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Incidence of acute pesticide poisonings in Nicaragua: a public health concern
  1. Marianela Corriols (nelacorriols{at}yahoo.es)
  1. PAHO Nicaragua, UNAN Leon, Nicaragua
    1. Jesus Marin (jjmarin{at}minsa.gob.ni)
    1. Ministry of Health, Nicaragua
      1. Jacqueline Berroteran (p-plag{at}minsa.gob.ni)
      1. Ministry of Health, Nicaragua
        1. Luz Marina Lozano (cn-toxic{at}minsa.gob.ni)
        1. Ministry of Health, Nicaragua
          1. Ingvar Lundberg (ingvar.lundberg{at}medsci.uu.se)
          1. Uppsala University, Sweden

            Abstract

            Objectives: To estimate the cumulative incidence rate of cases of acute pesticide poisonings among Nicaraguan population older than fifteen years in the year 2000.

            Methods: Data concerning pesticide exposure and health effects were assessed in a nationally representative survey. Based on self reported cases we estimated the one year incidence rate and the number of expected cases of acute pesticide poisonings in the country.

            Results: Among the 3169 survey respondents, we identified 72 persons who self reported one episode of acute pesticide poisoning in 2000. Of these, 65 cases (90%) were related to occupational exposure, 5 cases (7%) to domestic exposure and 2 cases (3%) to intentional exposure. The incidence rate/100 persons of acute pesticide poisonings was 2.3 (95% CI 1.7-2.8) in the entire population of Nicaragua in 2000. This corresponds to 66,113 cases (95% CI 51,017 - 81,210). The highest rate was found among males in rural areas, particularly among farmers, agriculture and cattle workers.

            Conclusion: This study demonstrates an extremely high risk of cases of acute pesticide poisonings in Nicaragua. Considering this, comprehensive measures should be implemented to reduce adverse health effects.

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