Emerging pesticides responsible for suicide in rural Sri Lanka following the 2008–2014 pesticide bans
| Autor: | Flemming Konradsen, Sandamali Rajapaksha, Shaluka Jayamanne, Melissa Pearson, Manjula Weerasinghe, Suneth Agampodi, J. A. Sumith, S. M. H. M. K. Senanayake, Michael Eddleston |
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| Rok vydání: | 2020 |
| Předmět: |
Rural Population
030204 cardiovascular system & hematology Disease cluster Organophosphate poisoning Eating 03 medical and health sciences chemistry.chemical_compound 0302 clinical medicine Environmental health parasitic diseases Humans Medicine Prospective Studies 030212 general & internal medicine Pesticides Sri Lanka business.industry lcsh:Public aspects of medicine Incidence (epidemiology) Organothiophosphates Public Health Environmental and Occupational Health lcsh:RA1-1270 Agriculture Pesticide medicine.disease Pesticide regulation Suicide Trend analysis chemistry Self-poisoning Government Regulation Carbosulfan Carbamates Biostatistics business Research Article |
| Zdroj: | Weerasinghe, M, Pearson, M, Konradsen, F, Agampodi, S, Sumith, J A, Jayamanne, S, Senanayake, S M H M K, Rajapaksha, S & Eddleston, M 2020, ' Emerging pesticides responsible for suicide in rural Sri Lanka following the 2008-2014 pesticide bans ', B M C Public Health, vol. 20, 780 . https://doi.org/10.1186/s12889-020-08871-7 BMC Public Health Weerasinghe, M, Pearson, M, Konradsen, F, Agampodi, S, Sumith, J A, Jayamanne, S, Senanayake, S M H M K, Rajapaksha, S & Eddleston, M 2020, ' Emerging pesticides responsible for suicide in rural Sri Lanka following the 2008-2014 pesticide bans ', BMC Public Health, vol. 20, 780 . https://doi.org/10.1186/s12889-020-08871-7 BMC Public Health, Vol 20, Iss 1, Pp 1-8 (2020) |
| ISSN: | 1471-2458 |
| DOI: | 10.1186/s12889-020-08871-7 |
| Popis: | Background Sri Lanka has reduced its overall suicide rate by 70% over the last two decades through means restriction, through a series of government regulations and bans removing highly hazardous pesticides from agriculture. We aimed to identify the key pesticide(s) now responsible for suicides in rural Sri Lanka to provide data for further pesticide regulation. Methods We performed a secondary analysis of data collected prospectively during a cluster randomized controlled trial in the Anuradhapura district of Sri Lanka from 2011 to 16. The identity of pesticides responsible for suicides were sought from medical or judicial medical notes, coroners’ records, and the person’s family. Trend analysis was done using a regression analysis with curve estimation to identify relative importance of key pesticides. Results We identified 337 suicidal deaths. Among them, the majority 193 (57.3%) were due to ingestion of pesticides while 82 (24.3%) were due to hanging. A specific pesticide was identified in 105 (54.4%) of the pesticide suicides. Ingestion of carbosulfan or profenofos was responsible for 59 (56.2%) of the suicides with a known pesticide and 17.5% of all suicides. The increasing trend of suicides due to carbosulfan and profenofos over time was statistically significant (R square 0.846, F 16.541, p 0.027). Conclusion Ingestion of pesticides remains the most important means of suicides in rural Sri Lanka. The pesticides that were once responsible for most pesticide suicides have now been replaced by carbosulfan and profenofos. Their regulation and replacement in agriculture with less hazardous pesticides will further reduce the incidence of both pesticide and overall suicides in rural Sri Lanka. |
| Databáze: | OpenAIRE |
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