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Parkinson's Disease Associated With Pesticide Exposure In French Farm Workers
ScienceDaily (June 4, 2009) — The cause of Parkinson’s disease (PD), the 
second most frequent neurodegenerative disease after Alzheimer’s disease, is 
unknown, but in most cases it is believed to involve a combination of 
environmental risk factors and genetic susceptibility. Laboratory studies in 
rats have shown that injecting the insecticide rotenone leads to an animal 
model of PD and several epidemiological studies have shown an association 
between pesticides and PD, but most have not identified specific pesticides or 
studied the amount of exposure relating to the association. 
A new epidemiological study involving the exposure of French farm workers to 
pesticides found that professional exposure is associated with PD, especially 
for organochlorine insecticides. 
Led by Alexis Elbaz M.D., Ph.D., of Inserm, the national French institute for 
health research in Paris, and University Pierre et Marie Curie (UPMC, Paris 
6), the study involved individuals affiliated with the French health insurance 
organization for agricultural workers who were frequently exposed to 
pesticides in the course of their work. Occupational health physicians 
constructed a detailed lifetime exposure history to pesticides by interviewing 
participants, visiting farms, and collecting a large amount of data on 
pesticide exposure. These included farm size, type of crops, animal breeding, 
which pesticides were used, time period of use, frequency and duration of 
exposure per year, and spraying method.
The study found that PD patients had been exposed to pesticides through their 
work more frequently and for a greater number of years/hours than those 
without PD. Among the three main classes of pesticides (insecticides, 
herbicides, fungicides), researchers found the largest difference for 
insecticides: men who had used insecticides had a two-fold increase in the 
risk of PD.
“Our findings support the hypothesis that environmental risk factors such as 
professional pesticide exposure may lead to neurodegeneration,” notes Dr. 
Elbaz.
The study highlights the need to educate workers applying pesticides as to how 
these products should be used and the importance of promoting and encouraging 
the use of protective devices. In addition to the significance of the study 
for those with a high level of exposure to pesticides, it also raises the 
question about the role of lower-level environmental exposure through air, 
water and food, and additional studies are needed to address this question. 

Journal reference:
Elbaz et al. Professional exposure to pesticides and Parkinson's disease. 
Annals of Neurology, 2009; NA DOI: 10.1002/ana.21717 
Adapted from materials provided by Wiley-Blackwell.

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