[Analysis of reports of cases of pesticide poisoning in Jiangsu Province, China, from 2006 to 2013].
OBJECTIVE
To investigate the characteristics of pesticide poisoning in Jiangsu Province, China, and to provide a scientific basis for developing effective intervention measures and prevention strategies.


METHODS
The data from report cards of pesticide poisoning in Jiangsu Province from 2006 to 2013 were arranged using EXCEL tables, and assessed. Statistical analysis was applied to the epidemiological data using SPSS.


RESULTS
From 2006 to 2013, a total of 32672 cases of pesticide poisoning were reported in Jiangsu Province. Most of the cases were caused by non-occupational poisoning (life poisoning) (72.78%). A majority of patients with pesticide poisoning were 35-54 years old (40.85%) or older than 65 years (15.69%). There were more female patients (58.22%) than male patients (41.78%). Among patients with occupational poisoning, male patients (50.90%) were more than female patients. Among patients with non-occupational poisoning, female patients were more than male patients (38.37%). Pesticide poisoning mainly occurred from July to September. The case-fatality rate of occupational poisoning (0.47%) was lower than that of non-occupational poisoning (7.10%). All 13 cities in Jiangsu Province reported cases of pesticide poisoning. There were more cases in the northern regions than in the southern regions. Pesticide poisoning was mainly caused by organophosphorus insecticides including methamidophos, dichlorvos, dimethoate, omethoate, and parathion, which accounted for 65.58%of all cases. Paraquat had the highest case-fatality rate (10.06%) among all pesticides, followed by tetramine (10.00%), dimethoate or omethoate (7.85%), methamidophos (7.79%), and dimehypo (7.68%).


CONCLUSIONS
Pesticide poisoning cannot be ignored. The management and control should be improved in production and usage of highly toxic pesticides including organophosphorus insecticides, rodenticides, and herbicides. More attention should be paid to the protection of vulnerable groups including women, children, and the elderly.
The Center for Disease Control and Prevention of Jiangsu Province, Nanjing 210028, China.
Bin
B
Yu
The Center for Disease Control and Prevention of Jiangsu Province, Nanjing 210028, China. E-mail: dingbangmei@163.com.
Bangmei
B
Ding
The Center for Disease Control and Prevention of Jiangsu Province, Nanjing 210028, China.
Han
H
Shen
The Center for Disease Control and Prevention of Jiangsu Province, Nanjing 210028, China.
Baoli
B
Zhu
The Center for Disease Control and Prevention of Jiangsu Province, Nanjing 210028, China.
Qianqian
Q
Gao
D000328:Adult; D017677:Age Distribution; D000368:Aged; D002681:China / Q000453:epidemiology; D002947:Cities; D004006:Dichlorvos; D004117:Dimethoate / Q000031:analogs & derivatives; D004781:Environmental Exposure / Q000517:prevention & control* / Q000706:statistics & numerical data*; D005260:Female; D006540:Herbicides / Q000506:poisoning; D006801:Humans; D007306:Insecticides / Q000506:poisoning; D008297:Male; D008875:Middle Aged; D009946:Organothiophosphorus Compounds; D010269:Paraquat; D010575:Pesticides / Q000506:poisoning*; D011041:Poisoning / Q000453:epidemiology* / Q000517:prevention & control*; D012378:Rodenticides
D006540:Herbicides; D007306:Insecticides; D009946:Organothiophosphorus Compounds; D010575:Pesticides; D012378:Rodenticides; C002302:dimethoxon; D004006:Dichlorvos; C014655:methamidophos; D010269:Paraquat; D004117:Dimethoate