Intentional pesticide poisoning and pesticide suicides in Nepal

Introduction Intentional pesticide poisoning is a major clinical and public health problem in agricultural communities in low and middle income countries like Nepal. Bans of highly hazardous pesticides (HHP) reduce the number of suicides. We aimed to identify these pesticides by reviewing data from major hospitals across the country and from forensic toxicology laboratories. Methods We retrospectively reviewed medical records of 10 hospitals for pesticide poisoned patients and two forensic laboratories of Nepal from April 2017 to February 2020. The poison was identified from the history, referral note, and clinical toxidrome in the hospitals and from gas chromatography analysis in the laboratories. Data on demographics, poison, and patient outcome were recorded on a data collection sheet. Simple descriptive analysis was performed. Results Among hospital cases (n = 4148), the commonest form of poisoning was self-poisoning (95.8%) while occupation poisoning was rare (0.03%). Case fatality was 5.3% (n = 62). Aluminum phosphide (n = 38/62, 61.3%) was the most commonly identified lethal pesticide for deaths. Forensic toxicology laboratories reported 2535 deaths positive for pesticides, with the compounds most commonly identified being organophosphorus (OP) insecticides (n = 1463/2535; 57.7%), phosphine gas (n = 653/2535; 25.7%; both aluminum [11.8%] and zinc [0.4%] phosphide) and organochlorine insecticides (n = 241/2535; 9.5%). The OP insecticide most commonly identified was dichlorvos (n = 273/450, 60.6%). Conclusion The data held in the routine hospital medical records were incomplete but suggested that case fatality in hospitals was relatively low. The pesticides identified as causing most deaths were dichlorvos and aluminum phosphide. Since this study was completed, dichlorvos has been banned and the most toxic formulation of aluminum phosphide removed from sale. Improving the medical record system and working with forensic toxicology laboratories will allow problematic HHPs to be identified and the effects of the bans in reducing deaths monitored

Modelagem de escoamento acoplado de superfície e subsuperfície em encostas naturais no Vale Aburrá (Medellín, Colômbia)

Numerical results are presented of surface-subsurface water modeling of a natural hillslope located in the Aburrá Valley, in the city of Medellín (Antioquia, Colombia). The integrated finite-element hydrogeological simulator HydroGeoSphere is used to conduct transient variably saturated simulations. The objective is to analyze pore-water pressure and saturation variation at shallow depths, as well as volumes of water infiltrated in the porous medium. These aspects are important in the region of study, which is highly affected by soil movements, especially during the high-rain seasons that occur twice a year. The modeling exercise considers rainfall events that occurred between October and December 2014 and a hillslope that is currently monitored because of soil instability problems. Simulation results show that rainfall temporal variability, mesh resolution, coupling length, and the conceptual model chosen to represent the heterogeneous soil, have a noticeable influence on results, particularly for high rainfall intensities. Results also indicate that surface-subsurface coupled modeling is required to avoid unrealistic increase in hydraulic heads when high rainfall intensities cause top-down saturation of soil. This work is a first effort towards fostering hydrogeological modeling expertise that may support the development of monitoring systems and early landslide warning in a country where the rainy season is often the cause of hydrogeological tragedies associated with landslides, mud flow or debris flow. © 2016 Springer-Verlag Berlin Heidelber

An Integrative and Joint Approach to Climate Impacts, Hydrological Risks and Adaptation in the Indian Himalayan Region

Climate change has enormous impacts on the cryosphere In the Indian Himalayan Region (IHR) which have been increasingly documented over the past years. The effects of cryosphere change on people, ecosystems and economic sectors is less clear but bears important risks. Adaptation to changing conditions and risks is a priority for the region. Here we draw on experiences of Indo-Swiss collaborations in the field of climate change, cryosphere, risks and adaptation in the IHR. First, we provide a synthesis of the climate and cryosphere in the IHR, and related impacts on downstream communities and systems. Second, we analyze the associated risks from a conceptual and adaptation perspective. We then introduce concepts of co-production of knowledge as an approach to an inclusive and sustainable adaptation process which includes the development of future scenarios with a wide range of stakeholders. We visualize this approach using examples of the water resource sector