Pesticide-Handling Practices in Agriculture in El Salvador: An Example from 42 Patient Farmers with Chronic Kidney Disease in the Bajo Lempa Region
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Author(s)
Roberto Mejía, Edgar Quinteros, Alejandro López, Alexandre Ribó, Humberto Cedillos, Carlos M. Orantes, Eliette Valladares, Dina L. López
Affiliation(s)
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
University of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
Department of Geological Sciences, Ohio University, Athens, OH, USA.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
University of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
National Institute of Health, Ministry of Health of El Salvador, San Salvador, El Salvador.
Department of Geological Sciences, Ohio University, Athens, OH, USA.
ABSTRACT
Introduction:
The occupational toxic risks from agricultural activities in El
Salvador affect human and environmental health. The objective of this
paper is to describe the management of pesticide by farmers confirmed
with a chronic kidney disease of uncertain etiology (CKDu) not
associated to diabetes mellitus or hypertension. Methods: The study
involved 42 male patients older than 18 years old with confirmed CKDu
that have participated in different stages of pesticides management.
This is a cross-sectional study; it was conducted from January to June
2011, in three communities of Bajo Lempa region, El Salvador. An
interview was especially designed to investigate which pesticides were
used and the farmer practices at different stages of pesticide use.
Statistical descriptive analysis was carried out for the several studied
variables. Results: All interviewed people had a direct relationship
with agricultural activities. The majority of patients had poor
education, 19% were illiterate and 55% only have primary education. Most
farmers with CKDu had been exposed more than 10 years to hazardous
pesticides. The most used pesticide was Hedonal/2, 4 D (100%). 95%
interviewed patients mixed different pesticides and 63% dumped empty
pesticide containers in the fields. Interviewees did not use appropriate
personal protective equipment (100%). Conclusions: There is high use of
hazardous pesticides by patients and some of these are banned and some
are legal in El Salvador, but prohibited by other countries. Interviewed
CKDu patients had high exposure to toxic pesticides due to the misuse
in almost all stages. There is inadequate legislation and a poor law
enforcement to prevent the misuse of pesticides in El Salvador.
Cite this paper
References
Mejía,
R. , Quinteros, E. , López, A. , Ribó, A. , Cedillos, H. , Orantes, C. ,
Valladares, E. and López, D. (2014) Pesticide-Handling Practices in
Agriculture in El Salvador: An Example from 42 Patient Farmers with
Chronic Kidney Disease in the Bajo Lempa Region. Occupational Diseases and Environmental Medicine, 2, 56-70. doi: 10.4236/odem.2014.23007.
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