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• Guidelines for Physicians - Medical Supervision (cholinesterase monitoring) of Agricultural Pesticide Applicators
• Pesticide Illness Surveillance / Pesticide Illness Reporting
• Programs
• Reports/Risk Assessments
• On-Line Training Modules:
  • Recognition, Management, and Reporting of Pesticide Illness
  • Medical Supervision Program
• Urban Pest Eradication

 

Pesticides

Medical Supervision (cholinesterase monitoring) of Agricultural Pesticide Applicators

Guidelines for Physicians 4th edition
February 2002

OEHHA is responsible for producing a booklet entitled: Guidelines for Physicians which explains and interprets the state program of cholinesterase monitoring for agricultural pesticide mixer/loader/applicators who regularly handle toxicity Category I and II organophosphate or n-methyl carbamate pesticides. Physicians who are medical supervisors in this program are required to possess a copy of these Guidelines and to be aware of its contents.

Follow this link to download the Guidelines for Physicians as a PDF file.

Medical Supervision Training for physicians

OEHHA offers a one-hour training class in Medical Supervision Training for Physicians that explains the California program for cholinesterase monitoring of agricultural pesticide mixer/loader/applicators.

NEW - In addition, OEHHA now offers an on-line training module that explains the California Medical Supervision Program for cholinesterase monitoring of agricultural pesticide mixer/loader/applicators. Continuing medical education credit is available to physicians and nurses upon completion of this module.

Medical Supervision Survey

To determine the feasibility of certification for California medical supervisors, and to conduct a program evaluation of the medical supervision program, a mail survey was sent to the 321 California physicians who were medical supervisors of record in 1995. Physicians provide medical supervision, including cholinesterase monitoring, for agricultural pesticide mixer/loader/applicators who handle Category I and II organophosphate and n-methyl carbamate pesticides as specified under California Code of Regulations (CCR), Division 6, Section 6728. Responses returned from 101 medical supervisors provided the basis for description of their practice, how they obtained information on the medical supervision program, and whether or not they would want or accept a state certification program (certification is not currently required).

Follow this link to download the results of the survey.