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.jpg): Failed to open stream: No such file or directory in C:\Inetpub\vhosts\kidney.de\httpdocs\pget.php on line 117 MMWR+Morb+Mortal+Wkly+Rep
2018 ; 67
(14
): 414-417
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Acute Metam Sodium Poisoning Caused by Occupational Exposure at a Flower Farm -
Uganda, October 2016
#MMPMID29649189
Nakubulwa S
; Kusiima J
; Kadobera D
; Mutyoba JN
; Ario AR
; Zhu BP
MMWR Morb Mortal Wkly Rep
2018[Apr]; 67
(14
): 414-417
PMID29649189
show ga
On October 25, 2016, media reports alerted the Uganda Ministry of Health to an
outbreak of >80 cases of vomiting, syncope, and acute diarrhea among workers at a
flower farm in central Uganda; 27 workers were hospitalized. On November 1, an
investigation was undertaken by the Uganda Public Health Fellowship Program.* A
case-control study found that working inside greenhouse 7, which had been
fumigated with the organosulfur compound metam sodium the night of October 13,
was strongly associated with illness. Employees who worked in this greenhouse
during October 14-21 reported a strong "suffocating" smell in the greenhouse.
Investigation revealed that, in violation of safety protocols, workers did not
properly cover the soil after fumigation, allowing vapors to become trapped
inside the greenhouse. The farm management, unaware of the lapse, failed to
inform workers to avoid the vicinity of the fumigation. Respiratory protective
measures were not routinely available for workers, which likely contributed to
the severity and extent of the outbreak. Although metam sodium is generally
considered to be of low risk when used according to manufacturer's instructions
(1), occupational exposure in the absence of recommended safety measures can have
serious health consequences. The investigation highlighted the importance of
identifying potential occupational hazards to workers, as well as establishing
safety protocols in occupational settings, training workers at risk, such as
pesticide sprayers and flower pickers,(?) and ensuring enforcement of safety
protocols. After this outbreak, the farm management reviewed, revised, and
trained the workers on safety protocols to prevent future outbreaks.