NIOSH 2012 PPT Stakeholders Meeting Pesticide Handling Sector 9:00‐10:30 AM EDT Kim Faulkner, PhD, MPH Stan Thomas Hyatt Regency, Pittsburgh, PA March 20‐21, 2012 * This meeting is being recorded Acknowledgements • Support team • Dennis Groce • Chuck Urban • Barb Sheppard • Stakeholder partners • Federal EPA * This meeting is being recorded 2 Housekeeping • • • • • • Live meetings Microphones Videotape ‘Clickers’ Note cards and evaluations Recertification credits (Pennsylvania) * This meeting is being recorded Audience Response System (e.g., clickers) 4 About the Clickers • Provides audience response • Instant feedback • All answers are anonymous 5 About the Clickers • Only one person per ‘clicker’ • Push the number that corresponds to your answer • Change your answer by pushing a different button • Responses are not accepted after the polling closes 6 Breakout 1: Let’s practice polling… TELL US ABOUT YOURSELF NIOSH National PPE Surveillance and Intervention Program among Pesticide Handlers • Goal is to improve PPE practices – Long‐term effort includes scientific studies – Short‐term effort includes interventions based on preliminary input from stakeholders PPE = personal protective equipment 8 Research Partners Pesticide handlers PPE Manufacturers and Suppliers Employers and Supervisors Researchers, educators & Pesticide Manufacturers and Suppliers other health professionals Regulators PPE = personal protective equipment 9 Identified Potential Barriers Farm visits and exhibits NIOSH Pesticide PPE Hotline PesticidePPE@cdc.gov 1‐888‐654‐2294 Stakeholders meetings PPE = personal protective equipment 10 Overview of Barriers PPE = personal protective equipment 2. Difficulty Obtaining 3. Lack of Acceptance Workplace issues 1. Lack of Knowledge Brow Not Provided Cultural issues NIOSH 2011 Stakeholders Meeting 12 Which group best identifies your primary duties? 1. WPS Pesticide Handler or Certified Applicator 2. Grower/Supervisor 3. Manufacturer or supplier 4. Educator/Researcher 5. Regulator 6. Other profession 13 Why might someone who is handling a pesticide not understand the correct PPE to wear for a task? 1. Information on the pesticide label is unclear, incomplete or outdated 2. Inadequate Pesticide Safety Training 3. Dealer Distributor Information Unavailable 4. The PPE packaging label is unclear 14 What is the primary reason why people who handle pesticides don’t know how to use PPE properly? 1. Information on pesticide label is unclear or incomplete 2. Inadequate Pesticide Safety Training regarding PPE 3. No guidance available with the PPE packaging for specific task or what is available is confusing 15 National Training Solutions Committee Objectives 1. Best pesticide PPE training techniques 2. National clearinghouse of training resources 3. Best pesticide PPE practices document PPE = personal protective equipment 16 When correct PPE is known, what are barriers for obtaining it? 1. It is not available 2. Fear of retaliation 3. The PPE packaging/ labels are unclear 4. Identifying correct PPE during the purchasing process 5. Limited market for pesticide related PPE 17 Improving the Ability to Identify Correct Pesticide PPE to Purchase March 20, 2012 9:00‐10:30 AM EST PPE = personal protective equipment 18 Moving From Barriers to Solutions • Discuss issues and their causes • Identify priority issues • Design solution strategies 19 Pesticide Personal Protective Equipment EPA Worker Protection Standard 40 CFR: 170.240 • Chemical resistant headgear and aprons • Protective eyewear, clothing, gloves, and footwear • Respiratory protective devices EPA = Environmental Protection Agency 20 Given the pesticide label requirements, why is purchasing the correct PPE difficult? 3. Selecting 2. PPE marketplace among PPE in the market is limited is difficult 1. Information on PPE requirements is limited PPE = personal protective equipment 21 Given a goal of buying the correct PPE, consider these three questions when reviewing PPE label requirements: 1. Is information on PPE requirements provided on the label limited? 2. Is the PPE marketplace limited? 3. Is selection among PPE in the market difficult? 22 PenncoZeb 4FL (Flowable Fungicide) Caution • Coveralls over long‐sleeved shirt and long pants • Protective eyewear • Chemical resistant gloves made of any waterproof material* • Chemical resistant apron* • Shoes plus socks * Materials that are chemical resistant to the product are not provided nor referenced 23 Lannate SP (Insecticide: Water soluble powder in water soluble bags) ‐‐ Danger Poison • Long‐sleeved shirt and long pants • Protective eyewear • Dust/mist filtering respirator (MSHA/NIOSH approval number prefix TC‐21C), or a NIOSH approved respirator with any R, P, or HE prefilter • Chemical resistant apron* • Chemical‐resistant gloves, such as barrier laminate or butyl rubber • Socks and chemical resistant footwear* * There is no reference made to other materials that are chemical resistant to this product 24 Guthion Solupak (Insecticide: 50% wettable powder in water soluble packets) – Danger Poison • Chemical resistant coveralls over long‐sleeved shirt and long pants • Chemical resistant headgear • “ … or a NIOSH‐approved respirator with an organic vapor (OV) cartridge or canister with any N, R, P, or HE prefilter” • Chemical resistant gloves • Chemical resistant footwear plus socks *Materials that are chemical resistant to this product include barrier laminate, butyl rubber, nitrile rubber, neoprene rubber, PVC, and Viton. For more options, see category A on … 25 EPA Chemical Resistant Category Chart Phase 1: Information on PPE requirements is limited • Certain PPE requirements are not provided • PPE requirements are not detailed • Respirator terminology is outdated and technical • Language barriers 27 Certain PPE requirements are not provided “When handlers use closed systems, or enclosed cabs, in a manner that meets the requirements listed in the Worker Protection Standard (WPS) for agricultural pesticides (40 CFR 170.240(d)(4‐ 6), the handler PPE requirements may be reduced or modified as specified in the WPS.” 28 Phase 2: PPE marketplace is limited • Limited variety and supply • Marketing terminology is inconsistent with label requirements 29 Limited variety and supply HIGH: Highly chemical-resistant. Clean or replace PPE at end of each day's work period. Rinse off pesticides at rest breaks. MODERATE: Moderately chemical-resistant. Clean or replace PPE within an hour or two of contact. SLIGHT: Slightly chemical-resistant. Clean or replace PPE within ten minutes of contact. NONE: No chemical-resistance. Do not wear this type of material as PPE when contact is possible. Inconsistent terminology in marketing • • • • “Safety” glasses Protective eyewear Dust/mist vs. particulate respirator Mask vs. respirator 31 Phase 3: Selecting among PPE is difficult 1. Pesticide and PPE labels and packaging use different terminology 2. PPE labels and packaging are not sufficiently detailed 3. PPE is marketed incorrectly 4. Pesticide PPE is mixed in with other PPE 5. Sales people don’t know correct PPE 6. Language barriers Incorrect Marketing PPE appropriate for pesticides is mixed in with other PPE Sales people don’t know correct PPE Sales people sell what they know HIGH: Highly chemical-resistant. Clean or replace PPE at end of each day's work period. Rinse off pesticides at rest breaks. MODERATE: Moderately chemical-resistant. Clean or replace PPE within an hour or two of contact. SLIGHT: Slightly chemical-resistant. Clean or replace PPE within ten minutes of contact. NONE: No chemical-resistance. Do not wear this type of material as PPE when contact is possible. Let’s start polling… PRIORITIZING ISSUES: IDENTIFYING PPE IN PURCHASING PROCESS Difficulty identifying PPE in the purchasing process‐‐ Which one of these is the most important issues that we could change over 1‐2 years? 1. Label provides limited PPE information 2. PPE marketplace is limited 3. Selecting among PPE in the market is difficult 38 Pesticide labels provide limited PPE information‐‐ Which one of these is the most important factors we could change over 1‐2 years? 1. Some PPE requirements are not provided 2. PPE requirements are not detailed 3. Respirator terminology is outdated or technical 4. Language barrier 39 Next Steps • What are some of the challenges in overcoming this barrier? • Are we satisfied with our suggested solutions? • Who would be the likely key players that could assist with this issue? 40 PPE marketplace is limited ‐‐ Which one of these is the most important factors we could change over 1‐2 years? 1. Limited variety and supply 2. Marketing terminology is inconsistent with label requirements 41 Next Steps • What are some of the challenges in overcoming this barrier? • Are we satisfied with our suggested solutions? • Who would be the likely key players that could assist with this issue? 42 Selecting among PPE is difficult– Which one of these is the most important factors we could change over 1‐2 years? 1. Pesticide and PPE labels and packaging use different terminology 2. PPE labels and packaging are not sufficiently detailed 3. PPE is marketed incorrectly 4. Pesticide PPE is mixed in with other PPE 5. Sales people don’t know correct PPE 6. Language barriers 43 Next Steps • What are some of the challenges in overcoming this barrier? • Are we satisfied with our suggested solutions? • Who would be the likely key players that could assist with this issue? 44 Summary Wrap Up • • • • • • • Return note cards and evaluations Return ‘Clickers’ Recertification credits Poster session Improving Safety Culture: 3:00‐4:30 PM EDT Best Pesticide PPE Training Techniques Workshop Contact us at KFaulkner@cdc.gov stanton.e.thomas@state.or.us Pesticide Handlers Sector Posters Poster # Poster Topic Name Organization Old Dominion University, School of Community and Environmental Health PH1 Utilization of Poison Control Center data and local health department infrastructure to address improper use of PPE among migrant workers: A proposed approach Blando, James PH2 Oregon OSHA’s Pesticide Emphasis Program: Personal Protective Equipment for Pesticide Handlers Cooke, Garnet Oregon OSHA PH3 Respiratory Protection Regulation for Pesticide Handlers: The California Model Fong, Harvard California Department of Pesticide Regulation PH4 Promoting pesticide applicator exposure reduction through outreach education. HoffmanRichards, Kerry Penn State Pesticide Education Program PH5 Emphasizing the need to select different PPE for different pesticide products and their uses during training Rivers, Ann USDA PH6 Predictors of Personal Protective Equipment Compliance among Farm Youth Roy, Natalie AgriSafe Network PH7 Pesticide Safety on the Farm: Montana Private Applicator Behavioral Trends Tharp, Cecil Montana State University Extension PH8 Current Pesticide Education Trends Across North Carolina Tutor, Robin NC Agromedicine Institute PH9 Personal Protective Technology Use Among North Carolina Farms Applying Soil Fumigants Tutor, Robin PH10 Fit Testing of Pesticide Applicators Respiratory Protection Wyckoff, Sherry NC Agromedicine Institute Northeast Center for Agricultural and Occupational Health (NEC)