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

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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.

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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.

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SAFER • HEALTHIER • PEOPLE'
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If you have a poisoning emergency, please call the
Poison Control Center at 1-800-222-1212 or dial
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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

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