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Occupational exposure to pesticides and respiratory health

Ali Mamane, Isabelle Baldi, Jean-François Tessier, Chantal Raherison, Ghislaine Bouvier
European Respiratory Review 2015 24: 306-319; DOI: 10.1183/16000617.00006014
Ali Mamane
1ISPED – Laboratoire Santé Travail Environnement, INSERM U897, Université de Bordeaux, Bordeaux, France
2ISPED – Centre INSERM U897 – Epidémiologie-Biostatistique, Bordeaux, France
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  • For correspondence: ali.mamane@isped.u-bordeaux2.fr
Isabelle Baldi
1ISPED – Laboratoire Santé Travail Environnement, INSERM U897, Université de Bordeaux, Bordeaux, France
2ISPED – Centre INSERM U897 – Epidémiologie-Biostatistique, Bordeaux, France
3Service de Médecine du Travail, CHU de Bordeaux, Bordeaux, France
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Jean-François Tessier
2ISPED – Centre INSERM U897 – Epidémiologie-Biostatistique, Bordeaux, France
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Chantal Raherison
1ISPED – Laboratoire Santé Travail Environnement, INSERM U897, Université de Bordeaux, Bordeaux, France
2ISPED – Centre INSERM U897 – Epidémiologie-Biostatistique, Bordeaux, France
4Service des Maladies Respiratoires, CHU de Bordeaux, Bordeaux, France
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Ghislaine Bouvier
1ISPED – Laboratoire Santé Travail Environnement, INSERM U897, Université de Bordeaux, Bordeaux, France
2ISPED – Centre INSERM U897 – Epidémiologie-Biostatistique, Bordeaux, France
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Abstract

This article aims to review the available literature regarding the link between occupational exposure to pesticides and respiratory symptoms or diseases. Identification of epidemiological studies was performed using PubMed. 41 articles were included, 36 regarding agricultural workers and five regarding industry workers.

Among the 15 cross-sectional studies focusing on respiratory symptoms and agricultural pesticide exposure, 12 found significant associations with chronic cough, wheeze, dyspnoea, breathlessness or chest tightness. All four studies on asthma found a relationship with occupational exposure, as did all three studies on chronic bronchitis. The four studies that performed spirometry reported impaired respiratory function linked to pesticide exposure, suggestive of either obstructive or restrictive syndrome according to the chemical class of pesticide.

12 papers reported results from cohort studies. Three out of nine found a significant relationship with increased risk of wheeze, five out of nine with asthma and three out of three with chronic bronchitis. In workers employed in pesticide production, elevated risks of chronic obstructive pulmonary disease (two studies out of three) and impaired respiratory function suggestive of an obstructive syndrome (two studies out of two) were reported.

In conclusion, this article suggests that occupational exposure to pesticides is associated with an increased risk of respiratory symptoms, asthma and chronic bronchitis, but the causal relationship is still under debate.

Abstract

A review of occupational (agricultural and industry) exposure to pesticides and associated respiratory health effects http:///ow.ly/M09Gc

Footnotes

  • This article has supplementary material available from err.ersjournals.com

  • Conflict of interest: None declared.

  • Provenance: Submitted article, peer reviewed.

  • Received July 30, 2014.
  • Accepted October 7, 2014.
  • Copyright ©ERS 2015.

ERR articles are open access and distributed under the terms of the Creative Commons Attribution Non-Commercial Licence 4.0.

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Occupational exposure to pesticides and respiratory health
Ali Mamane, Isabelle Baldi, Jean-François Tessier, Chantal Raherison, Ghislaine Bouvier
European Respiratory Review Jun 2015, 24 (136) 306-319; DOI: 10.1183/16000617.00006014

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Occupational exposure to pesticides and respiratory health
Ali Mamane, Isabelle Baldi, Jean-François Tessier, Chantal Raherison, Ghislaine Bouvier
European Respiratory Review Jun 2015, 24 (136) 306-319; DOI: 10.1183/16000617.00006014
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