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An update to EPA’s comprehensive manual for healthcare providers on toxicology, diagnosis, and treatment for patients with specific pesticide exposures is now available. The Recognition and Management of Pesticide Poisonings, 6th Edition provides clinicians with the tools to conduct environmental and occupational exposure screenings for patients with suspected pesticide-related illnesses or injuries, to report pesticide exposures to appropriate agencies, and provides access to the most up-to-date pesticide information and resources.
"This publication provides valuable tools and recommendations of how to diagnosis and treat pesticide exposure," says MCN's Chief Medical Officer, Ed Zuroweste, MD. "This resource should be on the desk of every clinician in the country who provides primary care for migrant and seasonal farmworkers," Zuroweste says.
Printed copies are available to order here free of charge. Download a pdf version here.
Jimmy Roberts, MD, MPH, and J. Routt Reigart, MD co-authored the updated pesticide manual, which features new chapters on the Pyrethrin and Pyrethroid class of pesticides, insect repellents, and updated information on newer insecticides like neonicotinoids. In addition, the text includes updated references, and where relevant, new treatment recommendations.
MCN’s Director of Environmental and Occupational Health, Amy K. Liebman, co-authored the chapter, “Making the Diagnosis,” along with Geoffrey M. Calvert, MD, MPH, Senior Medical Officer with the National Institute for Occupational Safety & Health's Division of Surveillance, Hazard Evaluations, and Field Studies. The chapter provides an overview of how clinicians can screen patients for potential environmental and occupational exposures to pesticides, and advises clinicians on the types of tests and samples to obtain to aid in diagnosing pesticide exposures.
MCN's Environmental and Occupational Health program partners with health centers across the US to incorporate a focus on the recognition and management of EOH exposures. Dr. Roberts has served as faculty for this program, training clinicians on pesticide toxicology and the treatment of pesticide exposures. Roberts and Calvert both serve on MCN's EOH Advisory Committee.
Visit our EOH Program page for more information about our health center partnership program. Visit the Toolbox/ Resources section of our website for more pesticide clinical resources and patient education resources.