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

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farmers about the specific danger <strong>of</strong> using monocrotophos in rice and vegetables<br />

crops a "Safe Use <strong>of</strong> Pesticides" campaign in Sabak Bernam district has<br />

also been initiated (Asna 1990).<br />

Other semigovernmental agencies, such as MARDI, the Rubber <strong>Research</strong><br />

Institute <strong>of</strong> Malaysia, Federal Land <strong>Development</strong> Authority, Muda<br />

Agricultural <strong>Development</strong> Authority, and Federal Land Consolidation and<br />

Rehabilitation Authority, also organize short training courses for their junior<br />

technicians on the safe application <strong>of</strong> pesticides. In the private sector, since<br />

1982, societies such as the Malaysian Plant Protection Society and the<br />

Malaysian Agricultural Chemicals Association have also held courses on<br />

pesticide application technology These have been mainly aimed at pr<strong>of</strong>essionals<br />

in crop protection, such as researchers, university lecturers, estate managers,<br />

and pesticide-industry personnel (Lim and Ramasamy 1983; Teoh 1985).<br />

The Philippines<br />

Health and safety-related research activities in the Philippines include descriptive<br />

studies on pesticide poisoning based on reviews <strong>of</strong> hospital records,<br />

occupational exposure studies in rice- and vegetable-farming communities,<br />

development <strong>of</strong> an occupational health and monitoring program, and health<br />

economics and policy research studies.<br />

Two retrospective studies reviewing hospital records (Castaneda and<br />

Maramba 1980; Gonzales and Chua 1984) analyzed data on pesticide poisonings<br />

by age and gender distribution, common presenting signs and symptoms,<br />

correlation between signs and symptoms and cholinesterase level in red blood<br />

cells, average dose <strong>of</strong> atropine administered, and toxicity ratings <strong>of</strong> the pesticides.<br />

Of a total <strong>of</strong> 1 074 cases <strong>of</strong> poisoning reported from 1982 to 1985, 42%<br />

involved organophosphates, 19% organochlorines, and 14% carhamates<br />

(Castaneda 1988). Peak incidence occurred among those under 40 years old<br />

and was slightly higher for males. Suicide accounted for 63% <strong>of</strong> the cases,<br />

occupational exposure 18%, and accidental exposure 16%. The highest case<br />

fatality rate was associated with organochiorine poisoning (49%) followed by<br />

organophosphates (16%).<br />

<strong>Research</strong> efforts have also been directed toward characterizing occupational<br />

pesticide exposure among vegetable and rice farmers by examining demographic<br />

data, agricultural practices, and general health conditions. Only one<br />

study has dealt with farmers' perceptions <strong>of</strong> the health impact <strong>of</strong> pesticide use.<br />

Generally, research on how farmers' attitudes can affect the way in which<br />

pesticides are used is lacking.<br />

Studies by Castaneda (this volume) determined the potential exposure <strong>of</strong> rice<br />

farmers to an organophosphate compound and concluded that workers'<br />

hands are most exposed to dermal contamination and penetration during<br />

mixing and loading activities. Castaneda also examined the protection<br />

afforded by locally designed clothing. Such clothing was <strong>of</strong>ten uncomfortable<br />

38

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