Nationwide Survey of Clinical Cases of Pesticide Poisoning/Disorders in Japan, 2001-03
10.2185/jjrm.54.107
- Author:
Yoshio NISHIGAKI
;
Shousui MATSUSHIMA
;
Hiroshi NAGAMI
;
Eiji OURA
;
Nobuki YAJIMA
;
Shinji ASANUMA
;
Makoto USUDA
- Publication Type:Journal Article
- MeSH:
Pesticides;
Clinical;
Poisoning aspects;
Acute;
Cases
- From:Journal of the Japanese Association of Rural Medicine
2005;54(2):107-117
- CountryJapan
- Language:Japanese
-
Abstract:
Data concerning clinical cases of pesticide poisoning/disorders were collected from members of the Japanese Association of Rural Medicine during 2001-2003, and were analyzed statistically.A total of 194 cases of poisoning/disorders by pesticide exposure were reported from 36 hospitals and other medical institutions. Suicide cases accounted for 74% of the total number of cases, which was followed by the cases caused by exposure during spraying (17%) and drinking/eating by mistake (7%).In 144 suicide cases, those of males accounted for 52%, the middle-aged and older people constituted the majority. By types of clinical manifestations, almost all of the cases were acute or subacute pesticide poisoning (98%). Organophosphate insecticides were the most frequent inducers of the cases (39%), which was followed by bipyridylium herbicides (23%). When it comes to the outcome, more than 80% of suicide cases with paraquat products resulted in death.There were 39 cases of pesticide poisoning/disorders resulting from exposure during spraying, preparation or settling, and working in sprayed area. In these cases, males accounted for 70% the middle-aged and older people made up the majority. By types of clinical manifestations, the cases of acute or subacute pesticide poisoning accounted for 39%, which was followed by acute dermatitis (33%), chemical burn (14%), and ocular disorders (11%). The pesticides that induced clinical cases varied greatly. Main factors contributing to the onset of pesticide poisoning/disorders were insufficient protective clothing (44%), self conceit (19%), insufficient information (14%), and carelessness (12%).
