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Pesticides & Health

Information for Healthcare Providers

• To REPORT an acute pesticide-related illness or injury
• Report form DHHS 4077
• Brochure: The Physician's Reporting Responsibility Under State Public Health Law (PDF)
• Mandatory reporting rule 10A NCAC 41F .0101 -.0103 (PDF)
• To speak with experts regarding pesticide toxicology and clinical management
• Clinical management resources
• Pesticide training and education
• Case studies
• Patient teaching tools

To speak with experts regarding pesticide toxicology and clinical management:

• Carolinas Poison Center (CPC), 1-800-222-1222; request assistance. CPC has trained professionals to answer questions about pesticide toxicology and recommended treatment 24 hours a day.
• National Pesticide Information Center (NPIC) , 1-800-858-7378 An EPA-funded resource, NPIC provides information on pesticide toxicology and product-specific information. Find an MSDS (material safety data sheet) quickly by calling NPIC.
• N.C. Division of Public Health – Occupational and Environmental Epidemiology, 919-707-5900 Speak with a DPH toxicologist or medical epidemiologist (MD).

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Clinical management resources:

• See the U.S. EPA pesticide poisoning handbook, Recognition and Management of Pesticide Poisoning, 6th Ed. 2013, or call 1-703-305-7666.
• Migrant Clinicians Network - Resources to help with migrant workers.

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Pesticide training and education:

• N.C. Area Health Education Centers (AHEC) - Continuing education opportunities for health care providers.
• National Environmental Education Foundation : National Strategies for Health Care Providers: Pesticides Initiative - Developed to help educate health care providers on how to recognize, diagnose, and manage pesticide-related health conditions. Skill-building tools available.
• N.C. Agromedicine Institute - A University of North Carolina inter-institutional institute whose partners are East Carolina University, North Carolina State University, and North Carolina Agricultural and Technical State University. Offers continuing education opportunities for healthcare providers.

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Case studies:

• Association of Occupational and Environmental Clinics (AOEC): Educational Resources. Click on "Downloadable Powerpoint"; scroll to "Pesticide Illness" for downloadable presentation with case studies.
• National Pesticide Information Center (NPIC): Medical Cases and Topics for Healthcare Providers

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Patient teaching tools:

• Environmental Protection Agency (EPA):
  • See "General Consumer Publications" for safety tips, fact sheets, child safety and more.
  • See "Worker Protection Pesticide Safety Materials" for worker safety information such as:
    • Steps to Protect Yourself from Pesticides, U.S. EPA (735-F-95-002) (available in different languages)
    • Protect Yourself from Pesticides; Guide for Agricultural Workers, U.S. EPA (735-B-93-002) (available in English and Spanish)

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