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Report from the Sub-comittee on the environment and health

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128<br />

6.2.7 C<strong>on</strong>clusi<strong>on</strong>s<br />

There is insufficient epidemiological evidence to ei<str<strong>on</strong>g>the</str<strong>on</strong>g>r prove or disprove<br />

a relati<strong>on</strong>ship between <strong>health</strong> effects <strong>and</strong> l<strong>on</strong>g-term low-dose exposure to<br />

pesticides. There are several reas<strong>on</strong>s why <str<strong>on</strong>g>the</str<strong>on</strong>g>re are c<strong>on</strong>siderable<br />

difficulties in gaining more certain knowledge about <str<strong>on</strong>g>the</str<strong>on</strong>g> effect of<br />

pesticides <strong>on</strong> human <strong>health</strong>. The epidemiological studies c<strong>on</strong>cerning <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

effects <strong>on</strong> humans of exposure to pesticides are characterised by<br />

imprecise measures for both exposure <strong>and</strong> effect, a relatively short<br />

follow-up period <strong>and</strong> lack of c<strong>on</strong>trol of c<strong>on</strong>founding factors. Due to<br />

limited group sizes, data are often collected in large groups, which<br />

fur<str<strong>on</strong>g>the</str<strong>on</strong>g>r reduces <str<strong>on</strong>g>the</str<strong>on</strong>g> sensitivity. Owing to low exposure c<strong>on</strong>trast <strong>and</strong> many<br />

c<strong>on</strong>founding factors, <str<strong>on</strong>g>the</str<strong>on</strong>g>re are often problems in proving any effects.<br />

The following specific c<strong>on</strong>clusi<strong>on</strong>s can be drawn:<br />

• For a relati<strong>on</strong>ship to be dem<strong>on</strong>strated epidemiologically, better<br />

measures are needed for both exposure <strong>and</strong> effect. The development<br />

of biomarkers may be a step in this directi<strong>on</strong>.<br />

• It is important to c<strong>on</strong>stantly update <str<strong>on</strong>g>the</str<strong>on</strong>g> test methods for animal tests<br />

based <strong>on</strong> scientific development <strong>on</strong> <str<strong>on</strong>g>the</str<strong>on</strong>g> basis of experience in humans.<br />

• The review of <str<strong>on</strong>g>the</str<strong>on</strong>g> pesticide intake <str<strong>on</strong>g>from</str<strong>on</strong>g> food products <strong>and</strong> drinking<br />

water shows that <str<strong>on</strong>g>the</str<strong>on</strong>g> main sources of <str<strong>on</strong>g>the</str<strong>on</strong>g> populati<strong>on</strong>’s exposure is <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

intake <str<strong>on</strong>g>from</str<strong>on</strong>g> berries, fruit <strong>and</strong> vegetables <strong>and</strong>, to some extent, cereals<br />

<strong>and</strong> cereal products, while <str<strong>on</strong>g>the</str<strong>on</strong>g> intake <str<strong>on</strong>g>from</str<strong>on</strong>g> drinking water, animal<br />

food products <strong>and</strong> fish is of no significance to <str<strong>on</strong>g>the</str<strong>on</strong>g> total exposure.<br />

• The total average load <str<strong>on</strong>g>from</str<strong>on</strong>g> food products is estimated to be approx.<br />

200 microgrammes pesticide per day, more than half of which comes<br />

<str<strong>on</strong>g>from</str<strong>on</strong>g> just a few types of food products, namely citrus fruit, potatoes<br />

<strong>and</strong> apples. Around 60% come <str<strong>on</strong>g>from</str<strong>on</strong>g> imported products <strong>and</strong> 40% <str<strong>on</strong>g>from</str<strong>on</strong>g><br />

Danish products. There are big variati<strong>on</strong>s in <str<strong>on</strong>g>the</str<strong>on</strong>g> calculated numerical<br />

values, <strong>and</strong>, in practice, <str<strong>on</strong>g>the</str<strong>on</strong>g> total intake is believed to range between a<br />

very low intake <strong>and</strong> about 600 microgrammes per day. Since most of<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> pesticide residues in citrus fruits are in <str<strong>on</strong>g>the</str<strong>on</strong>g> peel, which is not<br />

eaten, <str<strong>on</strong>g>the</str<strong>on</strong>g> actual daily intake of pesticides is less than 200<br />

microgrammes per day. In <str<strong>on</strong>g>the</str<strong>on</strong>g> last-menti<strong>on</strong>ed scenario, <str<strong>on</strong>g>the</str<strong>on</strong>g> intake via<br />

Danish products would be greater than 50% of <str<strong>on</strong>g>the</str<strong>on</strong>g> total intake.<br />

• In treated crops it is assumed that <str<strong>on</strong>g>the</str<strong>on</strong>g>re is generally some residual<br />

c<strong>on</strong>tent of pesticides that decreases <str<strong>on</strong>g>the</str<strong>on</strong>g> l<strong>on</strong>ger <str<strong>on</strong>g>the</str<strong>on</strong>g> time that elapses<br />

between spraying <strong>and</strong> harvesting. This is, however, a factor that is<br />

particularly important if <str<strong>on</strong>g>the</str<strong>on</strong>g> pesticide is applied <strong>on</strong> crops or parts of<br />

plants that are edible at <str<strong>on</strong>g>the</str<strong>on</strong>g> time of harvest, i.e. after <str<strong>on</strong>g>the</str<strong>on</strong>g> end of<br />

flowering, seeding <strong>and</strong> similar. However, in farming practice, <str<strong>on</strong>g>the</str<strong>on</strong>g>re<br />

are a number of o<str<strong>on</strong>g>the</str<strong>on</strong>g>r factors that influence <str<strong>on</strong>g>the</str<strong>on</strong>g> pesticide c<strong>on</strong>tent of<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> crop. This applies not <strong>on</strong>ly to <str<strong>on</strong>g>the</str<strong>on</strong>g> plant’s development stage at <str<strong>on</strong>g>the</str<strong>on</strong>g><br />

time of treatment but also to <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>centrati<strong>on</strong> used, <str<strong>on</strong>g>the</str<strong>on</strong>g> method of<br />

applicati<strong>on</strong>, etc. However, failure to detect residues does not mean<br />

that <str<strong>on</strong>g>the</str<strong>on</strong>g> crop is free of pesticides, but ra<str<strong>on</strong>g>the</str<strong>on</strong>g>r that <str<strong>on</strong>g>the</str<strong>on</strong>g> c<strong>on</strong>tent is below<br />

<str<strong>on</strong>g>the</str<strong>on</strong>g> analytical detecti<strong>on</strong> level.

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