MCN has developed many resources to educate clinicians and others about the recognition and management of pesticide exposures. In addition, we have developed patient education materials to help migrant and seasonal farmworkers protect themselves and their families from exposure to these harmful, toxic chemicals. The pesticide section of our Tool Box is populated with the clinical tools , education , and patient resources you need to better serve migrant and mobile patients.
Pesticide Exposure Reporting and Workers' Compensation Map In 30 states, clinicians are required to report pesticide exposure cases. Developed with Farmworker Justice, MCN's Pesticide Exposure Reporting Map provides clinicians with state-specific pesticide reporting requirements and appropriate surveillance agencies. We’ve also included state-specific Workers' Compensation criteria and agencies responsible for enforcing the Worker Protection Standard.
MCN's Pesticide Comic Books
MCN's pesticide comic books target migrant and seasonal farmworkers and their families to inform them of risks of pesticide exposures. The comic books address pesticide exposure in women of reproductive age and risks of exposure in the home, along with strategies to reduce these risks. According to our constituents, these culturally appropriate, Spanish-language patient education resources are a very useful tool to educate farmworkers and their families and to illustrate ways to minimize pesticide exposure.
Download MCN's Pesticide Comic Books
Pesticide Clinical Tools and Resources
Acute Pesticide Exposure Clinical Guidelines
MCN's Pesticide Clinical Guidelines and Pesticide Exposure Assessment Form assists in the recognition and management of acute pesticide exposures in primary care settings.
Cholinesterase Testing Protocols and Algorithm
These clinical tools provide a concise and simple format for clinicians to use as guides in managing care for patients working with Class I and Class II organophosphates (OP) or OP and N-methyl-carbamates.
Recognition and Management of Pesticide Poisonings
EPA’s Recognition and Management of Pesticide Poisonings, 6th Edition, is an essential guide for healthcare providers on pesticide toxicology, diagnosis, and treatment. Includes a comprehensive index of signs and symptoms and important resources.
Is Your Clinic Ready For an Emergency? This video describes a pesticide poisoning incident and how it affected a community health center.
Sources
Blondell, J. (1997). Epidemiology of pesticide-related poisonings in the United States, with special reference to occupational class. Occupational Medicine: State of the Art Reviews, 12:209-220.
California Department of Pesticide Regulation. (2000). Pesticide Incident Reports 1991-2000.
Eskenai, B., Bradman A., Castorina R. (1999). Exposures of children to organophosphate pesticides and their potential adverse health effects. Environmental Health Perspectives, 107 Suppl 3: 409-19.
Faustman, E.M., Silbernagel S.M., Fenske, R.A., Burbacher, T.M., Ponce, R.A. (2000). Mechanisms underlying childrens susceptibility to environmental toxicants. Environmental Health Perspectives, 108 suppl 1: 13-21.
Fenske, R.A., Kissel, J.C., Lu, C., Kalman, D.A., Simcox, N.J., Allen, E.H., Keirfer, M.C. (2000) Biologically based pesticide dose estimates for children in an agricultural community. Environmental Health Perspectives, 108(6):515-20.
Landrigan, P. (2001). Pesticides and PCBs: Does the evidence show that they threaten childrens health. Contemporary Pediatrics, 18 (2): 110-124.
Reeves, M, Guzman M Katten A. (2002). Fields of Poison. California Farmworkers and Pesticides
Simcox, N.J., Fenske, R.A., Wolz, S.A, Lee, I.C., Kalman, D.A. (1995). Pesticides in household dust and soil: exposure pathways for children in agricultural families. Environmental Health Perspectives, 103 (12): 1126-34.
Thompson, B., Coronado, G.D., Grossman, J.E., Puschel, K., Solomon, C.C., Islas, I., Curl, C.L, Shirai, J.H., Kissel, J.C. (2003). Pesticide take-home pathway among children of agricultural workers: Study design, methods, and baseline findings. Journal of Occupational and Environmental Medicine, 45: 43-53.
U.S. Department of Labor (1987). Field Sanitation Standard, 52 Fed. Reg. 16,050, 16,059
**MCN’s EOH efforts are largely supported through cooperative agreements with the US Environmental Protection Agency as part of their National Strategies for Health Care Providers: Pesticide Initiative. The conclusions and opinions expressed herein are those of MCN and do not necessarily reflect the positions and policies of the U.S. EPA
