Paraquat is a Restricted Use Pesticide and is highly toxic to humans if ingested. One small accidental sip can be fatal and there is no antidote. Health care providers may consider advising patients to never transfer pesticides out of their original containers. Pesticide exposure is a reportable condition in many states.
2. U.S. Environmental Protection Agency: Recognition and Management of Pesticide Poisonings (Sixth Edition)
The purpose of this manual is to provide healthcare providers with current consensus recommendations for treating patients with pesticide–related illnesses or injuries. This book addresses pesticide toxicology, signs and symptoms of poisonings, and treatment for major types of pesticides. James Roberts, MD, MPH and J. Routt Reigart, MD co-authored the text, which also covers chronic health effects of pesticide exposures.
Copies of the 6th edition are available in English at no cost from the EPA website.
3. National Pesticide Practice Skills & Competency Guidelines for Medical and Nursing Practice
These guidelines help primary health care providers recognize and effectively treat pesticide toxicity. The National Environmental Education & Training Foundation (NEETF) released national pesticide competency and practice skills guidelines for physicians and nurses—part of NEETF's 10-year National Strategies for Health Care Providers: Pesticides Initiative. These two companion documents were developed specifically for everyday, front-line health care professionals. The Initiative has been developed in response to a gap in health professional education and the public health risks posed by the widespread use of pesticides in the United States. For more information, contact: The National Environmental Education & Training Foundation, National Strategies for Health Care Providers: Pesticides Initiative; 1707 H Street, NW, Suite 900, Washington, DC, 20006-3915; (202) 833-2933, x535; email@example.com.
4. California Office of Environmental Health Hazard Assessment (OEHHA)
OEHHA offers educational courses and information to health care providers on the recognition, treatment, and reporting of pesticide-related illness and injury.
This brochure describes all available OEHHA pesticide courses.
5. Pediatric Environmental Health Specialty Units (PEHSU)
The Pediatric Environmental Health Specialty Units (PEHSUs) are a source of medical information and advice on environmental conditions that influence reproductive and children’s health. PEHSUs are academically based, typically at university medical centers, and are located across the United States and Canada. These PEHSU form a network that is capable of responding to requests for information throughout North America and offering advice on prevention, diagnosis, management, and treatment of environmentally-related health effects in children.
The PEHSU resource catalog allows visitors to search a collection of resources pertaining to children's environmental health. Choose pesticide as the topic area.
This pesticide factsheet addresses recognizing exposure, managing suspected acute poisoning, preventing low-level exposures, and key resources for clinicians. This is adapted from EPA's Recognition and Management of Pesticide Poisonings 6th Ed. (Key Resources). Resources for the state of Washington are also provided.
Pesticides Residues in the Indoor Environment. This course is part of a series of short courses offered by the American College of Medical Toxicology on contemporary issues in environmental toxicology and environmental health developed by leading authorities in medical toxicology, under the direction of Drs. Michael Kosnett, Charles McKay and Paul Wax.
Grand Rounds: Insect repellants during pregnancy in the Zika era-. Recorded on May 10, 2016. At the conclusion of the activity attendees should be able to review their understanding of the effects of Zika virus during pregnancy, examine available toxicity data for the two insect repellants suggested for personal protection against Zika (N, N-diethyl-30methylbenzamide (DEET) and – Permethrin), and evaluate epidemiologic data from human pregnancies about the effects of DEET and permethrin during pregnancy.
6. AgriSafe Network
Enhancing Rural Nursing Practice through Distance Learning. The AgriSafe Nurse Scholar program is a distance learning opportunity available to rural nurses. Distance education (a total of 18 hours), provided by experienced health & safety educators will enable rural nurses to increase their knowledge base in prevention, identification and assessment of diseases related to agricultural work exposures. Classes are in the form of webinars that can be viewed live or OnDemand (your own time).
7. Migrant Clinicians Network (MCN)
MCN has developed resources to educate clinicians and others about the recognition and management of pesticide exposures. In addition, they have developed patient education materials to help migrant and seasonal farmworkers protect themselves and their families.
Streamline is MCN's quarterly peer-reviewed clinical publication. Each Streamline contains an environmental and occupational health section with clinical updates regarding pesticides and other relevant environmental and occupational information.
8. University of Washington, Department of Environmental and Occupational Health Sciences, School of Public Health
9. University of Iowa, College of Public Health: Rural Health and Safety
Agricultural Exposures: Organophosphate Pesticide Poisoning and Prevention. A Rural PREP Grand Rounds Webinar/Presentation — Recorded on January 24, 2019 for Rural PREP. At the conclusion of the activity participants should be able to identify the signs and symptoms of acute organophosphate pesticide poisoning, describe the use of cholinesterase monitoring as a possible diagnosis tool, design a prevention program with regard to organophosphate poisoning for their local patient population.
Agricultural Safety and Health: The Core Course. This course has been the national model of effective agricultural safety and health education for a decade. It provides a strong foundation in the principles of agricultural safety and health for safety and health managers, graduate students, nurses, physicians, veterinarians, and anyone interested in the special health and safety needs of rural and agricultural communities.
PERC is a 5-year cooperative agreement between the EPA's Office of Pesticide Programs and University of California Davis Extension, in collaboration with Oregon State University.
WPS Respiratory Protection Guide Requirements for Employers of Pesticide Handlers. This new guide from PERC includes guidance on selecting respirators based on new/old label language, medical evaluation options, step-by-step respirator fit-testing procedures, respirator cleaning/maintenance guidance, and more. Purchase printed copies of the guide from NPSEC.