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Geoffrey M. Calvert, MD, MPH, Louise N. Mehler, MD, PhD, Rachel Rosales, MSHP, Lynden Baum, MS, Catherine Thomsen, MPH, Dorilee Male, BS, Omar Shafey, PhD, MPH, Rupali Das, MD, MPH, Michelle Lackovic, MPH and Ernest Arvizu, BA

Geoffrey M. Calvert is with the Division of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, Ohio. Louise N. Mehler is with the Department of Pesticide Regulation, California Environmental Protection Agency, Sacramento. Rachel Rosales is with the Department of Environmental Epidemiology and Toxicology, Texas Department of Health, Austin. Lynden Baum is with the Office of Environmental Health and Safety, Washington State Department of Health, Olympia. Catherine Thomsen is with the Office of Disease Prevention and Epidemiology, Oregon Department of Human Services, Portland. Dorilee Male is with the Bureau of Occupational Health, New York State Department of Health, Troy. Omar Shafey is with the Department of Epidemiology and Surveillance Research, American Cancer Society, Atlanta, Ga. Rupali Das is with the Occupational Health Branch, California Department of Health Services, Oakland. Michelle Lackovic is with the Louisiana Department of Health and Hospitals, New Orleans. Ernest Arvizu is with the Arizona Department of Health Services, Phoenix.

Correspondence: Requests for reprints should be sent to Geoffrey M. Calvert, MD, MPH, National Institute for Occupational Safety and Health, 4676 Columbia Pkwy, R-21, Cincinnati, OH 45226 (e-mail: jac6{at}cdc.gov).

Objectives. The goal of this study was to describe acute occupational pesticide-related illnesses among youths and to provide prevention recommendations.

Methods. Survey data from 8 states and from poison control center data were analyzed. Illness incidence rates and incidence rate ratios were calculated.

Results. A total of 531 youths were identified with acute occupational pesticide-related illnesses. Insecticides were responsible for most of these illnesses (68%), most of which were of minor severity (79%). The average annual incidence rate among youths aged 15 to 17 years was 20.4 per billion hours worked, and the incidence rate ratio among youths vs adults was 1.71 (95% confidence interval = 1.53, 1.91).

Conclusions. The present findings suggest the need for greater efforts to prevent acute occupational pesticide-related illnesses among adolescents.

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				W. A. Alarcon, G. M. Calvert, J. M. Blondell, L. N. Mehler, J. Sievert, M. Propeck, D. S. Tibbetts, A. Becker, M. Lackovic, S. B. Soileau, et al. Acute Illnesses Associated With Pesticide Exposure at Schools JAMA, July 27, 2005; 294(4): 455 - 465. [Abstract] [Full Text] [PDF]