Public Health Surveillance for the Prevention of Pesticide-Related Illness in Illinois

Menée aux Etats-Unis à partir de données d'hospitalisations, des prises en charge aux urgences et des centres anti-poisons sur la période 2010-2015, cette étude évalue la qualité des sources de données utilisées pour la surveillance des maladies liées aux pesticides (3 867 cas)

Résumé en anglais

Objectives: There is no pesticide related illness (PRI) surveillance program in Illinois. This study examines the quality of state-based data sources for their ability to inform public health surveillance on PRI.

Methods: We estimated the counts of PRI by probabilistic data linkage of hospital discharge, emergency department and poison center databases from 2010–2015. We characterized identified PRI cases.

Results: We identified 3,867 unique cases of PRI and 6,269 asymptomatic pesticide exposures. Out of the 3,867 PRI cases, there were 1,319 emergency department visits and 321 hospitalizations. We identified 13 deaths and 1,640 major or moderate effects from PRI. Over half of ingestion related exposures occurred in children aged 0–4 years. Workers’ compensation and Emergency Medical Service data were unusable.

Conclusion: An effective public health surveillance on PRI requires reliable state data sources and cost-effective methods of assembling data from multiple sources.