Risk Communication

Community Self Assessment as a Health Education Strategy TOXINS EXPOSURE HEALTH EFFECT CHEMICAL During Spraying + + AMOUNTS In the household

Mapping of Thai Villages in Preparation for Studies

IPM Graduates Planning Self Reporting Meeting (Indonesia)

TRAINING PROCESS Five Day Training Day 1 & Day 2: Classroom exercises homework to practice data collection Day 3: Sample data collection Day 4: Data analysis Day 5: Feedback to Community

Thai children analyzing data from the field

1. PESTICIDES IN USE Thai children identifying pesticides in use

HOUSEHOLD PESTICIDES house #____ Brand name:_____________________ Common name: ___________________ Type: ___________________________ Chemical Family:__________________ (optional fill in later in class) LD50 value :­­­­_______________________(optional fill in later in class) WHO class:______________________ ( fill in later in class) Can you smell it?______ Is it leaking?_______ Is it open?_________

Active Ingredient (common name) Pesticide Classification Brand Name Type Active Ingredient (common name) Chemical Family WHO Hazard Level Folidol In methyl parathion Op Ia Monitor methamidophos Ib  

Pile Sorting Pesticides IPM trainers sorting pesticides by WHO hazard levels

Pesticide Classification by WHO Hazard Level and Chemical Family for Community Presentation WHO HAZARD LEVELS CHEMICAL FAMILIES Ia Extremely Hazardous Methly parathion- FOLIDOL Mevinphos-PHOSDRIN OP-organophosphates Methly parathion- FOLIDOL Mevinphos-PHOSDRIN Methamidophos-MONITOR Monocrotophos-AZODRIN Ib Highly Hazardous Methamidophos-MONITOR Monocrotophos-AZODRIN Methomyl-LANNATE C-Carbamates Methomyl-LANNATE Carbyl- SEVIN II –Moderately Hazardously Endosulfan – THIODAN Paraquat – GRAMOXONE Carbyl- SEVIN Deltamethrin-DECIS DDT Cypermethrin-VISHER OC-Organochlorines Endosulfan – THIODAN DDT PY-Pyrethroids Deltamethrin-DECIS Cypermethrin-VISHER

Results of Community Pesticide Survey in Cambodia Where Farmers Cannot Read the Labels

Pesticide Book Made by Thai School Children for Their Village

Pesticides sorted by Chemical Family in Community Meeting (Cambodia) Community Feedback Pesticides sorted by Chemical Family in Community Meeting (Cambodia)

Community Feedback Meeting Demonstrating How to Read Pesticide Labels (Cambodia)

2. Estimating Amounts of Pesticide Use per Year   2. Estimating Amounts of Pesticide Use per Year AMOUNT OF PESTICIDE SOLUTION USED BY FARMERS Farmer a. Tank size lt. b. tanks /session c. sessions per week d. # weeks per season e. sessions/ season (c*d) f. seasons per year Liters exposure per year a*b*e*f  Farmer- now Farmer-IPM   Total-now Total-IPM  fill in column ‘c.’ and ‘d.’only if spraying on a weekly basis. Otherwise use column ‘e.’ showing how many spray sessions per season.    fill in column ‘c.’ and ‘d.’only if spraying on a weekly basis. Otherwise use column ‘e.’ showing how many spray sessions per season.

Farmer Interviewing Another Farmer about Amounts of Pesticides Used (Vietnam)

3. EXPOSURE DURING SRAYING Farmers Drawing Common Spray Practices (Sri Lanka)

3. Exposure During Spraying spraying up wind 50% (Indo) Smoking 35% (Indo) leaking tank 75% (Thai) pesticide on hands (100%) wet back 100% (Thai-Indo

Personal Protective Equipment (PPE) Data Summary (n=1067) hats 69% goggles 7% masks 36% long sleeves 56% gloves 4% long skirt/pants 57% rubber boots 10% wet 98% wet 91%

Thai children’s presentation for parents on exposure

Wind blow, eat rice, drink water, breathe in, wet clothes, wet gloves, cuts, hand grabs leaking wand, hand grabs pesticide bottle, eat sweets, smoking, Thai children’s presentation for parents on hazardous behaviors that increase contamination pathways/risks

Women Farmers Preparing Data Summary for Community Meeting on Exposure and Personal Protection Equipment (Vietnam)

4. HOUSEHOLD MAPPING Safe = Unsafe = Storage Disposal Water Food Animal Child water storage = cooking area = pesticides = Garbage area: food storage =

Thai Students Displaying the Results of their Household Survey

Thai Household Details for Parents

Body Mapping with Cotton Farmers in India

5. Signs and Symptoms of Acute Pesticide Poisoning: Body Mapping

Exercise to Interpret if Signs and Symptoms are Pesticide Related Before spray After spray Next morning = Pesticide related? + No or chronic effect No Unclear maybe (late effect or another problem) Yes (late effect) Yes (short effect) Yes (prolonged effect)

Exam for tremors (Vietnam)

Examining for Gait Disorders (Indonesia)

Presenting Surveillance Data at Community Meeting (Vietnam)

Community Self Surveillance Sri Lanka

PPE Personal Protective Equipment

And More PPE

Parent Activity Questions Source of food and water Parent occupation? Shower after working before holding children? Work clothes and shoes in the house? Laundry practices ? Use household pesticides ? Garden pesticides ? House and car cleaning ? Pesticide storage? Location of day care? House near fields?

Key Household Safety Points “ Partly Trained Gorillas Always Run Down Streets Doing Cartwheels” Proximity Take home Garden Animals Recycle Decant Storage Disposal Child play/daycare