Children's Pesticide Research Articles

Frequency of urinary pesticides in children: a scoping review.

Pesticides are any mix of ingredients and substances used to eliminate or control unwanted vegetable or animal species recognized as plagues. Its use has been discussed in research due to the scarcity of strong scientific evidence about its health effects. International literature is still insufficient to establish a global recommendation through public policy. This study aims to explore international evidence of the presence of pesticides in urine samples from children and their effects on health through a scoping review based on the methodology described by Arksey and O'Malley. The number of articles resulting from the keyword combination was 454, and a total of 93 manuscripts were included in the results and 22 were complementary. Keywords included in the search were: urinary, pesticide, children, and childhood. Children are exposed to pesticide residues through a fruit and vegetable intake environment and household insecticide use. Behavioral effects of neural damage, diabetes, obesity, and pulmonary function are health outcomes for children that are commonly studied. Gas and liquid chromatography-tandem mass spectrometry methods are used predominantly for metabolite-pesticide detection in urine samples. Dialkylphosphates (DAP) are common in organophosphate (OP) metabolite studies. First-morning spot samples are recommended to most accurately characterize OP dose in children. International evidence in PubMed supports that organic diets in children are successful interventions that decrease the urinary levels of pesticides. Several urinary pesticide studies were found throughout the world's population. However, there is a knowledge gap that is important to address (public policy), due to farming activities that are predominant in these territories.

Harmonized human biomonitoring in European children, teenagers and adults: EU-wide exposure data of 11 chemical substance groups from the HBM4EU Aligned Studies (2014-2021).

As one of the core elements of the European Human Biomonitoring Initiative (HBM4EU) a human biomonitoring (HBM) survey was conducted in 23 countries to generate EU-wide comparable HBM data. This survey has built on existing HBM capacity in Europe by aligning national or regional HBM studies, referred to as the HBM4EU Aligned Studies. The HBM4EU Aligned Studies included a total of 10,795 participants of three age groups: (i) 3,576 children aged 6-12 years, (ii) 3,117 teenagers aged 12-18 years and (iii) 4,102 young adults aged 20-39 years. The participants were recruited between 2014 and 2021 in 11-12 countries per age group, geographically distributed across Europe. Depending on the age group, internal exposure to phthalates and the substitute DINCH, halogenated and organophosphorus flame retardants, per- and polyfluoroalkyl substances (PFASs), cadmium, bisphenols, polycyclic aromatic hydrocarbons (PAHs), arsenic species, acrylamide, mycotoxins (deoxynivalenol (total DON)), benzophenones and selected pesticides was assessed by measuring substance specific biomarkers subjected to stringent quality control programs for chemical analysis. For substance groups analyzed in different age groups higher average exposure levels were observed in the youngest age group, i.e., phthalates/DINCH in children versus teenagers, acrylamide and pesticides in children versus adults, benzophenones in teenagers versus adults. Many biomarkers in teenagers and adults varied significantly according to educational attainment, with higher exposure levels of bisphenols, phthalates, benzophenones, PAHs and acrylamide in participants (from households) with lower educational attainment, while teenagers from households with higher educational attainment have higher exposure levels for PFASs and arsenic. In children, a social gradient was only observed for the non-specific pyrethroid metabolite 3-PBA and di-isodecyl phthalate (DiDP), with higher levels in children from households with higher educational attainment. Geographical variations were seen for all exposure biomarkers. For 15 biomarkers, the available health-based HBM guidance values were exceeded with highest exceedance rates for toxicologically relevant arsenic in teenagers (40%), 3-PBA in children (36%), and between 11 and 14% for total DON, Σ (PFOA+PFNA+PFHxS+PFOS), bisphenol S and cadmium. The infrastructure and harmonized approach succeeded in obtaining comparable European wide internal exposure data for a prioritized set of 11 chemical groups. These data serve as a reference for comparison at the global level, provide a baseline to compare the efficacy of the European Commission's chemical strategy for sustainability and will give leverage to national policy makers for the implementation of targeted measures.

Risk Behavior for Pesticide Exposure in Children living in Agricultural Area

Chemical pesticides are mixtures of chemicals used to control or kill pests. Pesticides are often used in agriculture to maintain and increase agricultural production, but have a negative impact on the environment and public health. Children who live in agricultural areas are a group at risk of exposure to pesticides due to activities such as playing and participating in agricultural activities. The purpose of this study was to identify the behavior at risk of exposure to pesticides in children in the agricultural area of ​​Bulakamba District. This type of research is descriptive with a cross-sectional study design. The research variable is the identification of behavior at risk of exposure to pesticides in children. The subjects of the study were elementary school students in the Bulakamba district as many as 48 students. Data were collected by interview, observation, and examination of pesticide metabolites in students' urine. . The results showed that of the 48 students exposed to pesticides, 17 students were positive for pesticide metabolites and 31 students were negative. Risk behavior is the work of parents as farmers from 19 students there are 10 students who are positively exposed to pesticides, the habit of playing in agricultural areas from 18 students there are 11 students who are exposed to pesticides, the habit of helping with agricultural activities from 15 students there are 10 students positive for pesticides and the habit of storing pesticides in the home environment of 21 students there are 11 students positively exposed to pesticides.

Preschool-Age Children's Pesticide Exposures in Child Care Centers and at Home in Northern California.

Young children may be exposed to pesticides used in child care centers and their family homes. We examined pesticide use and environmental and behavioral factors potentially associated with child exposures in these settings. Preschool-age children (n=125) wore silicone wristbands to assess pesticide exposures in their child care centers and home environments. Information about environmental and behavioral exposure determinants was collected using parent surveys, child care director interviews, and observations. Commonly detected pesticides were bifenthrin, chlorpyrifos, cypermethrin, fipronil, and cis- and trans-permethrin. Pesticide chemical storage onsite, cracks in the walls, using doormats, observed pests, or evidence of pests were associated with child exposures. Exposures were higher in counties with higher agricultural or commercial pesticide use or when children lived in homes near agricultural fields. Young children are being exposed to harmful pesticides, and interventions are needed to lower their risk of health problems later in life.

Cumulative Pesticides Exposure of Children and Their Parents Living near Vineyards by Hair Analysis.

The aim of the present work was the application of hair biomonitoring to investigate exposure to pesticides in children and their parents residing in a vineyard area. Thirty-three children and 16 parents were involved in the study. Hair samples were self-collected before and after the application season (PRE- and POST-EXP samples). Information on study subjects and the use of pesticides in the area were obtained. Thirty-nine pesticides were analyzed by liquid chromatography tandem mass spectrometry, and thirty-one pesticides were quantifiable in at least one hair sample. Most frequently detected pesticides were chlorpyrifos, cycloxidim, dimethomorph, metalaxyl, spiroxamine, and tetraconazole. From PRE-EXP to POST-EXP the percentage of quantification and/or the concentration of pesticides increased; the concentration was typically in the low pg/mg hair range with comparable levels in children and parents. An inverse correlation was found between the total exposure to pesticides in POST-EXP hair samples and the distance between home and the treated fields (Spearman ρ = −0.380, p = 0.01). The results of this study show that the majority of the study pesticides were measured in the hair of subjects living in the close proximity of treated vineyards, supporting the determination of pesticides in hair for the purpose of biomonitoring cumulative exposure in the general population.

Pyrethroid exposure among children residing in green versus non-green multi-family, low-income housing.

Background:There is growing concern about children’s chronic low-level pesticide exposure and its impact on health. Green building practices (e.g. reducing leakage of the thermal and pressure barrier that surrounds the structure, integrated pest management, improved ventilation) have the potential to reduce pesticide exposure. However, the potential impact of living in green housing on children’s pesticide exposure is unknown.Objective:To address this question, a longitudinal study of pyrethroid metabolites (3-phenoxybenzoic acid [3-PBA], 4-fluoro-3-phenoxybenzoic acid [4-F-3-PBA], trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane carboxylic acid [trans-DCCA]) in first morning void urine, collected from 68 children from New Orleans, Louisiana residing in green and non-green housing was conducted.Methods:Children were followed for one year with three repeated measures of pesticide exposure. Generalized Estimating Equations examined associations between housing type (green v non-green) and urinary pyrethroid metabolite concentrations adjusting for demographic and household factors over the year.Results:Ninety-five percent of samples had detectable concentrations of 3-PBA (limit of detection [LOD]: 0.1 μg/L); 8% of 4-F-3-PBA (LOD: 0.1 μg/L), and 12% of trans-DCCA (LOD: 0.6 μg/L). In adjusted models, green housing was not associated with statistically significant differences in children’s 3-PBA urinary concentrations compared to non-green housing.Significance:In this study, green building practices had no impact on children’s pyrethroid urinary concentrations. Further studies with larger sample sizes are needed to confirm these findings.

Organic diet intervention significantly reduces urinary glyphosate levels in U.S. children and adults

BackgroundA growing set of studies show that an organic diet is associated with reduced levels of urinary pesticide analytes. However, with the exception of one pilot study of two individuals, diet intervention studies to date have not analyzed glyphosate, the most commonly used herbicide in the United States and globally. ObjectiveTo investigate the impact of an organic diet intervention on levels of glyphosate and its main metabolite, AMPA (aminomethyl phosphonic acid), in urine collected from adults and children. MethodsWe analyzed urine samples from four racially and geographically diverse families in the United States for five days on a completely non-organic diet and for five days on a completely organic diet (n = 16 participants and a total of 158 urine samples). ResultsMean urinary glyphosate levels for all subjects decreased 70.93% (95% CI -77.96, −61.65, p<0.010) while mean AMPA levels decreased by 76.71% (95% CI -81.54, −70.62, p < 0.010) within six days on an organic diet. Similar decreases in urinary levels of glyphosate and AMPA were observed when data for adults were examined alone, 71.59% (95% CI -82.87, −52.86, p < 0.01) and 83.53% (95% CI -88.42, −76.56, p < 0.01) and when data for children were examined alone, 70.85% (95% CI -78.52, −60.42, p < 0.01) and 69.85% (95% CI -77.56, −59.48, p < 0.01). ConclusionAn organic diet was associated with significantly reduced urinary levels of glyphosate and AMPA. The reduction in glyphosate and AMPA levels was rapid, dropping to baseline within three days. This study demonstrates that diet is a primary source of glyphosate exposure and that shifting to an organic diet is an effective way to reduce body burden of glyphosate and its main metabolite, AMPA. This research adds to a growing body of literature indicating that an organic diet may reduce exposure to a range of pesticides in children and adults.

Exposure and cumulative risk assessment to non-persistent pesticides in Spanish children using biomonitoring

The main objective of the present research is to evaluate the exposure to pesticides in children (n = 568) from the Valencian Region (Spain). Six non-specific and 20 specific metabolites of organophosphate pesticides (OPs), herbicides (Herb), and pyrethroids (Pyr) were analyzed in urine samples. The biomarkers with the highest detection frequencies (>70%) were diethyl phosphate, p-nitrophenol, 3-phenoxybenzoic acid, and 3,5,6-trichloro-2-pyridinol, whose geometric mean concentrations (ng·ml-n1) were 1.53, 1.03, 1.51 and 1.19, respectively. Robust regression models showed that the province of residence and the recent consumption of vegetables, legumes and cereals were some of the most important predictors of pesticide exposure. Pesticide risk assessment is estimated using two different strategies: one based on the pesticides' mode of action (MoA); and the other based on cumulative assessment groups (CAGs), proposed by EFSA. The estimated daily intakes (EDIs) ranged from 0.08 (chlorpyrifos) to 1.62 μg·kg bw-1 (λ-cyhalothrin). The MoA approach resulted in hazard quotients ranging from 0.01 (chlorpyrifos) to 0.65 (λ-cyhalothrin), and a hazard index for OPs lower than 1. Similarly, the risk assessment based on CAGs led to total margins of exposure (MOETs) far from 100. In conclusion, both risk assessment strategies does not reveal any evidence of a potential health risk due to pesticide exposure in Spanish children.

Urinary organophosphate metabolites and oxidative stress in children living in agricultural and urban communities.

Exposure to organophosphate (OP) pesticides in children may increase oxidative stress, resulting in the development of chronic diseases. This study aims to compare urinary OP metabolites and oxidative stress between children in agricultural and urban communities. The study also investigated the factors associated with urinary OP metabolites among children. Urine samples were collected from children for measuring levels of OP metabolites, glutathione (GSH), and malondialdehyde (MDA). The remarkable findings were that total dialkylphosphate (DAP) levels detected among children in this agricultural community were significantly higher than those from the urban community (P = 0.001). Multiple linear regression showed that total diethylphosphate (DEP) levels among children in the agricultural community were negatively associated with distances from children's residence to the agricultural fields (β ± SE. = - 1.535 ± 0.334, 95%CI = - 2.202, - 0.863) and positively associated with playing on farms (β ± SE. = 0.720 ± 0.342, 95%CI = 0.036, 1.405). In addition, total dimethylphosphate (DMP) levels were positively associated with children working on farms (β ± SE. = 0.619 ± 0.264, 95%CI = 0.091, 1.147). Importantly, GSH levels among children in the agricultural community were significantly lower than those in the urban community (P < 0.001), but MDA levels did not differ. These results therefore suggest that children can be exposed to OPs both outdoors and indoors. Our results also provide supporting evidence that OP exposure can cause oxidative stress in children. As oxidative stress contributes to several chronic diseases, a good proposed strategy for the future would include measurement of oxidative stress biomarkers among children exposed to OPs as an early warning of chronic diseases.

Urinary levels of organophosphate pesticides and predictors of exposure in pre-school and school children living in agricultural and urban communities from south Spain

Background. Despite the widespread use of organophosphate (OP) pesticides, information on predictors of children's exposure to such pesticides is scarce.Objective. To assess exposure to OP pesticides in children 3-11 year-old living in agricultural communities and urban areas from Andalusia (Southern Spain), and to identify the main determinants of exposure.Methods. A longitudinal study was conducted in children 3-11-year-old children living in agricultural communities and urban areas from the provinces of Almeria, Granada and Huelva (Andalusia, Spain) between 2010 and 2011. Urinary levels of six dialkylphosphate (DAP) metabolites were measured by UHPLC-QqQ-MS/MS at the periods of low and high pesticide use in the agriculture (LPU and HPU, respectively). Information on sociodemographic characteristics, parental occupation, residential history, lifestyle and diet, among other relevant factors, was obtained from questionnaires administered to the mothers.Results. A total of 559 and 597 children participated in LPU and HPU periods, respectively. The proportion of urine samples below LOD was 67.4% for ΣDMs (sum of dimethyl metabolites), 77% for ΣDEs (sum of diethyl metabolites) and 58.5% for ΣDAPs (sum of total dialkylphosphate metabolites) in LPU period, and 50.4% for ΣDMs, 65.3% for ΣDEs and 43.9% for ΣDAPs in HPU period. Significantly greater urinary ΣDAP, ΣDM and ΣDE levels were observed in HPU relative to LPU period. Maternal schooling years, proximity of the house to crops or greenhouses, use of insecticides at home, spraying the garden with pesticides, storage of pesticides at home, house cleaning frequency, as well as child's frequency of bath/shower, were found to be the major predictors of urinary levels of ΣDAP. Likewise, not washing fruit and vegetables before consumption and banana consumption were also identified as determinants of the exposure levels.Conclusions. Urinary levels of metabolites of OP pesticides found in this study were relatively lower compared to similar studies. DAP levels were significantly increased in HPU period. Maternal schooling years and variables related to residential environment and home exposures were identified as the most relevant determinants of DAP metabolites. Regarding diet, banana consumption and not washing fruit before consumption were also identified as determinants of the exposure levels. This study contributes to improve our knowledge on the main sources and determinants of children exposure to OPS, and given that children are more vulnerable than adults this information is essential to reduce children exposure and protect their health.

Respiratory and Allergic Effects in Children Exposed to Pesticides-A Systematic Review.

Pesticide exposure may affect children’s respiratory and allergic health, although results from epidemiological studies have not reached consensus. This review aims to analyze the scientific evidence on respiratory and allergic effects of exposure to agricultural pesticides in children aged up to 12 years old. The databases PubMed, Web of Science, Scielo, and Lilacs were screened to select articles published in English, Spanish, or Portuguese, and 21 articles were included in this review. Most investigations were conducted in North America (mostly in the United States), while no studies conducted in Latin America or Africa were found, despite their intensive use of pesticides. Children are exposed to pesticides through multiple pathways from the prenatal period throughout later developmental stages and may experience several respiratory effects. Most studies (79%) found positive associations with pesticide exposure and children’s respiratory and allergic effects such as asthma, wheezing, coughs, acute respiratory infections, hay fever, rhinitis, eczema, chronic phlegm, and lung function impairments. Contrastingly, 21% of the studies found no associations between pesticide exposure and children’s respiratory health. The vast differences among the characteristics of the studies hamper any comparison of the results. Exposure to pesticides may have several impacts on childhood respiratory health. More studies must be conducted, especially in low- and middle-income countries, preferably with comparable research protocols adapted to local realities. Efforts should be made to develop comprehensive risk mitigation strategies and behavioral interventions to reduce children’s exposure to pesticides used in agriculture and respiratory health effects, and to ensure healthy childhood growth.

Urinary metabolites of organophosphate and pyrethroid pesticides in children from an Italian cohort (PHIME, Trieste)

Urinary metabolites of organophosphate and pyrethroid pesticides in children from an Italian cohort (PHIME, Trieste)

Effect of a 24-week randomized trial of an organic produce intervention on pyrethroid and organophosphate pesticide exposure among pregnant women

BackgroundIntroduction of an organic diet can significantly reduce exposure to some classes of pesticides in children and adults, but no long-term trials have been conducted. ObjectivesTo assess the effect of a long-term (24-week) organic produce intervention on pesticide exposure among pregnant women. MethodsWe recruited 20 women from the Idaho Women, Infants, and Children (WIC) program during their first trimester of pregnancy. Eligible women were nonsmokers aged 18–35 years who reported eating exclusively conventionally grown food. We randomly assigned participants to receive weekly deliveries of either organic or conventional fruits and vegetables throughout their second or third trimesters and collected weekly spot urine samples. Urine samples, which were pooled to represent monthly exposures, were analyzed for biomarkers of organophosphate (OP) and pyrethroid insecticides. ResultsFood diary data demonstrated that 66% of all servings of fruits and vegetables consumed by participants in the “organic produce” group were organic, compared to <3% in the “conventional produce” group. We collected an average of 23 spot samples per participant (461 samples total), which were combined to yield 116 monthly composites. 3-Phenoxybenzoic acid (3-PBA, a non-specific biomarker of several pyrethroids) was detected in 75% of the composite samples, and 3-PBA concentrations were significantly higher in samples collected from women in the conventional produce group compared to the organic produce group (0.95 vs 0.27 μg/L, p = 0.03). Another pyrethroid biomarker, trans-3-(2,2-dichlorovinyl)-2,2-dimethylcyclopropane carboxylic acid, was detected more frequently in women in the conventional compared to the organic produce groups (16% vs 4%, p = 0.05). In contrast, we observed no statistically significant differences in detection frequency or concentrations for any of the four biomarkers of OP exposure quantified in this trial. DiscussionTo our knowledge, this is the first long-term organic diet intervention study, and the first to include pregnant women. These results suggest that addition of organic produce to an individual's diet, as compared to conventional produce, significantly reduces exposure to pyrethroid insecticides.

An epidemiological snapshot of toxicological exposure in children 12 years of age and younger in Riyadh.

ABSTRACTBACKGROUND: Poisoning among the pediatric population is an important public health concern that is responsible for frequent pediatric emergency department visits and hospital admissions. Surveillance of poisoning cases is essential for designing and implementing effective preventive strategies.OBJECTIVE: Describe the characteristics of acute poison exposure and related therapeutic interventions in children aged 12 years and younger.DESIGN: Prospective, descriptive cross-sectional study.SETTING: Two pediatric emergency departments in Riyadh.PATIENTS AND METHODS: We prospectively reviewed pediatric poisonings that presented to emergency departments over a period of two years.MAIN OUTCOME MEASURES: Epidemiological aspects of pediatric poisoning Riyadh.SAMPLE SIZE: 1035 patients.RESULTS: The median (IQR) age at the time of exposure was 27 (23–42) months. The most frequently involved substance class was toxic household products in children younger than 6 years and pesticides in children 6 years or older. A frequently involved single agent was paracetamol in younger and older children. The majority of patients (78.7%) were completely asymptomatic at the time of presentation and during the observation period. Almost half of the exposure incidents (47.8%) needed no intervention. Most exposure incidents (95%) did not require any pharmacological support and most (87%) did not require nonpharmacological intervention. Eight (0.7%) patients required intubation and mechanical ventilation. Activated charcoal was administered for 27% of cases. Gastric lavage, whole bowel irrigation, and ipecac were used in a few cases (1%, 0.3%, and 0.1%, respectively). Enhanced elimination interventions were performed for only 0.5% of exposure cases. Only two patients died.CONCLUSIONS: Household products were the commonest reason for pediatric poisonings in Saudi Arabia and most of them were asymptomatic. Our results suggest a need for strategic plans for prevention and care.LIMITATIONS: May not be representative of the experiences and practices of smaller hospitals in remote regions of the country.CONFLICT OF INTEREST: None.

Urinary metabolites of organophosphate and pyrethroid pesticides in children from an Italian cohort (PHIME, Trieste)

Urinary metabolites of organophosphate (OP) and pyrethroid (PYR) pesticides from seven years old children of a birth cohort study (n=199; PHIME cohort of Trieste, Italy) have been measured. Six OP and two PYR metabolites have been investigated, 2-diethylamino-6-methylpyrimidin-4-ol (DEAMPY, pirimiphos metabolite) was the one found at higher concentrations, median 3.4 ng/mL specific gravity adjusted (SG adjusted), followed by 4-nitrophenol (PNP, median 1.4 ng/mL SG adjusted) and 3,5,6-trichloro-2-pyridinol (TCPY, median 0.36 ng/mL SG adjusted), parathion and chlorpyriphos metabolites, respectively. TCPY concentrations were low in comparison to other distributions of OP metabolites in children from other studies. Accordingly, the PHIME cohort showed a distinct OP metabolite distribution with high concentrations of pirimiphos and parathion. Another specific characteristic of this cohort was the high concentration of 3-phenoxybenzoic acid (3-BPA, median 0.36 ng/mL SG adjusted), a general metabolite of PYR pesticides.Evaluation of anthropometric and socio-demographic characteristics of children and families only showed a positive association between family educational level and urinary concentrations of DEAMPY metabolite (p<0.05), which could reflect distinct dietary habits depending on the educational level. Estimated daily intakes were evaluated, all studied metabolites were found within safe levels.

Organic diet intervention significantly reduces urinary pesticide levels in U.S. children and adults

BackgroundPrevious diet intervention studies indicate that an organic diet can reduce urinary pesticide metabolite excretion; however, they have largely focused on organophosphate (OP) pesticides. Knowledge gaps exist regarding the impact of an organic diet on exposure to other pesticides, including pyrethroids and neonicotinoids, which are increasing in use in the United States and globally. ObjectiveTo investigate the impact of an organic diet intervention on levels of insecticides, herbicides, and fungicides or their metabolites in urine collected from adults and children. MethodsWe collected urine samples from four racially and geographically diverse families in the United States before and after an organic diet intervention (n = 16 participants and a total of 158 urine samples). ResultsWe observed significant reductions in urinary levels of thirteen pesticide metabolites and parent compounds representing OP, neonicotinoid, and pyrethroid insecticides and the herbicide 2,4-D following the introduction of an organic diet. The greatest reductions were observed for clothianidin (− 82.7%; 95% confidence interval [95% CI]: − 86.6%, − 77.6%; p < 0.01), malathion dicarboxylic acid (MDA), a metabolite of malathion (− 95.0%; 95% CI: − 97.0%, − 91.8%; p < 0.01), and 3,5,6-trichlor-2-pyridinol (TCPy), a metabolite of chlorpyrifos (− 60.7%; 95% CI: − 69.6%, − 49.2%; p < 0.01). Metabolites or parent compounds of the fungicides boscalid, iprodione, and thiabendazole and the neonicotinoid insecticide imidacloprid were not detected among participants in our study. ConclusionAn organic diet was associated with significant reductions in urinary excretion of several pesticide metabolites and parent compounds. This study adds to a growing body of literature indicating that an organic diet may reduce exposure to a range of pesticides in children and adults. Additional research is needed to evaluate dietary exposure to neonicotinoids, which are now the most widely used class of insecticides in the world.

DNA damage induced by exposure to pesticides in children of rural areas in Paraguay.

Background & objectives:Chronic exposure to pesticides can damage DNA and lead to cancer, diabetes, respiratory diseases and neurodegenerative and neurodevelopment disorders. The objective of this study was to determine the frequency of DNA damage through the comet assay and micronucleus (MN) test in two groups of children, under 10 yr of age living in rural Paraguay and in relation to pesticide exposure.Methods:Two groups of 5 to 10 yr old children were formed; the exposed group (group A, n=43), born and currently living in a community dedicated to family agriculture and surrounded by transgenic soybean crops, and the control group (group B, n=41), born and living in a community dedicated to family agriculture with biological control of pests. For each child, 2000 cells were studied for the MN test and 200 cells for the comet assay.Results:The comparison between exposed and control children revealed significant differences in biomarkers studied for the measurement of genetic damage (cell death and DNA damage). The median of MN was higher in the exposed group (6 vs. 1) (P<0.001). Binucleated cells (2.9 vs. 0.5, P<0.001); broken eggs (5.5 vs. 1.0, P<0.001); karyorrhexis (6.7 vs. 0.5, P<0.001); kariolysis (14.0 vs. 1.0, P<0.001); pyknosis (7.4 vs. 1.2, P<0.001) and condensed chromatin (25.5 vs. 7.0, P<0.001) were significantly higher in the exposed group. The values of tail length (59.1 vs 37.2 μm); tail moment (TM) (32.8 vs. 14.4 μm); TM olive (15.5 vs. 6); % DNA tail (45.2 vs. 27.6) and % DNA head (54.8 vs. 72.4), were significantly different between the two groups.Interpretations & conclusions:In children exposed to pesticides, a greater genotoxic and cytotoxic effect was observed compared to non-exposed children. Our findings suggest that monitoring of genetic toxicity in population exposed to pesticides and agrochemicals should be done.

A Cross-Over Health Intervention Trial of Children Consuming an Organic Diet

Introduction: The effectiveness of a systematic organic diet in improving key parameters of health in human studies has not been well studied. The objective of this study was to determine the intervention effectiveness of an organic diet in significantly reducing urinary pesticide metabolite concentrations and concomitantly affecting biomarkers of inflammation and oxidative stress in children.Methods: A 2 x 2 cluster-randomised cross-over trial at subject level study was designed for healthy children (n&amp;#61;150, 11-12 years old) from families historically consuming a conventional diet (&amp;gt;80% of weekly diet). The study period consisted of a 40-day conventional diet arm and a 40-day organic diet arm. Diaries were used to record the consumed diet and extent of compliance. A total of five morning urine voids samples per child in select time points of both conventional and organic phases were collected. Select metabolites of neonicotinoid/pyrethroid pesticides were monitored in children&amp;#8217;s urine using tandem mass spectrometry. Biomarkers of oxidative stress/inflammation and creatinine were measured in urine (isoprostane 8-iso-PGF2a and 8-OHdG) using immunoassay kits. Linear mixed-effects models of the biomarkers of effect were constructed to evaluate the main effects of organic diet and biomarker of exposure to pesticides accounting for both between- and within-subject variability.Results: The effect of organic diet on the biomarkers of oxidative stress/inflammation accounting for known confounders will be presented.Conclusions: To the best of our knowledge, this is the first time that the concomitant assessment of biomarkers of effect (oxidative stress/inflammation) along with biomarkers of exposure to pesticides in children systematically consuming an organic diet has been performed.

Role of Organochlorine Pesticides in Children with Idiopathic Seizures

Background. Organochlorine pesticides (OCP) are persistent organic pollutants that have been implicated in causing several deleterious effects in humans. These are known neurotoxins in high doses, but the role of environmentally acquired OCPs in the body to induce seizures in children has not been investigated yet. Objectives. To assess the serum levels of OCPs in children aged 2–12 with idiopathic seizure and to find out any association between the two are our objectives. Methods. It was a cross-sectional pilot study. Twenty developmentally normal children aged 2–12, presenting with idiopathic generalized seizures, were recruited. Twenty age-matched controls without any history of seizures were also taken. Their serum levels of α, β, and γ hexachlorocyclohexane (HCH); and aldrin; dieldrin; p,p-dichlorodiphenyltrichloroethane (DDT), o,p-DDT, and p,p dichlorodiphenyldichloroethylene (DDE); and α and β endosulfan were analysed using gas chromatography (GC). Mann-Whitney U test was used to compare OCP levels between the groups. Spearman correlation was used to find the correlation between individual pesticide levels with age and seizure duration. Results. Levels of β, γ, and total HCH were significantly higher among cases as compared to the control group (P ≤ 0.05). Conclusion. There exists a possible association between idiopathic seizures and high serum levels of OCPs, especially HCH.

Urinary levels of non-persistent pesticides (organophosphates, N-methylcarbamates, and pyrethroids) in children living in an agricultural community in Spain

Background: Limited information is available on biomonitoring of non-persistent pesticides in general population of Spain, mainly in susceptible populations such as children. Objective: To evaluate the exposure to non-persistent pesticides in children living in a community with intensive agriculture in South-East Spain. Methods: We conducted a longitudinal study in children 3-11 years old during the periods of low (LSP) and high (HSP) spread of pesticides (n= 160, n= 257, respectively). Children were selected from the schools by a simple random sampling. First morning urine samples were collected and kept at –40ºC until they were analyzed. Six dialkylphosphate (DAP) metabolites of organophosphate, four N- metabolites of N- methylcarbamate and five pyrethroids metabolites were analyzed by HPLC-MS/MS. Information on sociodemographic characteristics, pathological history, lifestyles, parental occupations, environmental exposures at home and diet was obtained by questionnaires applied to the mothers. Results: Forty one percent of urine samples in LSP and 71% of samples in HSP had measurable concentrations of at least one DAP metabolite. The geometric means of ?DAP levels were 9.94 nmol/L and 20.56 nmol/L in LSP y HSP, respectively. 3-Phenoxybenzoic acid was observed in 12.5% of urine samples in HSP. The rest of metabolites was found in a low percentage (&lt;3%) of samples in both periods. Conclusions: Levels of non-persistent pesticides in child urine were higher in HSP than LSP, although they were lower compared to those observed in similar studies carried out in Europe and America. Funding: Instituto de Salud Carlos III (Exp.: PI10/01101)