Presentation on theme: "How to Identify the Products Your Patients Are Exposed To"— Presentation transcript:
1How to Identify the Products Your Patients Are Exposed To Name That PesticideHow to Identify the Products Your Patients Are Exposed To
2The nomenclature of pesticides is similar to medications in that they have…. A brand/trade or product name: e.g. MotrinA generic name (common name or active ingredient): ibuprofenA chemical family: e.g. NSAIDLikewise one needs to know the chemical family and more specifically the common name to understand the health effect of an exposure and how to treatment a poisoning.
3What the Patient Will Know ? NOT the common or chemical family name. More likely they can identify:BRAND nameTYPE of pesticide (insecticide, herbicide, fungicide, fumigant)CROP to which the pesticide was being applied.
4Pesticide Product Label The label is the agriculture world = the package insert for the medical worldThe label is the LAW and dictates:UseRequired personal protective equipmentThe label on the bottle or package provides basic information
5Information Sources on Pesticides LabelMSDSIngredient statementEPA registration numberEstablishment numberFormulationSignal wordStatement of practical treatment (first aid)Personal protective equipment (PPE) handlersEnvironmental hazardsDirections for useHazards to humansStorage and disposal directionsChemical product identificationPhysical and chemical propertiesFire and explosion hazardsToxicological information / Human health dataRegulatory levels and classificationsPersonal protection recommendations (concentrate only)Emergency and first aid proceduresEcological or environmental hazardsSpills, fires, and accident proceduresStorage and disposal directionsIngredient statement – Name and percentage of each active ingredient and total percentage of inert ingredients. An inert ingredient is one for which no toxic activity against the pest is claimed, while the active ingredient is that component that actually controls the pest. (Although they are not toxic, inerts can cause health and environmental concerns.)EPA registration number – Indicates that the pesticide label has been registered by EPA.Establishment number – Identifies that facility where the product was made.Formulation – Certain formulations are more likely to be absorbed through the skin or inhaled.Signal word – Indicates level of acute toxicity. DANGER = extremely toxic (high potential for skin and eye irritation); DANGER/POISON = extremely toxic by ingestion;WARNING = moderately toxic; CAUTION = slightly toxic to relatively nontoxic.Statement of practical treatment (first aid) – Indicates initial first aid practices to mitigate exposure. Indicates whether inducement of vomiting is recommended or contraindicated.Personal protective equipment (PPE) – Clothing and/or equipment required to be worn when handling the pesticide.Environmental hazards – Potential concerns regarding hazards to environment, including fish, avian, and bee toxicities.Directions for use – Identifies crops/sites for application, pests controlled, method of application, rate of application, mixing directions, preharvest intervals, restricted entry intervals, etc.Hazards to humans – Indicates which route of entry (mouth skin, eyes, lungs) must particularly be protected and what specific actions should be taken to avoid acute effects from exposure.Storage and disposal directions – Usually fairly general information such as "Store out of reach of children" and "Do not re-use container."
6Sample Package Labels Type of pesticide Company name Brand/trade/product nameCommon/generic name (sometimes the same as the active ingredients)Chemical familySignal word (hazard level)
7Brand Name “SUPRACIDE” Type “Insecticide” Hazard Level “Danger/poison” Poison IconCommon Name “Methadithion”Chemical Family “Organophosphate”Antidote “Atropine”Manufacturer Gowan
9Class Exercise Find the following items on the label Company/Manufacturer’s nameBrand/Product/Trade nameCommon name (generic – active ingredient)Type: use in agricultureChemical familySignal word (hazard level)Fill in the pesticide classification table (hand out)
11Exercise: Classifying Pesticides Pesticide Labels*COMPANYBRANDCOMMONTYPEFAMILYSIGNALWHO22.214.171.124.126.96.36.199.188.8.131.52.BayerTemikAldicarbInsecticideCarbamateDanger-poisonlaVerdiconSevinCarbarylInsecticideCarbamateCautionllUCP AllianceThiodanEndosulfanInsecticideOrganochlorineWarningllBayerGuthionAzinophos methylInsecticideOrganophospateDanger-poisonlbDowDursbanChlorpyrifosInsecticideOrganophospateWarningllSyngentaGramoxoneParaquatHerbicideParaquatDanger-poisonllHelenaWeed Rhap2, 4-DHerbicideChlorophenoxyDanger-poisonllDuPontAsanaEsfenverlateInsecticidePyrethroidWarninglVBayerCaptanCaptanFungicideDanger-poisonIIMaxRoundupGlyphosateHerbicideCautionU-IVMancozebFungicideDowDithaneCautionU-IVCerexagri-NissoZiramZiramFungicideIIIDanger* WHO – World Health Organization International Classification
12Company Name May be useful in looking up a product Workers may confuse this name with the brand, product or trade name.Some companies also produce pharmaceuticals.
13Brand/Trade/Product Name Agricultural workers know pesticides primarily through the brand nameCompanies will keep brand names but CHANGE the active ingredients (e.g. Raid)Can use brand name as a search term
14Common Name Critical identifier of the chemical Some databases only allow you to search by common name.Basis of treatment!
15Types of Pesticides Fumigants Kill rodents with anticoagulants DisinfectantsFumigantsKill rodents with anticoagulantsControl pests by attacking their nervous systemAntibiotics for plantsCorrosive weed killers
16Pesticide Chemical Families -grouping based on similarities- Similar chemically (similar structure)Attacks pests in a similar way (toxicity)Common treatment + antidotePyrethroidinsecticidesOrganophosphateinsecticidesCarbamateinsecticidesParaquatDiquatherbicidesOrganochlorineinsecticidesChlorophenoxyHerbicides
17How Toxic Is It?Source: Richards, Kerry Penn State University Extension Service
18Source: Richards, Kerry Penn State University Extension Service
19LD50Lethal dose = Amount of chemical it takes to kill 50% of an experimental population
20Source: Richards, Kerry Penn State University Extension Service
21WHO International Standard US Standard*DANGER/POISON = extremely toxic by ingestionDANGER = extremely toxic high potential for skin and eye irritation*Adapted from Richards, Kerry Penn State University Extension Service
22Source: Richards, Kerry Penn State University Extension Service
23Sample CaseA patient comes into your office after spilling the weed killer – Direx - on himself. He is having some vague non specific problems.How will you identify what kind of adverse heath effects he may experience?
24Pesticide Identification Resources Poison Control (800) (TDD) 1(800)Google “Direx”Pesticide Websites:PANCDMSNPIC
25Practice: Using these resources for Diurex ™find The common nameThe chemical familyHealth effectsRecommended decontaminationRecommended PPEDescribe the attributes of each resource used including advantages and disadvantages