Pesticides (vvimp) Definition:- As per US Federal Insecticide, Fungicide & Rodontiside Act (FIFRA) defined Pesticide as any substance or mixture of substances intended for the use as Plant Regulator, Defoliant or Desiccant. Types:-I) Inorganic & II) Organic I) Inorganic:- 10% of total pesticides a) Calcium Arsenite b) Lead Arsenite c) Arsenic Acid II) Organic:- Also known as Synthetic Pesticides 1) Chlorinated Hydrocarbons:a) DDT b) Benzene Hexa Chloride (BHC) c) Endosulfan 2) Organic Phosphorus Compounds:- a) Malathion b) Parathion c) Dimethoate d) Ethion f) Acephate 3) Carbamate Group:- a) Carbafuran b) Aldicarb c) Methomoil Fumigants:- a) Cyanides b) Halogens c) Phosphorus Herbicides (Weed Killers):- a) Endothal b) Diqat c) Paraquat d) Organic Acid Derivatives:- i) Cacodylic Acid ii) 2,4 D (2,4 Dichloro Phenoxy Acetic Acid) Rhondanticides:- a) Diphecinone b) Fumarine Fungicides:- a) Disulpheram b) Penta Chloro Phenol c) Copper Compounds Naturally occurring insecticides are a) Nicotine b) Pyrethrum Organo Phosphorous Pesticides This group of insecticides is classified according to a common mode of toxic action related to inhibition of enzyme Cholinestrase. Therefore, they are known as Cholinestrase Inhibitors. They are rapidly absorbed even though intact skin toxicity occurs during 1) Manufacture 2) Packaging 3) Handling 4) Storage & formulation Route of Absorption:- All 3. Mechanism of Action:- They cause inactivation or inhibition of the enzyme Cholinestrase resulting in an accumulation of Acetyl Choline at synapses in Peripheral Nervous Syatem. This compound most irreversibly phosphorylates the Acetyl Cholinestrase. The effect depends upon the route of entry although acute toxicity usually rapid in onset but symptoms may be delayed upto 12 hours. Toxicity:- I) Acute Exposure:- A) General Symptoms:- 1) Nasal Hyperemia 2) Watery Discharge 3) Cough 4) Chest Discomfort 5) Dyspnoea 6) Wheezing B) When it is Absorbed in the System:1) Pallor 2) Nausea 3) Vomitting 4) Diarrhea 5) Abdominal Pain & Cramps 6) Headache 7) Dizziness 8) Ocular Pain 9) Blurred Vision 10) Meosis 11) Lacrimtion 12) Salivation 13) Sweating 14) Confusion C) Neuromuscular Symptoms:- 1) Ataxia 2) Slurred Speech 3) Weakness 4) Fatigue 5) Fasciculations 6) Twitching 7) Tremors of Tongue & Eyelids 8) Paralysis of Extremities & Respiratory Muscles D) In Severe Cases:- 1) Involuntary Defecation & Urination due to loss of sphincter control 2) Cyanosis 3) Psychosis 4) Hyperglycemia 5) Acute Pancreatitis 6) Convulsions 7) Coma E) CVS:- 1) Fall of BP 2) Cardiac Arrest F) Death is due to Respiratory Failure & Cardiac Arrest II) Chronic Toxicity:- 1) Impaired Memory & Consciousness 2) Delayed Neuropathy 3) Psychosis 4) Severe Depression 5) Irritability 6) Confusion 7) Apathy 8) Social Withdrawal 9) Speech Difficulty 10) Delayed Reaction Time 11) Nightmares Difference between Organo Phosphorus Poisoning & Carbamate Poisoning:- Both are Cholinestrase Inhibitors Diagnosis of OPP Poisoning:- By Cholinestrase Activity Measurement. Cholinestrases are of 2 types 1) Acetyl Cholinestrases & 2) Pseudo or Butyryl Cholinestrases 1) Acetyl Cholinestrase:- Primarily found in CNS & RBCs. 2) Pseudo or Butyryl Cholinestrases:- Found in Plasma, Liver & CNS Both of these are inhibited by Organo Phospherous compounds. But those who retain the level in RBCs are measured. 1) Michael Method 2) Rapid Filled Determination Michel’s Method is very difficult to diagnose, so Rapid Filled Method is used. The Cholinestrase Activity in blood is expressed as % of Activity. This is done with the help of Cholinestrase Measuring Kit, through Colorimetric Chemical Analytic Process. Depending upon following actions are recommended:% Cholinestrase Activity 1) 100 to 75% (i.e. 25% is lacking) 2) 75 to 50% 3) 50 to 25% 4) 25 to 0% Action Recommended No action but retest in near future Over Exposure is possible. Repeat test. If confirmed in second test, Remove from further work for 2 weeks, & then retest to assess the recovery. Serious overexposure. Repeat Test. If confirmed remove from all work with insecticide. Very Serious & Dangerous Overexposure. Repeat Test. If confirmed, remove from all pending pesticide work & arrange Medical Examination & Treatment. Carbafuran (Furadane) It is a Carbamate group of Pesticides. It is a derivative of Carbamic Acid, deferring from Cholorinated Hydrocarbons & Organo Phosphorus Pesticides, by absence of Cl⁻ & PO4⁻⁻. Toxicity resulting from inactivation of Acetyl Cholinestrase, which allows accumulation of excessive Acetyl Choline at number of sites like CNS, Parasympathetic Nervous System, Nerve Endings etc. It is treated as Anticholinestrese Agent with toxicity having Rapid Reversibility. Treatment of Organo Phosphorus Poisoning:1) Maintaining of Patent Airways 2) Removal of Contaminated Cloathing 3) Appropriate Antidote:IV 2 to 4 Mg of Atropine Sulphate & 1to 2 Gm of Soluble Salt of Pralidoxin every 6 hourly OR 250 Mg. Obidoxin Chloride 6 hourly. In Severe Cases 4-6 Mg. of Atropine can be used with repeated dose of 2Mg. every 5-10 minutes till full Atropinization is achieved. Diazepam is used in mild cases but need to watch Respiratory Paralysis. Carbamate:- Atropine remains treatment of choice. Oximes are contraindicated in Carbamate Poisoning. Carbamate is rapidly reversible while OPC are not Rapidly reversible.