[Epidemic outbreak of acute food poisoning caused by pesticides].

Abstract:

OBJECTIVES:1) To identify the causes of the outbreak. 2) To adopt the appropriate measures to control it. DESIGN:Observational crossover study. SETTING:San Benito Health District in Jerez de la Frontera (Cádiz). PATIENTS AND OTHER PARTICIPANTS:Diners who attended a family celebration. MEASUREMENTS AND MAIN RESULTS:On Friday 11th March 1994 there was an outbreak of acute food poisoning. The clinical notes of 9 ill diners were checked; they and 7 unaffected diners answered epidemiological questionnaires. A proportional comparison was then made between those not exposed and those exposed to each one of the foods consumed at this celebration. The clinical picture showed: high level of the Creatine phosphokinase enzyme, general myalgias, vomiting or nausea and visual problems. The average incubation period was 7 hours. The odds ratios of the foods involved was calculated. Although this reached 4 in some cases, the significance tests were not significant in any case because of the study's low statistical power. In the investigation of the trophic chain of the game-birds eaten, the presence of nitrogen or phosphorus atoms, compatible with the pattern of fonofos in the pesticide used on the hunting estate where the birds came from, was isolated. CONCLUSIONS:Epidemiological, clinical and biological evidence was found, which places us before acute organophosphorus poisoning. Coordination between the different institutions involved was decisive in finding the cause of the outbreak.

journal_name

Aten Primaria

journal_title

Atencion primaria

authors

Peña González P,Pérez-Rendón González J,Domínguez Alberdi E,Gómez Labat M,Bajo Arenas J

subject

Has Abstract

pub_date

1996-04-30 00:00:00

pages

467-70

issue

7

eissn

0212-6567

issn

1578-1275

journal_volume

17

pub_type

杂志文章
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    abstract::We have evaluated the patients that were referred to the referencie hospital from the emergency service of our health center between July 1, 1988, and June 31, 1989, and we have followed them up after their arrival to the hospital. We had cared for 20,546 emergencies, particularly from internal medicine, pediatrics an...

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    doi:

    authors: Torres Moreno J,Pérez-Cerezal Moreno M,Regife García V,Camacho Pizarro T,Pérez-Cerezal Moreno E,Munoz Iribarren MC,Vera Vázquez R

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  • [Do people attending clinics at our health centre know the amount of alcohol consumption that becomes detrimental to health?].

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    journal_title:Atencion primaria

    pub_type: 临床试验,杂志文章,随机对照试验

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  • [Diagnosis of mild arterial hypertension: 3 or 5 measurements?].

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    journal_title:Atencion primaria

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    doi:

    authors: Antón Botella JJ,Alcántara Muñoz PA,Menárguez Puche JF,Díaz Beltrán MJ,Canteras Jordana M,Girona Gálvez JC

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  • [Evaluation of the quality of care of diabetic population at a health center].

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    doi:

    authors: Buitrago Ramírez F,Vegas Jiménez T,Poblador Curto MD

    更新日期:1989-05-01 00:00:00

  • [Patient workload and costs, intensity and quality of family doctor prescriptions].

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    authors: Simó Miñana J,Calvo Pérez M,Beltrán Brotóns JL

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  • [Use of primary care resources by immigrants and the autochthonous persons who contact the care services in the city of Lleida, Spain].

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  • [Correlation between subjective and objective health measurements in patients with chronic obstructive pulmonary disease (COPD)].

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    journal_title:Atencion primaria

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  • [Mental health in epidemics: A perspective from the Spanish Primary Health Care].

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    pub_type: 杂志文章,多中心研究

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  • [Current situation of goiter endemic and iodine intake in the population of the Pyrenees and the Segrià region of Lleida].

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    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

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    更新日期:1998-12-01 00:00:00

  • [Attitudes of family doctors to patients' rights].

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    更新日期:2007-01-01 00:00:00

  • [Study of use of psychiatric drugs in primary care].

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    doi:

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  • [Pre-malignant and malignant lesions in minor surgery at a health centre. Appearances can't be trusted].

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    doi:

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    pub_type: 杂志文章,多中心研究

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    pub_type: 杂志文章

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    更新日期:2007-07-01 00:00:00

  • [Attitude to tobacco and prevalence of smokers among primary care physicians in Guipúzcoa].

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    journal_title:Atencion primaria

    pub_type: 杂志文章

    doi:

    authors: Sampedro Martínez E,Narzabal Goñi MA,Frías Oyaga O,Antero Berganzos E,Sáez Salazar M,Aranegui Lasuen MC,Millet Sampedro M

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  • [Nurse prescription: A concept analysis].

    abstract:OBJECTIVE:To critically analyse the concept of nursing prescription through the study of its background and a review of the scientific literature, in order to develop an accurate conception of this nursing activity and to identify the essential elements surrounding this concept. METHOD:Application of the concept analy...

    journal_title:Atencion primaria

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    pub_type: 杂志文章

    doi:

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  • [Long-term effects of intensive intervention on changes in lifestyle in patients with hyperfibrinogenaemia and moderate-high cardiovascular risk].

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