Evidence map›Paper›PMID 26775000›Full record

ArticleEnvironmental research2016

Magnitude and characteristics of acute paraquat- and diquat-related illnesses in the US: 1998-2013.

Gamola Z Fortenberry, John Beckman, Abby Schwartz, Joanne Bonnar Prado, Lucia S Graham, Sheila Higgins, Michelle Lackovic, Prakash Mulay, Heidi Bojes, Justin Waltz and 5 more

Open access · greenAbstract read
In one paragraph

Article in Environmental research, 2016. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 31 papers.

0numbers the graph read from it
0cells of the map it votes in
31citing papers in PubMed
5.0field-weighted citation impact, top 5% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

31 citing papers in PubMed, 100 citations in OpenAlex.

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  16. LC-MS/MS methods for the determination of 30 quaternary ammonium compounds including benzalkonium and paraquat in human serum and urine.Journal of chromatography. B, Analytical technologies in the biomedical and life sciences · 2023
    Article
  17. Article
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  19. Kidney and lung injury in rats following acute diquat exposure.Experimental and therapeutic medicine · 2022
    Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

15 authors at 12 institutions in 1 country.

Gamola Z FortenberryDivision of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, USA.
John BeckmanPublic Health Institute, Oakland, CA, USA; California Department of Public Health, Richmond, CA, USA.
Abby SchwartzMichigan Department of Health and Human Services, Lansing, MI, USA.
Joanne Bonnar PradoWashington State Department of Health, Olympia, WA, USA.
Lucia S GrahamCalifornia Department of Pesticide Regulation, Sacramento, CA, USA.
Sheila HigginsNorth Carolina Department of Health and Human Services, Raleigh, NC, USA.
Michelle LackovicLouisiana Department of Health and Hospitals, New Orleans, LA, USA.
Prakash MulayFlorida Department of Health, Tallahassee, FL, USA.
Heidi BojesTexas Department of State Health Services, Austin, TX, USA.
Justin WaltzOregon Health Authority, Portland, OR, USA.
Yvette MitchellNew York State Department of Health, Albany, NY, USA.
Kathy LeinenkugelIowa Department of Public Health, Des Moines, IA, USA.
Michel S OrielCalifornia Department of Pesticide Regulation, Sacramento, CA, USA.
Elizabeth EvansOffice of Pesticide Programs, United States Environmental Protection Agency, Washington, D.C., USA.
Geoffrey M CalvertDivision of Surveillance, Hazard Evaluations, and Field Studies, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Cincinnati, OH, USA. Electronic address: jac6@cdc.gov.
California Department of Pesticide Regulation · USNational Institute for Occupational Safety and Health · USFlorida Department of Health · USIowa Department of Public Health · USLouisiana State Department of Health and Hospitals · USMichigan Department of Health and Human Services · USNC Department of Health and Human Services · USNew York State Department of Health · USOregon Health Authority · USPublic Health Institute · USTexas Department of State Health Services · USWashington State Department of Health · US

Funding

Intramural CDC HHS CC999999
6 · The paper itself

Abstract

backgroundParaquat and diquat are among the most commonly used herbicides in the world.

objectivesDetermine the magnitude, characteristics, and root causes for acute paraquat- and diquat-related illnesses in the US

methodsIllnesses associated with paraquat or diquat exposure occurring from 1998 through 2011 were identified from the Sentinel Event Notification System for Occupational Risks (SENSOR)-Pesticides Program, the California Department of Pesticide Regulation (CDPR) Pesticide Illness Surveillance Program (PISP), and the Incident Data System (IDS). Cases identified by the National Poison Data System (NPDS) were reviewed for the years 1998-2003 and 2006-2013.

resultsA total of 300 paraquat- and 144 diquat-related acute illnesses were identified by SENSOR, PISP, and IDS. NPDS identified 693 paraquat- and 2128 diquat-related acute illnesses. In SENSOR/PISP/IDS, illnesses were commonly low severity (paraquat=41%; diquat=81%); however, SENSOR/PISP/IDS identified 24 deaths caused by paraquat and 5 deaths associated with diquat. Nineteen paraquat-related deaths were due to ingestion, seven of which were unintentional, often due to improper storage in beverage bottles. In SENSOR/PISP/IDS, paraquat and diquat-related acute illnesses were work-related in 68% (n=203) and 29% (n=42) of cases, respectively. When herbicide application site was known, the vast majority of acute paraquat-related illnesses (81%) arose from agricultural applications. Common root causes of illness were failure to use adequate personal protective equipment (PPE), application equipment failure, and spill/splash of herbicide.

conclusionsAlthough the magnitude of acute paraquat/diquat-related illnesses was relatively low, several fatalities were identified. Many illnesses could be prevented through stricter compliance with label requirements (e.g. ensuring proper herbicide storage and PPE use), and through enhanced training of certified applicators.

Indexed as

Environmental ExposureAccidents, OccupationalAdolescentAdultAgedChildDiquatFemaleHerbicidesHumansInfantMaleMiddle AgedOccupational ExposureParaquatUnited StatesDiquatHerbicidesParaquatAcute PoisoningsDiquatParaquatPesticidesSurveillance

Identifiers

PMID26775000
PMCPMC4920265
OpenAlexW2235769339

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.