Chlorpyrifos Exposure and Respiratory Health among Egyptian Adolescent Agricultural WorkersAbstract Number:1731 Catherine Callahan*, Manal Al-Batanony, Ahmed A. Ismail, Gaafar Abdel Rasoul, Olfat Hendy, James R. Olson, Diane S. Rohlman, and Matthew R. Bonner Catherine Callahan* Department of Epidemiology and Environmental Health, State University of New York at Buffalo, United States, E-mail Address: [email protected] Search for more papers by this author , Manal Al-Batanony Community Medicine and Public Health Department, Faculty of Medicine, Menoufia University, Egypt, E-mail Address: [email protected] Search for more papers by this author , Ahmed A. Ismail Community Medicine and Public Health Department, Faculty of Medicine, Menoufia University, Egypt, E-mail Address: [email protected]ail.com Search for more papers by this author , Gaafar Abdel Rasoul Community Medicine and Public Health Department, Faculty of Medicine, Menoufia University, Egypt, E-mail Address: [email protected] Search for more papers by this author , Olfat Hendy Clinical Pathology and Hematology and Immunology, Menoufia University, Egypt, E-mail Address: [email protected] Search for more papers by this author , James R. Olson Department of Epidemiology and Environmental Health, State University of New York at Buffalo.Department of Pharmacology and Toxicology, State University of New York at Buffalo , United States, E-mail Address: [email protected] Search for more papers by this author , Diane S. Rohlman Occupational and Environmental Health, University of Iowa.Center for Research on Occupational and Environmental Toxicology, Oregon Health and Science University , United States, E-mail Address: [email protected] Search for more papers by this author , and Matthew R. Bonner Department of Epidemiology and Environmental Health, State University of New York at Buffalo, United States, E-mail Address: [email protected] Search for more papers by this author AbstractChlorpyrifos (CPF) is a commonly used organophosphate insecticide worldwide. The respiratory system is a target of CPF toxicity and CPF has been linked with wheezing in previous epidemiologic studies. We hypothesized that CPF exposure is inversely associated with lung function. We conducted a 10-month study of adolescent male pesticide applicators (n=37) and non-applicator controls of similar age (n=21).Eight spot urine samples and 2 pulmonary function tests were performed throughout the study. A baseline questionnaire queried history of wheezing. We report on forced expiratory volume in one second (FEV1) and forced vital capacity (FVC). TCPy urinary 3,5,6- trichloro-2-pyridinol (TCPy), a CPF specific metabolite, was analyzed using negative-ion chemical ionization gas chromatography–mass spectrometry. Cumulative TCPy was calculated by measuring the area under the TCPy excretion curve. Linear regression was used to assess the association between cumulative TCPy and spirometric measurements adjusting for age, height, weight and exposure to diesel exhaust. These analyses were performed for 2 time points: day 146, which corresponds to the end of spraying and day 269, after spraying when TCPy levels had returned near baseline. On day 146, a 1000 µg/g creatinine increase in TCPy was associated with a decrease in mean FEV1 of 12.77% (95% confidence interval (CI): -34.87; 9.33), and a decrease in mean FVC of 12.55% (95%CI: -36.40; 11.30). Compared to non-applicators, applicators had higher odds of wheeze, odds ratio = 6.43 (95% CI: 0.75; 54.87). Although preliminary, our results are consistent with an association between self-reported wheeze and pesticide applicator status as well as an association between spirometric measurements and urinary TCPy immediately after the spray season. Our small sample size reduces the precision of our results. Spirometric testing is difficult to standardize and the lack of a true baseline assessment complicate inferences.