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CMAJ • May 28, 2002; 166 (11)
© 2002 Canadian Medical Association or its licensors

Review
Synthèse

Identifying and managing adverse environmental health effects: 4. Pesticides

Margaret D. Sanborn*, Donald Cole{dagger}, Alan Abelsohn{ddagger} and Erica Weir§

From *the Department of Family Medicine, McMaster University, Hamilton, Ont.; the Departments of {dagger}Public Health Sciences and {ddagger}Family and Community Medicine, University of Toronto, Toronto, Ont.; and §the Community Medicine Residency Program, Department of Clinical Epidemiology and Biostatistics, McMaster University, Hamilton, Ont.

Correspondence to: Dr. Margaret D. Sanborn, Chesley Medical Clinic, Box 459, 33 Second St. SE, Chesley ON N0G 1L0; msanborn@sbghc.on.ca

Abstract

PESTICIDE EXPOSURE CAN CAUSE MANY DIFFERENT HEALTH EFFECTS, from acute problems such as dermatitis and asthma exacerbation to chronic problems such as chronic obstructive pulmonary disease and cancer. The resulting clinical presentations are undifferentiated, and specific knowledge of the links to environmental exposures is often required for effective diagnosis. In this article we illustrate the use of the CH2OPD2 mnemonic (Community, Home, Hobbies, Occupation, Personal habits, Drugs and Diet), a history-taking tool that assists physicians in quickly identifying possible environmental exposures. We also provide clinical information on the epidemiology, clinical presentations, treatment and prevention of pesticide exposures.




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