Abstract
Pesticides, applied in large quantities in urban communities to control cockroaches, pose potential threats to health, especially to children, who have proportionately greater exposures and unique, developmentally determined vulnerabilities. Integrated pest management (IPM) relies on nonchemical tools--cleaning of food residues, removal of potential nutrients, and sealing cracks and crevices. Least toxic pesticides are used sparingly. To evaluate IPM's effectiveness, the Mount Sinai Children's Environmental Health and Disease Prevention Research Center, in partnership with two community health centers in East Harlem, New York City (NY, USA), undertook a prospective intervention trial. Families (n = 131) enrolled when mothers came to the centers for prenatal care. Household cockroach infestation was measured by glue traps at baseline and 6 months afterward. The intervention group received individually tailored IPM education, repairs, least-toxic pest control application, and supplies, with biweekly pest monitoring for 2 months and monthly for 4 months. The control group, residing in East Harlem and demographically and socioeconomically similar to the intervention group, received an injury prevention intervention. The proportion of intervention households with cockroaches declined significantly after 6 months (from 80.5 to 39.0%). Control group levels were essentially unchanged (from 78.1 to 81.3%). The cost, including repairs, of individually tailored IPM was equal to or lower than traditional chemically based pest control. These findings demonstrate that individually tailored IPM can be successful and cost-effective in an urban community.
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Selected References
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- Adgate J. L., Kukowski A., Stroebel C., Shubat P. J., Morrell S., Quackenboss J. J., Whitmore R. W., Sexton K. Pesticide storage and use patterns in Minnesota households with children. J Expo Anal Environ Epidemiol. 2000 Mar-Apr;10(2):159–167. doi: 10.1038/sj.jea.7500078. [DOI] [PubMed] [Google Scholar]
- Berkowitz Gertrud S., Obel Josephine, Deych Elena, Lapinski Robert, Godbold James, Liu Zhisong, Landrigan Philip J., Wolff Mary S. Exposure to indoor pesticides during pregnancy in a multiethnic, urban cohort. Environ Health Perspect. 2003 Jan;111(1):79–84. doi: 10.1289/ehp.5619. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Campbell C. G., Seidler F. J., Slotkin T. A. Chlorpyrifos interferes with cell development in rat brain regions. Brain Res Bull. 1997;43(2):179–189. doi: 10.1016/s0361-9230(96)00436-4. [DOI] [PubMed] [Google Scholar]
- Campbell M. E., Dwyer J. J., Goettler F., Ruf F., Vittiglio M. A program to reduce pesticide spraying in the indoor environment: evaluation of the 'Roach Coach' project. Can J Public Health. 1999 Jul-Aug;90(4):277–281. doi: 10.1007/BF03404131. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Dam K., Seidler F. J., Slotkin T. A. Chlorpyrifos exposure during a critical neonatal period elicits gender-selective deficits in the development of coordination skills and locomotor activity. Brain Res Dev Brain Res. 2000 Jun 30;121(2):179–187. doi: 10.1016/s0165-3806(00)00044-4. [DOI] [PubMed] [Google Scholar]
- Eskenazi B., Bradman A., Castorina R. Exposures of children to organophosphate pesticides and their potential adverse health effects. Environ Health Perspect. 1999 Jun;107 (Suppl 3):409–419. doi: 10.1289/ehp.99107s3409. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Kinney Patrick L., Northridge Mary E., Chew Ginger L., Gronning Erik, Joseph Evelyn, Correa Juan C., Prakash Swati, Goldstein Inge. On the front lines: an environmental asthma intervention in New York City. Am J Public Health. 2002 Jan;92(1):24–26. doi: 10.2105/ajph.92.1.24. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Landrigan P. J., Claudio L., Markowitz S. B., Berkowitz G. S., Brenner B. L., Romero H., Wetmur J. G., Matte T. D., Gore A. C., Godbold J. H. Pesticides and inner-city children: exposures, risks, and prevention. Environ Health Perspect. 1999 Jun;107 (Suppl 3):431–437. doi: 10.1289/ehp.99107s3431. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Levin E. D., Addy N., Nakajima A., Christopher N. C., Seidler F. J., Slotkin T. A. Persistent behavioral consequences of neonatal chlorpyrifos exposure in rats. Brain Res Dev Brain Res. 2001 Sep 23;130(1):83–89. doi: 10.1016/s0165-3806(01)00215-2. [DOI] [PubMed] [Google Scholar]
- Perera Frederica P., Illman Susan M., Kinney Patrick L., Whyatt Robin M., Kelvin Elizabeth A., Shepard Peggy, Evans David, Fullilove Mindy, Ford Jean, Miller Rachel L. The challenge of preventing environmentally related disease in young children: community-based research in New York City. Environ Health Perspect. 2002 Feb;110(2):197–204. doi: 10.1289/ehp.02110197. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Whyatt Robin M., Camann David E., Kinney Patrick L., Reyes Andria, Ramirez Judy, Dietrich Jessica, Diaz Diurka, Holmes Darrell, Perera Frederica P. Residential pesticide use during pregnancy among a cohort of urban minority women. Environ Health Perspect. 2002 May;110(5):507–514. doi: 10.1289/ehp.02110507. [DOI] [PMC free article] [PubMed] [Google Scholar]