Due to easy availability, pesticides have become commonly used substance for intentional self -poisoning. According to the World Health Organization (WHO) estimates, around 3 million poisoning cases with 220,000 deaths occur annually. About 99% of these deaths occur in developing countries. According to Bangladesh Health Bulletin, DGHS 19999 poisoning is the 15th common cause of morbidity (n=309409) and 3rd common cause of mortality in 1997 and 2nd common cause of mortality in 1999. The number of accidental, suicidal and homicidal intoxications with OPs is high with vast mortality due to access difficulty for medical treatment and lack of resources in health care facilities. There are too many patients, too few physicians, few drugs and ventilators and not enough good evidence about how to treat patients with the life threatening OP poisoning. The ready availability of potent pesticides in the homes of most residents in rural areas makes OPs the preferred compounds of deliberate self-harm.
Mohammad Robed Amin