| Objective:To understand the current happened and death situation of acute Pesticide Poisoning of the three cities including Suzhou, Wuxi and Changzhou of Jiangsu province and to provide the basic support for prevention and treatment of it. Finding out the main occupational hazard factors and health problems of the workers of a pesticide company, to provide the reference of occupational disease prevention and health promotion of the company. To investigate the levels of these staffs coming from pesticide enterprises grasping to occupational health knowledge, attitude and correct behavior and to provide effective support for setting out measures of occupational health and education promotion.Method:According to the acute pesticide poisoning reporting data of the three cities including Suzhou, Wuxi and Changzhou coming from China information system for disease control and prevention from 2006 to 2014 to make an analysis of the happened and death rule of it. Collecting and collating the physical examination data of these pesticide workers who took part in a medical test in a Center of Disease Control from the year of 2011-2014.According to occupational risk factors exposed to the workers and with reference to?The Occupational Health Technical Specification? to determine the items of occupational health examination. Randomly choosing three pesticide enterprises of Nantong city and using Simple cluster sampling to extract 385 staffs come from the three enterprises to analysis their occupational health knowledge, attitude and behavior.Result:A total of 4790 cases have been reported from 2006 to 2014 of the three cities and 316 cases of death. The case fatality rate is 6.6%, present a download trend year by year and a total of 714 cases have been reported as the Productive pesticide poisoning and 7 cases of death. The case fatality rate is 0.98% and the sex ratios of these cases are 1.62:1.whose average age is 52.55±14.35, concentrating on 35-70 years old. The third reason is the reason of the highest incidence and the main pesticide of the productive pesticide poisoning is organophosphorus insecticide (510 cases,71.4%). A total of 4076 cases have been reported for the Non-productive pesticide poisoning and 309 cases of death of it. The case fatality rate is 7.9% and the sex ratios of these cases are 0.7:1, whose average age is 43.23±23.75, concentrating on 18-58 years old, accounting for 68.2%. There is no obvious change in different reasons and the main pesticide of poisoning is organophosphorus insecticide that accounting for 80.99% in Non-productive pesticide poisoning. The population who participated in physical examination is 1493 person-times and 0 cases of occupational diseases,4cases of occupational contraindications were founded. The incidence of abnormal in the top five, in turn, are respectively ENT abnormalities, abnormal liver function, blood biochemical abnormalities, fatty liver and electrocardiogram abnormalities and the combined incidence of 4 years were 76.22%,35.77%,35.43%, 31.82%,26.01%.Different workers who have different gender, age, total length of service, length of service that whose main abnormal detection rate difference have statistical significance. Distributing 385 portions of questionnaires, and recycling 292 portions, the effective rate was 75.84%. The total awareness-rate about occupational health knowledge of these workers of the three enterprises is 77.5%, in which the manager's awareness rate was higher than skilled workers' and much higher than operators'. The difference has statistical significance. Basically we can find that who have much higher educational level have much higher awareness rate and there is a statistical difference between these workers who have different working aging too. Rate of Staffs of the three enterprises have correct understanding about the occupational health attitude is 88.14%, in which the manager's rate was higher than skilled workers'and much higher than operators'. The differences have statistical significance. Basically, there is a feature that staffs have much higher educational level have much higher awareness rate and there is a statistical significance among the workers who have different working aging too. Rate of staffs that could answer these questions about occupational health behavior and working habits correctly is 69.23%.Knowledge of occupational health mainly comes from bargain, pro-job training, occupational-disease-inductive told card, warning marks, warning specifications and high toxic substances told card.Conclusion:Non-productive pesticide poisoning is the main reason of pesticide poisoning. The percentage of productive pesticide poisoning is lower. The related department should enhance the safety management and control of the product and use of pesticide. Four years from 2011-2014 we found that the physical examination results'anomaly detection rate were over 95%,including ENT abnormalities, fatty liver, blood biochemical abnormalities detection rate increase with the increase of age, total length of service, the length of service. We should strengthen the publicity and training of occupational health knowledge, the health promotion and health interventions of workers in pesticide enterprises, the publicity of<the law Of Occupational Disease Prevention and Treatment> and enhance the attention of Occupational Health and Safety of management, all staffs occupational health and safety awareness and make them develop good habits of living and working. All this have great significance to promote the prevention and control levels of all the pesticide industry. |
PDF Full Text Request