Objectives: The unsafe use of pesticides in agriculture represents a major hazard to human health. This study was conducted to investigate the association between pesticide exposure and health symptoms among chili farmers in northeast Thailand.Methods: This cross-sectional analytic study included 141 chili farmers in Sakon Nakhon Province, in northeast Thailand. Data regarding health symptoms were gathered using a self-report questionnaire. A medical technician tested blood cholinesterase activity using an erythrocyte method, and an occupational medicine specialist at Ramathibodi Hospital in Bangkok, Thailand reviewed the results. Associations between personal characteristics, pesticide exposure factors, and health symptoms were analyzed using multiple logistic regression.Results: Of the 141 chili farmers studied, 66.7% experienced pesticide poisoning, as indicated by below-normal cholinesterase levels. Fatigue was the most frequently reported symptom associated with pesticide exposure, affecting 37.6% of participants. This was followed by nausea and vomiting (31.9%), dizziness (14.9%), and dry throat (14.9%). Multivariate logistic regression analysis revealed that several factors were significantly associated with adverse symptoms: amount of work experience, volume of pesticides used, use of chemical pesticides, use of leaking containers during spraying, direct pesticide exposure while working, contact with pesticide-soaked clothing, consumption of food and drinks in the fields, and blood cholinesterase level indicating risk.Conclusions: This study suggests potential health risks for chili farmers stemming from exposure to and contamination by pesticides used in agricultural practices. To mitigate these risks, it is essential to supply personal protective equipment and to implement educational programs aimed at improving protective behaviors among farmers.

Indigo-dyed cotton weavers are exposed to various dust particles that may contain chemical contaminants from indigo fermentation process and can be related to respiratory symptoms. This cross-sectional study thus investigates the prevalence of respiratory symptoms and their association with respiratory dust (RD) exposure among workers in northeastern Thailand. It recruited 146 indigo-dyed cotton weavers. The prevalence of respiratory symptoms was collected by a self-report questionnaire included cough, phlegm, chest tightness, wheezing, and dyspnea. The average RD was 47.9 ± 28.3 μg/m³. Logistic regression models revealed a strong association between RD exposure and respiratory symptoms after adjustment. An exposure to RD ≥50 µg/m³ was associated with 5.05-, 3.58-, 2.88-, and 3.30-fold increased odds ratio of cough, phlegm, chest tightness, and dyspnea, respectively. The study results reveal that RD exposure may contribute to respiratory symptoms among indigo-dyed cotton weavers.

Opisthorchis viverrini infection remains a significant public health concern in Southeast Asia, particularly in rural communities of Northeast Thailand, where persistent environmental and behavioral factors sustain transmission. A quasi-experimental study aimed to identify environmental and behavioral risk factors for infection and to evaluate the effectiveness of a community-based intervention program. The intervention program study was conducted over 10 months and comprised three phases: baseline survey‚ health education intervention program implementation‚ and follow-up evaluation. The results were analyzed for the prevalence of parasitic infections, and multivariable logistic regression was performed to identify associated factors. The majority of study participants were female (67.94%)‚ aged 55 to 64 years (48.09%)‚ and farmers (89.31%). Parasitic infections‚ especially O. viverrini‚ substantially decreased during the follow-up period‚ and independent risk factors predicting infection included lower education‚ previous infection‚ raw fish consumption‚ and pesticide use‚ according to multivariable logistic regression analysis. This intervention considerably improved knowledge; mean knowledge score increased by 6.29 points (p < 0.001). Analysis of fecal sludge after treatment with the sand-drying system identified S. stercoralis larvae (20 eggs/L) and Taenia spp. eggs (12.4 eggs/g). These findings indicated that, despite treatment, integrated behavioral and environmental interventions can be effective in interrupting parasite transmission in rural endemic settings.

Informal-sector weavers using indigo-dyed cotton are occupationally exposed to respirable dust which may contain contaminants from chemicals used for pH adjustment in the natural indigo fermentation process. The major health problems associated with respirable dust induce pulmonary function impairment and respiratory disease. However, there have been few studies into the respiratory problems of informal-sector weavers in Thailand. This study investigated the link between occupational respirable dust exposure and pulmonary function among weavers using indigo-dyed cotton in Thailand. A cross-sectional study was conducted of 147 weavers located in Sakon Nakhon province. Respiratory dust (RD) samples were collected from the immediate breathing zone of all weavers. Lung function was measured using a portable spirometer operated by a trained physician and the spirometric results were examined by a pulmonologist before reporting. Most participants were female (98.6%) and the median reported interquartile age (IQR) was 58 (50–62.75) years. Average predicted values for FVC, FEV1 and FEV1/FVC were 92.9% (±20.7), 96.7% (±17.9) and 88.3% (±10.8). Of the respiratory function patterns of the 147 weavers, 20 (13.6%) were restrictive, 11 (7.5%) were obstructive and 1 (0.7%) was combined. The average RD concentration (mean ± SD) was 47.9 ± 28.3 μg/m³. Multivariate linear regression models showed an increase of 1 μg/m³ in RD exposure was associated with a 0.179% lower level of FEV1 (95% confidence interval (CI) -0.278 to -0.080) and a 0.068 % lower level of FEV1/FVC (95% CI -0.128 to -0.008). Our findings suggested that exposure to respirable dust might impair pulmonary function in informal-sector cotton weavers. Keywords: Indigo-dyed Cotton, Informal-sector Weavers, Occupational Exposure, Pulmonary function, Respirable Dust Funding: This work was supported by a grant from the Kasetsart University Research and Development Institute (KURDI), Bangkok, Thailand.  Citation: Kammoolkon, R., Taneepanichskul, N., and Taneepanichskul, S. 2021. Relationship of respirable dust exposure to pulmonary function among informal-sector weavers using indigo-dyed cotton. CMU J. Nat. Sci. 20(4): e2021076.

Lead (Pb) is a persistent environmental contaminant and a major public health concern. This cross-sectional study investigated self-reported health symptoms and estimated dietary Pb exposure from aquatic animal consumption among residents living around Nong Han Lake, Thailand. Sociodemographic characteristics, dietary behaviors, and health symptoms were collected using a structured questionnaire. Pb concentrations were measured in three commonly consumed aquatic species, and species-specific estimated dietary Pb intake (EDI) was calculated from Pb concentrations and reported consumption patterns. Multivariable logistic regression identified factors associated with symptom reporting. Pb concentrations in all aquatic species were below the permissible limit (0.3 mg/kg wet weight). Median EDI was 0.1004 µg/kg bw/day (IQR: 0.0645–0.1785). Musculoskeletal pain (79.73%) and joint and muscle pain (71.62%) were the most commonly reported symptoms. This study found that female sex (aOR = 2.62; 95% CI: 1.099–6.249; p = 0.030), a lack of lead hazard training (aOR = 3.39; 95% CI: 1.373–8.418; p = 0.008), consumption of more than 300 g of aquatic animals per meal (aOR = 2.47; 95% CI: 1.230–4.960; p = 0.011), and long-term consumption exceeding 30 years (aOR = 2.16; 95% CI: 1.065–4.398; p = 0.033) were each independently associated with symptom reporting. Estimated dietary Pb intake (EDI) was not significantly associated with symptoms after multivariable adjustment (aOR = 1.30; 95% CI: 0.657–2.578; p = 0.450). These findings suggest that consuming large portions of aquatic animals, consuming aquatic animals over prolonged periods, and having limited awareness of lead-related hazards are potential pathways for dietary Pb exposure in this lake-dependent community.

Rubber farmers exposed to herbicides containing glyphosate face significant health risks from occupational exposure. This study aimed to investigate the prevalence of health symptoms and their association with glyphosate exposure among rubber farmers in northeast Thailand. A cross-sectional study was conducted to examine the prevalence of health symptoms using a self-report questionnaire. Of 400 participants, 72.8% reported chemical exposure during spraying and 39.3% reported adverse health effects. The most frequent symptom was nasal irritation (18.5%), followed by coughing or shortness of breath and fatigue (3.75%). After adjustment, reporting any adverse health effect was associated with age > 40 years [adjusted odds ratio (aOR) = 2.02; 95% confidence interval (CI): 1.09-3.74; P = 0.025], male sex (aOR = 1.83; 95%CI: 1.19-2.82; P = 0.006), > 10 years’ experience (aOR = 1.53; 95%CI: 1.01-2.31; P = 0.043), and underlying disease (aOR = 1.75; 95%CI: 1.10-2.79; P = 0.019). Unsafe practices and equipment problems were strongly associated with higher odds: self‑application (aOR = 1.97; 95%CI: 1.24-3.13; P = 0.004), leaking equipment (aOR = 2.50; 95%CI: 1.62-3.86; P < 0.001), wet clothing while spraying (aOR = 2.79; 95%CI: 1.78-4.36; P < 0.001), eating during work (aOR = 2.07; 95%CI: 1.30-3.29; P = 0.002), and morning spraying (aOR = 2.88; 95%CI: 1.38-6.03; P < 0.005). The study revealed a high prevalence of health effects among rubber farmers, with the greatest risk magnitude linked to unsafe practices and equipment. Providing personal protective equipment and guiding occupational health and training on chemical handling practices are crucial for effectively reducing these risks.