Assessment of Unintentional Acute Pesticide Poisoning (UAPP) Amongst Cotton Farmers in Tanzania

Pesticide poisoning is widely accepted as a major public health problem in low- and middle-income countries, especially in East Africa. However, a very high proportion of unintentional poisonings are either unreported or misreported. To help fill this knowledge gap, we investigated the scale of unin...

Full description

Saved in:
Bibliographic Details
Main Authors: Jones Ackson Kapeleka, Aiwerasia Vera Ngowi, Silvani Mng’anya, Sheila E. Willis, Joey P. Salmon, Keith F. Tyrell, Stephanie Williamson, Michael Eddleston, Alexander M. Stuart
Format: Article
Language:English
Published: MDPI AG 2025-04-01
Series:Toxics
Subjects:
Online Access:https://www.mdpi.com/2305-6304/13/4/300
Tags: Add Tag
No Tags, Be the first to tag this record!
Description
Summary:Pesticide poisoning is widely accepted as a major public health problem in low- and middle-income countries, especially in East Africa. However, a very high proportion of unintentional poisonings are either unreported or misreported. To help fill this knowledge gap, we investigated the scale of unintentional acute pesticide poisoning (UAPP) in cotton-growing communities in Tanzania by conducting a cross-sectional survey of 1074 cotton farmers or farm workers. The findings from this study revealed a high incidence of self-reported negative health effects following occupational pesticide exposure, with 48% of respondents experiencing symptoms of UAPP within the previous 12 months. Furthermore, the substantial proportion of UAPP incidents were associated with a few highly hazardous pesticides (HHPs), particularly profenofos, lambda cyhalothrin, and co-formulations with both chlorpyrifos and cypermethrin. Of those reporting UAPP, only 6% sought medical treatment in a formal healthcare setting. The findings from this study clearly indicates an urgent need for improved pesticide regulation, the scale up of community surveillance, and the promotion of less hazardous alternatives to the use of HHPs. We provide policy recommendations and identify alternatives to HHPs for cotton pest management.
ISSN:2305-6304