

The research team began gathering data in mid-April. However, irregular<br />

temperatures forced the growers to move the time <strong>of</strong> DNOC application ahead<br />

to March and the beginning <strong>of</strong> April when the research team was still engaged<br />

in the design stage <strong>of</strong> the project.<br />

As a consequence, it was <strong>of</strong>ten not possible to establish the exact date <strong>of</strong> DNOC<br />

application. The growers knew only approximate dates. The decision to apply<br />

DNOC was <strong>of</strong>ten taken only I or 2 days in advance, depending upon the state<br />

<strong>of</strong> blossoming, weather conditions, and the availability <strong>of</strong> water and labourers.<br />

100

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