NOTIFICATION OF PESTICIDE POISONING IN THE WESTERN CAPE, 1987 - 1991

There is a paucity of data on pesticide-related morbidity and mortalit y in South Africa. A review of notifications to the western Cape offic e of the Department of National Health and Population Development from 1987 to 1991 was undertaken to describe the epidemiological profile o f pesticide poisoning in the region. Two hundred and twenty-five cases of pesticide poisoning were identified, of which the majority were fr om rural areas. Farmers, farm workers and their families were most fre quently involved in poisoning events, which included accidents arising outside of workplace production (44%), self-inflicted injury (35%) an d direct occupational contamination (11%). Farm pesticide stores were the most frequent source of pesticide and a seasonal variation in the trend of poisoning events could be discerned; this corresponded to agr icultural spraying practices in the region. The mortality rate was sig nificantly higher among those with self-inflicted injury, particularly farm workers. A concurrent review of hospital admissions for 1991 fou nd that 78% of cases had not been notified. In view of the key role of surveillance in reducing pesticide-related morbidity and mortality, a call is made to improve notification of pesticide poisoning so as to facilitate control of an important potential public health problem.