Beruflich Dokumente
Kultur Dokumente
15%
9%
13% 14%
8%
8% 15%
8% 14%
• There is no existing
occupational safety and health
program in the plantation.
Paraquat Poisoning Cases
• 29 yo/female, non-intentional patient at Batangas
Medical Center with swelling of mucosa, CXR (+)
infiltrates, right middle lobe, with esophagitis
• Patient was managed symptomatically
• Dr. Norma Pacalso of the Benguet Provincial Health Office said there is
an increase in monitored cases of poisoning in the province. She said
from 39 cases in 2011, it rose to 48 in 2012. This year (2013), 21 cases
have already been recorded –
(http://bulatlat.com/main/2013/10/07/nationwide-ban-on-herbicide-
gramoxone-sought/#sthash.vZJcVcms.dpuf)
Health and Environmental
assessment for paraquat exposure
Patin-Ay, Prosperidad, Agusan del Sur
Demography of Farmers Examined
Total 56
Medical History
• Common illnesses reported
Illness Number reporting Illness
Allergy 8
UTI 5
HPN 4
Paraquat 56
Glyphosate 56
2,4 D 10
Pyrethroids 4
Malathion 2
Mixing/Loading/Applying 35
Loading/Applying 9
Applying 11
Mixing/Applying 1
Total 56
Occupational History
Type of PPE Number
Gauntlet gloves 53
Yes 6
No 40
No Data 10
Total 56
Occupational History: Work
Experienced a
Practices
Number
Spill Activity During Spills Number
Yes 39
Back-pack Spraying 35
No 17
Loading 17
Total 56
Mixing 12
Aerial Spraying 22
Total 56
Occupational History: Work
Pesticide Use at
Practices
Number
Home Knowledge learned
Number
Yes 16 from
No 31 Lectures 36
No Data 9 Co-workers 8
Self learning 2
Reading materials 1
No Data 5
Occupational History: Work
Pesticide Storage
Practices
at Home
Number
Method of Disposal Number
Yes* 15
No 36 Bury 8
Reuse Container 3
Composting 1
No Data 37
Environmental History: Exposure to
Chemicals
Exposed to
Chemicals at Not Exposed to
No Data
Work or Duting Chemicals
Leisure
Males 4 29 12
Females 6 3 2
Total 10 32 14
Environmental History: Type of
Cooking
Cooking
Number
Type
Wood/Ch
49
arcoal
Gas 2
Electricity 2
Palm
2
Seed Oil
No data 1
Total 56
Environmental History : Source of
Water
Exposure to Pesticides
Sick Number
Yes 17
No 39
Total 56
Exposure to Pesticides
CVS (palpitation) 2
Review of Symptoms
Symptoms Felt Number
GIT 8
Genitourinary 4
Others 6
Physical Exam Findings
• Mean SBP 123.3 (90-160)
Finding Number
Hypo/hyper pigmented patches 25
Lichenified lesions 8
Discolored/deformed/thickened nails 24
Brittle nails 5
Mee's lines 4
Pale nailbeds 3
Cyanotic nailbeds 1
ENT Findings
Finding Number
Carious teeth 28
Nasal congestion 9
Impacted cerumen 8
Tonsillopharyngeal Congestion 5
Cervical lymphadenopathy 5
Others 2
Neurological Findings
Finding Number
Hearing loss 5
Sensory deficits 2
Weakness in face 1
Postural tremors 1
Other Findings
System Finding
Wheezing 2
Respiratory
Harsh breath sounds 2
Diagnosis Number
Fungal infection 41
Skin Chronic Irritant Dermatitis 12
Paronychia 13
EOR 30
EENT Dental Caries 28
Irritant Rhinitis 9
Hearing Loss 5
Neuro
Neuropathy 2
Asthma/Asthma like 4
Respiratory CRLD from PTB 1
Pulmonary Mass 1
Pulmonary Function Test
Abnormal 17
Restrictive Lung 10
Obstructive Lung 4
Both 1
Results Freq
Not detected 5
Present 46
0.19-200 21
201-500 3
>500 2
• Urine paraquat was detected in 90% of workers, although less than detectable
limit in 43%
• Although majority of workers use PPE, the item used may not provide enough
protection against paraquat
Recommendations
• Review suitability of PPE
• Review work practices when handling
paraquat