Pesticides play an important role in the improvement of agricultural production, but their use may result in adverse effects on the environment, consumers, and farmers’ health. As there are limited data focusing on the factors influencing safety behavior toward pesticide use in Morocco, we conducted a cross-sectional survey in 15 rural communities of Morocco’s Fes Meknes region to assess the attitudes, knowledge, and practices regarding pesticide use. A structured questionnaire was completed, containing the data of the interviewed farmers, their behavior towards safety measures, the type of active ingredient used, as well as the perception of risks to their own health following exposure to pesticides by the existence of chronic, self-perceived symptoms. Non-probability (empirical) sampling with the quota method was carried out, which consists of constructing the sample. Results showed that most respondents have not been trained in the application of pesticides, with almost half of the farmers using a category of pesticides which are classified by the International Agency for Research on Cancer as probable human carcinogenic (i.e., Glyphosate, Malathion). In terms of pesticide storage, 40% of farmers said that they did not store pesticides in a separate room after purchasing or using them. The empty containers were buried or burnt by half of the responders, while the remainder were thrown at the edge of fields or in public dumps. Although the participants were aware of the negative effects on their own health and on the environment caused by the application of pesticides in use, the protection measures by individual equipment were insufficient. A canonical analysis indicates that these behaviors were influenced by the farming experience, the benefit of the agricultural council services, the follow-up of training, and the education level. These variables are important factors in explaining and understanding the dangers to both the environment and health caused by pesticides. The most recorded likely consequences of pesticide exposure were visual impairment (46%), followed by dizziness (44.3%), headache (39.4%), and excessive sweating (34.4%), and 30.2% of participants identified consequent respiratory problems. Extension services targeted at safety and protection measures should be developed and accompanied by educational programs to put farmers’ perceptions into practice and encourage them to adopt healthy and environmentally friendly behaviors.

Chronic Kidney Disease of Unknown Etiology (CKDu) is a worldwide hidden health threat that is associated with progressive loss of kidney functions without showing any initial symptoms until reaching end-stage renal failure, eventually leading to death. It is a growing health problem in Asia, Central America, Africa, and the Middle East, with identified hotspots. CKDu disease mainly affects young men in rural farming communities, while its etiology is not related to hypertension, kidney stones, diabetes, or other known causes. The main suspected causal factors are heat-stress, dehydration, exposure to agrochemicals, heavy metals and use of hard water, infections, mycotoxins, nephrotoxic agents, altitude, and genetic factors. This review gives an overview of CKDu and sheds light on its medical history, geographic distribution, and worldwide prevalence. It also summarizes the suspected causal factors, their proposed mechanisms of action, as well as the main methods used in the CKDu prior detection and surveillance. In addition, mitigation measures to reduce the burden of CKDu are also discussed. Further investigation utilizing more robust study designs would provide a better understanding of the risk factors linked to CKDu and their comparison between affected regions.

Background and aims Chronic kidney disease is a worldwide public health issue. It can be a serious problem, especially in developing countries including Morocco. However, few studies have explored the factors influencing chronic kidney disease in this country. Hence, using the definitions proposed by Kidney Disease Improving Global Outcomes in 2012, we have conducted this study to establish the prevalence and risk factors of chronic kidney disease particularly in rural communities in the Fez-Meknes region. Methods: Weight, height, blood pressure, proteinuria, hematuria, plasma creatinine, estimated glomerular filtration rate (using the Modification of Diet in Renal Disease formula), and fasting glycemia were measured. Abnormal results were controlled within two weeks; estimated Glomerular filtration rate was retested at 3 months. Furthermore, to determine the factors associated with chronic kidney disease, multivariate logistic regression was used. Results: A total of 431 patients participated in the study; the prevalence of confirmed proteinuria, hematuria, and reduced estimated Glomerular filtration rate was 5.3%, 1.8%, and 3%, respectively. Overall, chronic kidney disease was found to be present in 6.5% of the population. Chronic kidney disease 1 and 2 accounted for 32.1% and 21.4% of the overall chronic kidney disease population, respectively, while chronic kidney disease 3 accounted for 46.4% (3A: 38.2%; 3B: 7.14%). Chronic kidney disease 4 and 5 were not present in the total chronic kidney disease population. Chronic kidney disease was strongly linked with advanced age (OR 2.65; 95%CI: 1.05-6.65), hypertension (OR 2.41; 95%CI: 1.03-5.63), agricultural occupation (OR 1.02; 95%CI: 1.00-1.04) and contact with Agrochemicals (OR 1.40; 95%CI: 0.81-2.71). Conclusions: It is important to note that screening for kidney damage and being aware of the risks linked to it, is key for the early detection and management of chronic kidney disease; they are also crucial to provide in a database for the development of a national prevention policy.

Experimental studies have shown that various pesticides can damage kidney function, but epidemiological information on the effects of long-term low-level pesticide exposure is lacking. A study in Fez Meknes, Morocco, examined the link between 31 pesticides and end-stage renal disease (ESRD). This study involved 12 hemodialysis centers in various areas. Duration and frequency of use determined lifetime pesticide use, which was adjusted by an intensity factor to account for differences in pesticide application practices. The STROBE guideline was applied in the present work. Multivariate logistic regression was used to assess the correlations between end-stage renal disease, and the ordinal categories of lifetime pesticide use, weighted by intensity, for 31 pesticides. The study included 82 cases and 161 controls, and exposure to Glyphosate, paraquat, 2-4 D, 2-4 D+2-4 MCPA, azoxystrobin and difenoconazole demonstrated positive exposure-response trends. End-stage renal disease was significantly associated with the intensity-weighted exposure to the herbicides 2,4 D (OR = 1.005, CI: 1.003-1.007, p < 0.0001) and 2,4 D + 2,4 MCPA (OR = 1.009, CI: 1.004-1.013, p < 0.0001), and the fungicide difenoconazole (OR = 1.017, CI: 1.001-1.033, p = 0.033). These findings suggest a potential link between exposure to these pesticides and ESRD, warranting further investigation into the underlying mechanisms and the generalizability of these results to other rural populations.

Pesticide exposure gradients between occupational, para-occupational, and general populations remain poorly characterized in North African agricultural contexts. This study evaluates urinary pesticide levels among farmers, indirectly exposed individuals, and a control group in Morocco’s Fez-Meknes region. A cross-sectional survey measured pesticide concentrations using LC-MS/MS in urine samples collected from 154 adults residing in both rural and urban areas. A questionnaire was used to gather information from participants regarding factors that may elevate the risk of pesticide exposure. The results revealed that farmers exhibited the highest concentrations of pesticides in their urine, including compounds classified as Ia/Ib by the World Health Organization. Indirectly exposed individuals showed moderate levels of contamination, with notable detections such as dichlofluanid (22.13 µg/L), while the control group had residual traces of neonicotinoids, notably imidacloprid (2.05 µg/L). Multivariate analyses revealed several sociodemographic factors significantly associated with increased pesticide exposure. The main risk factors identified included low education, residence in an agricultural area, and the consumption of untreated water (wells/rivers). Conversely, wearing personal protective equipment was associated with reduced urinary concentrations. This study highlights intense occupational exposure among farmers, secondary environmental contamination among residents living near treated areas, and the widespread dispersion of pesticide residues into urban areas.

Lactic acid bacteria (LAB) are promising microbial candidates for sustainable agriculture, but their combined plant-growth-promoting and biocontrol potential remains underexplored. In this study, 32 previously isolated LAB strains were evaluated for in vitro antifungal activity against four phytopathogens, plant-growth-promoting traits, antimicrobial biosynthetic markers, safety attributes, and in vivo effects on Brassica napus. Antagonistic activity was strong but strain-dependent, with the greatest inhibition observed against Pythium heterothallicum and several isolates showing broad-spectrum activity against Fusarium equiseti, Geotrichum citri-aurantii, and Botrytis cinerea. Functional screening revealed complementary traits, including phosphate solubilization, acid phosphatase and cellulase activities, and the production of ammonia, siderophores, and hydrogen cyanide. PCR screening detected putative markers associated with iturin and subtilosin biosynthesis in a subset of strains. No hemolytic or DNase activity was detected, and no broadly concerning antibiotic resistance profiles were observed. No strain consistently outperformed all others across inoculum densities, highlighting a nonlinear dose–response relationship and the need for strain-specific inoculum optimization. Overall, several LAB strains emerged as promising dual-function bioinoculant candidates.