(Beyond Pesticides, May 24, 2018) California’s Department of Pesticide Regulation (DPR) is falling short of protecting vulnerable communities in the state, especially low-income and communities of color. This, according to a new report by California Environmental Justice Alliance (CEJA), which assesses state agencies on eight environmental justice principles. The poor showing by DPR comes at the forefront of reports that the state’s pesticide use has increased, nearing record highs. The findings are from California Environmental Justice Alliance’s (CEJA) 2017 Environmental Justice Agency Assessment, which provides full assessments of nine key agencies in the state including, California Air Resources Board, Department of Pesticide Regulation, and the Department of Toxic Substances Control, and lists an additional six agencies to monitor. The assessment gave the California Department of Pesticide Regulation (DPR) poor grades for its persistent failure to prioritize community health over industry profits. The agencies were judged on eight environmental justice principles, with a score of good, fair or poor for each. DPR’s scores were evenly divided between “fair” and “poor.” Specifically, the report concludes, “Many state agencies are not successfully integrating [environmental justice] into their decision-making. Overall, many state agencies still make decisions that actively harm [environmental justice] communities and fail to […]

(Beyond Pesticides, May 3, 2018) Hawaii’s bill to ban the dangerous, neurotoxic pesticide, chlorpyrifos, passed its final hurdle this week in the state legislature. Governor David Ige is expected to readily sign SB3095 into law, in light of the unanimous support it received from lawmakers on both sides of the aisle. The statewide prohibition of chlorpyrifos will take effect beginning in January 2019. This legislative action marks the first time that any state in the country has passed an outright ban on the highly toxic organophosphate pesticide. While multiple scientific studies have determined that chlorpyrifos damages fetal brains and produces cognitive and behavioral dysfunctions, particularly in utero and in children, states have been slow to institute a complete prohibition, due to its widespread use in agriculture. Lawmakers in New Jersey and Maryland have recently tried unsuccessfully to pass similar bans. Hawaii’s bill contains a caveat that allows the state’s Department of Agriculture (DOA) to grant special permits for companies that argue that they need more time to phase-out chlorpyrifos, but that exemption will end at the close of 2022. The new law also requires restricted use pesticide (RUP) users to report to the Hawaii’s DOA which ones they are applying on […]

(Beyond Pesticides, April 26, 2018) Each year, the Environmental Working Group (EWG) publishes its Shopper’s Guide to Pesticides in Produce™. The guide includes the “Dirty Dozen” and “Clean 15” lists of conventionally grown produce items that, respectively, are the most heavily tainted by toxic pesticide residue, and by contrast, have little if any residue. EWG analyzes testing conducted by the U.S. Department of Agriculture’s (USDA’s) Pesticide Data Program to arrive at its annual assessment. Its report for 2018 found that nearly 70% of conventional produce is contaminated with residue and/or breakdown byproducts of one or more of the 230 pesticides that USDA evaluated. The top items on the 2018 Dirty Dozen list include strawberries, spinach, nectarines, apples, and grapes. One-third of all the strawberry samples harbored 10 or more pesticides, and one sample showed residue of 22 different compounds. Pesticide contamination was found in 97% of spinach samples, 94% of nectarines, 90% of apples, 96% of grapes, and 99% of peaches. Topping the 2018 Clean 15 list of the least-toxic conventionally grown produce items are avocados (99+% of samples tested negative for pesticides), sweet corn (98+%), pineapples (90%), onions (90+%), and cabbage (86%). EWG again this year added hot peppers as […]

(Beyond Pesticides, March 27, 2018) In a major win for farmworker and health groups, the U.S. District Court for the Northern District of California ruled last Wednesday the U.S. Environmental Protection Agency (EPA) illegally delayed implementation of key pesticide rules that in part prevent minors from working with the most dangerous pesticides. The rule revised rules mandate pesticide applicators be at least 18 years old. According to the EPA, there are about one million certified applicators nationwide. Before delaying implementation, the agency said the revised rule could prevent some 1,000 acute poisonings every year. In addition to requiring applicators to be at least 18-years-old, the revised 2017 Certification of Pesticide Applicators (CPA) rule also improves the quality of training materials and says certified pesticide applicators must be able to read and understand the instructions. The main purpose of the CPA rule is to protect workers and the public from poisonings, by ensuring that those who handle the most dangerous pesticides are properly trained and certified. “We commend the court for recognizing that this important pesticide safeguard is needed to prevent injury to farmworkers and the public,” said Stacey Geis, Earthjustice managing attorney. “This ruling puts EPA Administrator Scott Pruitt on notice that the courts […]

(Beyond Pesticides, March 22, 2018) Last week Environmental Protection Agency (EPA) Administrator Scott Pruitt received a letter from twenty-eight U.S. Senators urging the preservation of rules that would protect farmworkers and disallow minors to handle highly toxic pesticides. At issue are two proposals from Administrator Scott Pruitt’s EPA that would roll back Agricultural Worker Protection Standards (AWPS) and the Certification of Pesticide Applicators (CPA) rules put in place during the Obama Administration. In their letter, the Senators stress the impact of any potential changes, noting “the lives of children and families across the country at stake.” During the Obama era, EPA completed rulemaking that revised AWPS for the first time in over 20 years. Key components expanded training, prohibited children under 18 from applying highly toxic restricted use pesticides, created new no-entry application-exclusion zones, improved record keeping, provided farmworkers a designated representative to request pesticide records, and other safety improvements. The final rules put in place long-overdue protections, but still represented a compromise for workers and farmworker advocates. At the time the rules were released, advocacy organization Farmworker Justice released a statement noting, “While we are disappointed that the final rule does not include some significant safety measures, we will […]

(Beyond Pesticides, March 5, 2018) Even if you don’t live in California, chances are that you eat food that is grown there. Unless all that food is organic, some of it was probably sprayed with chlorpyrifos, exposing not only you, but also the farmworkers responsible for its cultivation and harvest. Farmworker families –especially children—who usually live close to the treated fields, suffer higher impacts than those living further away. Tell Governor Brown to ban chlorpyrifos now, for the sake of the children. Five months after the California Department of Pesticide Regulation (DPR) issued its weak and inadequate draft risk assessment for the brain-harming pesticide chlorpyrifos, the state’s Scientific Review Panel (SRP) ordered DPR back to the drawing board to produce a much stronger draft that properly considers the risk of harm to the developing brain. In view of EPA’s retraction of its proposal to revoke food residue tolerances of the highly neurotoxic insecticide chlorpyrifos, despite its own assessment that the chemical is too toxic to children, it is especially important that California take action to ban the chemical. California, the home of the largest agriculture industry in the country, used over one million pounds of chlorpyrifos on over a million acres […]

(Beyond Pesticides, February 15, 2018) The U.S. Environmental Protection Agency (EPA) settled claims against pesticide giant, Syngenta, after dozens of workers in Kuai, Hawaii were exposed to the neurotoxic pesticide chlorpyrifos in 2016 and 2017. EPA backed away from the $4.8 million settlement that it was initially seeking from Syngenta and negotiated a civil penalty of $150,000. Nineteen workers were exposed to chlorpyrifos after Syngenta sprayed the insecticide on a field of genetically engineered (GE) corn at its Kekaha farm. According to the complaint, the workers were allowed to reenter the field before the reentry period expired and without protective equipment. Ten workers were taken to the hospital and three were held overnight. This incident occurred in 2016, however a second incident occurred in 2017 when Syngenta failed to post warnings for worker crews containing 42 employees after applying chlorpyrifos. At the time of the incident, an inspector from the Hawaii Department of Agriculture (HDOA) was present on the Syngenta farm, which triggered an immediate investigation from the state. Consequently, a civil administrative enforcement action was brought against Syngenta seeking $4.8 million for violating multiple federal statues including worker protection standards, allegedly affecting as many as 77 workers and leading […]

(Beyond Pesticides, February 5, 2018) We are all concerned about the workers who grow and harvest our food. A sustainable food system must protect the land and the people who work the land, including the children and families of farmworkers. In two related actions, EPA is proposing to remove age requirements for application of pesticides. The actions involve changes to the Agricultural Worker Protection Standard (WPS), which went into effect this January and covers farmworkers hired to apply pesticides, and the Certification of Applicators (CA) rule, which will go into effect May 22 and covers those allowed to apply highly toxic restricted use pesticides (RUPs), the most toxic pesticides. The proposals to remove the age requirements present unacceptable risks to teenagers, who “are still developing in critical physical and emotional areas, with particular regard to their brains and reproductive systems,” according to the American Academy of Pediatricians (AAP). Tell your Congressional delegation that EPA must not eliminate the minimum age requirement. Under the Obama administration, EPA added a minimum age requirement of 18 to both rules. A 16-year-old may apply RUPs under the supervision of a certified applicator under the CA rule. Reportedly, the reason for removing the age requirement is […]

(Beyond Pesticides, January 8, 2018)  With a long-documented history of children’s exposure to pesticides that drift from agricultural fields to school yards, California’s new regulations establishing no-spray buffers took effort January 1, as labor and public health groups acknowledged the progress and inadequacy of the measure. The new rule, DPR 16-004 Pesticide Use Near Schoolsites, adopted by the California Department of Pesticide Regulation (DPR), prohibits many pesticide applications within a quarter mile of public K-12 schools and licensed child day-care facilities during school hours, Monday through Friday between 6 a.m. and 6 p.m. This includes all applications by aircraft, sprinklers, air-blast sprayers, and all fumigant applications. In addition, most dust and powder pesticide applications, such as sulfur, will also be prohibited during this time. The new rule was announced in November, 2017. Advocates say the new rules fail to address persistent low-level exposures associated with the use of the pesticides near schools, which are in agricultural areas that are disproportionately Latino and from farmworker families. There is continuing concern about children’s exposure to hazardous pesticides because children use school grounds after school hours and on weekends and residues from drift may remain on school grounds. Many pesticides used are persistent and systemic, lingering […]

(Beyond Pesticides, November 9, 2017) Vietnam veterans suffering from certain Agent Orange-related health conditions will continue to wait for compensation. U.S. Department of Veteran Affairs (VA) Secretary David Shulkin announced last week he intends to delay a decision to expand coverage to new illnesses. Despite a robust review by the National Academy of Medicine, which recommended expanding disability compensation for bladder cancer, hyopothyroidism, high blood pressure, and Parkinson’s-like tremors due to past exposure to the toxic herbicide cocktail, the VA decided to take no action. “After thoroughly reviewing the National Academy of Medicine (NAM)’s latest report regarding Veterans and Agent Orange, and associated data and recommendations from the NAM Task Force, I have made a decision to further explore new presumptive conditions for service connection that may ultimately qualify for disability compensation,”  Secretary Shulkin said in a press release last week.  “I appreciate NAM’s work and the commitment and expertise of VA’s NAM Task Force, and look forward to working with the Administration on the next steps in the process.” Given a promise from VA Secretary Shulkin to provide a decision on the new ailments by November 1st, Veterans groups are crying foul, and placing blame on the Trump administration, […]

(Beyond Pesticides, August 31, 2017) Researchers at the University of California, Santa Barbara report in a new study that exposure to pesticides as a result of living near agricultural areas increases the risk of giving birth to a baby with abnormalities. These results are more significant for those exposed to very high levels of pesticides, underscoring the continued risks faced by farmworkers and farmworker families, especially mothers living near chemically-intensive treated fields. The study, “Agricultural pesticide use and adverse birth outcomes in the San Joaquin Valley of California,” looked at individual birth and demographic characteristics for over 500,000 birth observations between 1997 and 2011 in the agriculturally dominated San Joaquin Valley, California. The researchers, who report their findings as, “the most comprehensive to date, bringing together the largest data file ever compiled on street-address level birth outcomes and fine scale exposure to agricultural pesticides,” analyzed residential agricultural pesticide exposure during gestation, by trimester, and by toxicity influences on birth outcomes: birth weight, gestational length, or birth abnormalities. Adverse birth outcomes increased by 5–9% among those exposed to very high quantities of pesticides (e.g., top 5th percentile, i.e., ~4,200 kg per square mile applied over gestation). According to the results, “ The magnitude of effects were further enlarged […]

(Beyond Pesticides, August 29, 2017) Air monitoring in Kern County, California, finds levels of the highly neurotoxic pesticide, chlorpyrifos, in excess of the levels of concern established by the U.S. Environmental Protection Agency (EPA) for pregnant women. Chlorpyrifos is linked to low IQs, autism and other developmental neurological effects. Earlier this year, EPA Administrator Scott Pruitt refused to ban chlorpyrifos to the dismay of many scientists, medical professionals, and farmworker organizations. The California Department of Pesticide Regulation (CDPR) released its 2016 air monitoring data where it was revealed that chlorpyrifos air concentrations for a one-month period at the air monitoring site on the campus of Shafter High School in Kern County was 39.4 nanograms per cubic meter (ng/m3) – more than 18 times higher than EPA’s level of concern for pregnant women (2.1 ng/m3).  Shafter High School is some distance from fields in an area where chlorpyrifos use is not as high as in other parts of Kern County or elsewhere in California. More than 1.1 million pounds of chlorpyrifos was used in California in 2015, and more than a quarter of that is used in Kern County. High chlorpyrifos levels at a school means that children and unsuspecting teachers and […]

(Beyond Pesticides, July 27, 2017) Earlier this week U.S. Senators Tom Udall (D-NM) and Richard Blumenthal (D-CT) introduced a bill that would ban use of the insecticide chlorpyrifos. The Protect Children, Farmers and Farmworkers from Nerve Agent Pesticides Act, S. 1624, comes one week after an appeals court refused to require the U.S. Environmental Protection Agency (EPA) to make a decision over whether to ban the chemical. Removing this neurotoxic insecticide from the environment would significantly reduce health risks for children and farmworkers in underserved rural communities, build pressure to address all toxic organophosphates, and help push U.S. agriculture in a more sustainable direction. As with other organophosphate class chemicals, chlorpyrifos, first registered in 1965 by Dow Chemical, is derived from nerve agents used during World War 2. The chemical is linked to a range of negative health and environmental outcomes that warrant its prohibition. Children are at particular risk from the chemical due to their developing immune, organ, and nervous systems.  As with other organophosphate nerve agents, the chemical acts on the body’s nervous system, inhibiting the movement of neurotransmitters called cholinesterase. Chlorpyrifos chemically binds to the site where cholinesterase would in the body, preventing normal nerve impulse transmission. […]

(Beyond Pesticides, June 28, 2017) In a move that could portend broader action in the case of environmental crimes, Michigan Attorney General Bill Schuette has filed charges of involuntary manslaughter against five state officials in a death resulting from Flint’s water crisis. While most criminal charges resulting from environmental mishaps and disasters are filed against corporations or their CEOs, one law review article notes, “Prosecutors have become aggressive in seeking out responsible parties. The net of criminal liability is no longer limited to those directly involved in causing the disaster, but may now extend to those involved in the response, as well as officials whose derelictions in office helped create the risk.” In announcing the charges, the Attorney General stated, “All defendants charged with involuntary manslaughter are charged in relation to the death of Robert Skidmore, 85, of Mt. Morris, Michigan. Skidmore died of Legionnaires’ disease after many others had been diagnosed with the illness, yet no public outbreak notice had been issued. The charges allege failure to notify and lack of action to stop the outbreak allowed the disease to continue its spread through Flint’s water system.” Involuntary manslaughter is punishable by up to 15 years in prison, and/or a $7,500 […]

(Beyond Pesticides, June 19, 2017) Farmworker and health organizations have sued the U.S. Environmental Protection Agency (EPA) following the agency’s announcement last month that it will delay for one year the implementation of a final rule that revised and updated protections for certified pesticide applicators. Earthjustice and Farmworker Justice are co-counsel on the case. The rule, the Certification of Pesticide Applicators (CPA) rule, includes much needed requirements like mandatory age minimums, as well as better training for pesticide applicators to protect workers and the public from poisoning by the most toxic pesticides. First enacted in 1974, the Certification of Pesticide Applicators Rule  was revised and made final on January 4, 2017, and was scheduled to go into effect March 6, 2017. It outlines regulations regarding the certification of applicators of restricted use pesticides (RUPs)- some of the most hazardous pesticides. The rule ensures that applicators of RUPs get adequate training and establishes a minimum age of 18 for pesticide applicators. It also requires that applicators be able to read and write; increases the frequency of applicator safety training to every year; and improves the quality of information that workers receive about the pesticides that they apply in agricultural, commercial, and residential […]

(Beyond Pesticides, May 24, 2017) A Hawai’i woman is suing her former employer, DuPont Pioneer, stating that the company retaliated against her for bringing up concerns over pesticide safety. Shanbnell Grilho, who worked for DuPont Pioneer on Oahu’s North Shore, alleges the company required her to apply hazardous herbicides without the proper training or protection, and ultimately fired her after fabricating allegations against her. This lawsuit is the latest claim against multinational pesticide companies operating in Hawai’i, which have been at the center of local and state-level disputes over their use of toxic pesticides where Hawai’i residents live, work, and play. In her complaint, Ms. Grilho indicates that she began working at DuPont Pioneer as a temporary employee, during which time she was awarded a raise and named DuPont Pioneer employee of the month. At the time she did not have to apply pesticides. However soon after her award, she was hired as a full time employee and required to work with Roundup, Liberty, and Honcho herbicides, which contain the active ingredients glyphosate, glufosinate, and glyphosate, respectively.  “DuPont Pioneer required plaintiff to apply herbicides and biocides while wearing a backpack sprayer, driving an ATV while applying herbicides with a backpack […]

(Beyond Pesticides, May 15, 2017) Last week the U.S. Environmental Protection Agency (EPA), under the direction of new Administrator Scott Pruitt, announced that it will delay for one year the implementation of a final rule that revised and updated protections for certified pesticide applicators –the workers who apply the most hazardous pesticides, restricted used pesticides. The new rules require increased training for certified applicators and increase the minimum age of a worker to 18 years, updates to which industry has objected. Against the backdrop of recent high-profile poisonings, the delay requested by industry interests places these workers and the public at continued risk. The Certification of Pesticide Applicators Rule was made final on January 4, 2017, revising regulations regarding the certification of applicators of restricted use pesticides (RUPs). The rule was scheduled to go into effect March 6, 2017, but was delayed to March 21, 2017 by the new Trump Administration, which placed a mandatory freeze on all new regulations coming out of federal agencies. Now the Pruitt-led EPA states in the notice that it has “determined that the effective date of the revised Certification of Pesticide Applicators rule should be extended until May 22, 2018. EPA is taking this […]

(Beyond Pesticides, March 31, 2017) On Wednesday, Scott Pruitt, the new head of the Environmental Protection Agency (EPA), rejected the conclusions of EPA scientists, and independent scientific literature, and reversed a tentative decision from 2015 to revoke food residue tolerances of chlorpyrifos due to the chemical’s neurotoxic impacts. This would have effectively banned chlorpyrifos from agriculture. This decision stemmed from a petition and lawsuit filed by the Natural Resources Defense Council (NRDC) and Pesticide Action Network North America (PANNA)  ten years ago, calling for EPA to revoke all chlorpyrifos tolerances and cancel all registrations. A Federal Appeals court mandated that EPA take final action by March 31, 2017. Mr. Pruitt’s decision leaves the door open for continued neurotoxic dangers for humans, especially children, who have been shown to be especially vulnerable to chlorpyrifos. Chlorpyrifos is part of the organophosphate (OPs) class of pesticides, which were used in World War II as nerve agents. As potent neurotoxicants, organophosphates are extremely harmful to the nervous system, given that they are cholinesterase inhibitors and bind irreversibly to the active site of an enzyme essential for normal nerve impulse transmission. The scientific evidence of neurotoxic dangers associated with chlorpyrifos exposure is extensive and consistent. Epidemiological data also […]

(Beyond Pesticides, March 22, 2017) Today, a coalition of farmers and environmental and public health organizations filed a lawsuit against the Environmental Protection Agency (EPA) for approving agrochemical giant Dow Chemical’s toxic pesticide combo, Enlist Duo, among the newer more highly toxic pesticide mixtures used in genetically engineered (GE) herbicide-tolerant crops. Comprised of glyphosate and 2,4-D (50% of the mixture in the warfare defoliant Agent Orange), Enlist Duo is typically marketed alongside commercial crops like corn, cotton and soybeans that are engineered to withstand pesticide exposure, leading to problems of resistance and driving the evolution of super weeds. This is the third lawsuit challenging EPA approval of Enlist Duo by petitioners, which include Beyond Pesticides, National Family Farm Coalition, Family Farm Defenders, Pesticide Action Network North America, Center for Food Safety, and Center for Biological Diversity, represented jointly by legal counsel from Earthjustice and Center for Food Safety. The lawsuit charges that approval of Enlist Duo “will lead to sharply increased spraying of toxic pesticides, harming farmers, neighboring crops, and wildlife.” Specifically farmers’ health and financial positions stand to be heavily impacted by the approval of Enlist Duo, as increased use will result in increased pesticide drift, an alarming concern especially […]

(Beyond Pesticides, March 21, 2017) Last week, the California Department of Pesticide Regulation (CDPR) released revised rules regarding notification of pesticide applications near schools, weakening standards despite opposition from community and public health groups. The new rules rescind a requirement that schools be granted 48 hours prior notification for a planned application of agricultural pesticides within ¼ mile of a school site. CDPR has re-opened public comments on the new rules, and concerned residents have until April 4 to submit a short statement urging increased protections to the Department at [email protected]. Public health, farmworker, and community groups had urged CDPR to strengthen, not weaken common-sense protections for children’s health. As the rules currently stand, applications of toxic, drift-prone pesticides will only be restricted within ¼ mile of a school site, and only during the hours of 6am to 6pm on weekdays. The original proposal required 48 hour prior notification for other agricultural pesticide applications occurring within ¼ mile of school sites during these times. However, CDPR’s revised rules now only require 48 hour notification if the pesticides applied are not on a list provided to school officials at the beginning of the year. Applicators will still be required to submit annual reports […]

(Beyond Pesticides, March 14, 2017)  The U.S. Environmental Protection Agency (EPA) is opening an investigation into whether the Hawaii Department of Agriculture (HDOA) and the state Agribusiness Development Corporation (ADC) are discriminating against Native Hawaiians in their administration of the state’s pesticide program. The investigation comes after a number of local community groups, represented by the nonprofit environmental law organization Earthjustice, filed a complaint in September 2016 asking EPA to take action against systemic abuses of Native Hawaiian peoples. Local efforts to protect pesticide-exposed communities have been repeatedly stymied by giant pesticide corporations operating on the island, which filed lawsuits that ultimately struck down local laws. EPA’s investigation will focus on the state’s activity on the islands of Kauai and Moloka’i. “The External Civil Rights Compliance Office will investigate whether in administering the pesticides program and the leasing and licensing of the state land program the HDOA and/or ADC discriminated on the basis of race and/or national origin against farm workers and residents of West Kauai and Molokai, in violation of Title VI of the Civil Rights Act, and EPA’s implementing regulation,” wrote Lilian Dorka, director of EPA’s External Civil Rights Compliance Office(ERCO), in a letter to Earthjustice. Under Title […]

(Beyond Pesticides, March 10, 2017) A French study published last week has found that higher pesticide use does not mean larger profits, demonstrating that farmers can reduce their usage of pesticides without worrying about their profits being affected, in most cases. Similar studies have shown that organic and conventional yields are comparable, supporting the case for farmers to transition from high pesticide use to healthier, safer, and more profitable alternatives. The study, led by Martin Lechenet, a PhD student with the French National Institute for Agricultural Research, looked at data from 946 French farms, including yields, pesticide application rates, soil characteristics, and local climate conditions. The researchers then used a model to focus on the relationship between pesticide application rates and productivity or profitability. They found that, in 77% of the farms, higher pesticide use was not linked to a higher profit. The researchers then estimated that pesticide use could be reduced by 42% without any negative effects on current profit levels in 59% of farms in their national network. According to the researchers, their results demonstrate the ability to reduce pesticide usage for most farmers in current production situations. In addition, other studies support the finding that farmers do not have […]

(Beyond Pesticides, February 23, 2017) Male pesticide applicators who experienced a pesticide spill or another related accident are more likely to harbor changes in their DNA associated with an increased risk of prostate cancer, according to a recent paper published in the journal, Environmental and Molecular Mutagenesis. While the relationship between pesticide exposure and prostate cancer is not new, this study adds to the growing body of evidence that high exposure to specific pesticides may lead to the development of prostate and other cancers. The analysis finds that after experiencing one of these exposure events, men are more likely to have higher DNA methylation of a gene linked with an increased risk of developing prostate cancer. DNA methylation is a form of gene regulation that, if disturbed, can result in gene expression changes that can cause cancer. The researchers used data from the ongoing Agricultural Health Study (AHS), which is a long-term cohort study evaluating cancer and other health outcomes of pesticides applicators and their spouses in North Carolina and Iowa. This paper, High pesticide exposure events and DNA methylation among pesticide applicators in the agricultural health study, analyzed a sample size of 596 male pesticide applicators who underwent three phases of […]