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Aplastic anemia in rural Thailand: Its association with grain farming and agricultural pesticide exposure

Author

Listed:
  • Issaragrisil, S.
  • Chansung, K.
  • Kaufman, D.W.
  • Sirijirachai, J.
  • Thamprasit, T.
  • Young, N.S.

Abstract

Objectives. A population-based case-control study was conducted to elucidate the incidence and etiology o aplastic anemia in Thailand. Methods. Case patients and hospital control patients were enrolled in three regions from 1989 to 1994; data were collected by interview. Results. Forty-six percent of 81 case patients and 19% of 295 control patients from Khonkaen were grain farmers (estimated relative risk [RR] = 2.7, 95% confidence interval [CI] = 1.4, 5.2). Sixteen percent of case patients and 6% of control patients used agricultural pesticides (estimated RR= 2.7, 95% CI= 1.1, 6.6). The association with grain farming remained among those not exposed to pesticides. In Songkla, 16% of 43 case patients and 2% of 181 control patients were grain farmers (crude RR estimate = 11, 95% CI = 3.4, 35). Conclusions. The relation of aplastic anemia to grain farming may partly explain the high incidence of aplastic anemia in Thailand.

Suggested Citation

  • Issaragrisil, S. & Chansung, K. & Kaufman, D.W. & Sirijirachai, J. & Thamprasit, T. & Young, N.S., 1997. "Aplastic anemia in rural Thailand: Its association with grain farming and agricultural pesticide exposure," American Journal of Public Health, American Public Health Association, vol. 87(9), pages 1551-1554.
    • Handle: RePEc:aph:ajpbhl:1997:87:9:1551-1554_0
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