This fifth edition of Recognition and Management of Pesticide Poisonings is an update and expansion of the 1989 fourth edition. The Office of Pesticide Programs of the United States Environmental Protection Agency has sponsored the series since 1973. The purpose of the manual is to provide health professionals with recently available information on the health hazards of pesticides currently in use, and current consensus recommendations for management of poisonings and injuries caused by them. Pesticide poisoning is a commonly under-diagnosed illness in America today.
Despite recommendations by the Institute of Medicine and others urging the integration of environmental medicine into medical education, health care providers generally receive a very limited amount of training in occupational and environmental health, and in pesticide-related illnesses, in particular.1 The updating of this manual is part of a larger initiative of the U.S. Environmental Protection Agency, in conjunction with numerous federal agencies, associations of health professionals, and related organizations to help health care providers become better aware, educated, and trained in the area of pesticide related health concerns. This larger initiative, entitled Pesticides and National
Strategies for Health Care Providers, was launched in April 1998.
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