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Your Daily Poison - Pesticide Action Network UK

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1 <strong>Pesticide</strong> exposure in the environment<br />

People’s experience of pesticide<br />

exposure<br />

There are a number of monitoring schemes for<br />

the collection of pesticide exposures and<br />

poisonings: the government’s Health & Safety<br />

Executive’s (HSE) <strong>Pesticide</strong> Incidents Appraisal<br />

Panel (PIAP) scheme, the <strong>Pesticide</strong>s Safety<br />

Directorate (PSD) annual survey of cases<br />

reported by companies (the ‘human health<br />

incidents survey’), and pesticide poisoning<br />

enquiries reported by the National Health<br />

Service National <strong>Poison</strong>s Information Service.<br />

People also report poisoning incidents to their<br />

local authority. There is no aggregation of all<br />

schemes to produce an annual total of<br />

exposures reported to government. The PEX-<br />

<strong>Action</strong> on <strong>Pesticide</strong> Exposure database is run<br />

by PAN <strong>UK</strong>, and other non-governmental<br />

Table 1. <strong>Pesticide</strong> Incidents Appraisal Panel data for<br />

2004/05 5<br />

PIAP Total Employees/self- Members of<br />

classification employed public/others<br />

Incidents People Incidents People Incidents People<br />

Confirmed 0 0 0 0 0 0<br />

Likely 5 8 0 0 5 8<br />

Open 0 0 0 0 0 0<br />

assessment (i)<br />

Open 3 3 0 0 3 3<br />

assessment (ii)<br />

Unrelated 5 5 0 0 5 5<br />

Insufficient 25 32 1 1 24 31<br />

information<br />

Pending 15 17 1 1 14 16<br />

Not an incident 2 5 1 1 1 4<br />

TOTAL 55 70 3 3 52 67<br />

<strong>Pesticide</strong> Incidents Report, HSE Field Operations Directorate Investigations, 1 April 2004 – 31 March<br />

2005.<br />

Definitions<br />

Confirmed There are clinical symptoms and signs typical of exposure to the cited<br />

pesticide formulation combined with either:<br />

corroborating medical and (where appropriate) biochemical evidence; or<br />

evidence of overexposure.<br />

Likely The balance of evidence based on reported exposure circumstances,<br />

clinical symptoms and signs or biochemical evidence (where appropriate) is consistent<br />

with ill health due to exposure to the cited pesticide formulation.<br />

Open assessment (i) The reported ill health is not consistent with the known potential<br />

ill-health effects of the cited pesticide formulation given the reported exposure<br />

circumstances but the implied association cannot be entirely discounted in the light of<br />

current knowledge; or (ii) the evidence is consistent with pesticide exposure being the<br />

cause of the reported ill health but alternative explanations, eg pre-existing disease are<br />

also present.<br />

Unrelated There is strong evidence, eg evidence about exposure or from<br />

medical reports, that the reported ill health is not pesticide-related.<br />

Insufficient information The available data is insufficient, incomplete or conflicting<br />

and the panel is unable to classify a case for one or more of these reasons.<br />

organisations, such as the Organophosphate<br />

Information <strong>Network</strong> and the <strong>UK</strong> <strong>Pesticide</strong>s<br />

Campaign, also maintain records of exposure<br />

cases.<br />

a. THE HEALTH AND SAFETY EXECUTIVE’S<br />

PESTICIDE INCIDENTS APPRAISAL PANEL<br />

(PIAP)<br />

The HSE is the government agency which has<br />

the main responsibility for the investigation of<br />

complaints alleging that pesticide exposure has<br />

caused ill-health. The HSE PIAP is comprised<br />

of a panel of government toxicologists and<br />

medical experts, and considers all incidents<br />

reported to the HSE’s Field Operations<br />

Directorate where there is any allegation that<br />

the use of a pesticide has caused harm or ill<br />

health.<br />

The Royal Commission on Environmental<br />

Pollution (RCEP), in its report ‘Crop spraying<br />

and the health of residents and bystanders’,<br />

confirmed PAN <strong>UK</strong>’s concerns about PIAP, the<br />

main government post-approvals surveillance<br />

scheme for pesticide-related ill-health, and<br />

concluded that it is so inadequate that the HSE<br />

should relinquish this function 4 . In its evidence<br />

to the RCEP, PAN <strong>UK</strong> identified the following<br />

flaws:<br />

◆ PIAP does not initiate clinical examination<br />

itself: the assessment largely relies on<br />

medical information from the complainant’s<br />

general practitioner (GP). But if the patient<br />

does not know which chemicals he or she<br />

has been exposed to it is impossible for the<br />

GP to investigate properly;<br />

◆ GPs have very little training in toxicology,<br />

and the specialist resource available to<br />

them, the National <strong>Poison</strong>s Information<br />

Service, is for acute poisonings only;<br />

◆ PIAP is designed to deal with ‘incidents’<br />

only, and does not take account of disease<br />

which could be linked to chronic exposures;<br />

◆ Only after the HSE inspector has<br />

concluded his or her investigation of a<br />

pesticide complaint, and taken official<br />

actions such as issuing a notice to the<br />

farmer, does he or she send details of the<br />

alleged ill-health incident to PIAP. This<br />

incurs a delay of, on average, six months.<br />

This means that it is very unlikely that<br />

evidence, in terms of pesticides in the<br />

environment, or in biological media, is still<br />

present. Around one per cent of cases<br />

the second <strong>UK</strong> pesticide exposure report 3

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