A questionnaire survey was conducted to clarify the actual states of pesticide poisoning (disorders) and its related factors amang 178 male and 232 female farmers.
The results were as follows.
1) Of the subjects 30.7% complained of some health disturbance from pesticides, without significant difference in prevalence between males and females.
2) The most comman symptom was skin hazard (39.7%), followed by nausea (34.9%) and headache (32.5%).
3) Captafol (21.4%) and methomyl (12.7%), which are contained in common pesticides, were recognized as the cause of poisoning.
4) The highest prevalence of health disturbance from pesticides were seen in [orange only] growers (72.7%) among mixed crop groups, followed by [rice+ orange] producers (71.4%), and [rice+ sugar cane +sweet potato] cultivators (55.9%). These higher prevalence groups were also estimated to be the users of the higher amount of pesticide.
5) Significant coefficient correlations were seen between the prevalence of health disturbance from pesticides and the duration and yearly times of pesticide spraying and daily spraying hours.
6) A relatively larger proportion of farmers has a knowledge about pesticide poisonig. However a few of them take effective protective measures at pesticide handling.
The reverse correlation was seen between the prevalence of health disturbance from pesticides and the degree of reliance on effectiveness of pesticides.
The present study indicates that more effective education for safty use of pesticides to both producers and users, and development of non-pesticide use agriculture are essential to protect agricultural workers from health distubance from pesticides.

A simple and sensitive method for the determination of residual Nicarbazin (NCZ) by high performance liquid chromatography (HPLC) was examined to apply to livestock products. And the detection of residual NCZ in commercial chickens was also investigated.
1. The method that the acetonitrile extracts of meat homogenate were injected directly into HPLC was able to apply to determine the residual NCZ by adding process of degreasing and dehydration of the extracts. The average recovery of NCZ added to the chicken muscle (0.4 μg/g) were 89.13±6.61%(N =5) and detection limit in this analytical procedure was 0.02μg/g.
2. Using the above method for the analysis of NCZ in commercial samples, the frequency of detection was 13.0% and the range of concentration was 0.03-0.30μg/g in samples collected from Kagoshima city (N =131). The residual NCZ in commercial chickens showed a tendency to increase in summer season. The similar levels of frequency (12.5%) and concentrations (0.03-0.43μg/g) were found in samples collected from other prefectures (N=40).

In order to clarify the actual conditions and mechanism of contact dermatitis from pesticides, a field survey including patch testing with 11 pesticides and formaldehyde was carried out on 111 subjects who engaged in farming in the plastic greenhouse mainly. The relationship between skin sensitization due to pesticides and conditions of pesticide exposure was also studied. The results were as follows;
1) About half of subjects (52%) have been suffered from health hazards due to pesticides. Among the symptoms complained, dermatitis was most frequent (32%) as compared with acute poisoning such as headache (12%), general fatigue (9 %) and so on. The causative pesticides of those dermatitis were mainly Difolatan (72%), Daconil (8 %), and Gramoxone (8%).
2) Relatively higher rates of positive reaction of patch testing were observed in Difolatan (43%) in male, and Difolatan (25%), Topsin M (24%), Rovral (24%) in female. A positive reaction with more than one substance tested were seen in 31 males (55%) and 31 females (55%).
3) Among 11 kinds of pesticides tested, positive correlations between the skin reaction of patch testing and the use of corresponding pesticides were found only in Orthocide (r = 0.233) and Daconil (0.203).
4) From the Cluster Analysis, 16 kinds of using pesticides were classified into 3 clusters with similarity to patch test reactions. It was also suggested from the Dendrogram that there might be cross reactions among patch testing pesticides.
5) By Multiple Regression Analysis, no factor which contributed remarkably to skin sensitization was clarified. And, it was suggested that many kinds of factor were complicatedly related to skin sensitization.

The residue levels of three kinds of organochlorines, BHC, DDT and PCB, in the serum were determined in farmers (40-59 years old, n=211), non-farmars (40-59 years old, n =27) and high school students (15-18 years old, n=56) to clarify the factors that contributed to the accumulation of those three compounds in the blood of farmers and rural inhabitants. The average values of those compounds were found to be 9.1±5.0 ppb for B-BHC, 9.2±6.3 ppb for pp'-DDE and 7.1 ±5.7 ppb for PCB. There was marked difference in the value between districts in which the subjects live. The subjects could be divided into the lower concentration group and higher concentration group, showing high discrimination ratio (72-83%) by Hayashi's quantification theory II. Statistical analysis showed that the factors contributing to the accumnlation of those compounds in the present subjects are related with digestion of chicken and fish, Hb concentration, serum cholinesterase activity, liver function and serum trigliceride and cholesterol levels, and use of organochlorines and other pesticides, duration and the mumber of days of pesticide spraying, experience of pesticide poisoing, cultivation of specific crops. Those results, in greater part, supported the general recognition that organochlorine residues in human body might be regulated by changning eating patterns and avoiding those food items containing those chemical compounds. On the other hand, attention should be focused on the exposure of those compounds through the use of specific pesticides including those compounds. And further investigation is necessary for clarifying the contributing factors to the accumulation of those compounds in human body especially in the higher residue group discriminated in the present study.

A 64-year-old man was transferred to our hospital because of acute heart failure associated with myocardial infarction. Echocardiography revealed severe mitral regurgitation due to total rupture of the posterior papillary muscle. Following the diagnosis of papillary muscle rupture, intraaortic balloon pumping support was started, and surgery was performed without coronary angiography because of cardiogenic shock and renal dysfunction. The posterior papillary muscle was completely ruptured, and the anterior leaflet of the mitral valve was severely prolapsed. Without resecting the posterior leaflet, mitral valve replacement was successfully performed using a St. Jude Medical^® prosthetic valve. The postoperative course was uneventful except for ventricular tachyarrhythmia which occurred during the acute phase postoperatively. Postoperative coronary angiography demonstrated no significant coronary arterial stenosis. In a patient with cardiogenic shock due to papillary muscle rupture, immediate surgical intervention is recommended as soon as the diagnosis has been established by echocardiography.

The outbreak of skin hazards from okra cultivation was studied by a field survey. About a half (46.2 %) of 186 workers investigated (male, 76 ; female, 110) reported to have experienced pastly or annually skin hazards from okra cultivation.The sites of lesion complained were mostly the arms (47.5%), neck (41.3%), fingers (32.5%) and so forth in total number. The degree of lesions were generally itching (85.0%) and flare (61.3%), but severe cases like vanishing fingerprints (16.3%) and fissures on the fingers (11.3 %) were also revealed. Portion of okra responsible for skin hazards seemed to be mainly leaves, trichomes and pods.
Positive patch test reactions with preparations of immature okra pods in 46 workers (male, 12 ; female, 34), compared to 112 control subjects (male, 84 ; female, 28), were significantly higher in okra workers than in controls, which were 25% in males and 20% in total group.
These results show that okra components cause irritant contact dermatitis and allergic contact dermatitis as well.

Statistical analyses were made on a total of 242 clinical cases of skin disordersfrom agricultural chemicals in Japanese farmers, using data recorded by physicians on standard forms in 41 hospitals and other medical institutions during the 1982-89 period. The majority of the cases were acute dermatitis (72.3%), followed by chronic dermatitis (19.0%), chemical burns (7.4%) and photosensitive dermatitis (2.1%). Organophosporus insecticides were the most frequent inducer of occupational skin lesions (24.8%), followed by sulfur fungicides (20.7%), polyhaloalkylthio-fungicides (16.1%), and soil disinfectants (7.9%). Main factors contributing to the onset of skin lesions were insufficient clothing on the part of users (46.7%), carelessness (21.9%), unsuitable weather (strong wind) (9.9%) and so forth. Epidemiological features such as sex, age, season, complications, affected sites and prognoses were also analyzed and discussed.

A total of 630 clinical cases of occupational skin disorder from agricultural chemicals werestatistically analyzed in Japanese farmers who were recorded by physicians on a standard form from41 hospitals and other medical institutions during the 1972-81 period. The majority of the cases wereacute dermatitis (66.7%). This was followed by chronic dermatitis (24.3%), chemical burns (8.4%) andphotosensitive dermatitis (2.2%). By type to chemicals, the number one skin hazard was sulfurfungicides (32.2%), followed by organophosphorus insecticides (28.6%), polyhaloalkylthio-fungicides (11.4%), and copper fungicides (7.1%). Factors contributing to the onset of any disorder of the skinwere mainly defenseless on the part of users (41.3%), carelessness (20.2%), poor health condition(14.6%), and so forth. Other epidemiological features by sex, age, season, complications, sites of skindisorder, prognosis, etc. were also analyzed and discussed.