PESTICIDES TRAINING COURSE: 24 – 29 MARCH 2003 TROPICAL PESTICIDES RESEARCH INSTITUTE, ARUSHA, TANZANIA SPONSORED BY: FOGARTY INTERNATIONAL CENTER/UNIVERSITY OF MICHIGAN, THE WORLD HEALTH ORGANISATION AND THE NATIONAL INSTITUTE OF PUBLIC HEALTH (SWEDEN) FACILITATED BY PROFESSOR LESLIE LONDON COURSE OBJECTIVES To provide participants with an understanding of the most important strategies available for the control of pesticide related morbidity and mortality. After the completion of the course participants will be able to apply their knowledge to their own settings, be it research, teaching, or as health and safety managers, planners or practitioners. The course is intended to be adapted to the needs of different categories of participants, combining a mix of plenary sessions with working groups to address specific needs identified in a pre-course questionnaire. TARGET GROUP The course is open to citizens of SADC (Southern African Development Community) member states only. Health and safety personnel in workplaces dealing with pesticides; State officials with health and safety responsibilities; primary care occupational health practitioners; occupational health researchers; academics responsible for training in occupational and environmental health; policy makers / managers in occupational and environmental health programmes, Union representatives with health and safety responsibilities. DURATION AND TIMES This will be a six day course: 09h00 – 17h00, Monday 24 March to Saturday 29 March, including a field trip – date to be announced. COURSE CONTENT The course aims to provide participants with: · A global view of pesticide use and alternatives; international treaties affecting pesticides; and issues of obsolete pesticides · Knowledge of the main categories of pesticides, and the main health hazards associated with different kinds of pesticides, appreciating the difference between chronic and acute morbidity · A robust and sound approach to surveillance for poisoning, including the role of poison centres · Understanding of the use of biological monitoring and other forms of health surveillance · Understanding typical and atypical exposure situations · Understanding of industrial hygiene interventions and other preventive measures to reduce exposure in the workplace · Awareness of domestic and non-occupational exposure scenarios · Awareness of alternatives to pesticide use in agriculture - IPM, organic farming and other approaches · Understanding of the effectiveness of labels and safety data sheets · Appreciation of the usefulness of training for pesticide safety; train-the-trainer skills · Understanding of national and international approaches to regulation and registration of pesticides · Knowledge of data sources and information retrieval opportunities for pesticide safety · Networking – how to build capacity, how to identify potential resources, support and collaborators COURSE FORMAT The course will emphasise participants’ own contributions and draw on their own experience through interactive methods, including: · Seminars and lectures · Group discussion · Case studies from Southern African context · Project work · Videos as discussion and training material TRANSPORTATION, ACCOMODATION AND MEALS Participants will be responsible for their own transport and accommodation costs. The course fee covers the following expenses: handouts and other course material, lunch and teas. All other costs are for the participants own expense. COURSE FEE AND PAYMENT PAYMENTS MUST ONLY BE MADE ON CONFIRMATION OF ACCEPTANCE. THIS WILL BE SENT OUT BY ORGANISERS FOLLOWING REVIEW OF APPLICATIONS. Applicants from the private sector: US$300 Applicants from the public sector, including academic institutions, trade unions, non-governmental organisations and community based organisations: US$75 Payments in the form of DIRECT DEPOSITS; FOREIGN DEPOSITS or ELECTRONIC TRANSFERS must be made out to: THE UNIVESITY OF NATAL BANK: FIRST NATIONAL BANK BRANCH: DURBAN CORPORATE A/C NO.: 508 719 329 32 BRANCH NO.: 22 36 26 SWIFT CODE: FIRMZAJJ REFERENCE: Fogarty Pesticide Course Please fax copy of deposit slip or other proof of payment to: +27 31 260 4211 (marked for attention, Ms. Jenny Pillay) APPLICATION FORM All participants are required to complete the attached application form, in which a clear motivation must be provided. Not all applicants will be guaranteed a place in the course. Applicants will be notified in advance of their acceptance. CONTACT DETAILS Application forms MUST be returned by no later than 12 February 2003 to: Ms. Claudina Nogueira National Centre for Occupational Health PO Box 4788 Johannesburg 2000 SOUTH AFRICA email: noguec@health.gov.za phone: +27 11 712 6469 fax: +27 11 720 6608 For information on accommodation and travel in Arusha, please contact: Dr. AVF Ngowi TROPICAL PESTICIDES RESEARCH INSTITUTE P.O. Box 3024, Arusha, Tanzania email: vera2ngowi@yahoo.co.uk phone: +255 27 2508813 -15 or +255 27 2505868/9: fax: +255 27 2508217 Provisional Programme Day One Topic Speaker/facilitator Morning Introductions; outline of the course; ice-breaker exercise [90 minutes] LL and TPRI DG, JM Overview of global pesticide usage and policy issuesUse of video as lead in for discussion, to identify concerns and formal input [60 minutes] LL, AR, JA, OA Categories of pesticides and uses - overview, with particular reference to Africa [60 minutes] EL Afternoon Health effects: Case study to illustrate chronic versus acute effects, group discussion and report back [75 minutes] LL Acute pesticide poisoning: Clinical picture and management [75 minutes] CN* Reflection on the day and feedback [15 minutes] Day Two Chronic effects Morning Chronic effects: Neurotoxicity [2 hours] IW or LL Chronic effects: Respiratory, including paraquat, and asthma [60 minutes] AD or LL Chronic effects: Immunological, genotoxic, cancers [30 minutes] AD or LL Afternoon Chronic effects: Reproductive effectsCase study DBCP in Costa Rica, other repro toxins, endocrine disruption [90 minutes] LL, IW Case discussion - identifying chronic impacts of pesticides in Africa [45 minutes]* alternative case - interpreting scientific data as basis for policy LL, AR Reflection on the day and feedback [15 minutes] Day Three Exposure issues Morning Typical and non-typical exposure scenarios - slides and discussion in class [60 minutes] LL, TPRI Vulnerable populations and role of regulation in protecting vulnerable groups - exercise and discussion [60 minutes] AR, CN*, RA Vulnerable pops - toxicology [30 minutes] CN*, VN Vulnerable pops - regulation [30 minutes] AR, RA Group discussion on surveillance data on exposures [30 minutes] LL Afternoon Prevention Role of Industrial Hygiene interventions - input and class discussion [60 minutes] VN, DoL speaker Tanzania Alternatives to pesticides:Video and discussion; or discussion of Amazing Grace (comic) and input ) (case study of a success story?) [90 minutes] AR, JL + local IPM organisations Reflection on the day and feedback [15 minutes] DAY FOUR Surveillance and Biological Monitoring Case study on acute poisoning and notification [60 minutes] LL Projects to address improving surveillance - Central America, South Africa, IPCS [60 minutes] LL, IPCS, IW Pitfalls in surveillance - class discussion. How might you design an effective surveillance system [30 minutes] LL, IW Role of Poison Centres - input and discussion [60 minutes] CN Afternoon Biological monitoring - overview [45 minutes] VN (LL) Group exercise on a case and report back [60 minutes] Use of cholinesterase monitoring - field kit, practical guidelines for use, interpreting data - class discussion [45 minutes] VN, LL Reflection on the day and feedback [15 minutes] DAY FIVE Risk perceptions and training Morning Exercise with labels and SDS's [30 minutes] AR, MM Feedback in class and general discussion [45 minutes] AR, MM Overview of Risk Perception issues and GHS [30] AR, MM Group discussions on training for pesticide safety and feedback [60 minutes] AR, LL, JM Training and Safe Use campaigns - Central American experience - input and class discussion [45 minutes] IW, AR Afternoon Policy Issues; Networking and information sources South Africa and Tanzania regulatory frameworks - input and class discussion [45 minutes] JA, AR International regulatory frameworks for pesticides (PIC, POPS, etc) [30 minutes] IPCS*, FAO* Information sources - brief input and exercise and discussion [45 minutes] LL Networking - class discussion [30 minutes] Course evaluation {written) and closure * to be confirmed LL = Leslie London; AR = Andrea Rother; CN = Charles Nhachi; RN = Rajen Naidoo; GO = Grace Ohaya-Mitoko; AD = Aqiel Dalvie; OA = Oluyede Ajayi; DG = Director General; TPRI, JM = James Matee; JA = Jonathan Ak’habuhaya (Registrar of Pesticides); EL = Elikana Lekei; RA = Rwazo Alcheraus; JL = Juma Lossini; MM = Mary Macha Suggested Ideas for Group Work and Cases Day One Topic Activity and aim Facilitator Morning Ice-breaker exercise Presentation of a typical pesticide poisoning case. Ask how they would handle in their own context. Aims to draw out where they are coming from, what perspective they bring to the course. Share in class to illustrate different perspectives. LL Video discussion on Overview of global pesticide usage and policy issues First half of GTZ video (Argentina). Ask what issues participants identify, and what is similar or different to their experience. Use to identify concerns and point out where in the course these will be dealt with LL, AR Afternoon Health effects: Case study Construct case study to illustrate chronic versus acute effects. To discuss in groups and report back LL DAY TWO Chronic effects Participants asked to describe what is known about chronic effects of pesticide in their country; what can be done to get such knowledge (leads to research, surveillance discussion) LL Chronic effects (alternative case) Policy makers are given a short (and bad) article about an exposure-chronic effect and asked to say whether they would adopt a particular policy in response. Why? What would they like to see in the literature to justify. What is the relationship between research and policy enactment? DAY THREE Exposures Slides used to illustrate good and bad practice; direct and indirect exposure; interactive question and answer format. Needs slides typical of farming activities other than South Africa LL and TPRI or other Exposures - vulnerable populations Groups asked to identify who are groups vulnerable to pesticide effects, why, and what role they think regulation can play in protecting vulnerable groups LL, TPRI Exposures - surveillance Group discussion on surveillance data on exposure - Participants asked to describe what is known about usage and exposures to pesticide in their country; what can be done to get such knowledge; is it important, and why? How can it help public health interventions? LL Prevention Video on IPM as lead in to discussion; or distribution of Amazing Grace (comic) with group discussionBoth should be rounded off with a local case study of a success story using IPM DAY FOUR Surveillance Case study on acute poisoning and notification from South Africa. Highlight failure of notifications systems (health, labour, agric) to pick up typical poisonings. Ask to groups to identify why failures, and whether similar to their situation, and what can be done about it. Biological monitoring Case involves agricultural exposures to OP and non-OP. Groups are given text from IPCS/Maroni BM guidelines, plus other (UCT CHE guidelines) and asked to work out a protocol for monitoring (when, how, what to do, etc). Also asked to identify practical obstacles to their policy. LL, VN DAY FIVE Risk perception and training Exercise with labels and SDS's - groups asked to interpret a label and an SDS. Report back used to illustrate lack of consistency in meaning, and also variability in interpretation (comprehensibility)Or, Group is given a Comprehensibility Test to illustrate testing method?Or, individuals are given a comprehensibility test and results compared to show above(etc, many possibilities) AR, LL, TPRI Training Group given scenario where employer is going to implement GHS. What training is needed - content, format, who gives it, context, etc. Identify obstacles and facilitatory factors. AR, TPRI Information sources Give different groups/individuals different resources (internet, or CD-based, e.g. NIOSH discs) to search and locate info to solve a problem. Feedback from each participant to the group explains how they found the resource. LL, TPRI Networking Class discussion provides information on list servers, other networks, etc. What Fogarty is trying to do, etc. LL = Leslie London; AR = Andrea Rother; CN = Charles Nhachi; RN = Rajen Naidoo; GO = Grace Ohaya-Mitoko; MG = Mary Gulumian; AD = Aqiel Dalvie; OA = Oluyede Ajayi; DG = Director General; TPRI, JM = James Matee; JA = Jonathan Ak’habuhaya (Registrar of Pesticides); EL = Elikana Lekei; RA = Rwazo Alcheraus; JL = Juma Lossini; MM = Mary Macha PESTICIDES TRAINING COURSE: 24 – 28 MARCH 2003 TROPICAL PESTICIDES RESEARCH INSTITUTE, ARUSHA, TANZANIA SPONSORED BY: FOGARTY INTERNATIONAL CENTER/UNIVERSITY OF MICHIGAN AND THE WORLD HEALTH ORGANISATION FACILITATED BY PROFESSOR LESLIE LONDON PARTICIPANT APPLICATION FORM Because of the limited number of space on this course (maximum 30 participants), a screening process of interested persons will be conducted, using the information contained in this document. All those considered to be suitable candidates, will be informed timeously. On receipt of acceptance, applicants must then make the necessary payments as per announcement into the specified bank account. A. PERSONAL DETAILS Surname:...................................................... Title:........................................ First names:............................................................................................................ Gender: F/M Date of birth:.........................Citizenship:.............................. Address for all correspondence:.......................................................................... ....................................................................................................………………..………………………………………………………………….Code:................ Daytime contact telephone No.:.....................................Fax No.:....................... Email address:................................................................. B. PROFESSIONAL EXPERIENCE 1. Tertiary Qualifications Degree/Diploma/Certificate Institution/Country Date 2. Employment Employer Position held and brief description of job Dates 3. What is the nature of your present work? 4. Briefly outline any past or present experience with regard to pesticide control measures and/or surveillance of pesticide related diseases 5. List relevant publications, conference papers presented by you or courses you have facilitated : C. GENERAL 1. Briefly explain your reasons for wanting participate in the workshop: 2. How would the course improve your work skills or effectiveness in instituting pesticide control measures/surveillance in your present job or future career? 3. How best do you think you will be able to pass on the information and skills obtained in the workshop to others Please e-mail, fax or post the completed form to: Ms. Claudina Nogueira National Centre for Occupational Health PO Box 4788 Johannesburg 2000 SOUTH AFRICA email: noguec@health.gov.za phone: 27 11 712 6469 fax: 27 11 720 660