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Agriculture Poisoning
Agriculture Poisoning
Agrochemical refers to the broad range of agricultural chemicals such as herbicides, insecticides,
synthetic fertilizers, fungicides, and other chemical growth agents. Pesticides are broadly utilized
as a part of agricultural production to counteract or control pests, diseases, weeds, and other plant
pathogens with an end goal to reduce or eliminate yield losses and keep up high product quality.
Despite their popularity and broad utilization of pesticides, some serious concerns about health
risks arising from residues in food and drinking water for the general population. These elements
play an important role in the collection of toxins inside the body. The human body cannot dispose
of them, might be because of fat solubility and limited excretory capacity. This results in the
accumulation of toxins causing serious health problems. Through our daily life activities, we are
unknowingly exposed to one or other type of toxin. Low level introduction to chemicals that can
possibly cause long-term effects may not cause quick injury, but repeated exposures through food
chain and water leaching can extraordinarily expand the risk of chronic adverse effect.
Accidental/Suicidal:
Ocuupational:
FOOD CHAIN
Pesticides can enter the food chain in many ways. When pesticides sprayed on crops,
and consumed as fodder by livestock, can leave residue in animals. Similarly, when
pesticides wash off with rainwater into streams can cause the planktons absorb these
into system and in turn eaten up by aquatic animals. Fishes consumed later by humans
can cause lethal effect of these chemicals.
Organochlorines could therefore possibly find their way into our bodies through the food
we eat or the water we drink and since they don’t break down easily, they bio-
accumulate in fatty tissues.
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Classification:
Insecticide : warfarin,Alphosphide
Rodenticide: captan
Fungicide : Paraquat
Herbicides: Napthalene
Miscellaneous
Organophosphorus compounds:
1)Alkyl compound:
HETP(Less Toxic)
Endrim
TEPP(Most Toxic)
2)Aryl compound
Parathion
Metacide
Diazinon
Carbamate
Eg.aldicarb
Chlorinated Hydrocarbons
D.DT
Plant Penicillin
Gamexin
Inhalation
Ingestion
They are absorbed through all parts of body Le, skin, conjunctiva, inhalation, through GI
tract and through Injections.
Site of Action
Myoneural function
Synapses of ganglion
Physiology of Action
Pharmacological Action
Muscarine-like effect
Nicotine-like effect
Effect On CNS
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BRONCHIAL TREE
Tightness of chest
Increased secretion
Dyspnoea
Pulmonary oedema
Cough
Cyanosis
Gastro Intestinal
Anorexia
Vomitting
Diarrhoea
Nausea
Abdominal Cramps
Involuntary defaecation
Sweat Glands
Increased sweating
Salivary Gland
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Increased salivation
Lacrimal Glands
Heart
Bradycardia
Pupils
Pin point
blurring of vision
Urinary Bladder
1. Striated Muscles
Easy fatigue
2.Sympathetic Ganglia
Pallor
Occasional elevation of BP
Convulsions
Fatal Dose
MALATHION-1 gm
Fatal Period
In Non fatal cases, acute effects last for 6-30 hrs and gradually fading for 3 days to 3
weeks.
Cause of Death
Paralysis of musculature
Respiratory failure
Circulatory arrest
Pulmonary oedema
Oedema of brain
Treatment
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1. Decontamination 2. Care of air way 3. Antidote 4. General measures
1.) Decontamination
Removal of clothes
b. Suction
c. Intubation or tracheostomy
d. Artificial respiration
3.)Antidote
a. Atropine 2 mg I/M or 1/V every 15 mts. Till atropine toxicity effects a. ear (Flushe face, dry
mouth, dilated pupil, fast pulse, warm skin). This is known as Atropinisation.
ENDRIN
Synthetic
Fat soluble
Highly stable
Unpleasant taste
Commonly used against insects.
Since used against plant pests it is known as "Plant Penicillin"
Mode of Action
It is neurotoxic and interferes with nerve impulse transmission. Initially it stimulates CNS
followed
by depression. It causes respiratory failure. It has no effect on cholinesterase.
Fatal dose
Treatment
Decontamination
Barbiturates
10 ml of 10% solu. LV every 4 hrly
Severe dyspnoea
External
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Internal
NAPHTHALENE
GIT
Gastric irritation
Abdominal pain
Nausea
Vomitting
Jaundice
Acute nephritis
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Fatal dose-2 gms
Treatment
Suicidal- Rare
Accidental Usually in children
CARBAMATE COMPOUNDS
Treatment
Removal from the source, Decontamination, Put the patient to lateral side to avoid
regurgitation Oxygen inhalation, ventilator support if indicated, Inj. Atropine, Diazepam if
Convulsions.
Role of oximes is not recommended and is controversial.
Chronic poisoning refers to toxicity that develops during continuous exposure to a substance
during many months or years. Repeated attacks of diarrhea, vomiting, etc., are seen. Malaise,
cachexia, depression, and gradual deterioration of general condition of the patient are seen.
Carcinogenicity, teratogenicity, oncogenicity, respiratory tract irritation, liver damage, dermal
and ocular irritation, and allergenic sensitization are the symptoms related to chronic exposure of
fertilizers and pesticides.
Children are more susceptible and sensitive to pesticides because their immune system is still
developing and weaker than adults. Children under the age of 6 months are more prone to
experience exposure to breast milk and inhalation of small particles. Toxic residue in food may
give to a child’s exposure. The chemicals can accumulate in the body over time.
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Pesticides outcome on maternal health
Above described pesticides which are poisonous in nature specifically harmful to the women who
are pregnant and the baby whom they are carrying in their womb. Heavy metals such as arsenic,
lead, copper, and mercury which present in agrochemical affect the reproductive system and are
especially toxic to growing fetus because they are not filtered by placenta from mother to child
and are directly deposited in growing fetal tissue. These pesticides can get inside the body by
ingestion, inhalation, dermal exposure, etc..Therefore, the food which a pregnant woman eats
must be nutritious and not metallicious. Therefore, care must be taken by the person to avoid
consuming such substances which may lead to further complications in their pregnancy and
abnormalities in newly born infants.
Pesticide exposure (before or during pregnancy) has been related with the danger of fetal growth
retardation, infertility, perinatal demise, spontaneous abortion, and premature birth.There is
increasing evidence that in utero exposure increases the risk of small head circumference, small-
for-gestational-age baby, low birth weight, and reduced length. Significant increases in the risk of
congenital anomalies have also been reported. These include limb reduction, eye defects,
urogenital defects, cryptorchidism, orofacial clefts, hypospadias, and heart defects. The
California Birth Defects Monitoring Program reports that three out of every four women are
exposed to pesticidesaround the home. During the first trimester of pregnancy, the nervous
system is rapidly developing in baby, so pregnant women should avoid contact with pesticides
during the 1st trimester. They additionally watched that pregnant women exposed to family
cultivating pesticides had a humble hazard increment for oral clefts, heart defects, and limb
defects. Women living inside ¼ mile of rural yields had the same modest risk of increase for
neural tube defects.
They have been detected in the amniotic fluid and body tissues of the human fetus even during
early stages of prenatal life. Pesticides have also been found in the meconium.Estimating
organophosphate compounds metabolites in meconium is viewed as a good biomarker of prenatal
exposure because meconium begins to accumulate in the 16th week of pregnancy and is
eliminated following delivery. Breast milk represents the very top of the food chain. Residues of
organochlorine pesticides and persistent organic pollutants have been detected in breast milk in
contaminated areas.
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Most studies show that the greatest risk of exposure to pesticides is during the first 3–8 weeks of
the 1st trimester when the neural tube development is occurring.
Exposure during brain growth has some subtle and permanent effects on:
• Synaptogenesis
Some studies have found an association between postnatal pesticide exposure and an increased
risk of pediatric cancers such as renal cancer, brain tumor, acute lymphocytic leukemia, and non-
Hodgkin lymphoma. Prenatal exposure has been associated with leukemia in a new-born after
intensive use permethrin at home by the pregnant mother. Children with certain metabolic
enzyme polymorphisms have an increased danger of intense lymphocytic leukemia when
presented to pesticides in utero or during pregnancy. Brain cancer appears to be associated with
maternal exposure during agricultural activities.
Endocrine disruption
Low dosages of specific pesticides may copy or piece hormones or trigger unseemly hormone
movement, endocrine disruption may alter development and propagation and induce birth
defects, and endocrine disruption has been linked to altered sex ratio, infertility, low sperm count,
and early puberty.
Need of detoxification
Toxins accumulate over years and store in the liver, bones, fat cells and other organs. During
pregnancy, those toxins can be mobilized and transferred to the growing fetus. Unfortunately,
that problem continues into the postpartum period, as the toxic body burden continues to be
mobilized into mother’s milk. Detoxification empowers the release and excretion of toxins. In
this way it is important to detoxify pre planned conception.
For those that have used hormonal contraception; detoxification can assist in restoring a normal
monthly cycle.[27] Many birth defects and fertility issues find their root cause in a toxic build
up/exposure of the parents. Eradicating the body of pollutants and allowing the body to achieve
homeostasis promotes health and a balanced environment; this will optimize fertility; for that
both parent need to carry out detoxification
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Drugs which act against toxic substances are called as vishghna.
1. Substances with guru (heavy), sheeta (cold), snigdh (unctuous) properties increase ojas and
immunity. So the body can fight with and destroy toxins (milk, ghee, suvarna siddha water)
2. Shirish (Albizzia lebbeck Linn), Tankan (Borex) produce anti Toxic effect-specific potency
known as “prabhav”
3. Toxins vitiate Pitta and Rakta. Manjishtha (Rubia cordifolia Linn.), haridra (Curcuma longa
Linn), chandan (Santalum album Linn.), sariva (Hemidesmus indicus Linn), neem (Azadiracta
indica A. Juss) etc., purify blood and pacify Pitta
4. Nimba (A. indica), Patola (Trichosanthes dioica Roxb.) helps for vaman by which toxins can
be expelled out.
PESTICIDES PROBLEMS
Improper handling
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Improper storage
Improper transport
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PPD
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Areas of pesticide problems in Nepal
• Overdose and frequent application of pesticides in cotton, tea
and commercial vegetable farming areas along with cocktail
spray
• Use of insecticide particularly endosulfan for killing fish in
stream and ponds-fisherman’s practice.
• Use of insecticide particularly DDT in the past and dichlorvos
and malathion at present for the control of the head louse –
public practice.
• Use of insecticide particularly endosulfan on cattle body for
the control of mange.
• Use of pesticide treated grains ( supposed to be dumped or
buried) for making alcohol (local wine) and also for feeding
horses in remote districts.
• Dipping green vegetables particularly broad leaf mustard, tomatoes
and brinjal ( eggplant) in malathion solution in the evening to keep
it fresh and shiny looking and taking the product in the market next
morning-farmer’s practice.
• Dipping tomatoes and brinjal (egg plant) in mancozeb solution just
before taking it in the market to keep it fresh and shiny looking-
farmer’s practice.
• Spraying insecticides on body surface of fish to keep flies while
displaying it on the shop for selling-trader’s practice.
• Throwing away date expired pesticides and empty containers in
public area (green ground, open area), local streams and
drainage/sewage without any hesitation-general practice.
• Use of fumigants particularly aluminium phosphide in the locally
made mud bins with loose cover that are kept either in bedroom or
in storeroom adjacent to bedroom
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UNSOUND DISPOSAL
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USE OF DIFFERENT PESTICIDES
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Some fact of poisoning cont….
• Developing countries use 25 percent of the world’s production of pesticides
but have 99 percent of pesticide-related deaths. In rural areas, the
percentages of suicides which involve pesticides are:
- 60 percent in China,
- 71 percent in Sri-Lanka,
- more than 90 percent in Malaysia,
- 68 percent in Trinidad and
- 30 percent in India. (Brian, 2005).
• According to WHO, three million acute poisoning cases with 2, 20,000
deaths occur annually throughout the world. Out of these 90 percent of
poisoning cases belongs to developing countries particularly among
agricultural workers (Dhavai et al, 2011).
MEDICOLEGAL ASPECTS
Main points proposed in to the new Pesticide Act 2075
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Conclusion and
Recommendations
• PQPMC implement Pesticide Act/Regulation for
pesticide management in the country.
• Hazardous pesticides are banding and need to be
banned.
• Discourage to use WHO Ia and Ib class pesticides.
• Large scale mass campaign should be
carried out to make farmer aware of the
potential harm to the human health and the
environment.
• Organize intensively training about the safe
handling of pesticides to the Agro vets and farmers.
• The alternatives to synthetic chemical
pesticides (mostly biological means) should
be encouraged for pest suppression in
agriculture.
• The governments should give emphasis on
research and extension activities related to
IPM and continuity of IPM program for
minimizing the use of chemical pesticides.
• The pesticide regulations should be enforced
properly.
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• The agricultural extension workers should
have proper training in crop protection
especially about the safe handling of
pesticides.
• OP Group, Rodenticides and Carbamates
pesticides should not be sold without prescriptions.
• Minimize the poisoning cases by advocacy about
proper handling the pesticides.
• New Pesticide Act has been tabled in parliament
and hopefully implement very soon.
• New pesticides Act will encourage to solve
some problems of pesticides and minimize
the haphazard use of pesticides. .
DISCUSSION
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techniques and methods in cultivating their crops. As commercial farming slowly
increased popularity over organic farming, the natural methods were replaced with
the ones using chemicals for fertilizers, pesticides and weed killers. The potential
of higher yield in a shorter period of time is the selling point of these chemicals.
But heavy dependence on chemicals is starting to take its ringing on the vast
farmlands and on the people’s health. Toxic residues of agricultural chemicals
entering the human diet are of major concern today. According to studies and
researches, pesticides have grave effects on children and these can be measured in
several ways. Children’s internal organs are still developing and maturing, so the
effects can be seen and measured at present and in the future when they have
grown up.
Some health effects from pesticide exposure may occur as you are being exposed
and some symptoms may occur several hours, days or years after exposure. Some
symptoms of pesticide exposure will go away as soon as the exposure stops. Others
may take some time to go away. Women who are pregnant or breast-feeding
should check with their doctors before working with pesticides as some pesticides
may be harmful to the foetus (unborn baby) or to breast-fed infants. When a
pregnant woman eats vegetables contaminated with pesticides, the foetus can be
exposed to the harmful chemical and cause birth defects. Pesticides can also be
neurotoxins which can make a person feel light-headed, dizzy and confused, and it
may reduce body coordination and ability to think in the short run. In the long
term, these can result in reduced mental coordination and learning capacities.
Agrochemicals tenaciously accumulate in human being and exist for several years
produced long-term effects similar to Dushi visha. Most of the clinical
manifestation and complication of the cumulative toxicity of pesticides are mimic
with Dushi Visha like repeated attacks of diarrhea, vomiting, malaise, cachexia,
muscle weakness, muscle cramp, dermal and ocular irritation, allergenic
sensitization, respiratory tract irritation, impotency and liver damage.
Carcinogenicity, mutagenicity and teratogenicity are the major complication of
cumulative toxicity of pesticides.
Ayurveda has a rich fortune of medicinal plants which are markedly effective in
the prevention and management of the harmful impact of pesticide exposure.
Herbal medications that hold antihistamine, anti toxic mast cell stabilizer and
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anti-inflammatory properties should be used to manage toxic symptoms due to
chronic pesticide exposure. Herbs with Antioxidant property improve
neurotransmission and repair of damaged neurons via enhanced regeneration of
nerve synapses, so these herbs protect the brain from oxidative damage and help to
relieve the symptoms of Neurological dysfunction due to pesticide exposure.
Ayurveda has many herbal drugs that have these properties and can serve as a
treatment for pesticide hazards. Herbal drugs control side effects, as well as
enhance quality of life. Charak described fifty mahakashaya in the fourth section of
Sutra sthana. Each mahakashaya has ten herbal drugs. Out of these fifty
mahakashayas, vishghna mahakashaya which includes ten vishghna drugs, play its
role against pesticide poisoning.
CONCLUSION
Pesticides are very harmful to human health and it can cause Serious illnesses and
death in humans. These problems arise from various circumstances, either direct or
indirect human contact with pesticides. It will be good to start organic farming to
maintain good hygiene in future with less use of these pesticides for farming
References
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1. Pimentel D. Economical and Environmental cost of the Application of pesticide
primarily in the United State, Journal of Environment Development and
Sustainability 2005;12:229-52.
10. Cecchini M. Chemical exposure at the World Trade Center: Use of the
Hubbard sauna detoxification regimen to improve health status of New York City
rescue workers exposed to toxicants. Townsend Lett. 2006; vol 273(58), p 65.
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11. CharakSamhita, Chikitsasthana, Raktapittachikitsa Adhyaya, 4/13. Available
from: http://niimh.nic.in/ebooks/echarak (Accessed on 11 Jan 2020).
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