Suicides by pesticide ingestion in Pakistan and the impact of pesticide regulation

Introduction: Suicide is a major public health problem in Pakistan, accounting to approximately 19,331 deaths every year. Many are due to consumption of acutely toxic pesticides; however, there is a lack of national suicide data, limiting knowledge and potential for intervention. In this paper, we aimed to review the literature on pesticide self-poisoning in Pakistan to identify the most problematic pesticides in relation to national pesticide regulations. Methods: Information on the currently registered and banned pesticides was obtained from Ministry of National Food Security and Research while data on pesticide import and use was extracted from FAOSTAT. We searched the following sources for articles and research papers on poisoning in Pakistan: Cumulative Index to Nursing and Allied Health (CINAHL), Google Scholar, Applied Social Sciences Index and Abstracts (ASSIA), Excerpta Medica (EMBASE), National Library of Medicine\u27s MEDLINE (PUBMED), PS102YCHINFO and Pakmedinet.com using the search terms \u27self-poisoning\u27, \u27deliberate self-harm\u27, \u27suicide\u27, \u27methods and means of suicide\u27, \u27organophosphate\u27, \u27wheat pill\u27, \u27aluminium phosphide\u27, \u27acute poisoning\u27, OR \u27pesticides\u27, AND \u27Pakistan\u27. Results: As of May 2021, 382 pesticide active ingredients (substances) were registered in Pakistan, of which five were WHO hazard class Ia (extremely hazardous) and 17 WHO hazard class Ib (highly hazardous). Twenty-six pesticides, four formulations, and seven non-registered pesticides had been banned, of which two were WHO class Ia and five Ib. We identified 106 hospital-level studies of poisoning conducted in Pakistan, of which 23 did not mention self-poisoning cases and one reported no suicidal poisoning cases. We found no community or forensic medicine studies. Of 52,323 poisoning cases identified in these papers, 24,546 [47%] were due to pesticides. The most commonly identified pesticide classes were organophosphorus (OP) insecticides (13,816 cases, 56%) and the fumigant aluminium phosphide (3 g 56% tablets, often termed \u27wheat pills\u27; 686 cases, 2.7%). Few studies identified the particular pesticides involved or the resulting case fatality. Conclusion: We found pesticide poisoning to be a major cause of poisoning in Pakistan, with OP insecticides and the fumigant aluminium phosphide the main pesticides identified. Withdrawal of Class I pesticides (as proposed to occur nationally in 2022) and high concentration aluminium phosphide tablets should rapidly reduce suicidal deaths by reducing the case fatality for low-intention poisoning cases. National cause of death data and forensic toxicology laboratory data identifying the pesticides responsible for deaths will be important to assess impacts of the proposed national ba

Escaping the lock-in to pesticide use: do vietnamese farmers respond to flower strips as a restoration practice or pest management action?

Ecological engineering using linear flower strips is proposed as an alternative to insecticide-based rice pest management. However, its success depends on farmers’ appreciations of related interventions as part of an ecosystem restoration process. We examined agronomic and pest management responses to flower strips among 305 farmers surveyed at 12 villages in the Mekong Delta Region (MDR) of Vietnam. Practices by conventional farmers at the same villages were used as a baseline. The ecological engineering farmers mainly integrated flower strips with pest management practices by reducing insecticide applications before 40 days after rice crop establishment (ca 38% of farmers; 9% more than on conventional farms). Flower strips were also associated with less frequent and irregular insecticide applications or with insecticide-free rice (i.e., possibly IPM: ca 19% of ecological engineering farmers). Otherwise, farmers (ca 43% of ecological engineering farmers) continued to apply insecticides prophylactically and, in some cases, applied more insecticides than their conventional neighbors. Flower strips were not associated with reductions in any other pesticides. Reported yields were not directly affected by flower strips or pesticide inputs. Our results suggest that ecological engineering was not widely regarded by participating farmers as an ecosystem restoration practice, but rather, as a pest management action. Further promotion of flower strips as a component of ecosystem restoration is required to break the lock-in to pesticide use at ecologically engineered rice farms in the MDR

Abstracts of Scientifica 2022

This book contains the abstracts of the papers presented at Scientifica 2022, Organized by the Sancheti Institute College of Physiotherapy, Pune, Maharashtra, India, held on 12–13 March 2022. This conference helps bring researchers together across the globe on one platform to help benefit the young researchers. There were six invited talks from different fields of Physiotherapy and seven panel discussions including over thirty speakers across the globe which made the conference interesting due to the diversity of topics covered during the conference. Conference Title:  Scientifica 2022Conference Date: 12–13 March 2022Conference Location: Sancheti Institute College of PhysiotherapyConference Organizer: Sancheti Institute College of Physiotherapy, Pune, Maharashtra, Indi