Current approaches to the assessment of chemical hazards focus on toxicity studies with single, pure chemicals. In the environment, however, organisms are exposed to numerous pollutants simultaneously. We studied the toxicities of multiple mixtures of pesticides and antibiotics in algal and bacterial bioassays. The test mixtures were composed of 14 to 18 components with either identical or completely different specific mechanisms of action. The results reveal that reliable predictions of mixture toxicities can be derived from concentration response data of single toxicants by applying two different concepts: concentration addition in cases of similarly acting mixture components and independent action for substances with dissimilar mechanisms of action.

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Pesticide poisoning is a major public health issue especially in low-income countries. WHO figures show about 3 million pesticide poisonings occurring worldwide annually. A recent systematic review estimated that 360,000 fatalities result from self-poisoning with pesticides, accounting for approximately 30 per cent of all suicides worldwide. We analyzed the German cause-of-death registry with respect to pesticide-specific ICD codes. We present crude and age-standardized mortality rates plus the percentage of all suicides that are intentional pesticide poisonings. From 1980 to 2010 the number of fatal pesticide poisoning in Germany dropped from 506 to 39. The crude mortality rate decreased from 6.5 per 1 million inhabitants in 1980 to 0.5 in 2010. Reduced availability of toxic pesticides in Germany played the biggest role in the decline of fatal pesticide poisoning. We worry that declines in pesticide poisonings in industrialized countries are not matched in developing countries.

There is at least a short-term gain to both involved parties: the insured and the health insurance funds. The programmes are not dominated by deadweight effects. Long-term effects and effectiveness of prevention bonus programmes still have to be investigated.