Pesticide-related illness reported to and diagnosed in Primary Care: implications for surveillance of environmental causes of ill-health

Rushton, Lesley; Mann, Vera
January 2009
BMC Public Health;2009, Vol. 9 Issue 1, p219
Academic Journal
Background: In Great Britain (GB), data collected on pesticide associated illness focuses on acute episodes such as poisonings caused by misuse or abuse. This study aimed to investigate the extent and nature of pesticide-related illness presented and diagnosed in Primary Care and the feasibility of establishing a routine monitoring system. Methods: A checklist, completed by General Practitioners (GP) for all patients aged 18+ who attended surgery sessions, identified patients to be interviewed in detail on exposures and events that occurred in the week before their symptoms appeared. Results: The study covered 59320 patients in 43 practices across GB and 1335 detailed interviews. The annual incidence of illness reported to GPs because of concern about pesticide exposure was estimated to be 0.04%, potentially 88400 consultations annually, approximately 1700 per week. The annual incidence of consultations where symptoms were diagnosed by GPs as likely to be related to pesticide exposure was 0.003%, an annual estimate of 6630 consultations i.e. about 128 per week. 41% of interviewees reported using at least one pesticide at home in the week before symptoms occurred. The risk of having symptoms possibly related to pesticide exposure compared to unlikely was associated with home use of pesticides after adjusting for age, gender and occupational pesticide exposure (OR = 1.88, 95% CI 1.51 - 2.35). Conclusion: GP practices were diverse and well distributed throughout GB with similar symptom consulting patterns as in the Primary Care within the UK. Methods used in this study would not be feasible for a routine surveillance system for pesticide related illness. Incorporation of environmental health into Primary Care education and practice is needed.


Related Articles

  • PMS GPs may work to quality markers.  // Pulse;1/13/2003, Vol. 63 Issue 2, p3 

    Focuses on the measures taken by Primary Medical Services general practitioners (GP) to have equal markers with General Medical Services GP during the implementation of the price contract.

  • PCT spends £700 per GP to meet the appraisals deadline. Cameron, Ian // Pulse;2/3/2003, Vol. 63 Issue 5, p16 

    Focuses on the amount spent by primary care trusts to meet the appraisals deadline for general practitioners (GP) in Great Britain. Recommendations given by the LMC to GP to boycott the appraisal scheme; Comment of physician Ahmet Fuat on the issue; Total amount money allotted for medical...

  • GPs clash in strike-off row over asylum seekers. Cameron, Ian // Pulse;2/3/2003, Vol. 63 Issue 5, p17 

    Focuses on the criticism made by a primary care trust towards the unethical treatment given to patients by general practitioners (GP) in Great Britain. Ability of GP to deregister patients; Details of the accusations against physician Paul Golik; Total amount of money allotted to GP for the...

  • GPs hit back at bed blocking claims.  // Pulse;2/3/2003, Vol. 63 Issue 5, p17 

    Focuses on the views of general practitioners on the accusations of primary care trusts regarding their views on bed blocking claims in Great Britain.

  • GPs face frustrating future as PCTs fail to prepare for new contract. McNulty, Susan // Pulse;2/3/2003, Vol. 63 Issue 5, p20 

    Reports on the failure of primary care trusts to prepare the revised contracts of general practitioners (GP) in Great Britain. Comment of National Health Service negotiator Tony Snell on the issue; Account of the recruitment and retention of GP; Description of the possible commissioning models...

  • GPs still face having to take forced allocations. Cameron, Ian // Pulse;2/24/2003, Vol. 63 Issue 8, p7 

    Reports on the problems of general practitioners regarding the forced patient allocations under the contract in Great Britain. Changes to the system for allocations; Removal of patients to give a reason to their primary care organization; Details of the allocation processes.

  • Out-of-hours: how to cope as GPs opt out.  // Pulse;3/3/2003, Vol. 63 Issue 9, p24 

    Discusses how primary care organizations (PCO) in Great Britain can cope with the anticipated phenomenon of general practitioners opting out of the 24-hour job responsibility. Opportunity for PCO to ensure the right skill mix out of hours; Need for PCO to bring all the relevant providers...

  • GPs want HNS 24 cash diverted.  // Pulse;5/5/2003, Vol. 63 Issue 18, p19 

    Reports on the demand by general practitioners in Scotland for the National Health Service to finance primary care services. Overview of the budget for medical care; Implications for medical care.

  • GPs unable to cast their vote.  // Pulse;6/16/2003, Vol. 63 Issue 24, p2 

    Reports on general practitioners' complaints for failure to vote in the general medical services contract ballot in Great Britain.


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics