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Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania
Includes bibliographical references.
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| Main Author: | |
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| Other Authors: | |
| Format: | Thesis |
| Language: | English |
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Department of Public Health and Family Medicine
2014
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| _version_ | 1867614313431171072 |
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| access_status_str | Open Access |
| author | Lekei, Elikana Eliona |
| author2 | London, Leslie |
| author_browse | Lekei, Elikana Eliona London, Leslie |
| author_facet | London, Leslie Lekei, Elikana Eliona |
| author_sort | Lekei, Elikana Eliona |
| collection | Thesis |
| description | Includes bibliographical references. |
| format | Thesis |
| id | oai:open.uct.ac.za:11427/9428 |
| institution | University of Cape Town (South Africa) |
| language | eng |
| last_indexed | 2026-06-10T12:50:03.672Z |
| license_str | Not specified — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UCTD — University of Cape Town Open Access Repository |
| publishDate | 2014 |
| publishDateRange | 2014 |
| publishDateSort | 2014 |
| publisher | Department of Public Health and Family Medicine |
| publisherStr | Department of Public Health and Family Medicine |
| record_format | dspace |
| source_str | UCTD — University of Cape Town Open Access Repository |
| spelling | oai:open.uct.ac.za:11427/9428 Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania Lekei, Elikana Eliona London, Leslie Ngowi, Aiwerasia V Public Health and Family Medicine Includes bibliographical references. Widespread under-reporting of acute pesticide poisoning (APP) in developing countries, such as Tanzania, leads to under-estimation of the burden from APP. This thesis aimed to characterize the health consequences of APP in rural agricultural areas in Tanzania with a view to developing an effective surveillance system for APP. Several sub-studies comprise this thesis: A household survey of farmers; A hospital data review for APP, both retrospective, covering a 6-year period, and prospective for 12 months;Health care providers' knowledge and practices relating to APP and notification;Pesticide retailers' knowledge, distribution and handling practices; Stakeholder views regarding APP, notification and risk reduction strategies; and an assessment of APP data from sources other than the hospital system. The study found that major agents responsible for poisoning included Organophosphates and highly or moderately hazardous products and the age group 20 - 30 years was most affected. The majority of health care providers lacked skills for diagnosis of APP. The most problematic circumstances of poisoning in hospital data review was suicide but was occupational with pesticide stakeholders and in household surveys. Prospective data collection in the hospital review reduced the amount of missing data, suggesting that with proper training and support, hospital-based reporting can provide better surveillance data. Many farmers and pesticide retailers had unsafe practices likely to result in exposure and risk for poisoning. Modelling suggested that the Incidence Rate for occupational poisoning ranged from 11.3 to 279.8 cases per million people with a medium estimate of 32.4 cases per million people. The study identified a high burden from APP in Tanzania, largely unreported, particularly from occupational poisonings, and proposes an APP surveillance system for Tanzania aimed at addressing both workplace and non-workplace settings. The system is expected to identify poisoning outbreaks, circumstances and outcomes, agents, poisoning patterns by gender, age, population and geographical areas most affected. Data sources for the system will include health care facilities and other government Institutions, media and community members through community self-monitoring. The system is expected to generate rate estimates and trends for pesticide poisoning, identify opportunities for prevention, further research needs and, ultimately, assist in reducing health risks arising from pesticide exposure. 2014-11-08T18:08:42Z 2014-11-08T18:08:42Z 2012 Doctoral Thesis Doctoral PhD http://hdl.handle.net/11427/9428 eng application/pdf Department of Public Health and Family Medicine Faculty of Health Sciences University of Cape Town |
| spellingShingle | Public Health and Family Medicine Lekei, Elikana Eliona Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania |
| thesis_degree_str | Doctoral |
| title | Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania |
| title_full | Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania |
| title_fullStr | Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania |
| title_full_unstemmed | Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania |
| title_short | Establishment of a comprehensive surveillance system for acute pesticide poisoning in Tanzania |
| title_sort | establishment of a comprehensive surveillance system for acute pesticide poisoning in tanzania |
| topic | Public Health and Family Medicine |
| url | http://hdl.handle.net/11427/9428 |
| work_keys_str_mv | AT lekeielikanaeliona establishmentofacomprehensivesurveillancesystemforacutepesticidepoisoningintanzania |