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Mass ethion poisoning with high mortality.

Aruna Dewan1, Ashwin B Patel, Ramavati R Pal

  • 1Poison Information Centre, National Institute of Occupational Health, Meghaninagar, Ahmedabad, India. dewanaruna@yahoo.com

Clinical Toxicology (Philadelphia, Pa.)
|September 14, 2007
PubMed
Summary
This summary is machine-generated.

A mass organophosphate poisoning incident involving ethion occurred at a social ceremony, resulting in significant mortality. Delayed treatment in developing countries exacerbates pesticide poisoning outcomes.

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Area of Science:

  • Toxicology
  • Environmental Health
  • Public Health

Background:

  • A social ceremony at a remote farm led to organophosphate poisoning in fifteen individuals.
  • Symptoms included gastrointestinal distress, excessive secretions, and respiratory compromise.

Observation:

  • Victims experienced severe clinical toxicity, with high mortality rates across multiple healthcare facilities.
  • Red blood cell cholinesterase levels correlated with clinical severity and patient outcomes.
  • The identified pesticide was ethion.

Findings:

  • The incident resulted in a mortality rate of 40% (6 out of 15 victims).
  • Delayed access to advanced medical care significantly contributed to the high death toll.
  • Complications such as lung infection and cerebral anoxia were observed in survivors.

Implications:

  • Pesticide poisoning poses a significant public health threat in developing nations due to limited treatment facilities.
  • This case highlights the urgent need for improved emergency response and accessible healthcare for pesticide-related emergencies.
  • Clinical toxicologists, health authorities, and policymakers must address the challenges of pesticide poisoning in third-world countries.