Evidence map›Paper›PMID 28673345›Full record

ArticleBMC public health2017

Pesticide poisoning in Chitwan, Nepal: a descriptive epidemiological study.

Deepak Gyenwali, Abhinav Vaidya, Sundar Tiwari, Prakash Khatiwada, Daya Ram Lamsal, Shrikrishana Giri

Open access · goldAbstract readComparative StudyMulticenter Study
PubMed Full text at PMC Publisher
In one paragraph

Article in BMC public health, 2017. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 23 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed, 2 pooled it
10.6field-weighted citation impact, top 2% 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

23 citing papers in PubMed, 2 syntheses or guidelines pooled it, 67 citations in OpenAlex.

  1. Pooled it
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  8. Acute Pesticide Poisoning in Tobacco Farming, According to Different Criteria.International journal of environmental research and public health · 2023
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  20. Transient Diabetes Insipidus Following Organophosphorus Poisoning.Journal of critical care medicine (Universitatea de Medicina si Farmacie din Targu-Mures) · 2019
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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

6 authors at 5 institutions in 1 country.

Deepak GyenwaliFarming, Health and Environment Nepal Project, Nepal Public Health Foundation, Kathmandu, Nepal. deepaknu@gmail.com.ORCID 0000-0001-7322-461X
Abhinav VaidyaDepartment of Community Medicine, Kathmandu Medical College, Kathmandu, Nepal.
Sundar TiwariDepartment of Entomology, Agriculture and Forestry University, Rampur, Chitwan, Nepal.
Prakash KhatiwadaBharatpur Hospital, Bharatpur, Chitwan, Nepal.
Daya Ram LamsalChitwan Medical College, Teaching Hospital, Chitwan, Nepal.
Shrikrishana GiriNational Academy of Medical Sciences, Bir Hospital, Kathmandu, Nepal.
Chitwan Medical College · NPAgriculture and Forestry University · NPBir Hospital · NPKathmandu Medical College Teaching Hospital · NPNepal Health Research Council · NP

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundGlobally, there is a growing concern over pesticides use, which has been linked to self-harm and suicide. However, there is paucity of research on the epidemiology of pesticides poisoning in Nepal. This study is aimed at assessing epidemiological features of pesticides poisoning among hospital-admitted cases in selected hospitals of Chitwan District of Nepal.

methodsA hospital-based quantitative study was carried out in four major hospitals of Chitwan District. Information on all pesticides poisoning cases between April 1 and December 31, 2015, was recorded by using a Pesticides Exposure Record (PER) form.

resultsA total of 439 acute pesticides poisoning cases from 12 districts including Chitwan and adjoining districts attended the hospitals during the 9-month-long study period. A majority of the poisoned subjects deliberately used pesticides (89.5%) for attempted suicide. The total incidence rate was 62.67/100000 population per year. Higher annual incidence rates were found among young adults (111.66/100000 population), women (77.53/100000 population) and individuals from Dalit ethnic groups (98.22/100000 population). Pesticides responsible for poisoning were mostly insecticides (58.0%) and rodenticides (20.8%). The most used chemicals were organophosphates (37.3%) and pyrethroids (36.7%). Of the total cases, 98.6% were hospitalized, with intensive care required for 41.3%. The case fatality rate among admitted cases was 3.8%.

conclusionsThis study has indicated that young adults, females and socially disadvantaged ethnic groups are at a higher risk of pesticides poisoning. Pesticides are mostly misused intentionally as an easy means for committing suicide. It is recommended that the supply of pesticides be properly regulated to prevent easy accessibility and misuse. A population-based study is warranted to reveal the actual problem of pesticides exposure and intoxication in the community.

Indexed as

AdolescentAdultAgedAged, 80 and overAge FactorsChildChild, PreschoolEpidemiologic StudiesFemaleHospitalizationHumansInfantMaleMiddle AgedNepalPesticidesPesticidesPyrethrinsOrganophosphatesPesticidesPesticides exposurePoisoningSuicides

Identifiers

PMID28673345
PMCPMC5496432
OpenAlexW2729203525

What OpenQuestion holds

Textmetadata
LicenceCC BY
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.