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María Isabel Ocotzi-Elías1, Astrid Schilmann2, Luz Arenas-Monreal3

  • 1Dirección de Salud Ambiental, Centro de Investigación en Salud Poblacional, Instituto Nacional de Salud Pública. Cuernavaca, Morelos, México. m22isabeloe@gmail.com.

Salud Publica De Mexico
|September 21, 2022
PubMed
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Worker health surveillance policies in Mexico

Area of Science:

  • Occupational Health
  • Environmental Health
  • Public Health Policy

Background:

  • Vector control programs in Mexico extensively use hazardous pesticides.
  • Worker health surveillance policies require evaluation for effective implementation.

Purpose of the Study:

  • To analyze the interpretation and implementation of health surveillance policies for workers in Mexico's vector control program.
  • To identify gaps and areas for improvement in current policies.

Main Methods:

  • A mixed-methods cross-sectional study was conducted in four Mexican states.
  • Included semi-structured interviews, pesticide use data, and worker biomonitoring results.

Main Results:

  • Extensive use of highly hazardous pesticides was identified across all participating states.

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  • Occupational exposure monitoring processes for acetylcholinesterase inhibitors varied significantly.
  • No state calculated biological exposure indices for workers.

    • Conclusions:

    • Knowledge regarding worker health surveillance policies needs strengthening.
    • Current policies must be improved to cover the diverse pesticides used and their potential combined/long-term effects.