Autor: |
Buralli RJ; Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo-SP 01246-904, Brazil.; Department of Environmental and Occupational Health and Public Health Emergency Surveillance, Brazilian Ministry of Health (DSASTE/SVS/MS), Brasília-DF 70723-040, Brazil., Dultra AF; Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo-SP 01246-904, Brazil., Ribeiro H; Departamento de Saúde Ambiental, Faculdade de Saúde Pública, Universidade de São Paulo, São Paulo-SP 01246-904, Brazil. |
Jazyk: |
angličtina |
Zdroj: |
International journal of environmental research and public health [Int J Environ Res Public Health] 2020 Apr 16; Vol. 17 (8). Date of Electronic Publication: 2020 Apr 16. |
DOI: |
10.3390/ijerph17082740 |
Abstrakt: |
Pesticide exposure may affect children's respiratory and allergic health, although results from epidemiological studies have not reached consensus. This review aims to analyze the scientific evidence on respiratory and allergic effects of exposure to agricultural pesticides in children aged up to 12 years old. The databases PubMed, Web of Science, Scielo, and Lilacs were screened to select articles published in English, Spanish, or Portuguese, and 21 articles were included in this review. Most investigations were conducted in North America (mostly in the United States), while no studies conducted in Latin America or Africa were found, despite their intensive use of pesticides. Children are exposed to pesticides through multiple pathways from the prenatal period throughout later developmental stages and may experience several respiratory effects. Most studies (79%) found positive associations with pesticide exposure and children's respiratory and allergic effects such as asthma, wheezing, coughs, acute respiratory infections, hay fever, rhinitis, eczema, chronic phlegm, and lung function impairments. Contrastingly, 21% of the studies found no associations between pesticide exposure and children's respiratory health. The vast differences among the characteristics of the studies hamper any comparison of the results. Exposure to pesticides may have several impacts on childhood respiratory health. More studies must be conducted, especially in low- and middle-income countries, preferably with comparable research protocols adapted to local realities. Efforts should be made to develop comprehensive risk mitigation strategies and behavioral interventions to reduce children's exposure to pesticides used in agriculture and respiratory health effects, and to ensure healthy childhood growth. |
Databáze: |
MEDLINE |
Externí odkaz: |
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