Amarnath Mishra, Shukla SK, Yadav MK and Gupta AK
Organophosphorus (OP) pesticide self-poisoning is an important clinical problem in rural regions of the developing world. OP compounds are chemical compounds containing carbon-phosphorus bonds, primarily used in pest control and are often persistent organic pollutants. They are easily accessible, thus they are a commonly associated with suicides and accidental poisoning in Nepal. In present study one hundred and seventy one patients with severe OP poisoning were admitted in the emergency ward of National Medical College and Teaching Hospital and Narayani Sub-Regional Hospital, Birgunj, Nepal from January 2010 to December 2011, were studied for a detailed epidemiological and medicolegal analysis. The mean age group was 28 years, was prone to most of the cases. Most of the admitted cases were of suicidal as well as accidental in nature and women were the main victim than children. Suicidal deaths due to ingestion of OP compound are very common in Nepal, especially in women. The reason may be the increasing stress in the family and economic constraints. Accidental deaths due to occupational exposure or inhalation of OP compounds are reported but in these cases mortality rate is less than that suicidal poisoning. Further study should be needed by government and national and international NGO to evaluate it.
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