Pesticide consumption, central nervous system and cardiovascular congenital malformations in the South and Southeast region of Brazil

Exposure to pesticides during pregnancy and the risk of neural tube defects: A systematic review

Exposure to pesticides during pregnancy has been associated with several serious congenital malformations, such as neural tube defects, therefore, is a cause for concern in terms of human health. This review aims to gather information related to maternal exposure during pregnancy and the risk of triggering neural tube defects in the offspring. The search strategy for the studies followed the PRISMA guidelines. We conducted a systematic search in the Science Direct, PubMed, Cochrane Library, Embase, Scopus, and Web of Science databases for all epidemiological studies that sought to associate exposure to pesticides during embryonic development with the risk of neural tube defects (NTDs). The keywords used were "pesticide", "herbicide", "congenital" and "neural". Of the 229 articles, 8 eligible ones (7 case-control and 1 cross-sectional) evaluated pesticide exposure in pregnancy. Different methods were used, including analysis of biological samples and questionnaires. The pesticides studied included insecticides, herbicides, fungicides, and nematicides. Insecticides were the most studied, with variations in concentrations between tissues and studies. Distinct levels of pesticides have been detected in maternal serum, placenta, and umbilical cord. Models were statistically adjusted for confounding factors, such as smoking and dietary supplement intakes. Concentrations were measured in different exposure windows (periconception and prenatal), related to NTDs such as anencephaly and spina bifida. Different data collection techniques, types of biological samples, and exposure windows were used, which made comparison difficult. The main pesticides studied included DDT, DDE, HCH, and endosulfan. Maternal serum showed the highest concentrations of pesticides, but detection in placental tissue and umbilical cord confirms embryonic exposure. Confounding variables were adjusted for in the analysis of the articles, but they may still contribute to the risk of NTDs. All the studies analyzed pesticide exposure and the relationship with NTDs. However, a more standardized survey would be ideal for better comparisons.

Pesticides analysis in alternative biological matrices

This review aims to bring together the works on pesticide analysis in alternative biological matrices, such as hair, breast milk, meconium, and placenta. Much is known about the harmful effects of the use and indirect consumption of pesticides; however, the assessment of long-term contamination is still unclear. In this sense, the use of hair as an alternative biological matrix has some advantages, such as segmentation, which makes it possible to assess the presence of xenobiotics to which individuals have been exposed over the years, and possibly relate this exposure to symptoms or diseases that may affect them. Complementarily, the other matrices discussed are able to provide information about the exposure of mothers and newborn children, who may have been indistinctly exposed to pesticides while in the womb. Through the analysis of studies already performed, it can be observed that organochlorine pesticides (OCPs) are the most likely to be found within the biological matrices discussed here, due to the lipophilic characteristics of these compounds. For the other classes, biotransformation products are more easily detected.

Evidence on Human Exposure to Pesticides and the Occurrence of Health Hazards in the Brazilian Population: A Systematic Review

Brazil is among the biggest pesticide consumers in the world, with its population severely exposed to tons of such substances, both because of environmental contamination and occupational use. The health consequences of pesticide exposure are well-documented, but still sparse regarding Brazilian population. This study systematically reviewed the Brazilian studies published that address the relationship between exposure to pesticides and health problems in the Brazilian population. Also, information about pesticide use in Brazil is provided. The included studies showed that exposure to pesticides has a relevant impact on the health of the Brazilian population, regardless of age and gender, and on workers in rural areas or not. Most poisoning events seem to result from the continuous use of pesticides, whether occupationally or environmentally, characterizing a public health problem. The major consequences reported in literature were damage to the central nervous system, cancer, deleterious effects on rural workers' health, intoxications, malformations, and endocrine changes. These findings point out the need to understand the impact of chronic exposure to pesticides on severely exposed people and highlight the importance of creating public policies to protect them and avoid disease occurrence.

Os agrotóxicos no contexto da Saúde Única

RESUMO A industrialização da agricultura e da pecuária, além de gerar um ambiente propício à disseminação de agentes infecciosos, é responsável pelo uso generalizado de diversas substâncias tóxicas que afetam a saúde humana, animal e ambiental. O objetivo deste estudo foi promover a reflexão sobre o uso de agrotóxicos e medicamentos veterinários como elementos de debate na construção da Saúde Única. Para isso, foi realizada uma revisão exploratória literária de artigos, livros e documentos oficiais disponíveis em plataformas de banco de dados. A discussão inclui as problemáticas do uso de substâncias tóxicas em plantas e animais. Aborda, também, como os resíduos oriundos de sua utilização impactam a qualidade de alimentos, ar, solo, água com consequências à saúde humana. Embora essa discussão seja escassa na temática de Saúde Única, é fundamental que, além da participação da sociedade civil organizada, gestores públicos assegurem, por meio de políticas públicas, maior segurança e controle na utilização de substâncias tóxicas na agricultura e na pecuária.

Pesticides expenditures by farming type and incidence of Parkinson disease in farmers: A French nationwide study

BACKGROUND

Professional pesticides exposure is associated with PD risk, but it remains unclear whether specific products, which strongly depend on farming type, are specifically involved. We performed a nationwide ecological study to examine the association of pesticides expenditures for the main farming types with PD incidence in French farmers.

METHODS

We used the French National Health Insurance database to identify incident PD cases in farmers (2010-2015). We combined data on pesticides expenditures with the agricultural census to compute pesticides expenditures for nine farming types in 2000 in 3571 French cantons. The association between pesticides expenditures and PD age/sex standardized incidence was examined using multilevel Poisson regression, adjusted for smoking, neurologists' density, and deprivation index.

RESULTS

10,282 incident PD cases were identified. Cantons with the highest pesticides expenditures for vineyards without designation of origin were characterized by 16% (95% CI = 6-28%) higher PD incidence (p-trend corrected for multiple testing = 0.006). This association was significant in men and older farmers. There was no association with pesticides expenditures for other farming types, including vineyards with designation of origin.

CONCLUSIONS

PD incidence increased significantly with pesticides expenditures in vineyards without designation of origin characterized by high fungicide use. This result suggests that agricultural practices and pesticides used in these vineyards may play a role in PD and that farmers in these farms should benefit from preventive measures aiming at reducing exposure. Our study highlights the importance of considering farming type in studies on pesticides and PD and the usefulness of pesticides expenditures for exposure assessment.

Uso de agrotóxicos e mortalidade por câncer em regiões de monoculturas

RESUMO O uso de agrotóxicos na agricultura brasileira é um problema de saúde pública, dadas as contaminações no ambiente, em alimentos e as intoxicações resultantes do uso dessas substâncias. O objetivo deste artigo é investigar a distribuição espacial das áreas plantadas de lavouras e as taxas de mortalidade de alguns tipos de câncer: mama, colo do útero e próstata. Escolheram-se quatro estados brasileiros que possuem grande produção de commodities agrícolas a serem estudadas. Trata-se de um estudo ecológico de análise espacial conduzido com dados e informações do Sistema de Informação sobre Mortalidade (SIM) do Ministério da Saúde, por meio do qual elaboraram-se taxas de mortalidade para os referidos tipos de câncer, cujos óbitos tenham ocorrido entre 1996 e 2016. Há indícios de que existe correspondência entre as áreas de maior estimativa de uso de agrotóxicos Disruptores Endócrinos e o aumento das taxas de mortalidade pelos diferentes tipos de câncer.

Lufenuron induces reproductive toxicity and genotoxic effects in pregnant albino rats and their fetuses

Insecticides and other agrochemicals have become indispensable components of the agricultural system to ensure a notable increase in crop yield and food production. As a natural consequence, chemical residues result in significantly increased contamination of both terrestrial and aquatic ecosystems. The present study evaluated the teratogenic, genotoxic, and oxidative stress effects of residual-level lufenuron exposure on pregnant rats during the organogenesis gestational period of both mother and fetus. The tested dams were divided into three groups; control (untreated), low-dose group (orally administered with 0.4 mg/kg lufenuron) and high-dose group (orally administered with 0.8 mg/kg lufenuron). The dams of the two treatment groups showed teratogenic abnormalities represented by the asymmetrical distribution of fetuses in both uterine horns, accompanied by observed resorption sites and intensive bleeding in the uterine horns, whereas their fetuses suffered from growth retardation, morphologic malformations, and skeletal deformations. Histologic examination of the liver and kidney tissues obtained from mothers and fetuses after lufenuron exposure revealed multiple histopathologic changes. DNA fragmentation and cell cycle perturbation were also detected in the liver cells of lufenuron-treated pregnant dams and their fetuses through comet assay and flow cytometry, respectively. Moreover, lufenuron-induced oxidative stress in the liver of mothers and fetuses was confirmed by the increased malondialdehyde levels and decreased levels of enzymatic antioxidants (glutathione peroxidase and superoxide dismutase). Taken together, it can be concluded that lufenuron has a great potential in exerting teratogenic, genotoxic, and oxidative stresses on pregnant rats and their fetuses upon chronic exposure to residual levels during the organogenesis gestational period. The obtained results in the present study imply that women and their fetuses may have the same risk.

Tendência de malformações congênitas e utilização de agrotóxicos em commodities: um estudo ecológico

RESUMO O objetivo deste artigo foi analisar a tendência de malformações congênitas e a associação entre o uso de agrotóxicos em microrregiões de estados brasileiros que possuem maior produção de commodities agrícolas. Estudo ecológico de análise temporal conduzido com informações dos nascidos vivos (Sinasc/Ministério da Saúde), elaborando-se taxas de anomalias ocorridas entre 2000 e 2016. Foram encontradas taxas mais elevadas de anomalias congênitas nas microrregiões dos estados que apresentavam maiores produções de grãos. Essas anomalias podem ser advindas da exposição da população a agrotóxicos, sendo uma sinalização expressiva nos problemas de saúde pública.

Occurrence of Pesticides and Their Removal From Aquatic Medium by Adsorption

Large amounts of pesticides are used annually, and in some cases, a part of the pesticide enters the water bodies by surface runoff to form long-term residues. In the recent past, the adverse effects of pesticides on the environment and human health received serious attention by the public and the competent authorities. Various conventional methods are used to remove these pesticides from water, but those methods are either costly or typical in operation. Therefore, adsorption is considered as an ecofriendly method. The adsorbent derived from biomaterial is considered an encouraging adsorbent due to its cost-effective and high adsorption capacity. In this chapter, detailed information on different types of pesticides, their metabolites, environmental concerns, and present status on degradation methods using adsorbents will be reviewed. This chapter presents a comprehensive overview on the recent advancement in the utilization of different adsorbents for the removal of pesticides. Overall, this study assists researchers to move forward in exploring a simple and economically viable technique to produce adsorbents with outstanding physiochemical properties and excellent adsorption capacity, so that the pesticides can be removed from aquatic ecosystem.

Association of pesticide exposure with human congenital abnormalities

Human pesticide exposure can occur both occupationally and environmentally during manufacture and after the application of indoor and outdoor pesticides, as well as through consumption via residues in food and water. There is evidence from experimental studies that numerous pesticides, either in isolation or in combination, act as endocrine disruptors, neurodevelopmental toxicants, immunotoxicants, and carcinogens. We reviewed the international literature on this subject for the years between 1990 and 2017. The studies were considered in this review through MEDLINE and WHO resources. Out of the n = 1817 studies identified, n = 94 were reviewed because they fulfilled criteria of validity and addressed associations of interest. Epidemiological studies have provided limited evidence linking pre- and post-natal exposure to pesticides with cancers in childhood, neurological deficits, fetal death, intrauterine growth restriction, preterm birth, and congenital abnormalities (CAs). In this review, the potential association between pesticide exposure and the appearance of some human CAs (including among others musculoskeletal abnormalities; neural tube defects; urogenital and cardiovascular abnormalities) was investigated. A trend towards a positive association between environmental or occupational exposure to some pesticides and some CAs was detected, but this association remains to be substantiated. Main limitations of the review include inadequate exposure assessment and limited sample size. Adequately powered studies with precise exposure assessments such as biomonitoring, are warranted to clarify with certainty the potential association between pesticide exposure and human CAs.

Positive correlation between pesticide sales and central nervous system and cardiovascular congenital abnormalities in Brazil

BACKGROUND

This study investigated the association between pesticide exposure in Brazil (2005-2013) with rates of central nervous system (CNS) and cardiovascular system (CVS) congenital abnormalities in 2014.

METHOD

An exposure variable was established from data on production and sales of pesticides (kg) per crop area (ha) for 2012 and 2013 years. The Brazilian states were divided into three categories: high, medium, and low pesticide use and rate ratios were estimated for each group of states (CI: 95 %).

RESULTS

In 2013 and 2014, the high use group presented a 100 and a 75 % increase, and the medium group a 65 and 23 % increase, respectively, in the risk of CNS and CVS congenital abnormalities at birth, compared to the low use group.

CONCLUSION

These findings suggest that pesticide exposure could be associated with increased risk of congenital malformations at birth in Brazil.

Pesticide knowledge and practice among horticultural workers in the Lâm Đồng region, Vietnam: A case study of chrysanthemum and strawberries

BACKGROUND

In Vietnam, large amounts of pesticides are being used in agriculture. Next to benefits for agriculture, pesticides impose a huge threat to the environment when they are used in the wrong way. The objective of this work was to determine the level of knowledge and awareness of the smallholder farmers towards the use of pesticides in Vietnam, Dà Lat region. Based on the collected data, an occupational and environmental risk assessment was performed.

RESULTS

The results indicate that the majority of the pesticide operators in the strawberry and chrysanthemum crops have a rather high education. Pesticide knowledge, on the other hand, is usually gained through experience with pests and diseases. Only 30% of the farmers consulted a pesticide specialist or government stewardship for information on (new) pesticide products. Pesticide usage is rather high with application frequencies up to once every three days during the wet season. Pesticide packages are stored to be incinerated (51%) or to be thrown away with the garbage/taken to the landfill (37%). Only a small percentage disposes the packages into the local river (2%). The use of personal protection equipment is well established. Occupational risk assessment showed that the re-entry worker is exposed to a high risk.

CONCLUSION

While a general awareness of the hazard of pesticides to human health and the environment is present, practical implementation of this awareness, however, is still limited in strawberry and chrysanthemum crop. The environmental risk evaluation indicated plant protection products of which the use should be limited.

Prevalence of very low birthweight, malformation, and low Apgar score among newborns in Brazil according to maternal urban or rural residence at birth

AIM

Adverse birth outcomes are a major public health issue in rural areas, where several environmental risk factors, including pesticides, may endanger the health of women of reproductive age. We investigated the prevalence of selected birth outcomes among newborns from mothers living in urban and rural areas of a Brazilian municipality.

METHODS

Information about all live births that occurred between 2004 and 2006 in the Municipality of Nova Friburgo, Brazil, was retrieved from the Live Birth Information System. Newborns were classified as rural or urban, according to the mother's residence address.

RESULTS

Newborns from rural areas had a higher prevalence of very low-birthweight, low Apgar score, and malformation. On Poisson regression with adjustment for several confounders, rural offspring were more likely to have the aforementioned outcomes.

CONCLUSIONS

Women in rural areas are at higher risk of giving birth to an infant with very low-birthweight, low 5-min Apgar score and malformations detectable at birth, regardless of socioeconomic and gestational conditions.