SITUATIONS OF PESTICIDE TOXICITY AND CHOLANGIOCARCINOMA MORBIDITY RATE AMONG CULTIVATING AGRICULTURISTS IN THE NORTHEASTERN REGION OF THAILAND

Authors

  • Kulthida Yasaka
  • Worawan Poochada
  • Sunisa Chailklieng

Keywords:

pesticide toxicity, 43 health data files, ICD-10 codes, Cholangiocarcinoma

Abstract

            This cross-sectional descriptive study aimed to investigate the spatial epidemiological situation of pesticide toxicity, pesticide symptoms and cholangiocarcinoma morbidity rate among cultivating agriculturists in the northeastern region of Thailand. The secondary data was collected from 43 health data files with ICD10 codes  of T60.0 - T60.9 and the number of registered agriculturist data from the provinces of Khon Kaen, Roi Et, Udon Thani, and Nong Bua Lamphu during 2019-2020. A total of 877,765 cultivating agriculturists were registered to the Ministry of Agriculture. The results of this study showed that the pesticide toxicity morbidity among cultivating agriculturists in Nong Bua Lamphu Province was 66.19 per 100,000 agriculturists followed by Khon Kaen, Roi Et, Udon Thani province, respectively. Most toxic effect of pesticides caused by pesticide, unspecified (34.04%) followed by herbicides and fungicides (29.79%) and organophosphates and carbamate pesticides poisoning (13.24%). In addition, the highest morbidity rate of suspected cholangiocarcinoma by ultrasound was found in Roi Et (268.42 per 100,000 agriculturists) followed by Udon Thani (180.77 per 100,000 agriculturists), Khon Kaen (89.45 per 100,000 agriculturists), and Nong Bua Lamphu province (86.92 per 100,000 agriculturists). The highest morbidity rate of pesticide symptoms was found in Roi Et (21,595.46 per 100,000 agriculturists) followed by Khon Kaen, Nong Bua Lamphu, and Udon Thani province. Moreover, the most common symptoms related to pesticides toxicity were dizziness and giddiness (53.29%), followed by cough (21.39), and headache (15.57), respectively. This information is very useful for further studies of health risk assessment on agriculturist’s exposure to pesticide and identify the associated risk factors to prevent exposure and pesticide related diseases.

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Published

2023-05-19

Issue

Vol. 5 No. 2 (2022): July - December 2022

Section

Original article

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