NIOSH FACT SHEET 735E07007 Reducing Pesticide Exposure at Schools Summary Pesticides play an important role in food supply protection and disease control, but they can also be harmful to human health. The term pesticide applies to insecticides, herbicides, fungicides, disinfectants and various other substances used to control pests. Pesticides are often applied at schools to help maintain sanitary conditions and suppress rodents and insect populations. Expo- sures and potential health risks to children and school staff can be reduced by avoiding routine pesticide applications through an Integrated Pest Management (IPM) program. IPM is an alternative pest-control technique that manages and suppresses pests by preventing their access to food, water and shelter. These strategies can be more cost-efficient than traditional pest control options.' Using IPM at schools can reduce pesticide exposure of workers and students. Pesticide Exposure at Schools Exposure to pesticides at schools has been associ- ated with illnesses among employees and students, although infrequently. Rates of illness from pes- ticide exposure at schools have been shown to be higher in school staff than in children because staff members are more likely to handle pesticides.2 However, children may be particularly susceptible to pesticide toxicity because many of their organ systems have not reached developmental maturity.3 Exposures to pesticides can produce cough, short- ness of breath, nausea, vomiting, headaches, and eye irritation.2 There is also mounting evidence that long-term pesticide exposure in adults is as- sociated with chronic health effects such as cancer, neurologic problems and reproductive problems.43 IPM can be useful to promote a safe learning environment A Multifaceted Approach Needed to Manage and Suppress Pests Although pesticides temporarily control pest pop- ulations, pests often return to the same location because food, water and shelter are still available. Consequently, additional actions are necessary to control pests in settings such as schools, workplac- es, and homes. A multifaceted approach, such as an IPM program, is essential to effectively manage and suppress pests in any environment. DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control Prevention National Institute for Occupational Safety and Health CDC Workplace Safely and Health ------- Recommendations for Reducing Pesticide Exposure at Schools Integrated Pest Management (IPM) is a pest-control alternative to routine pesticide use. IPM emphasizes several elements to successfully manage and suppress pests from an environment without relying on the regular use of chemicals. The use of IPM reduces the use of pesticides at schools compared to traditional pest-control options. To implement IPM at your school, you can start by developing a written policy and procedural guidelines for school pest management.6 This policy, accompanied by its procedural guidelines, should incorporate the following 8 IPM steps: 1. Appoint a pest manager • The pest manager should be a knowledgeable person or company competent to carry out pest manage- ment duties, such as a member of the custodial staff, a company contracted to perform pest management at the school, or another appropriate person. Please see the sidebar on page 3 for more information on how to choose a pest manager 2. Monitor for pest problems • The pest manager should routinely inspect the build- ing, including entrances, food/water storage sites and restrooms for pest activity. • The pest manager should respond to any pest com- plaints reported by students, staff, parents and others. 3. Identify the nature of any pest problems • The pest manager should find the origin of a pest problem (for example, food crumbs, cracks in walls) and identify the type of pest. 4. Eliminate the source(s) of the problems without using pesticides • The pest manager should modify the habitat by using methods such as repairing cracks and crevices, sealing doors, moving trash receptacles away from the build- ing and ensuring sanitary conditions. 5. If nontoxic methods fail or are impractical use pesticides following these principles: • Use the least toxic pesticide that is effective and ap- proved application techniques that minimize expo- sure (try to avoid using pesticides labeled "Warning" or "Danger"). • Only trained and qualified workers should handle and apply pesticides. Read and follow the directions on the pesticide container. Ensure the pesticide applicator uses the appropriate personal protective equipment. 6. Keep accurate records to document and evaluate the effectiveness of the IPM program • Record the types of pests detected before and after any habitat modification or pesticide treatment. • Document measures taken to control the pest(s). 7. Educate the school community about pesticides and IPM • Involve and educate stakeholders, including admin- istration, instructional and support staff, parents and students. • Distribute the school's pest-control management pol- icy to school stakeholders periodically, for example, by including it in parent handbooks and teachers manuals. Educate students and teachers on how their behavior contributes to pest problems (food in classrooms/ cubbies, gum under desks, paper clutter, etc.). Involve students and staff in pest monitoring activi- ties. A school employee should always be present to watch over all IPM service provider visits. 8. Notify and provide reentry recommendations when pesticides are used • Consider providing written notification of any up- coming pesticide application to all students, parents and staff.t At least 19 states have laws that require schools to provide some type of written notification before a pesticide application.7 Many of these states require that notification be made at least 24 hours before an application. Specify the type of pesticide to be used, if possible. The pest manager should be available to provide more specific information on the pesticide. Post notices around the perimeter of the application area and leave these notices in place for 48 hours after the application. Avoid spraying pesticides when children and staff are present. Pesticides shouldn't be sprayed during school hours or when school activities are taking place. Ap- plications on Friday evenings are ideal if no weekend school activities are scheduled. Restrict staff and students' access to the treated area until the pesticide has dried or as long as is recom- mended on the pesticide label. 'Baits or other types of gels and pastes in areas inaccessible to staff and students maybe exempt from these notification guidelines. ------- References 1. EPA [2006]. Integrated pest management (IPM) in schools. Washington, DC: United States Environ- mental Protection Agency [www.epa.gov/pesticides/ ipm/]. 2. Alarcon WA, Calvert GM, Blondell JM, et al [2005]. Acute illnesses associated with pesticide exposures at schools. JAMA 294(4) :455-465. 3. National Research Council [1993]. Pesticides in the diets of infants and children. Washington, DC: National Academy Press [www.nap.edu/catalog. php?record id=2126#toc]. 4. Alavanja MC, Hoppin HA, Kamel F [2004]. Health effects of chronic pesticide exposure: Cancer and neurotoxicity. Ann Rev Pub Hlth 25:155-197. 5. Garcia AM [2003]. Pesticide exposure and women's health. Am J Ind Med 44:584-594. 6. EPA [2006]. Pest control in the school environment: Adopting integrated pest management. Washing- ton, DC: United States Environmental Protection Agency [www.epa.gov/pesticides/ipm/brochure/]. 7. NASBE [2007]. State by state pesticide use. Alex- andria, VA: National Association of State Boards of Education [www.nasbe.org/HealthySchools/States/ Topics.asp?Category=C&Topic=7]. For More Information About Integrated Pest Management The following are some Web sites that provide detailed information regarding pesticides, IPM, examples of model IPM programs, and further IPM resources for school officials and other inter- ested parties. Integrated Pest Management (IPM) in schools: Protecting Children in Schools from Pests and Pesticides http://www.epa.gov/pesticides/ipm General information on IPM programs in schools California School Integrated Pest Management Program http://www.schoolipm.info/ Comprehensive school IPM Web site that provides documents, links and other resources The IPM Institute of North America, Inc. http://www.ipminstitute.org/ Provides general information on IPM in schools and IPM STAR Certification IFAS at the University of Florida: National School IPM Information Source http://schoolipm.ifas.ufl.edu/ Provides specific information for parents, admin- istrators, faculty and staff, and pest managers National Institute for Occupational Safety and Health: Pesticide Illness & Injury Surveillance http://www.cdc.gov/niosh/topics/pesticides/ General information on pesticide illnesses and surveillance in the United States How to choose an individual/ company to be the pest manager to perform IPM services* • Ask for a written description of their IPM ser- vices. It should include regular inspections, regular service reports, IPM recommenda- tions and use of least toxic pesticides. • Does the individual/company promote rou- tine use of sprays? If the answer is "yes," find another IPM service provider! • Discuss current pest problems, their causes and management recommendations. Do they seem reasonable? • Are their IPM recommendations consistent with those found in this fact sheet? • Your IPM service provider should be able to provide documentation/proof of training related to pest identification. • Your IPM service provider should be a willing and skilled educator. • To help educate the school community on IPM, the IPM service provider should require that a school employee be present to watch over all service visits. * Adapted from materials developed by the University of Arizona, Arizona Department of Environmental Quality, and the U.S. Environmental Protection Agency. ------- For More Information About Workplace Safety and Health To receive more information about occupational safety and health topics, contact NIOSH at Telephone: 1-800-CDC-INFO (1-800-232-4636) TTY: 1-888-232-6348 E-mail: cdcinfo@cdc.gov or visit the NIOSH Web site at www.cdc.gov/niosh. For a monthly update on news at NIOSH, subscribe to NIOSH eNews by visiting www.cdc.gov/niosh/eNews. This document is in the public domain and may be freely copied or reprinted. As part of the Centers for Disease Control and Pre- vention, NIOSH is the Federal agency responsible for conducting research and making recommendations to SAFER • HEALTHIER • PEOPLE' prevent work-related illnesses and injuries. Fact sheets describe how worker exposures to hazardous agents or activities can be reduced. If you have a poisoning emergency, please call the Poison Control Center at 1-800-222-1212 or dial 911. Mention of any company or product does not consti- tute endorsement by the National Institute for Occu- pational Safety and Health (NIOSH). In addition, cita- tions to Web sites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these Web sites. Reducing Pesticide Exposure at Schools DHHS (NIOSH) Publication No. 2007-150 September 2007 DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health 4676 Columbia Parkway Cincinnati, OH 45226-1998 ------- |