Objectives-Although pesticides are regularly used in agriculture, relatively little is known about possible adverse health effects, especially reproductive effects, due to occupational exposure. This explorative study investigates the relation between exposure of the fruit grower to pesticides and fecundability (probability of pregnancy) in a population of fruit growers. Methods-The analysis is based on self reported data and includes 91 pregnancies during [1978][1979][1980][1981][1982][1983][1984][1985][1986][1987][1988][1989][1990] of 43 couples. Cox' proportional hazards model was used to analyse time to pregnancy after correction for gravidity and consultation with a physician for fertility problems.Results and conclusions-Application of pesticides solely by the owner was associated with a long time to pregnancy, resulting in a fecundability ratio of 0X46 (95% confidence interval (95% CI) 0.28-0.77). Similarly a low spraying velocity (t< 1-5 hectares/h) resulted in a fecundability ratio of 0-47 (95% CI 0.29-0.76) and is associated with the use of older spraying techniques and tractors without a cabin. These factors were assumed to cause high exposure, which was confirmed by exposure measurements in the field. The effect of high exposure was mainly apparent if the couple had intended to become pregnant in the period from March-November (fecundability ratio 0-42, 95% CI 0-20-0.92). This is the period in which pesticides are applied. Out of the spraying season the effect of a high exposure was absent (fecundability ratio 0'82, 95% CI 0.33-2-02). In the high exposure group 28% of the pregnancies had been preceded by consulting a physician because of fertility problems, compared with 8% in the low exposure group. These findings indicate that an adverse effect of exposure to pesticides on fecundability is likely. (Occup Environ Med 1994;51:693-699)

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This study characterized occupational exposure to pesticides in fruit growing in The Netherlands to assess determinants of exposure. Large-scale exposure surveys were carried out during application of pesticides and during reentry activities. Data on contamination inside the fruit growers' homes were obtained, and total potential exposure for the fruit grower and his family during the growing and harvesting season was estimated. Repeated measurements on the same subject were collected to study components of exposure variability. Relative contribution of the respiratory route and different skin sites to total exposure were assessed. Captan was used as a marker for exposure. Inhalable dust exposure was measured with a personal monitor and potential dermal exposure with skin pads and hand rinsing. Dislodgeable foliar residue was measured by taking leaf punches. For respiratory exposure and potential dermal exposure, differences were observed between several tasks. Workers were categorized according to tasks performed depending on the exposure measure(s) (e.g., hands, forehead, inhalable dust) considered relevant for a specific study purpose. In general, within-worker variability of all exposure measurements was larger than between-worker variability. Variability in dermal exposure on the same body location was small relative to variability between different body locations. Differences in total exposure, including exposure inside the home, between the fruit grower and the son were small. Exposure of the wife was two to three times lower than for the fruit grower and the son. As exposure per unit of time was in the same order of magnitude for different tasks, individual time spent on these tasks is crucial for estimating total potential exposure. Repeated measurements are necessary to estimate individual exposure accurately because of the large within-worker variability.

As part of a European Concerted Action on Male Reproduction Capability an exposure assessment survey was conducted among seasonal workers in the fruit growing sector in the Netherlands. Dermal exposure to the fungicides captan and tolylfluanid was measured using cotton gloves (12 persons) and skin pads on several body parts (12 persons). In addition, a set of exposure data was used from a study conducted recently among Dutch fruit growers. For harvesting activities, re-entry time appeared to be an important determinant of dermal exposure to captan and tolyfluanid. Explained variance of regression models was moderate to high (range 0.30-0.87). For captan, calculated half-life times from the most recent exposure survey were lower (glove data: 5 days; pad data: 6 days) compared with half-life times based on the previously conducted study (11 days). Possible explanations for the discrepancy are discussed. For tolylfluanid, estimated half-life times during harvesting were 2 and 3 days, based on pad and glove data, respectively. Prediction of captan exposure during other crop activities appeared to be far more difficult (explained variance equal to 0.06), although the estimated half-life time was comparable with that for harvesting. The data suggest that re-entry time gives useful information to group workers in broad exposure categories. Nonetheless, it was concluded that large studies are needed to evaluate the importance of re-entry time in more detail.