AgHealthNews
Issue Number 2001-03
Summer 2001
PDF Version of Newsletter
with pictures
Published by the UC Agricultural Health & Safety Center at Davis,
University of California, Davis, Marc Schenker, M.D., M.P.H., Director,
Produced by EditPros, Davis, CA
2000-03-01 TABLE OF CONTENTS
- 2001-03-01 Table of Contents
- 2001-03-02 Welcome and Introduction
- 2001-03-03 Assessment of Ag Injuries and Illnesses
in the Gila River Indian Community
- 2001-03-04 Chemical Exposure on and off the
Farm
- 2001-03-05 Nearly Half of 1,700 Human Pathogens
Originate With Other Species
- 2001-03-06 Reduce Your Risk of Lyme Disease
- 2001-03-07 NIOSH Ergonomics Booklet Available
2001-03-02 WELCOME AND INTRODUCTION
Welcome to the UC Agricultural Health & Safety Center at Davis AgHealthNews.
AgHealthNews is an electronic version of the Center's quarterly
newsletter. The Center has two electronic list servers that allow
automatic forwarding of e-mail to a list of subscribers. One server
is a forum for announcements and discussion of agricultural health
and safety issues and the other is a vehicle for the automatic distribution
of the Center's quarterly newsletter.
The e-mail addresses for the forum is: aghealth@epm.ucdavis.edu
(message forwarding address) and aghealth-request@epm.ucdavis.edu
(subscriber request address). The addresses for the newsletter are:
aghealthnews@oem.ucdavis.edu (message forwarding address) and aghealthnews-request@oem.ucdavis.edu
(subscriber request address).
To subscribe to a list, send an e-mail message to the request
address with no subject and a one line message giving the option
subscribe and your name. For example, to subscribe to the forum
for announcements and general agricultural health and safety issues,
you would send the following: To: aghealth-request@epm.ucdavis.edu
Subject: Message: subscribe (your name here)
By return e-mail you will receive confirmation of your request
and more information about using the list server request functions.
To subscribe to the On-line News, your request would look like:
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2001-03-03 ASSESSMENT OF AG INJURIES AND ILLNESSES
IN THE GILA RIVER INDIAN COMMUNITY
Occupational injury and illness data for Native Americans is scarce
to non-existent, impeding development of effective health and safety
programs. Additionally, occupational hazards and their resulting injuries
continue to change markedly as job characteristics and technological
advances alter the type and nature of agricultural activities performed.
In July 2000, the UC Agricultural Health & Safety Center allocated
funds to researchers to assess agricultural injuries and illnesses
in the centuries-old Gila River Indian Community (GRIC), located
about 40 miles south of Phoenix, Arizona (within the Center's Western
regional charge). The reservation, which encompasses 372,000 acres
and supports a population of approximately 15,000, was established
in 1859 by an act of Congress.
The GRIC includes the Maricopa (Pee Posh) Indians and the Akimel
O'odham (River People), descendants of the Hohokam Indians who farmed
the Gila River Valley around 300 B.C., digging more than 500 miles
of canals to irrigate their fields.
Agriculture plays a prominent economic role in the community,
in which cotton, wheat, millet, alfalfa, barley, melons, pistachios,
olives, citrus and vegetables are grown on 12,000 acres. Independent
farming operations cultivate an additional 22,000 acres of similar
crops, bringing the total agricultural product value to more than
$25 million. The community owns and operates related agricultural
activities, including chemical fertilizer, cotton gin and grain
storage facilities. In addition, the community hosts three industrial
parks.
GRIC community leaders have been concerned about the occupational
injuries and illnesses resulting from exposure to physical, chemical
and biological agents on the farms. In January 1999, the GRIC hospital
released statistics placing asthma among the most prevalent illnesses
within the reservation's population. Asthma and other chronic respiratory
diseases are sensitive indicators of the effects of air pollution,
especially particulate matter and possibly volatile organic compounds
and pesticides. In conjunction with the Center's funding for "Assessment
of Agriculture Injuries and Illnesses in the GRIC, the American
Lung Association awarded a grant to the Environmental Health Program
to evaluate an association between commercial pesti-cide applications
and chronic respiratory disease within the GRIC.
Eric Faisst, the principal inves-tigator for the UC Agricultural
Health & Safety Center's GRIC assessment project, is the director
of Environmental Health Services within the Department of Public
Health. GRIC Environmental Health Service staff members check to
see if workers are provided a safe workplace and actively assist
in programs to develop safety and health programs for the GRIC.
The objectives of Faisst's Center-funded GRIC study include:
Obtaining and analyzing descriptive epidemiologic data regarding
agricultural workers in the Gila River Indian Community;
Establishing a community planning and evaluation committee that
will assess the information and decide the course to take to reduce
or eliminate agricultural hazards;
Disseminating findings, including establishment of a community
agricultural Web site;
Providing assistance to all farming operations in the community
in developing specific health and safety programs.
GRIC Environmental Health Service staff members developed a
questionnaire and identified agricultural employers whose workers
would participate in the interview. The questionnaire was designed
to characterize workers at GRIC and included questions about occupational
injuries and illnesses.
Investigators gathered information from medical records for
past injuries and illnesses related to farming, worker compensation
claims and records of accident and injury investigations, and
developed an agriculture injury and illness tracking database.
Data collection was completed in July and will be evaluated by
a qualified statistician. An analysis team will then study the
data and release information concerning injury and illness trends
to help identify hazards.
The information will be posted on a Web site created on the
tribes' intranet to aid in the process of developing community
health and safety priorities and interventions, including education,
training programs, monitoring and promotion of targeted health
services.
For more information about the Gila River Indian Community project,
please call Eric Faisst at (602) 528-1226, extension 1089, or
e-mail efaisst@gilanet.net.
2001-03-04 CHEMICAL EXPOSURE ON AND OFF THE FARM
Use of pesticides for protection against household insect pests
results in unintentional and unavoidable, low-level human chemical
exposures. Studies in residential and agricultural use of pesticides
help researchers reveal new knowledge about chemical exposures and
human health. The products used by both homeowners and professional
applicators contain active ingredients that are usually semi-volatile
and form deposits on indoor surfaces.
These chemicals persist longer indoors than in agricultural
environments due to diminished or filtered sunlight, reduced moisture
and air movement, surface area and lack of soil microorganisms.
Measurable dermal, oral and inhalation exposure occurs over a
period of weeks to months. However, when used as directed, the
systemic exposure levels of household pesticides are well below
toxic thresholds based upon the normal experience of consu-mers,
and measured dosages of residents are well below toxic levels,
according to Robert Krieger, Ph.D., extension toxicologist who
directs the Personal Chemical Exposure Program, Department of
Entomology at UC Riverside.
Krieger presented "Models and Measures of the Pesticide Exposures
in Californians" during the UC Ag Health and Safety Center's May
4 noon seminar. His research involving household and agricultural
worker exposure to pesticides has appeared in various publications,
including those of the American Chemical Society and the British
Occupational Hygiene Society. An important generalization resulting
from the studies was that measured aggregate pesticide exposures
are substantially less and more persistent than pesticide exposure
estimates resulting from default models.
During his noon seminar talk at the Ag Health and Safety Center,
Krieger discussed a revealing study conducted with his colleagues
at UC Riverside investigating the effects of insecticide use in
residences. Researchers monitored human chlorpyrifos exposures
following three different types of household pesticide applications--fogger,
broadcast and crack-and-crevice. Their initial studies included
two successive fogger appli-cations in a 2,000-sq.ft. residence
approximately a year apart. Both studies were conducted by biomonitoring
a family of eight in Highland, near San Bernardino, Calif. Flea
and roach foggers were discharged into six primary unobstructed
areas, and the home was ventilated after two hours. The occupants
re-entered later in the day.
The researchers performed three post-application situational
monitoring studies based upon the interest and cooperation of
family members, friends and acquaintances who were familiar with
previous exposure studies. Homes were treated by the residents
themselves as part of normal pest management activities. The "Poly
Fogger" study was conducted by biomonitoring a family of four
residing in an 1,800-sq. ft. nylon-carpeted home in Riverside,
Calif. The broadcast (indoor and outdoor insect control) situational
monitoring of a family of five in Riverside was conducted following
treatment of the residence with a broadcast application of diluted
aqueous suspension of Spectracide Dursban indoor and outdoor insect
control for houseflies and unspecified nuisance insects.
The crack-and-crevice study was conducted by biomonitoring a
family of five living in Corona, Calif., that had contracted with
a certified pesticide applicator to apply a diluted aqueous suspension
of Dursban Pro.
Study results revealed persistence of total residue on carpet
that was substantially greater than the persistence of transferable
residue. Urine samples showed low-level exposures of family members
that lasted for periods of weeks to a month after pesticide use.
Children eliminated more trichloro-2-pyridinol (TCP) biomarker
than their parents on a kg/body weight/day basis, measured through
spot urine specimens corrected for volume by an age-specific creatinine
correction.
"Environmental residues may become useful elements of predictive
residential exposure models," says Krieger, "but their potential
contribution to indirect exposure assessments must include careful
determination of residue availability for contact transfer to
clothing or skin."
Krieger used environmental data from this study to estimate
residential exposure according to established residential exposure
assessment standard operating procedures, and found measured exposures
to be substantially less than default model estimates assessments.
Therefore, experimental and situational monitoring of exposed
persons are valuable for meaningful and responsible predictive
pesticide exposure model building.
In other studies conducted in 1995 and 1997 involving malathion
exposures of strawberry harvesters in Watsonville, Calif., Krieger
and his colleagues monitored the mono- and diacids of malathion
in urine specimens of workers. Dermal pesticide exposure through
hand absorption is well known, but the estimation of the quantitative
contribution of hand contact to absorbed dose had been very poorly
studied. Krieger reported an almost 50 percent reduction in dermally
absorbed malathion in harvesters who used rubber latex gloves,
compared to dermal pesticide absorption by bare-handed workers
in the same fields. An isopropanol rinse removed about three to
10 times more malathion from workers' gloves than was absorbed
by ungloved workers. This finding provides direct evidence of
the contribution of hands to absorbed dose. The high pesticide
levels recovered from glove rinses make gloves an unreliable dosimeter
under most conditions. This finding is not general and requires
further study.
Risk reduction in the use of pesticides is an important objective
that is defined differently by regulators, manufacturers, product
representatives, pest control advisers and operators, pesticide
handlers, retailers, consumers and their advocates, and politicians.
Usually the issue is exposure rather than the likelihood that
a harmful effect will occur. Common exposure reduction strategies
include engineering controls, substitution of less toxic products,
personal protective equipment, behavioral modification, regulatory
and institutional responses, and protective clothing. By developing
more accurate personal chemical exposure data, the risk of exposure
to chemicals used as pesticides can be reduced. Without modifying
pesticide use practices or using "safer" pesticides, more accurate
human exposure data can result in risk assessments that are less
reliant upon uncertainty and default assumptions that inflate
exposure assessments and may misguide development of mitigation
measures and people's perception of their well being.
2001-03-05 NEARLY HALF OF 1,700 HUMAN PATHOGENS
ORIGINATE WITH OTHER SPECIES
Advancing technology and international trade are clearly associated
with emerging bacterial zoonoses in the United States, according
to Bruno Chomel, DVM, PhD, director of the Master in Preventive
Veterinary Medicine program, professor of zoonoses in the Department
of Population Health and Reproduction at the UC Davis School of
Veterinary Medicine.
Zoonoses (pronounced zo-eh-NO-sis) are defined as diseases communicable
from animals to humans under natural condi-tions. Each year commercial
airlines attract 1.5 billion passengers, many of whom travel on
international flights. Consequently, a person who is incubating
an infectious disease from Africa, for example, can carry that
disease into the United States in a day's time. Additionally,
a marked increase in worldwide trade augments the opportunity
for pathogens to enter our markets through food products and importation
of exotic pets.
Chomel presented "Emerging Bacterial Zoonoses" to a group of
individuals attending the Center's noon seminar on June 1. "In
1998 an estimated 54 million people worldwide died. Of those deaths,
at least 25 percent were caused by infectious diseases," reported
Chomel. "Respiratory, viral, tuberculosis and zoonotic infestations
are some of the major diseases in humans, and because of advanced
technology and economic changes, we are seeing an emergence worldwide
of new pathogens and new diseases."
Of the estimated 1,700 organisms that have been identified by
scientists as human pathogens, approximately 800 are zoonotic
agents. In his talk, Chomel identified the following emerging
bacterial zoonoses, which he grouped into two principal categories-food-borne
and vector- or insect-born origin. Food-borne pathogens:
Campylobacter is a bacterium found in the intestinal tract of
poultry, swine and cattle that can be transmitted to humans by ingestion
of undercooked meat.
Salmonella is most often recognized as a major food-borne pathogen
that inhabits the intestines of humans and animals.
Escherichia coli 0l57:H7, a lactose-fermenting species that causes
infection of the urogenital tract and can be life-threatening to
children, elderly and immunocom-promised individuals, is associated
with mass food processing, allowing for food contamination.
Vector-borne pathogens:
Borrelia burgdorferi, a spirochete carried by ticks, is associated
with Lyme disease in humans.
Erlichiae are small, bacteria that reside within a phagosome.
They are associated with the deer and tick population and often
contracted during recreational activities. The first human erlichial
infection was recognized in the United States in the mid-1980s.
Incidences of human tick-borne zoonoses have increased over the
past two decades primarily due to ecological change caused by reforestation
of the northeastern coastal states. The number of human cases of
Lyme disease steadily increased in the United States to more than
10,000 cases since the mid 1990s. The pathogen responsible for Lyme
disease is transmitted via the deer tick.
Bartonella sp. is an infectious pathogen that is found in the
red blood cells and cells of the lymphatic system, spleen, liver
and kidneys of infected individuals. Bartonella henselae, the agent
of "cat scratch" disease, results from human contact with an animal
infected by ticks carrying the bacteria.
Chomel and graduate student Chao-Chin Chang, working with colleagues
from the Santa Clara County Department of Health Services, discovered
that almost 20 percent of ticks collected in Santa Clara County
carried the Bartonella bacteria that infect cats, dogs, cattle and
sometimes humans. Bartonella henselae, the agent of "cat scratch"
disease, usually causes a mild fever in humans but can be serious
or fatal in patients with a weakened immune system.
"Another important factor leading to the emergence of bacterial
zoonoses is our kindness for all creatures on this planet," said
Chomel. "In 1996, Miami imported 7,000 mammals (of which 1,000
were rodents). We also imported almost 1 million Iguanas and other
various lizards."
The popularity of Iguanas and other pet reptiles has raised
the number of salmonella cases in the United States. "We know
that 94 to 95 percent of reptiles harbor salmonella in their digestive
tracts," said Chomel. "The big problem is that salmonella causes
serious illness and death in children and toddlers who come into
contact with the pathogen." Chomel cited one tragic death involving
a toddler who contracted salmonella after sucking on the finger
of his father, who had been petting the family's Iguana. Another
reported death of a child involved an individual who placed an
Iguana in the bathtub while cleaning its cage and later bathed
the children in the contaminated bathtub.
The breakdown of public health measures is also associated with
the emergence of infectious diseases. "In the United States, the
West Nile disease outbreak was a major warning of the fact that
we didn't have good mosquito control in a lot of states, particularly
in the eastern part of the country," said Chomel.
New bacterial zoonoses are likely to be identified in the near
future with the use of new molecular tools, explained Chomel.
Pets are the main source for human infection, and most of these
diseases can be easily prevented with good hygiene and common
sense.
2001-03-06 REDUCE YOUR RISK OF LYME DISEASE
How familiar are you with Lyme disease, a tick-transmitted disease
that is most prevalent in the Northeast, the North Central part
of the country (especially Wisconsin and Minnesota), and Northern
California? Although 15,000 cases of the disease are reported annually,
it is vastly underreported. "One of the problems is that the early
symptoms of Lyme disease may resemble other common infections, like
the flu. Not everyone gets the typical rash, and the tick may have
dropped off before being discovered," Dr. Steve Kirkhorn, medical
director of Occupational Health Resources at the Immanuel-St. Joseph's-Mayo
Health System in Mankato, Minnesota says. "The late stages may be
confused with heart disease, arthritis, or nervous system conditions
like strokes." Lyme disease is spread by the bite of deer ticks
and western black-legged ticks that are infected with the Lyme disease
bacteria. The best way to reduce your risk of contracting this disease
is to take certain preventive precautions, particularly at this
time of year. These include: dressing appropriately when outdoors
in potentially tick-infested areas; keeping grassy areas mowed and
brush cleared whenever possible; and promptly removing imbedded
ticks. The July 2001 issue of ALERT explains more about Lyme disease,
and includes a preventive checklist. -Barb Mulhern, Editor, Gempler's
ALERT newsletter, mailto:bmulhern@gemplers.com>
2001-03-07 NIOSH ERGONOMICS BOOKLET AVAILABLE
Mechanical aids may be generally classified as either back savers
or buck savers, but they can be both. The National Institute for
Occupational Safety and Health has just published a 46-page booklet
that contains a number of inexpensive low-tech solutions for common
agricultural tasks that will both reduce strains and sprains as
well as enhance worker performance. Some of the chapters in Simple
Solutions: Ergonomics for Farm Workers include a specialized harvest
cart as an alternative to stoop labor, a rolling dibble marker for
easy transplant spacing, a lifting tool for carrying plant containers,
advantages of a smaller picking tub, a weeding stand for plant nurseries,
using a power cutter for woody plants, new rakes for harvesting
berries, and several articles on materials handling for small packing
operations. When the lifting tool was field tested, researchers
had a problem with workers hiding the tools overnight because they
feared otherwise they would not get to use them the following day.
And when the trial was completed, the employer did not want to see
them go! It's free. Call 1-800-356-4674 or e-mail pubstaft@cdc.gov
and ask for Simple Solutions: Ergonomics for Farm Workers, Pub.
No. 2001-111. The booklet may soon be posted along with other publications
of interest to agriculturalists at http://www.cdc.gov/niosh/pubs.html
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