TY - JOUR

T1 - Identification of strategies to prevent death after pesticide self-poisoning using a Haddon matrix

AU - Eddleston, M

AU - Buckley, N A

AU - Gunnell, D

AU - Dawson, A H

AU - Konradsen, F

N1 - Keywords: Alcohol Drinking; Environmental Health; Female; Health Promotion; Humans; Male; Organophosphorus Compounds; Patient Acceptance of Health Care; Pesticides; Risk Assessment; Self-Injurious Behavior; Sri Lanka

PY - 2006

Y1 - 2006

N2 - Despite pesticide self-poisoning causing around 300 000 deaths each year in the rural Asia Pacific region, no comprehensive public health response has yet been formulated. The authors have developed a Haddon matrix to identify factors that increase the risk of fatal rather than non-fatal pesticide self-poisoning in Sri Lanka. Many important host factors such as age, gender, and genetics are not alterable; factors that could be changed-alcohol use and mental health-have previously proved difficult to change. Interventions affecting agent or environmental factors may be easier to implement and more effective, in particular those limiting the human toxicity and accessibility of the pesticides, and the quality, affordability, and accessibility of health care in the community. Controlled studies are required to identify effective strategies for prevention and harm minimization and to garner political support for making the changes necessary to reduce this waste of life. Lessons learnt from Sri Lanka are likely to be highly relevant for much of rural Asia.

AB - Despite pesticide self-poisoning causing around 300 000 deaths each year in the rural Asia Pacific region, no comprehensive public health response has yet been formulated. The authors have developed a Haddon matrix to identify factors that increase the risk of fatal rather than non-fatal pesticide self-poisoning in Sri Lanka. Many important host factors such as age, gender, and genetics are not alterable; factors that could be changed-alcohol use and mental health-have previously proved difficult to change. Interventions affecting agent or environmental factors may be easier to implement and more effective, in particular those limiting the human toxicity and accessibility of the pesticides, and the quality, affordability, and accessibility of health care in the community. Controlled studies are required to identify effective strategies for prevention and harm minimization and to garner political support for making the changes necessary to reduce this waste of life. Lessons learnt from Sri Lanka are likely to be highly relevant for much of rural Asia.

U2 - 10.1136/ip.2006.012641

DO - 10.1136/ip.2006.012641

M3 - Journal article

C2 - 17018677

VL - 12

SP - 333

EP - 337

JO - Injury Prevention

JF - Injury Prevention

SN - 1353-8047

IS - 5

ER -