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Health Symptoms Related to Pesticide Use in Farmers and Laborers of Ecological and Conventional Banana Plantations in Ecuador

Hans‐Peter HutterDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, AustriaMichael PoteserDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, AustriaKathrin LemmererDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, AustriaPeter WallnerDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, AustriaMichael KundiDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, AustriaHanns MoshammerDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, AustriaLisbeth WeitensfelderDepartment of Environmental Health, Center for Public Health, Medical University Vienna, 1090 Wien, Austria
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Abstract

Conventional banana farming is pesticide-intensive and leads to high exposure of farmworkers. Ecuador is the world’s biggest exporter of bananas. In this field study in 5 communities in Ecuador, we recorded potentially pesticide-associated subjective health symptoms in farmworkers and compared pesticide users to workers in organic farming. With one exception, symptom rates were always higher in the pesticide-exposed group. Significance was reached in 8 out of 19 investigated symptoms with the highest odds ratios (and smallest p-values) for local irritation like skin and eye irritation (OR = 3.58, CI 1.10–11.71, and 4.10, CI 1.37–12.31, respectively) as well as systemic symptoms like dizziness (OR = 4.80, CI 1.55–14.87) and fatigue (OR = 4.96, CI 1.65–14.88). Moreover, gastrointestinal symptoms were reported more frequently by pesticide users: nausea (OR = 7.5, CI 1.77–31.77) and diarrhea (OR = 6.43, CI 1.06–30.00). The majority of farmworkers were not adequately protected from pesticide exposure. For example, only 3 of 31 farmworkers that had used pesticides recently reported using gloves and only 6 reported using masks during active spraying. Improved safety measures and a reduction in pesticide use are necessary to protect the health of banana farmworkers.

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