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

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800-<br />

400-<br />

200 -<br />

1980 1981 1982 1983 1984 1985 1986 1987<br />

Fig. 3. Cases <strong>of</strong> pesticide poisoning in the Philippines, 1980-1987<br />

(Castaneda and Rola 1990).<br />

poisoning cases from 1980 to 1987 showed a slight predominance <strong>of</strong> males<br />

(54.0%) over females (46.0%) (Castaneda and Rota 1990).<br />

Studies <strong>of</strong> civil registry information have also been carried out in the Philippines<br />

to determine the relation between causes <strong>of</strong> mortality and pesticide use.<br />

Strong evidence has been found linking a marked increase in mortality in<br />

Central Luzon with occupational exposure to insecticides (Bantilan and Rola<br />

1989). Municipalities with high levels <strong>of</strong> pesticide use generally have higher<br />

mortality rates than those using smaller amounts.<br />

In response to the findings <strong>of</strong> these studies, an occupational-health and<br />

monitoring program has been initiated for workers who apply nematicide on<br />

banana plantations. It is hoped that, in the future, the industry itself will<br />

sustain the program.<br />

In Thailand, the Division <strong>of</strong> Epidemiology in the Ministry <strong>of</strong> Public Health<br />

monitors pesticide poisoning cases and deaths from unintentional causes.<br />

Data for 1975-1987 show an increase in the number <strong>of</strong> reported pesticide<br />

intoxication cases from 518 to 4 633, accompanied by a decrease in mortality<br />

rate from 3.47 per 100 000 in 1975 to 1.00 per 100 000 in 1987. In 1981-1987, the<br />

Ministry <strong>of</strong> Public Health reported 20 outbreaks <strong>of</strong> food poisoning attributed<br />

to pesticides, involving 722 cases (Swaddiwuthipong et al. 1989).<br />

Although the incidence <strong>of</strong> pesticide poisoning in the Thai agricultural cornmunities<br />

<strong>of</strong> Rayong province can be as high as 8 268 per 100 000, only 2.4% <strong>of</strong><br />

this group spent time in hospital, emphasizing the possible extent <strong>of</strong> underreporting<br />

in hospital statistics (Wongphanich et al. 1985). A 3-year study by<br />

the Office <strong>of</strong> the National Environment Board (Sinhaseni 1990) determined<br />

that organophosphate insecticides such as parathion were the leading<br />

35

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