发展中国家的农药中毒 - - 最少的农药清单
Michael Eddleston1, Lakshman Karalliedde, Nick Buckley
1Centre for Tropical Medicine, University of, Oxford, UK. edlestonm@eureka.lk
Lancet (London, England)
|October 22, 2002
概括
农药中毒是发展中国家的主要死亡原因. 实施类似于必需药物清单的最低农药清单,可以通过限制高毒农药的使用来减少死亡.
科学领域:
- 公共卫生 公共卫生
- 环境毒理学环境毒理学
- 全球卫生安全 全球卫生安全
背景情况:
- 农药中毒是发展中国家死亡的一个重要原因,超过了传染病死亡人数.
- 监管不善和农药的容易获取有助于意外中毒和故意自我伤害.
- 现有的自愿准则,如联合国粮农组织的,由于发展中国家的资源限制,已被证明是无效的.
研究的目的:
- 提出一种减少发展中国家农药相关死亡人数的战略.
- 倡导实施最低农药清单 (MPL).
- 与成功的药物管理策略进行并行分析.
主要方法:
- 审查农药监管和获取对死亡率的影响.
- 分析基本药物清单 (EDL) 在合理化药物使用方面的成功.
- 提出类似的MPL来限制高毒农药的使用.
- 检查对有害物质的限制和自杀率的降低之间的相关性.
主要成果:
- 限制高毒农药的使用,正如世卫组织的建议,导致自杀率下降.
- 粮农组织自愿的行为准则在减轻农药危害方面无效.
- 一个MPL可以指导选择更安全的农药用于综合性害虫管理中的特定任务.
结论:
- 最少农药清单是减少农药相关死亡率和发病率的可行策略.
- 实施MPL,类似于必需药物清单,可以改善公共卫生结果.
- 转向更安全的农药替代品可以显著减少意外和故意的中毒.
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