Evidence map›Paper›PMID 40278616›Full record

ArticleToxics2025

Assessment of Unintentional Acute Pesticide Poisoning (UAPP) Amongst Cotton Farmers in Tanzania.

Jones Ackson Kapeleka, Aiwerasia Vera Ngowi, Silvani Mng'anya, Sheila E Willis, Joey P Salmon, Keith F Tyrell, Stephanie Williamson, Michael Eddleston, Alexander M Stuart

Abstract read
In one paragraph

Article in Toxics, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
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

5 citing papers in PubMed.

  1. Article
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  4. Review
  5. Article
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

9 authors.

Jones Ackson KapelekaTanzania Plant Health and Pesticides Authority (TPHPA), Arusha P.O. Box 3024, Tanzania.
Aiwerasia Vera NgowiDepartment of Environmental and Occupational Health, Muhimbili University of Health and Allied Sciences, Dar es Salaam P.O. Box 65001, Tanzania.ORCID 0000-0002-0162-5606
Silvani Mng'anyaAGENDA for Environment and Responsible Development, Dar es Salaam P.O. Box 77266, Tanzania.
Sheila E WillisPesticide Action Network UK, Brighthelm Centre, Brighton BN1 1YD, UK.ORCID 0009-0003-2015-6459
Joey P SalmonPesticide Action Network UK, Brighthelm Centre, Brighton BN1 1YD, UK.ORCID 0009-0006-2668-3665
Keith F TyrellPesticide Action Network UK, Brighthelm Centre, Brighton BN1 1YD, UK.
Stephanie WilliamsonPesticide Action Network UK, Brighthelm Centre, Brighton BN1 1YD, UK.
Michael EddlestonCentre for Pesticide Suicide Prevention, University of Edinburgh, Edinburgh EH16 4TJ, UK.
Alexander M StuartPesticide Action Network UK, Brighthelm Centre, Brighton BN1 1YD, UK.ORCID 0000-0002-7804-2628

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

Pesticide poisoning is widely accepted as a major public health problem in low- and middle-income countries, especially in East Africa. However, a very high proportion of unintentional poisonings are either unreported or misreported. To help fill this knowledge gap, we investigated the scale of unintentional acute pesticide poisoning (UAPP) in cotton-growing communities in Tanzania by conducting a cross-sectional survey of 1074 cotton farmers or farm workers. The findings from this study revealed a high incidence of self-reported negative health effects following occupational pesticide exposure, with 48% of respondents experiencing symptoms of UAPP within the previous 12 months. Furthermore, the substantial proportion of UAPP incidents were associated with a few highly hazardous pesticides (HHPs), particularly profenofos, lambda cyhalothrin, and co-formulations with both chlorpyrifos and cypermethrin. Of those reporting UAPP, only 6% sought medical treatment in a formal healthcare setting. The findings from this study clearly indicates an urgent need for improved pesticide regulation, the scale up of community surveillance, and the promotion of less hazardous alternatives to the use of HHPs. We provide policy recommendations and identify alternatives to HHPs for cotton pest management.

Indexed as

alternativeschlorpyrifoscotton farmerscypermethrinhighly hazardous pesticideslambda cyhalothrinpersonal protective equipment (PPE)pesticide exposureprofenofos

Identifiers

PMID40278616
PMCPMC12031290

What OpenQuestion holds

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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.