Pesticide-Related Illness and Injury Surveillance:
A How-To Guide For State-Based Programs

This manual provides information on how to develop and maintain surveillance programs for acute and subacute health effects from pesticide exposure. The primary target audience is State health departments with planned or established pesticide poisoning surveillance programs. Other target audiences include agencies (e.g. local agencies, other state and federal government agencies, and international agencies), and members of the public interested in pesticide poisoning.

Pesticide poisoning is a complex condition for surveillance. It encompasses many illnesses and injuries created by single or mixed exposures to pesticide products. Pesticide products are often mixtures composed of pesticides and other ingredients that may have adverse human health impacts. The complex nature of pesticide poisoning, and technical resources needed for case investigation, warranted the development of this manual. Guidelines for surveillance program development, case investigation, data collection, outreach, and education can be found in the manual. The manual will be most useful when read in sequence − Chapter 1 through Chapter 9 and appendix G − before implementing surveillance. Additional information that will be useful both in the initial phases of developing a surveillance program and the ongoing implementation of the surveillance system is provided in the appendices. The manual is also designed to address issues of capturing pesticide-related illnesses and injuries in workplace and non‑workplace settings.

The manual (which provides the case classification scheme, severity index, and sample data collection forms in the appendices), along with the standardized variables and the SENSOR-Pesticides Incident Data Entry and Reporting (SPIDER) software, are intended to simplify and streamline the surveillance system development process. Note that many of the tools and techniques covered in this manual can be generalized for surveillance of other occupational and environmental injuries and illnesses.

HTML Files	PDF Files
Preface	Preface (15 pp; 1 MB)
Chapter 1 - Introduction	Chapter 1 (7 pp; 276 KB)
Chapter 2 - First Steps in Surveillance System Design	Chapter 2 (14 pp; 84 KB)
Chapter 3 - Case Ascertainment	Chapter 3 (9 pp; 436 KB)
Chapter 4 - Data Collection and Management	Chapter 4 (8 pp; 59 KB)
Chapter 5 - Case Intake and Follow-up	Chapter 5 (19 pp; 333 KB)
Chapter 6 - Site Inspections by PPSP	Chapter 6 (6 pp; 44 KB)
Chapter 7 - Case Closure and Classification	Chapter 7 (5 pp; 41 KB)
Chapter 8 - Data Analysis and Reporting of Aggregated Data	Chapter 8 (5 pp; 57 KB)
Chapter 9 - Developing Intervention Strategies and Evaluating Surveillance	Chapter 9 (8 pp; 57 KB)
References	References (7 pp; 43 KB)
Appendix A - Listing of MMWR Articles on Pesticide-related Illness and Injury; January 1, 1982-September 30, 2004	Appendix A (5 pp; 42 KB)
Appendix B - Selected Pesticide Illness Reporting Statutes and Rules	Appendix B (3 pp; 36 KB)
Appendix C1 - Sample Forms, Investigation MS Word File Tools, and Templates for Data Tables	Appendix C1 (5 pp; 196 KB)
Appendix C2 - Main Pesticide Exposure MS Word File Questionnaire	Appendix C2 (22 pp; 6 MB)
Appendix C3 - Pesticide Illness and Injury MS Word File Surveillance Data Collection form	Appendix C3 (20 pp; 5 MB)
Appendix C4-C8 - Field Investigation Contact Form and Health Safety Checklist for Field Personnel MS Word File	Appendix C4-C8 (20 pp; 1 MB)
Appendix D - Case Definition for Acute Pesticide-related Illness and Injury Cases Reportable to the National Public Health Surveillance System	Appendix D (24 pp; 250 KB)
Appendix E - Severity Index for Use in State-based Surveillance of Acute Pesticide-related Illness and Injury	Appendix E (7 pp; 766 KB)
Appendix F - Pesticide Law and Definitions	Appendix F (10 pp; 61 KB)
Appendix G - Resources for Additional Information Related to Pesticide Poisoning Surveillance	Appendix G (34 pp; 189 KB)
Index	Index (9 pp; 48 MB)
Entire Document	Pesticide-Related Illness and Injury (262 pp; 16 MB)
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