Emergency department visits due to pesticide poisoning in South Korea, 2006–2009

Ko, Yousun; Kim, Hyun Joong; Shil, Eun

doi:10.3109/15563650.2012.655281

Cited by 19 publications

(16 citation statements)

References 16 publications

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“…Acute poisoning by using pesticides remains to be a major cause for emergency visits to the hospitals in developing countries [8, 13, 16, 18, 25, 26]. This prospective hospital-based study explored the situation of pesticides poisoning in an agriculture intensive-district of Nepal.…”

Section: Discussionmentioning

confidence: 99%

Pesticide poisoning in Chitwan, Nepal: a descriptive epidemiological study

et al. 2017

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BackgroundGlobally, there is a growing concern over pesticides use, which has been linked to self-harm and suicide. However, there is paucity of research on the epidemiology of pesticides poisoning in Nepal. This study is aimed at assessing epidemiological features of pesticides poisoning among hospital-admitted cases in selected hospitals of Chitwan District of Nepal.MethodsA hospital-based quantitative study was carried out in four major hospitals of Chitwan District. Information on all pesticides poisoning cases between April 1 and December 31, 2015, was recorded by using a Pesticides Exposure Record (PER) form.ResultsA total of 439 acute pesticides poisoning cases from 12 districts including Chitwan and adjoining districts attended the hospitals during the 9-month-long study period. A majority of the poisoned subjects deliberately used pesticides (89.5%) for attempted suicide. The total incidence rate was 62.67/100000 population per year. Higher annual incidence rates were found among young adults (111.66/100000 population), women (77.53/100000 population) and individuals from Dalit ethnic groups (98.22/100000 population). Pesticides responsible for poisoning were mostly insecticides (58.0%) and rodenticides (20.8%). The most used chemicals were organophosphates (37.3%) and pyrethroids (36.7%). Of the total cases, 98.6% were hospitalized, with intensive care required for 41.3%. The case fatality rate among admitted cases was 3.8%.ConclusionsThis study has indicated that young adults, females and socially disadvantaged ethnic groups are at a higher risk of pesticides poisoning. Pesticides are mostly misused intentionally as an easy means for committing suicide. It is recommended that the supply of pesticides be properly regulated to prevent easy accessibility and misuse. A population-based study is warranted to reveal the actual problem of pesticides exposure and intoxication in the community.

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Section: Discussionmentioning

confidence: 99%

Pesticide poisoning in Chitwan, Nepal: a descriptive epidemiological study

et al. 2017

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“…The health authority maintains an accuracy assessment system and annually reports the results to the Ministry of Health and Welfare. In 2010, the NEDIS records were 98.8% complete with 89.3% reliability ( 14 ).…”

Section: Methodsmentioning

confidence: 99%

Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

Yang

Kim

et al. 2015

J Korean Med Sci

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Sudden cardiac death (SCD) is a significant issue affecting national health policies. The National Emergency Department Information System for Cardiac Arrest (NEDIS-CA) consortium managed a prospective registry of out-of-hospital cardiac arrest (OHCA) at the emergency department (ED) level. We analyzed the NEDIS-CA data from 29 participating hospitals from January 2008 to July 2009. The primary outcomes were incidence of OHCA and final survival outcomes at discharge. Factors influencing survival outcomes were assessed as secondary outcomes. The implementation of advanced emergency management (drugs, endotracheal intubation) and post-cardiac arrest care (therapeutic hypothermia, coronary intervention) was also investigated. A total of 4,156 resuscitation-attempted OHCAs were included, of which 401 (9.6%) patients survived to discharge and 79 (1.9%) were discharged with good neurologic outcomes. During the study period, there were 1,662,470 ED visits in participant hospitals; therefore, the estimated number of resuscitation-attempted CAs was 1 per 400 ED visits (0.25%). Factors improving survival outcomes included younger age, witnessed collapse, onset in a public place, a shockable rhythm in the pre-hospital setting, and applied advanced resuscitation care. We found that active advanced multidisciplinary resuscitation efforts influenced improvement in the survival rate. Resuscitation by public witnesses improved the short-term outcomes (return of spontaneous circulation, survival admission) but did not increase the survival to discharge rate. Strategies are required to reinforce the chain of survival and high-quality cardiopulmonary resuscitation in Korea.Graphical Abstract

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“…In the Korea, previous epidemiologic studies have reported a 5.4 per 100,000 persons age-standardized pesticide poisoning death rate during 2006–2010, 4 an annual pesticide-related hospitalization rate of 17.8 per 100,000 persons during 2004–2006, 5 a 26.8 per 100,000 persons annual average rate of emergency department visits due to pesticide poisoning during 2006–2009, 6 and 24.7% of acute occupational pesticide poisoning among male farmers in 2010. 7 Recently, a remarkable decrease in suicide deaths from herbicide poisoning following the legislative ban of paraquat has been reported.…”

Section: Introductionmentioning

confidence: 99%

The Burden of Acute Pesticide Poisoning and Pesticide Regulation in Korea

Shil

Choi

et al. 2018

J Korean Med Sci

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BackgroundThis study aimed to estimate the burden of acute pesticide poisoning and to determine its trend with recently implemented pesticide regulations.MethodsDisability-adjusted life-years (DALYs) were calculated as the sum of years of life lost (YLLs) and years lived with disability (YLDs) due to acute pesticide poisoning using the methods of the Global Burden of Disease Study 2013. The values of YLLs, YLDs, and DALYs were stratified by sex, age groups, intentionality of poisoning, and causative agents.ResultsFrom 2006 to 2014, DALYs decreased by 69% (from 69,550 to 21,742). The decreasing tendency of DALYs was especially marked from 2011. The total burden of acute pesticide poisoning was mainly caused by YLLs and intentional pesticide poisoning. The highest DALYs due to acute pesticide poisoning occurred in those in their 40s and 50s; however, the decreased rates of DALYs were higher in those aged 10–49 years than in those aged more than 50 years. Herbicides including paraquat contributed to the largest proportion of total DALYs.ConclusionAs this is the first study to quantify the burden of acute pesticide poisoning using DALYs, our results provide comprehensive evidence of the importance of using strict regulations to prevent public health hazards due to acute pesticide poisoning.

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Emergency department visits due to pesticide poisoning in South Korea, 2006–2009

Abstract: This study provide estimates for emergency department visits due to pesticide poisoning at the national level and suggests that pesticide poisonings, both intentional and unintentional, require significant public health interventions in South Korea.

Cited by 19 publications

References 16 publications

Pesticide poisoning in Chitwan, Nepal: a descriptive epidemiological study

Pesticide poisoning in Chitwan, Nepal: a descriptive epidemiological study

Epidemiology and Outcomes in Out-of-hospital Cardiac Arrest: A Report from the NEDIS-Based Cardiac Arrest Registry in Korea

The Burden of Acute Pesticide Poisoning and Pesticide Regulation in Korea

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