1. Risk Communications About Pesticides and Health

2. Healthy People 2010 8-13.Reduce pesticide exposures that result in visits to a health care facility. Target: 13,500 visits per year. Baseline: 27,156 visits to health care facilities were due to pesticides in 1997. (A total of 129,592 pesticide exposures were documented in 1997.) Target setting method: 50 percent improvement. Data source: Toxic Exposure Surveillance System (TESS), American Association of Poison Control Centers. Pesticide exposures include those involving disinfectants, fungicides, herbicides, insecticides, moth repellants, and rodenticides, as defined by EPA. The American Association of Poison Control Centers surveillance covers approximately 93 percent of the U.S. population.

3. Attributes of Effective Health Communication Accuracy: valid without errors of fact interpretation or judgment Availability: delivered is well placed where it is maximally accessible to the specific audience based on the complexity and purpose of the message Balance: presents risk and benefits of potential actions recognizing different and valid perspectives on an issue. Consistency: content remain internally consistent over time and also consistent with other sources

4. Cultural consistency : The design, implementation and evaluation is consistent with the special attributes of the audience in terms of ethnicity, race, linguistics, education, disability etc Evidence base: is on s cientific evidence that has undergone vigorous review and analysis to formulate the health communication message Reach: content gets or is available to the maximum number of people in the target audience Attributes of Effective Health Communication

5. Reliability: The source of the information is credible and kept up to date Repetition: the delivery or access to the information is repeated over time to both reinforce the message and reach new generations Timeliness: The content is made available when the audience is most receptive to or in need of the specific information Understandability: The reading or language level or format (including multimedia) are appropriate for the audience Attributes of Effective Health Communication

6. What Topics Should be Covered? Examples of potential exposures Routes of exposures Absorption How to minimize pesticide use Signs and symptoms of pesticide illness Safe use: hygiene. PPE, labels Protecting the home Advise for applicators: PPE, equipment, decontamination, preventing work to home transmission Preventing prenatal exposures

7. Potential Exposures Aquatic sites to control mosquitoes and weeds Wood products to control wood- destroying organisms Food preparation areas to control insects and rodents Human skin to kill or repel insects Household pets to control fleas and ticks Livestock to control insects and other pests.

8. Other Potential Exposures Food and water residues Contaminated clothing Treated wood/structures Residues on animals/carpets Garden residues Termite control Hazardous waste sites/spills Accidental or intentional ingestion

9. “Describe what you do for work currently and in the past” Professions Exposed to Pesticides Aerial equipment maintenanceAerial equipment maintenance AgronomistsAgronomists Building maintenance workBuilding maintenance work Emergency respondersEmergency responders EntomologistsEntomologists FirefightersFirefighters Forestry workersForestry workers Formulating end productFormulating end product Greenhouse- nursery workersGreenhouse- nursery workers Hazardous waste workersHazardous waste workers LandscapersLandscapers Livestock dippers and veterinariansLivestock dippers and veterinarians Marina workersMarina workers Medical personnelMedical personnel Park workersPark workers Plant pathologistsPlant pathologists Research chemistryResearch chemistry Sewer workSewer work Storage/warehouse workStorage/warehouse work Structural applicationStructural application Transporting pesticidesTransporting pesticides Treating contaminated workersTreating contaminated workers Vector control workersVector control workers Wood treatment workersWood treatment workers Work on highway or railroad rights of wayWork on highway or railroad rights of way

10. Agriculture Pesticide Applications aerial air blast sprayer enclosed cab back pack-wand Boom sprayer

11. Agriculture Jobs orchard thinner mixer loader flagger picker

12. Personal Protective Equipment (PPE)

13. Parent Activity Questions Source of food and water Parent occupation? Shower after working before holding children? Work clothes and shoes in the house? Laundry practices ? Use household pesticides ? Garden pesticides ? House and car cleaning ? Pesticide storage/disposal? Day care near field, pesticide use in center? House near fields? Pets: Are flea or tick products used on household pets? Do they wander into areas where pesticides have been applied?

14. Pesticide Safe Use Checklist Before Using: Check the Label Is the pest you need to control listed on the label? Is the site or plant to which you intend to apply the pesticide listed on the label? Is any special protective clothing or equipment is necessary to apply the product? Is the pesticide toxic to certain plants or animals? Are you applying the pesticide at the right time ?

15. Pesticide Safe Use Checklist Before Using Buy only enough pesticide for one, or at most, two years. Pesticides stored longer may degrade and become less effective. Remove or cover pet food and water dishes and fish tanks.

16. Pesticide Safe Use Checklist During Use Always wear long trousers, a long-sleeved shirt, socks, and shoes when applying any pesticide. Other protective equipment, such as gloves, boots, a respirator, or goggles may be necessary or desirable for extra protection. Do not wear leather shoes, boots, or gloves while handling pesticides. Leather absorbs pesticides and cannot be decontaminated easily. Take care to avoid pesticides coming into contact with your eyes, mouth, or skin.

17. Pesticide Safe Use Checklist During Use Avoid breathing spray mists. Open the windows when spraying indoors. Keep children and pets out of the treated area until the spray has dried or the dust has settled; longer if the label lists a longer reentry period. Wash your hands with soap and water before eating, smoking, or using the toilet. Stand upwind while mixing and applying pesticides.

18. Pesticide Safe Use Checklist During Use Never apply a pesticide where it could contact food, utensils, or food preparation areas, unless the label allows for such contact. If you are applying the pesticide to a food crop, check the label to see how many days you must wait before harvesting. Unless the label specifically allows such use, never apply a pesticide where it could contact water sources and avoid applying to bare ground..

19. Pesticide Safe Use Checklist During Use Follow label directions for method of application carefully. When practical, use spot treatments rather than broadcast sprays. If the label specifies “crack and crevice” treatment, apply only as a very narrow band. Never apply a pesticide at a higher rate than the label directs

20. Pesticide Safe Use Checklist After Use Wash your hands with soap and water immediately after applying a pesticide. Shower as soon as possible. Wash all clothing worn during mixing and application separately from household laundry. Use a heavy duty liquid detergent and hot water. Dry the clothes in a hot dryer or outside in the sun.

21. Pesticide Safe Use Checklist After Use Keep pesticide measuring utensils separate from household and kitchen utensils. Store pesticides only in their original containers. Keep them away from food, feed, seed, and fertilizers in a locked building or cabinet. Dispose of empty pesticide containers in accordance with label directions and state and local requirements.

22. PESTICIDES NEARBY... BUT STAYING HEALTHY A GUIDE TO PREVENT PESTICIDE EXPOSURE Patient Education Materials http://www.migrantclinician.org/resources_search?filter_category=56

23. LO QUE BIEN EMPIEZA... BIEN ACABA Consejos para las mujeres para prevenir daños a la salud y a sus bebés causados por pesticidas http://www.migrantclinician.org/resources_search?filter_category=56 Pesticide Prevention During Pregnancy Comic Book