Hematological alterations in Egyptian farmers occupationally exposed to pesticides

Hany Desouky, N. Rizk, Huda Said, Reham Abd El-Azeem
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Abstract

Background: Pesticides are agrochemicals extensively used all over the world for pest control and prevention, Egyptian farmers are occupationally exposed to many types of pesticides, making them at high risk for pesticide toxicity. Several studies have shown acute pesticide poisoning effects, but fewer have dealt with chronic pesticide toxicity, especially studies regarding pesticide's effects on hematological parameters. Objective: We aimed to evaluate hematological parameter changes related to long-term low-level pesticide exposure. Subjects and Methods: The blood samples were collected from 96 Egyptian farmers chronically exposed to mixed pesticides and 54 nonexposed controls. A Complete Blood Picture (CBC) was evaluated to explore the hematological indices alterations. Statistical analysis was conducted using IBM SPSS Statistics, version 25. Results: A significant decrease in hemoglobin, hematocrit, mean corpuscular volume, and mean corpuscular hemoglobin in addition to platelet count in the exposed farmers compared to the control, On the other hand, white blood cell count was significantly increased. Conclusion: Chronic occupational pesticide exposure of Egyptian farmers leads to a range of disorders in hematological indices. As an affordable and readily available test, the Complete Blood Picture can help in the chronic monitoring of farmers health status who are regularly exposed to pesticides.
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职业接触农药的埃及农民血液学变化
背景:农药是世界各地广泛用于防治病虫害的农用化学品,埃及农民在职业上接触多种农药,农药毒性风险很高。一些研究显示了农药的急性中毒效应,但较少涉及农药的慢性毒性,特别是农药对血液参数的影响的研究。目的:评价长期低剂量农药暴露对血液参数的影响。对象和方法:采集了96名长期暴露于混合农药的埃及农民和54名未暴露的对照者的血液样本。评估全血图(CBC)以探讨血液学指标的改变。采用IBM SPSS Statistics, version 25进行统计分析。结果:与对照组相比,暴露农民血红蛋白、红细胞压积、平均红细胞体积、平均红细胞血红蛋白和血小板计数均显著降低,白细胞计数显著增加。结论:埃及农民长期职业性农药暴露导致一系列血液学指标紊乱。作为一种负担得起且容易获得的测试,全血图可以帮助长期监测经常接触农药的农民的健康状况。
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