How to Identify the How to Identify the Products Your Patients Products Your Patients

Are Exposed ToAre Exposed To

Name That PesticideName That Pesticide

Helen Murphy, RN, FNP, MHSHelen Murphy, RN, FNP, MHSDirector of OutreachDirector of Outreach

Pacific Northwest Agricultural Safety and HealthPacific Northwest Agricultural Safety and HealthUniversity of Washington, Seattle WAUniversity of Washington, Seattle WA

The nomenclature of pesticides The nomenclature of pesticides is similar to medications in that is similar to medications in that

they have….they have…. A brand/trade or product name: e.g. A brand/trade or product name: e.g.

MotrinMotrin A generic name (common name or A generic name (common name or

active ingredient): ibuprofenactive ingredient): ibuprofen A chemical family: e.g. NSAID A chemical family: e.g. NSAID

Likewise one needs to know the chemical family and more specifically the common

name to understand the health effect of an exposure and how to treatment a poisoning.

What the Patient Will KnowWhat the Patient Will Know

NOT the NOT the common or or chemical familychemical family name. More likely they can identify:name. More likely they can identify:the BRAND namethe BRAND namethe TYPE (insecticide, herbicide, the TYPE (insecticide, herbicide, fungicide, fumigant)fungicide, fumigant)the CROP to which the pesticide was the CROP to which the pesticide was being applied. being applied.

Pesticide Product LabelPesticide Product Label

The label in the agricultural world = The label in the agricultural world = the the package insertpackage insert for the medical for the medical worldworld

The label is the LAW and dictates:The label is the LAW and dictates: useuse required personal protective equipmentrequired personal protective equipment

The label on the bottle or package The label on the bottle or package provides basic informationprovides basic information

Information Sources on Information Sources on Pesticides Pesticides

Ingredient statement Ingredient statement EPA registration number EPA registration number Establishment number Establishment number Formulation Formulation Signal word Signal word Statement of practical Statement of practical

treatment (first aid) treatment (first aid) Personal protective Personal protective

equipment (PPE) handlersequipment (PPE) handlers Environmental hazards Environmental hazards Directions for use Directions for use Hazards to humans Hazards to humans Storage and disposal Storage and disposal

directions – directions –

Chemical product identification Chemical product identification Physical and chemical properties Physical and chemical properties Fire and explosion hazards Fire and explosion hazards Toxicological information / Human Toxicological information / Human

health data health data Regulatory levels and classifications Regulatory levels and classifications Personal protection recommendations Personal protection recommendations

(concentrate only)(concentrate only) Emergency and first aid procedures Emergency and first aid procedures Ecological or environmental hazards Ecological or environmental hazards Spills, fires, and accident procedures Spills, fires, and accident procedures Storage and disposal directions -Storage and disposal directions -

LabelLabel MSDSMSDS

Sample Package Labels Sample Package Labels

Type of pesticide Type of pesticide Company nameCompany name Brand/trade/product name Brand/trade/product name

Common/generic name Common/generic name (sometimes the (sometimes the same as the active ingredients)same as the active ingredients)

Chemical family Chemical family Signal word (hazard level)Signal word (hazard level)

Brand NameBrand Name

““SUPRACIDE”SUPRACIDE”

TypeType

““Insecticide”Insecticide”

Hazard LevelHazard Level

““Danger/poison”Danger/poison”

Poison IconPoison Icon

Common Common NameName

““methadithion”methadithion”

ManufacturerManufacturer

GowanGowan

Chemical FamilyChemical Family

‘‘organophosphate’organophosphate’AntidoteAntidote

““atropine”atropine”

Class ExerciseClass Exercise Distribute Sample Distribute Sample Pesticide Product Labels

1.1. TemikTemik

2.2. SevinSevin

3.3. ThiodanThiodan

4.4. GuthionGuthion

5.5. DursbanDursban

6.6. GramoxoneGramoxone

7.7. Weed Rhap Weed Rhap

8.8. AsanaAsana

9.9. CaptanCaptan

10.10. RoundupRoundup

11.11. DithaneDithane

12.12. ZiramZiram

Class ExerciseClass Exercise

Find the following items on the label Find the following items on the label Company/Manufacturer’s name Company/Manufacturer’s name Brand/Product/Trade nameBrand/Product/Trade name Common name (generic – active ingredient)Common name (generic – active ingredient) Type: use in agricultureType: use in agriculture Chemical familyChemical family Signal word (hazard level)Signal word (hazard level) Fill in the pesticide classification table (hand Fill in the pesticide classification table (hand

out) out)

Pesticide Classification Pesticide Classification TableTable

## CompanCompanyy

NameName

BrandBrand

NameNameCommonCommon

NameNameTypeType Chemical Chemical

FamilyFamilySignalSignal

ClassClass

11..

GowenGowen SupracidSupracidee

methidathionmethidathion insecticideinsecticide OPOPorganophosphaorganophospha

tete

Danger-Danger-PoisonPoison

(Ib)(Ib)

COMPANYCOMPANY BRANDBRAND COMMONCOMMON TYPETYPE FAMILYFAMILY SIGNALSIGNAL WHWHOO

1.1.

2.2.

3.3.

4.4.

5.5.

6.6.

7.7.

8.8.

9.9.

1010..

1111..

1212..

Pesticide Labels

Bayer Temik Aldicarb Insecticide Carbamate Danger-poison la

Verdicon Sevin Carbaryl Insecticide Carbamate Caution ll

UCP Alliance Thiodan Endosulfan Insecticide Organochlorine Warning ll

Bayer Guthion Azinophos methyl Insecticide Organophospate Danger-poison lb

Dow Dursban Chlorpyrifos Insecticide Warning ll

Syngenta Gramoxone Paraquat Herbicide Paraquat Danger-poison ll

Helena Weed Rhap 2, 4-D Herbicide Chlorophenoxy Danger-poison ll

DuPont Asana Esfenverlate Insecticide Pyrethroid Warning lV

Bayer Captan Captan Fungicide Danger-poison

Max Roundup Glyphosate Herbicide Caution U-IV

II

Dow DithaneMancozeb Fungicide

Caution U-IV

Cerexagri-Nisso Ziram Ziram Fungicide Danger III

Exercise: Classifying Pesticides

Organophospate

**

* WHO – World Health Organization International Classification* WHO – World Health Organization International Classification

Company NameCompany Name

May be useful in looking up a productMay be useful in looking up a product Workers may confuse this name with Workers may confuse this name with

the brand, product or trade name.the brand, product or trade name. Some companies also produce Some companies also produce

pharmaceuticals. pharmaceuticals.

Brand/Trade/Product NameBrand/Trade/Product Name

Agricultural workers know pesticides Agricultural workers know pesticides primarily through the brand nameprimarily through the brand name

Companies will keep brand names Companies will keep brand names but CHANGE the active ingredients but CHANGE the active ingredients (e.g. Raid) (e.g. Raid)

Can use brand name as a search Can use brand name as a search termterm

Common NameCommon Name

Critical identifier of the chemicalCritical identifier of the chemical Some databases only allow you to Some databases only allow you to

search by common name. search by common name. Basis of treatment!Basis of treatment!

Types of Pesticides

Insecticides Herbicides Fungicides Rodenticides

DisinfectantsFumigants

Control pests by Control pests by attacking their attacking their

nervous systemnervous systemCorrosive Corrosive

weed killersweed killers

Antibiotics for Antibiotics for plantsplants Kill rodents with Kill rodents with

anticoagulantsanticoagulants

Types of PesticidesTypes of Pesticides

Pesticide Chemical FamiliesPesticide Chemical Families--grouping based on similarities-grouping based on similarities-

1.1. Similar chemically (similar structure)Similar chemically (similar structure)

2.2. Attacks pests in a similarAttacks pests in a similar way (toxicity) way (toxicity)

3.3. Common treatment Common treatment ++ antidote antidote

Organophosphateinsecticides

Carbamateinsecticides

Pyrethroidinsecticides

Organochlorineinsecticides

ChlorophenoxyHerbicides

ParaquatDiquat

herbicides

How toxic is it?

Source: Richards, Kerry Penn State University Extension Service

Source: Richards, Kerry Penn State University Extension Service

LDLD5050

Lethal dose = Amount of chemical it takes to kill 50% of an experimental population

Source: Richards, Kerry Penn State University Extension Service

Adapted from Richards, Kerry Penn State University Extension Service

DANGER/POISON = extremely toxic by ingestion DANGER = extremely toxic high potential for skin and eye irritation

*

*

WHO International StandardWHO International Standard US StandardUS Standard

Source: Richards, Kerry Penn State University Extension Service

Sample Case Sample Case

A patient comes into your office after spilling the A patient comes into your office after spilling the weed killer – Direx - on himself. He is having weed killer – Direx - on himself. He is having some vague non specific problems. some vague non specific problems.

How will you identify what kind of adverse How will you identify what kind of adverse heath effects he may experience? heath effects he may experience?

Practice: Practice: Using these resources for Diurex ™ Using these resources for Diurex ™

find:find: The common nameThe common name The chemical familyThe chemical family Health effectsHealth effects Recommended decontaminationRecommended decontamination Recommended PPE Recommended PPE

Describe the attributes of each resource used Describe the attributes of each resource used including advantages and disadvantagesincluding advantages and disadvantages

Pesticide Identification Pesticide Identification ResourcesResources

Poison Control (800) 222-1222 (TDD) Poison Control (800) 222-1222 (TDD) 1(800) 572-0638 1(800) 572-0638

Google “Direx”Google “Direx” Pesticide Websites:Pesticide Websites:

PAN PAN CDMS CDMS NPIC NPIC

http://www.pesticideinfo.org/

http://www.cdms.net/LabelsMsds/LMDefault.aspxhttp://npic.orst.edu/npicfact.htm