Table 1
General characteristics of the study participants in flower farms (n = 84) and onion farms (n = 56) in Arusha Region.
| Characteristics | Flower farms (%) | Onion farms (%) |
|---|---|---|
| Age (in years) | ||
| 18 and below | 0 | 5.4 |
| 19–28 | 36.9 | 57.1 |
| 29–38 | 52.4 | 26.8 |
| 39 and above | 10.7 | 10.7 |
| Level of education | ||
| No formal education | 7.1 | 5.4 |
| Primary education | 78.6 | 83.9 |
| Secondary education | 14.3 | 10.7 |
| Employment | ||
| On contract | 95.2 | 1.8 |
| Casual | 4.8 | 94.6 |
| Self-employed | 0 | 3.6 |
| Attended training on pesticide | ||
| Yes | 86.9 | 0 |
| No | 13.1 | 100 |
| Work experience (in years) | ||
| <1 | 3.6 | 33.9 |
| 1–5 | 77.4 | 50.1 |
| 6–10 | 16.7 | 7.1 |
| >11 | 2.4 | 8.9 |
| Work duration (hours per day) | ||
| <8 | 100 | 42.9 |
| >8 | 0 | 57.1 |
Table 2
Relationship between Demographic factors and AChE Test.
| Demographic factors | AChE test limit in onion (N = 56) | AChE test limit in flower (N = 84) | ||||
|---|---|---|---|---|---|---|
| AChE within normal range | AChE below normal range | P Value | AChE within normal range | AChE below normal range | P Value | |
| Age group | ||||||
| <18 | 1(33.3%) | 2(66.7%) | 0(0.0%) | 0(0.0%) | ||
| 19–28 | 19(59.4%) | 13(40.6%) | 0.795 | 24(77.4%) | 7(22.6%) | |
| 29–38 | 10(66.7%) | 5(33.3%) | 36(81.2%) | 8(18.2%) | 0.785 | |
| >39 | 4(66.7%) | 2(33.3%) | 8(88.9%) | 1(11.1%) | ||
| Education Level | ||||||
| No formal Education | 2(66.7%) | 1(33.3%) | 5(83.3%) | 1(16.7%) | ||
| Primary Education | 29(61.7%) | 18(38.3%) | 0.854 | 55(83.1%) | 11(16.7%) | 0.294 |
| Secondary Education | 3(50.0%) | 3(50.0%) | 8(66.7%) | 4(33.3%) | ||
| Work experience (in years) | ||||||
| <1 | 11(57.9%) | 8(42.1%) | 3 (100%) | 0(0.0%) | ||
| 1–5 | 17(60.7%) | 11(39.3%) | 1.000 | 51(78.5%) | 14(21.5%) | |
| 6–10 | 3(75.0%) | 1(25.0%) | 13(92.9%) | 1(7.1%) | 0.276 | |
| >11 | 3(60.0%) | 2(40.0%) | 1(50.0%) | 1(50.0%) | ||
Table 3
The list of pesticides used in flowers fields.
| Trade name of pesticide | Name of the active substance(s) | Class | Type of Pesticide | Approved uses | Reference on health effects |
|---|---|---|---|---|---|
| Amsac | Indoxacarb 14.50% | II | Insecticide | For the control of African boll worm on vegetable | US EPA |
| Merpan | Captan 50% | III | Fungicide | For the control of powdery mildew on flowers. | Strivastava and Kesavachandran |
| Golan | Acetamiprid 50% | II | Insecticide | For the control of aphids, thrips, leaf minor & flea beetle on flowers | US EPA |
| Ippon | Iprodione 50% | III | Fungicide | For the control of botrytis on flowers. | US EPA |
| Impulse | Spiroxamine 50% | II | Fungicide | For the control of powdery mildew on flowers. | US EPA |
| Ortiva | Azoxystrobin 35% | IV | Fungicide | For the control of rust, botrytis & downy mildew on flowers. | Strivastava and Kesavachandran |
| Previcur energy | Fosetyl-aluminium + propamocarb 310 g/l | III | Fungicide | For the control of botrytis, pythium & phytophthora on flowers. | Strivastava and Kesavachandran |
| Previcur N | Propamocarb hydrochloride 722 g/l | III | Fungicide | For the control of downy mildew on flowers. | Strivastava and Kesavachandran |
| Proplant SL | Propamocarb hydrochloride 722 g/l | III | Fungicide | For the control of downy mildew on flowers. | Strivastava and Kesavachandran |
| Ridomil Gold | Mancozeb 64%+ metalaxil 4% | IV | Fungicide | For the control of downy mildew on grape. | Strivastava and Kesavachandran |
| Tracer 480 SC | Spinosad 480% | III | Insecticide | For the control of thrips and leaf miners on flowers | US EPA |
| Round-up | Glyphosate 420 g/l | IV | Herbicide | For the control of annual & perennial weeds | |
| Teldor | Fenhexamid 50% | III | Fungicide | For the control of Botrytis on flowers. | Strivastava and Kesavachandran |
| Scala SC | Pyrimethanil 400 g/l | IV | Fungicide | For the control of Botrytis on flowers. | Strivastava and Kesavachandran |
| Ridomil MZ | Metalaxyl 5% | III | Fungicide | For the control of downy mildew on grape. | Strivastava and Kesavachandran |
| Collis | Kresoxim-methyl + boscalid 100 g/l | II | Fungicide | For the control of powdery mildew on flowers. | Strivastava and Kesavachandran |
| Nimrod 25EC | Bupirimate 250 g/l | III | Fungicide | For the control of powdery mildew on pepper. | Strivastava and Kesavachandran |
| Poller/infinito | Propamocarb hydrochloride 722 g/l | III | Fungicide | For the control of powdery mildew on flowers. | Strivastava and Kesavachandran |
| Polar | Polyoxin 50% | IV | Fungicide | For the control of powdery mildew on strawberry | Strivastava and Kesavachandran |
| Proven 1,9EC | Emamectin + benzoate 1.90% | III | Insecticide | For the control of stalk borer | US EPA |
Table 4
The list of pesticides used in onion fields.
| Trade name of pesticide | Active ingredient | Class | Type of Pesticide | Approved uses | Reference on health effects |
|---|---|---|---|---|---|
| Supercron 500EC | Profenofos 500 g/lEC | II | Insecticide | For the control of aphids (Acyrtosiphon pisum) | US EPA |
| Snowcron 500EC | Profenofos 500 g/lEC | II | Insecticide | For the control of aphids (Acyrtosiphon pisum) | US EPA |
| Wilcron profenos 500EC | Profenofos 500 g/lEC | II | Insecticide | For the control of fruit worm | US EPA |
| Bicron 500EC | Profenofos 500 g/lEC | II | Insecticide | For the control of onion thrips | US EPA |
| Select Plus | Profenofos 300 g/lt + lambdacylothrine 5 g/lt | II | Insecticide | For the control of onion thrips (thrips tabaci in onion) | US EPA |
| Dudumectin | Emamectin 4.8% + acetameprid 6.4% | II | Insecticide | For the control of green aphids | US EPA |
| Protrin 60EC | Chloropyrifos 500 g/lt + cypermethrin 100 g/lt | II | Insecticide | For the control of tuber moth (PTM) and African boll worm (ABW) | US EPA |
| Prosper 720EC | Profenofos 600 g/lt + cypermethrin 120 g/lt | III | Insecticide | For the control of onion thrips on onion. | US EPA |
| Snowsoldier 240EC | Carbonsulfan 240 g/lt | II | Insecticide | For the control of locust and grasshoppers. | US EPA |
| Marshal 240EC | Carbosulfan | II | Insecticide | For the control of locust and grasshoppers. | US EPA |
| Lamdex 5EC | Lambda-cyhalothrin 5% EC | II | Insecticide | For the control of stalk | US EPA |
| Ninja plus 5EC | Lambda cylothrin (pyrethroid) 50 g/lt | II | Insecticide | For the control of stalk | US EPA |
| Sumo 5EC | Lambda cylothrin (pyrethroid) 50 g/lt | II | Insecticide | For the control of stalk | US EPA |
| Trigger 5EC | Lambda cylothrin (pyrethroid) 50 g/lt | II | Insecticide | For the control of stalk | US EPA |
| Duduthrin | Lambda cylothrin (pyrethroid) 50 g/lt | II | Insecticide | For the control of stalk | US EPA |
| Duduba 450EC | Cypermethrin 10 g/lt + chloropyrifos 35 g/lt | II | Insecticide | For the control of tuber moth (PTM) and African boll worm (ABW) | US EPA |
| Duduall 450EC | Cypermethrin 150 g/lt + chloropyrifos 300 g/lt | II | Insecticide | For the control of tuber moth (PTM) and African boll worm (ABW) | US EPA |

Figure 1
Pesticide applicators in an onion farm handling pesticides without PPE.

Figure 2
Applicator with PPE in a flower farm.

Figure 3
Pesticide spilled on body and cloth in onion farms.

Figure 4
Pesticide spill on PPE at flower farm.

Figure 5
Motorized mobile pesticide sprayer in flower farm.

Figure 6
Manual knapsack equipment used in onion farms.

Figure 7
Empty pesticide containers disposed to the environment in the onion farm.

Figure 8
Empty pesticides stored in bags in flower farms.
Table 5
Proportion of neurological health symptoms among study participants in flower (n = 84) and onion farms (n = 56).
| Neurological health symptoms | Flower farms (%) | Onion farms (%) |
|---|---|---|
| Excessive sweating | 46.4 | 32.1 |
| Body weakness | 34.5 | 91.1 |
| Abnormal tiredness of the body | 28.6 | 55.4 |
| Headache | 27.4 | 58.9 |
| Pain in part of the body | 21.4 | 64.3 |
| Poor appetite | 17.9 | 46.4 |
| Depression | 15.5 | 17.9 |
| Irritation | 13.1 | 46.4 |
| Nervousness or shakiness inside | 11.9 | 23.2 |
| Nausea | 8.3 | 39.3 |
| Dizziness | 7.1 | 53.6 |
| Ringing in ears | 7.1 | 30.4 |
| Trouble falling asleep | 7.1 | 14.3 |
| Feeling hot or cold | 7.1 | 23.2 |
| Vomiting | 3.6 | 28.6 |
| Loss of concentration | 4.8 | 17.9 |
Table 6
Reported neurological health symptoms among pesticide applicators in relation to cholinesterase test (N = 56) in onion farms.
| Neurological health symptoms | AChE below normal range (N = 22) | AChE within normal range (N = 34) | Total (N = 56) | Chi sq | p-value |
|---|---|---|---|---|---|
| n (%) | n (%) | n (%) | |||
| Abnormal tiredness | 13(59.1) | 18(52.9) | 31(55.4) | 0.204 | 0.785 |
| Painful part of the body | 13(59.1) | 23(67.6) | 36(64.3) | 0.426 | 0.575 |
| Irritation | 6(27.3) | 20(58.8) | 26(46.4) | 5.346 | 0.029* |
| Depression | 11(50.0) | 17(50.0) | 28(50.0) | 0.000 | 1.000 |
| Loss of concentration | 5(22.7) | 5(14.7) | 10(17.9) | 0.586 | 0.448 |
| Perspiration | 4(18.2) | 14(41.2) | 18(32.1) | 3.238 | 0.087 |
| Headache | 15(68.2) | 18(52.9) | 33(58.9) | 1.282 | 0.282 |
| Dizziness | 12(54.5) | 18(52.9) | 30(53.6) | 0.014 | 1.000 |
| Heart or chest pain | 4(18.2) | 6(17.6) | 10(17.9) | 0.003 | 1.000 |
| Poor appetite | 10(45.5) | 16(47.1) | 26(46.4) | 0.014 | 1.000 |
| Vomiting | 9(40.9) | 7(20.6) | 16(28.6) | 2.703 | 0.134 |
| Ringing in ears | 6(27.3) | 11(32.4) | 17(30.4) | 0.163 | 0.772 |
| Nausea | 10(45.5) | 12(35.3) | 22(39.3) | 0.578 | 0.577 |
| Trouble falling asleep | 6(27.3) | 6(17.6) | 12(21.4) | 0.735 | 0.508 |
| Feeling hot or cold | 7(31.8) | 6(17.6) | 13(23.2) | 1.505 | 0.332 |
| Body weakness | 21(95.5) | 30(88.2) | 51(91.1) | 0.856 | 0.340 |
[i] Key:* Level of statistical significance (p value < 0.05).
Table 7
Reported neurological health symptoms among pesticide applicators in relation to cholinesterase level (N = 84) in flower farms.
| Neurological health symptoms | AChE below normal range | AChE within normal range | Total | Chi sq | p-value |
|---|---|---|---|---|---|
| n (%) | n (%) | n (%) | |||
| Abnormal tiredness | 20(83.3) | 4(16.7) | 24(28.6) | 0.124 | 1.000 |
| Painful part of the body | 14(20.6) | 4(25.0) | 18(21.4) | 0.150 | 0.739 |
| Irritation | 9(13.2) | 2(12.55) | 11(13.1) | 0.060 | 1.000 |
| Depression | 9(13.2) | 4(25.0) | 11(15.5) | 1.370 | 0.260 |
| Loss of concentration | 4(5.9) | 0(0.0) | 4(4.8) | 0.988 | 1.000 |
| Excessive sweating | 31(45.6) | 8(50.0) | 39(46.4) | 0.101 | 0.787 |
| Headache | 18(26.5) | 5(31.2) | 23(27.4) | 0.149 | 0.758 |
| Dizziness | 5(7.4) | 1(6.2) | 6(7.1) | 0.024 | 1.000 |
| Heart or chest pain | 7(10.3) | 1(6.2) | 8(9.5) | 0.246 | 1.000 |
| Poor appetite | 13(19.1) | 2(12.5) | 15(17.9) | 0.387 | 0.725 |
| Vomiting | 3(4.4) | 0(0.0) | 3(3.6) | 0.732 | 1.000 |
| Ringing in ears | 6(8.8) | 0(0.0) | 6(7.1) | 1.520 | 0.590 |
| Nausea | 7(10) | 0(0) | 7(8.3) | 0.246 | 1.000 |
| Trouble falling asleep | 7(10) | 1(6.2) | 8(9.5) | 0.246 | 1.000 |
| Feeling hot or cold | 6(8.8) | 0(0.0) | 6(7.1) | 1.52 | 0.590 |
| Body weakness | 25(36.8) | 4(25.0) | 29(34.5) | 0.793 | 0.560 |
