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'Dippers' flu' and its relationship to PON1 polymorphisms.

Nicola Cherry1, Michael Mackness, Bharti Mackness

  • 1Community and Occupational Medicine Program, Department of Medicine, 5-30 University Terrace, 8303-112 St, Edmonton, Alberta T6G1K4, Canada. ncherry@ualberta.ca

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|October 6, 2010
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Sheep dippers experiencing acute flu-like symptoms, known as dippers' flu (DF), may share a genetic link with chronic ill-health. Organophosphate exposure, particularly diazinon, combined with a specific PON1 gene variant, increases DF risk.

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Area of Science:

  • Occupational Health
  • Toxicology
  • Genetics

Background:

  • Sheep dippers report acute flu-like symptoms (dippers' flu, DF), but its cause and link to chronic disability remain unclear.
  • Previous studies suggest potential health impacts from sheep dipping practices.

Purpose of the Study:

  • To investigate the cause of dippers' flu (DF) and its relationship with chronic ill-health in sheep dippers.
  • To explore the role of pesticide exposure and genetic polymorphisms in DF and chronic disability.

Main Methods:

  • A case-referent study involving 175 chronically disabled sheep dippers and 234 healthy referents.
  • Data collection included interviews on dipping history, pesticide use, and health status from 1970-2000, alongside blood typing for PON1 polymorphisms.

Main Results:

  • DF was reported significantly more often in chronically unwell sheep dippers (66.3%) compared to healthy referents (18.0%).
  • A specific PON1 polymorphism (192R allele) was associated with DF reports in both chronically ill and healthy individuals.
  • Interaction between handling diazinon concentrate and the PON1 192R genotype increased DF risk, suggesting organophosphates as a potential cause.

Conclusions:

  • 'Dippers' flu' and chronic ill-health linked to sheep dipping share a common PON1 192R polymorphism.
  • Organophosphate exposure, particularly diazinon, interacts with PON1 genotype to potentially cause DF.
  • Healthy sheep dippers experiencing DF should consider limiting further organophosphate exposure.