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• W2007280504 abstract "ISEE-462 Introduction: Washington State Department of Health (DOH) investigates all suspected cases of pesticide-related-illness reported to the Pesticide Illness Monitoring System (PIMS). All cases reported to PIMS are investigated to determine whether they are pesticide-related. PIMS is a passive surveillance system and depends on cases being reported to it from multiple sources. Major reporting sources include: The Department of Labor and Industries, Washington Department of Agriculture, Washington State Poison Control, and Health Care Providers (HCPs). A passive surveillance system such as PIMS may only capture a fraction of the cases that are actually occurring. Cases who become sick after suffering a pesticide related illness and do not seek medical care are often difficult to capture. However, the percentage of cases that seek medical care and are actually reported to PIMS is unknown. HCPs, underreporting is thought to be likely since less than a quarter of cases reported to PIMS either directly or indirectly are reported by HCPs. Methods: To estimate the percent of pesticide related cases occurring that seek medical care, and are actually captured by PIMS, DOH requested information from records for a number of ICD-9 codes frequently associated with pesticide related illness for cases occurring between 1999-2001 from the major hospitals and clinics in an agricultural region in Central Washington State. The information requested records included: ICD-9 codes, name, age, gender, address, visit date, and insurance. These records were then matched to our PIMS database using a deterministic match. Results: We obtained approximately 100,000 records of unique patient visits. Of these records 169 had a pesticide related ICD-9 code, (Toxic effect of other substances, chiefly non-medicinal: 989.0-989.4, and Accidental poisoning by agricultural and horticultural chemical preparations: E863.0-E863.7). Fewer than half of these 169 records matched to our PIMS database. Discussion: Less than half of HCP visits that are coded with a pesticide related ICD-9 code were reported to our surveillance system over a three year period. This investigation suggests that underreporting of pesticide-related-illness is likely to occur. A passive surveillance system depends on reporting to capture cases. Although other sources may report cases, reporting may be delayed. Delayed reports are often difficult to classify as being pesticide related. HCPs need to be encouraged to report pesticide related illness. Obstacles to HCP reporting such as difficulties with identifying, treating, and coding possible pesticide related illnesses need to be explored." @default.
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• W2007280504 date "2004-07-01" @default.
• W2007280504 modified "2023-09-26" @default.
• W2007280504 title "REPORTING OF PESTICIDE ILLNESS BY HEALTH CARE PROVIDERS TO WASHINGTON STATE’S PESTICIDE ILLNESS MONITORING SYSTEM" @default.
• W2007280504 doi "https://doi.org/10.1097/00001648-200407000-00485" @default.
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