Back to Annual Meeting Page		American Public Health Association 133rd Annual Meeting & Exposition December 10-14, 2005 Philadelphia, PA

Abstract #110264

Ruth H. Allen, PhD, MPH¹, Anuradha Kodali, MBBS, MPH², Michael Alavanja, DrPH³, Joe Coble, MSPH, ScD, CIH⁴, Hans Allender⁵, Rajina Bisaria Srivastava, MA, (MPH)⁶, Carol Christensen, MPH⁷, David T. Mage, PhD², and Jerome Blondell, PhD⁸. (1) Health Effects Division, Office of Pesticide Programs, Environmental Protection Agency, 2039 Durand St, Reston, VA 22091, 703-305-7191, allen.ruth@epamail.epa.gov, (2) Institute for Survey Research, Temple University, 9451 Lee Highway, Apt. 1013, Fairfax, VA 22031, (3) Occupational and Environmental Epidemiology Branch, NCI, Executive Plaza South, Room 8000, Bethesda, MD 20892, (4) Division of Cancer Epidemiology & Genetics Occupational Epidemiology Branch, National Cancer Institute, Executive Plaza South, Bethesda, MD 20892, (5) Health Effects Division, US EPA, 1200 Pennsylvania Ave NW, 7509-C, Washingotn, DC 20460, (6) Global health, George Washington University, 4377 Thomas Brigade Lane, Fairfax, DC 22033, (7) Health Effects Division, US EPA 7509-C, 1200 Pennsylvania Ave Nw, Washington, DC 20460, (8) Health Statistician Chemistry and, EPA, 7509C, 1200 Pennsylvania Ave Nw, Washingotn, DC 20460

This paper will examine: (1) the leading causes of occupational pesticide poisoning based on CA and other state data compared to reports from SENSOR states and national poison center information; (2) uses of human biomonitoring data from National Health and Nutrition Examination Surveys (NHANES) over time, including job exposure matrix developments from NHANES; (3) high pesticide exposure events reported in the Agricultural Health Study (AHS) and (4) insights from the emerging pesticide epidemiology literature on birth outcomes and pesticides. We review the criteria for evaluation of pesticide epidemiology findings from different study designs, and highlight the past use of pesticide epidemiology in selected regulatory situations. We compare published results within and between studies on consistency and discuss reason for variations. We suggest a new approach to guidance and education for prevention of pesticide poisoning and high pesticide exposure events in adults and children. We review evidence of declining human exposure from NHANES. Finally, we conclude with next steps and research gaps.

Learning Objectives:

• Learning Objectives
• 1. Participants will gain a better understanding of pesticide poisoning and high pesticide exposure events.
• 2. Participants will learn about new approaches to guide the prevention of pesticide poisonings.
• 3. Participants will have an overview of the some past uses of pesticide epidemiology in regulatory decisions and the evidence that preventive measures have reduced human expose to pesticides over the last decade, based on an analysis of NHANES indictors.

Keywords: Occupational Exposure, Surveillance

Presenting author's disclosure statement:

I wish to disclose that I have NO financial interests or other relationship with the manufactures of commercial products, suppliers of commercial services or commercial supporters.