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目的分析上海市浦东新区农药中毒基本情况,掌握中毒发生的特点,加强农药中毒的预防和管理。方法对辖区内2009—2011年上报的“农村农药中毒报告卡及个案调查表”、农药中毒季报表、年报表进行分析和统计。结果 2009—2011年共计发生农药中毒587例,死亡12例,总中毒死亡率2.04%。其中生产性农药中毒112例,中毒死亡率为0;非生产性农药中毒475例,死亡12例,中毒死亡率2.53%;生产性农药中毒的时间特点比较明显,以7、8月份为主,占全部中毒人数的74.11%。结论浦东新区农药中毒以非生产性农药中毒为主;建议加强对从业人群进行安全操作和防护知识的培训;加强农药生产、销售、使用过程中各环节的监管力度,减少高毒农药的使用;减少误服、自杀等非生产性农药中毒的发生。提高社区卫生服务中心等医疗机构的诊断、急救能力,切实减少因农药中毒而造成的危害。
Objective To analyze the basic situation of pesticide poisoning in Pudong New Area, Shanghai, master the characteristics of poisoning and strengthen the prevention and management of pesticide poisoning. Methods The report of 2009-2011 rural pesticide poisoning reporting card and case investigation table, pesticide poisoning season report and annual report were analyzed and statistically analyzed. Results A total of 587 cases of pesticide poisoning occurred in 2009-2011, with 12 deaths and a total poisoning death rate of 2.04%. Including 112 cases of productive pesticide poisoning, the poisoning mortality rate was 0; 475 cases of unproductive pesticide poisoning, 12 cases of death, poisoning mortality rate of 2.53%; production of pesticide poisoning time characteristics more obvious in July and August, Accounting for 74.11% of the total number of poisoning. Conclusion Pesticide poisoning in Pudong New Area is dominated by unproductive pesticide poisoning. It is suggested to strengthen the training of practitioners in safe operation and protection knowledge; to strengthen supervision in all aspects of pesticide production, sale and use so as to reduce the use of highly toxic pesticides; Reduce misuse, suicide and other non-productive pesticide poisoning. Improve the diagnosis and first aid capacity of community health service centers and other medical institutions so as to effectively reduce the harm caused by pesticide poisoning.