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Pesticide-related illness and injury surveillance : a how-to guide for state-based programs.
  • Published Date:
    October 2005
  • Series:
    DHHS publication ;  (NIOSH) 2006-102
  • Language:
Filetype[PDF-16.65 MB]

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Pesticide-related illness and injury surveillance : a how-to guide for state-based programs.
  • Description:
    Preface -- 1. Introduction -- 2. First Steps in Surveillance System Design -- 3. Case Ascertainment -- 4. Data Collection and Management -- 5. Case Intake and Follow-up -- 6. Site Inspections by PPSP -- 7. Case Closure and Classification -- 8. Data Analysis and Reporting of Aggregated Data -- 9. Developing Intervention Strategies and Evaluating Surveillance -- References -- Appendix A. Listing of MMWR Articles on Pesticide-related Illness and Injury; January 1, 1982-September 30, 2004 -- Appendix B. Selected Pesticide Illness Reporting Statutes and Rules -- Appendix C1. Sample Forms, Investigation Tools, and Templates for Data Tables -- Appendix C2. Main Pesticide Exposure Questionnaire -- Appendix C3. Pesticide Illness and Injjry Surveillance Data Collection form -- Appendix C4-C8. Field Investigation Contact Form and Health Safety Checklist for Field Personnel Appendix -- Appendix D. Case Definition for Acute Pesticide-related Illness and Injury Cases Reportable to the National Public Health Surveillance System -- Appendix E. Severity Index for Use in State-based Surveillance of Acute Pesticide-related Illness and Injury -- Appendix F. Pesticide Law and Definitions -- Appendix G. Resources fro Additional Information Related to Pesticide Poisoning Surveillance.

    This manual provides information on how to develop and maintain surveillance programs for acute and subacute health effects from pesticide exposure. The primary target audience is State health departments with planned or established pesticide poisoning surveillance programs. Other target audiences include agencies (e.g. local agencies, other state and federal government agencies, and international agencies), and members of the public interested in pesticide poisoning. Pesticide poisoning is a complex condition for surveillance. It encompasses many illnesses and injuries created by single or mixed exposures to pesticide products. Pesticide products are often mixtures composed of pesticides and other ingredients that may have adverse human health impacts. The complex nature of pesticide poisoning, and technical resources needed for case investigation, warranted the development of this manual. Guidelines for surveillance program development, case investigation, data collection, outreach, and education can be found in the manual. The manual will be most useful when read in sequence - Chapter 1 through Chapter 9 and appendix G - before implementing surveillance. Additional information that will be useful both in the initial phases of developing a surveillance program and the ongoing implementation of the surveillance system is provided in the appendices. The manual is also designed to address issues of capturing pesticide-related illnesses and injuries in workplace and non-workplace settings. The manual (which provides the case classification scheme, severity index, and sample data collection forms in the appendices), along with the standardized variables and the SENSOR-Pesticides Incident Data Entry and Reporting (SPIDER) software, are intended to simplify and streamline the surveillance system development process. Note that many of the tools and techniques covered in this manual can be generalized for surveillance of other occupational and environmental injuries and illnesses.

    Cooperative Agreement U60/CCU008161

    NIOSHTIC No 20028817

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