TY - JOUR PY - 2005// TI - Nationwide Survey of Clinical Cases of Pesticide Poisoning/Disorders in Japan, 2001-03 JO - Journal of the Japanese Association of Rural Medicine A1 - Nishigaki, Yoshio A1 - Matsushima, Shousui A1 - Nagami, Hiroshi A1 - Oura, Eiji A1 - Yajima, Nobuki A1 - Asanuma, Shinji A1 - Usuda, Makoto SP - 107 EP - 117 VL - IS - N2 - 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%).

Language: ja

LA - ja SN - 0468-2513 UR - http://dx.doi.org/10.2185/jjrm.54.107 ID - ref1 ER -