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Pesticide Exposure Surveillance in Texas
(PEST) Program



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About PEST

The Pesticide Exposure Surveillance in Texas program maintains a database of information on pesticide poisonings occurring in the state of Texas. Pesticide poisonings includes poisonings by disinfectants, sanitizers, sterilizers, and antimocrobials. Physicians and laboratories are required to report occupation related pesticide poisonings. Additional surveillance data are collected from other state agencies and the Poison Control Network. The surveillance program is responsible for conducting investigations of poisoning incidents when appropriate and providing educational information.

The clinical symptoms of acute occupational pesticide poisoning vary depending on the type of pesticide, the route of exposure, and/or duration of exposure. It is important to determine exposure history and/or occupational information. Please report all known and/or suspected cases of acute occupational pesticide poisoning to DSHS.

Occupations at risk of acute pesticide poisoning include:

  • Ground Applicators
  • Nursery Workers
  • Farmers and Ranchers
  • Harvesters or Field Workers
  • Warehouse Workers who handle/transport pesticides
  • Pesticide Formulator or Manufacturers
  • Fumigators
  • Aerial Applicators
  • Police and Fire Fighters
  • Structural Pest Control Operators

Occupations at risk of disinfectant poisoning include:

  • Maintenance Workers and Janitors
  • Swimming Pool Cleaners
  • Chicken Farmers
  • Hospital Workers
  • Laundry Workers
  • Vet/Pet Shop Workers
  • Cafeteria/Restaurant Workers
  • Shipping Industry Workers
  • Hotel Workers

For information on farm workers see the National Health Service Corps Migrant Health website, or the Migrant Clinician's Network website.

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Frequently Asked Questions

I was working in the field when a crop duster flew overhead spraying the neighboring fields. I felt the mist and could taste the chemical sprayed. What should I do?

  • If you feel ill, seek medical attention immediately. You may also contact the Texas Poison Center Network toll free, 24 hours a day at 1 (800) 222-1222for chemical/health related information.
  • Remove all clothing (hats and other accessories), separate it, and shower.
  • Call the Texas Department of Agriculture (TDA) at 1 (800) TELL- TDA to report the incident. Pesticide applicators have strict guidelines to follow regarding all aspects of pesticide use and TDA regulates agricultural-related pesticide use.

We recently moved into a duplex and I've noticed a strong pesticide odor that won't go away. I've been experiencing headaches and nausea. Could the pesticides be responsible for this?

  • If you are experiencing health-related problems you should seek medical attention. The odor in your home may or may not be pesticide-related. The Structural Pest Control Board (SPCB) of Texas regulates non-agricultural pesticide applicators. Depending on the situation, SPCB may conduct an investigation to determine if there are any pesticide-related problems in your home. You may contact the SPCB at (512) 305-8270. For information on the chemical content of certain household insecticides see the Over-the-Counter Insecticides page created by the Pesticide Education Office at the University of Nebraska-Lincoln.

We have a pest problem in our home, however I have small children and I really don't want to fill our home with pesticides. Are there effective alternatives?

  • There are many non-toxic or at least minimally toxic alternatives to traditional pesticides. Check your local phonebook and/or see the EPA fact sheet: Safe Substitutes at Home: Non-toxic Household Products for possible alternatives.

What are sterilizers, disinfectants, antimoicrobials, sanitizers?

  • Sterilizers (Sporicides): Used to destroy or eliminate all forms of microbial life including fungi, viruses, and all forms of bacteria and their spores. Sterilization is critical to infection control and is widely used in hospitals on medical and surgical, instruments and equipment. Types of sterilizers include steam under pressure (autoclaving), dry heat ovens, low temperature gas (ethylene oxide), and liquid chemical sterilants. Gaseous and dry heat sterilizers are used primarily for sterilization of medical instruments. Liquid sterilants are primarily used for delicate instruments which cannot withstand high temperature and gases.


  • Disinfectants: Used on hard inanimate surfaces and objects to destroy or irreversibly inactivate infectious fungi and bacteria but not necessarily their spores. Disinfectant products are divided into two major types: hospital and general use. Hospital type disinfectants are the most critical to infection control and are used on medical and dental instruments, floors, walls, bed linens, toilet seats, and other surfaces. General disinfectants are the major source of products used in households, swimming pools, and water purifiers. Examples are bleach and chlorine.


  • Antiseptics and Germicides: Used to prevent infection and decay by inhibiting the growth of microorganisms. Because these products are used in or on living humans or animals, they are considered drugs and are thus approved and regulated by the Food and Drug Administration (FDA).


  • www.epa.gov/oppad001/ad_info.htm

I live along the US/Mexican border. I've noticed that shops and street vendors in both countries sell pesticide products with homemade labels, or sometimes no labels at all. I've heard from others that these products are very effective at pest control and are inexpensive. Do you have any idea what these pesticides contain, and if they might be especially harmful to humans?

Use of several non-registered pesticide products have been reported. Two of these pesticides are as follows:

    • Polvo de avión
      "Airplane powder" is a white powder often sold in small plastic bags. The substance is actually methyl-parathion, categorized as a severely hazardous pesticide formulation restricted by the EPA and restricted to only certain outdoor commercial use. The DSHS Region 9/10 Office of Border Health led a tri-state, bi-national awareness campaign funded by EPA. Local, state and federal agencies participated in this campaign to assess the magnitude of the problem, educate the public and healthcare providers, and prevent future exposures. For more information, you may contact Blanca Serrano, MPH, RS at 1-800-693-6699. Residents of the Western Texas Rio Grande Border or Permian Basin Area may also contact the West Texas Poison Control Center at 1-800-222-1222.


    • Miraculous Chalk
      Like its name, this product looks like chalk and is applied as such. Persons often apply the pesticide chalk as a border to eating utensils or on the floor at the entrance of their home. Samples of these insecticidal chalks have indicated synthetic pyrethroids as the active ingredient. Small children are often exposed to the chalk because of its bright, attractive appearance. In addition to the harmful effects the chalk can have on human health, packaging has been found to contain lead.

 

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Reporting Information:

Who is responsible for reporting occupational conditions?

    • Physicians
    • Health Professionals
    • Any persons in charge of a clinical or hospital laboratory, blood bank, mobile unit or other facility in which a laboratory examination reveals evidence of the reportable disease.

How do you obtain forms to report occupational conditions?

How do you report occupational conditions?

    • Cases can be reported directly to the Environmental and Injury Epidemiology and Toxicology Branch, DSHS, by calling our toll-free number 1 (800) 588-1248.
    • Case reports can be faxed to (512) 458-7169.
    • Case reports can be mailed to the Environmental and Injury Epidemiology and Toxicology Branch.
    • Case reports can also be made to the local or regional staff of the health department who will transmit the information directly to the DSHS central office.

 

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Educational Materials

Pesticide Postcards:

Reporting Postcard "pdf" (12.20 MB) Family Postcard "pdf" (9.72 MB)
Workers Postcard "pdf" (10.99 MB) Familia Postcard "pdf" (8.35 MB)


Pesticide Exposure brochure "pdf" (100KB)

Possible Pesticide Exposure of Employees at a Government Agency, Disease Prevention News Article "pdf" (77KB)

Pesticide Safety in the Workplace factsheet "pdf" (775KB)

Publications

Texas SENSOR, Final Progress Report, 2002-2006

Acute Pesticide Poisoning in the U.S. Retail Industry, 1998-2004 "pdf" (126.3KB)

Acute Pesticide-Related Illnesses Among Working Youths, 1988-1999 "pdf" (114KB)

Acute Occupational Pesticide-Related Illnesses in the US, 1998-1999: Surveillance Findings From the SENSOR - Pesticides Program "pdf" (167KB)

Acute Pesticide-Related Illness Among Emergency Responders, 1993-2002 "pdf" (151KB)

Acute Illness Associated With Pesticide Exposures at Schools "pdf" (144KB)


External Links

Illness Associated with Occupational Use of Flea-Control Products - California, Texas, and Washington, 1989-1997

Surveillance for Acute Insecticide - Related Illness Associated with Mospuito Control Efforts - Nine States, 1999-2002

Unintentional Topical Lindane Ingestions - United States, 1998-2003


Other State-Based Pesticide Poisoning Surveillance Programs

Arizona: Pesticde Poisoning Prevention Program
http://www.hs.state.za.us/phs/oeh/invsurv/pesticide/

California: Department of Pesticide Regulation
http://www.cdpr.ca.gov/

California: Department of Health Services, Agricultural Health and Safety Section
http://www.dhs.ca.gov/ohb/Aginjury/

Florida: Pesticide Exposure Surveillance Program
http://www.myfloridaeh.com/community/pesticide/

Iowa: Pesticide Expoure Surveillance Program
http://www.idph.state.ia.us/eh/toxicology_env_health.asp#pesticide

Louisiana: Health-related Pesticide Incident Report Program
http://www.dhh.louisiana.gov/offices/page.asp?id=205&detail=6679

Michigan Department of Community Health: Division of Environmental and Occupational Epidemiology
http://www.michigan.gov/mdch/0,1607,7-132-2945_5105-127397--,00.html

New York: Pesticide Poisoning Registry
http://www.health.state.ny.us/nysdoh/pest/pesticid.htm

Oregon: Pesticide Poisoning Prevention Program
http://www.dhs.state.or.us/publichealth/pesticide

Washington: Pesticide Program
http://www.doh.wa.gov/ehp/ts/Pest/


General Pesticide Resources

Pesticide Resource Management Guide - An EPA compendium of electronic resoureces that can be searched by subject, title, source, or full text. http://www.epa.gov/oppfead1/pmreg/

Pesticide Action Network Pesticide Database - Includes peer-reviewed scientific information culled from many sources on pesticide products and active ingredients. http://www.pesticideinfo.org/

Right to Know Hazardous Substance Fact Sheets - Fact Sheets by the New Jersey Department of Health and Senior Services. http://web.doh.state.nj.us/rtkhsfs/indexfs.aspx


Recognition and Management of Pesticide Poisoning

National Pesticide Information Center (NPIC) - An EPA-funded resource that provides information on pesticide toxicology, enviromental chemistry, product-specific information as well as recognition and management of pesticide poisoning. NPTN's website provides ready access to EXTONET, the Agriculture Extension Service's library of information on pesticide toxicology, and to public consumer oriented EPA publications. http://npic.orst.edu/

EPA Pesticide Poisoning Handbook
http://www.epa.gov/oppfead1/safety/healthcare/handbook/handbook.htm

National Strategies for Health Care Providers: Pesticides Initiative - This initiative identifies and implements strategies for educating health care providers on how to recognize, diagnose and manage pesticide-related health conditions. This link leads to the initiative's implementation plan. http://www.neetf.org/Health/providers/


Integrated Pest Management in Schools

Environmental Protection Agency, Integrated Pest Management (IPM) in Schools.
http://www.epa.gov/pesticides/ipm/

Healthy Schools Network, INC. (HSN)
http://www.healthyschools.org/index.html


Pesticide Alternatives

Beyond Pesticides
http://www.beyondpesticides.org


Treatment and management phone numbers:

National Pesticide Information Center (NPIC)
1 (800) 858-7378

Structural Pest Control Board
512-305-8270

Texas Poison Center Network
1 (800) 222-1222


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* External links to other sites are intended to be informational and do not have the endorsements of the Texas Department of State Health Services. These sites may also not be accessible to people with disabilities.*


Last Updated February 14, 2007
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