Poison Control Center data shows over 35,000 calls related to pesticide exposure concerns for children ≤ 5 years old (2018). Most serious acute poisonings occur after unintentional ingestion, although poisoning may also follow inhalational exposure (particularly from fumigants) and/or significant dermal exposure, such as in drift events. Misuse, such as violating label instructions, may also lead to overexposure. It is well recognized that pesticide poisonings are likely to be underreported because of difficulty with diagnosis, incomplete reporting and symptoms not being recognized as a poisoning.

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