Sale, storage and use of legal, illegal and obsolete pesticides in Bolivia

Background Pesticide use and its consequences are of concern in Bolivia due to an intensive and increasing use. Methods To assess the magnitude and reasons for occupational pesticide intoxication, a cross-sectional study with interviews and blood-tests was performed among 201 volunteer farmers from 48 villages in the temperate and subtropical valleys in the eastern part of the Andes Mountains in Bolivia. Of these 171 male farmers using pesticides in their agricultural production were used in the statistical analysis, including linear- and logistic regression analysis. Results This study documented a frequent use of the most toxic pesticides among farmers who have had almost no instructions in how to use pesticides and protect themselves against the dangers of intoxication, reflected in the hazardous practices used when handling pesticides. Symptoms of intoxications were common in connection with spraying operations. The risk of experiencing symptoms and the serum cholinesterase activity were influenced by whether or not organophosphates were used and the number of times sprayed. The experience of symptoms was moreover influenced by the hygienic and personal protective measures taken during spraying operations while this had no influence on the serum cholinesterase level. Conclusion The study showed that occupational pesticide intoxications were common among farmers and did depend on multiple factors. Pesticide use is probably one of the largest toxicological problems in Bolivia, and a coordinated action by authorities, society and international bodies is needed to limit the number of intoxications and the environmental pollution.

Monitoring the educational level of farmers and retailers on pesticide use would be useful to assess the appropriateness of information for reducing or/and avoiding the risks from pesticides in rural regions. The levels of knowledge and awareness of the dangers to the environment and human health were investigated by questionnaires for farmers (209) and retailers (20) in two rural regions (Qianyang County (S1) and Chencang County (S2)) of the Wei River catchment in China where the modes of farming and the state of erosion are very different. The results showed that farmers learned the use and dangers of pesticides mainly by oral communication (p 70%) was the most common mode of personal hygiene, relative to wearing masks, showering, and changing clothes, but no significant differences were observed between the selected regions. Most pesticide wastes were dumped directly onto the land or into water, suggesting that educational measures should be taken to address the potential risks from the residues in the wastes. Over 85% of farmers (S1 and S2) claimed to use illegal pesticides, but the reasons for their use varied (p<0.01). Retailers were well-informed and highly conscious of their responsibility for the safe use of pesticides, especially in S2 (p<0.01). A canonical correspondence analysis indicated that educational level and age differed between the two regions and contributed greatly to the risks from pesticide use (p<0.01). Educational programmes targeted to age groups, proper disposal of pesticide waste, and sufficient supervision from authorities should consequently be considered for improving the levels of knowledge and awareness of the dangers of pesticides to human health and environmental pollution in the Wei River catchment, China.

Several reports have suggested that exposure to agricultural pesticides (mainly chronic exposure to organophosphates) produces depression, and depression is a major risk factor for suicide. A retrospective epidemiological study of 251 suicide cases was undertaken to explore the possible relationship between the high suicide rates in an intensive agricultural area, and a specific group of population at risk, namely farmers with chronic exposure to pesticides, who are at risk to develop mood disorders (mainly depression). Our data show that the suicide rate in that area is significantly higher than the suicide rates from other geographic areas with very similar socioeconomic and demographic features. In addition, the mortality from suicide in this population (farmers) does differ significantly from that of the rest of the population.