E ai ki tētahi tātaritanga o ngā raraunga rangahau ā-motu, e hono ana te pānga o ētahi matū patu pepeke, pērā i ngā ārai namu, ki ngā pānga kino ki te hauora.
I roto i ngā kaiuru i te Rangahau Whakamātautau Hauora me te Kai Totika ā-Motu (NHANES), ko te nui ake o te pānga ki ngā patupatu pyrethroid e whakamahia whānuitia ana i te kāinga e hono ana ki te toru ngā whakarea o te pikinga o te mōrearea o te mate ngakau (ōwehenga mōrearea 3.00, 95% CI 1.02–8.80) te pūrongo a Tākuta Wei Bao me ōna hoa mahi mai i Te Whare Wānanga o Iowa i Iowa City.
Ko te hunga i te wāhanga teitei rawa o te pānga ki ēnei patupatu he 56% te pikinga ake o te mōrearea o te mate mai i ngā take katoa, ki te whakaritea ki te hunga i te wāhanga iti rawa o te pānga ki ēnei patupatu (RR 1.56, 95% CI 1.08–2.26).
Heoi, i kī ngā kaituhi kāore he hononga o ngā patu pepeke pyrethroid ki te mate pukupuku (RR 0.91, 95% CI 0.31–2.72).
I whakarerekētia ngā tauira mō te iwi/iwi taketake, te ira tangata, te tau, te BMI, te creatinine, te kai, te momo noho, me ngā āhuatanga pāpori.
Kua whakaaetia ngā patu pepeke pyrethroid kia whakamahia e te US Environmental Protection Agency, ā, ko te nuinga o te wā e whakamahia ana i roto i ngā rongoā ārai namu, ngā rongoā ārai kutu, ngā hopi me ngā rehu mō ngā kararehe, me ētahi atu hua whakahaere pepeke o roto, o waho hoki, ā, e kiia ana he haumaru.
"Ahakoa neke atu i te 1,000 ngā piretiroid kua hangaia, tata ki te tekau mā rua noa iho ngā patu pepetiroid kei te mākete o Amerika, pērā i te permethrin, te cypermethrin, te deltamethrin me te cyfluthrin," te whakamārama a te tīma a Bao, me te tāpiri atu kua "piki ake" te whakamahinga o ngā piretiroid. "I ngā tekau tau tata nei, kua kino haere te āhua nā te whakarērea haere o te whakamahinga o ngā organophosphates i roto i ngā whare noho."
I roto i tētahi kōrero e haere tahi ana, e kī ana a Stephen Stellman, Ph.D., MPH, me Jean Mager Stellman, Ph.D., o Te Whare Wānanga o Columbia i New York, ko ngā piretiro "te tuarua o ngā patupatu e whakamahia whānuitia ana i te ao, e mano kirokaramu te tapeke me ngā tekau rau miriona tāra US." Ngā hoko US i roto i ngā tāra US.
Heoi anō, "kei ngā wāhi katoa ngā patupatu pyrethroid, ā, kāore e taea te karo i te pānga," ko tā rātou tuhituhi. Ehara i te mea he raruraru noa iho mō ngā kaimahi pāmu: "Ko te rehu namu rererangi hei whakahaere i te huaketo West Nile me ētahi atu mate e kawehia ana e te kawe i roto i a New York me ētahi atu wāhi e whakawhirinaki nui ana ki ngā pyrethroid," te kī a Stelmans.
I tirotirohia e te rangahau ngā hua o te neke atu i te 2,000 ngā pakeke i uru ki te kaupapa NHANES i waenga i te tau 1999–2000 i tirotirohia e rātou, i kohia hoki ngā tauira toto, ā, i whakautua hoki ngā pātai rangahau. I inehia te pānga ki te pyrethroid mā te whakamahi i ngā taumata mimi o te waikawa 3-phenoxybenzoic, he matū whakaputa pyrethroid, ā, i wehea ngā kaiuru kia toru ngā wāhanga o te pānga.
I roto i te arotakenga ā-tau mō te 14 tau, e 246 ngā kaiuru i mate: 52 i te mate pukupuku, me te 41 i te mate manawa.
I te toharite, he nui ake te pānga o ngā piretiro ki ngā tāngata mangu ehara i te hunga Pāniora i ngā tāngata Pāniora me ngā tāngata mā ehara i te hunga Pāniora. Ko te hunga he iti ake te whiwhinga moni, he iti ake te taumata mātauranga, ā, he iti ake te kounga o te kai, ko rātou anō te hunga i nui ake te pānga ki te piretiro.
I whakamāramahia e Stellman rāua ko Stellman te "poto rawa o te haurua-ora" o ngā tohu koiora pyrethroid, ko te toharite he 5.7 hāora noa iho.
"Ko te kitea o ngā taumata o ngā matū pirau pyrethroid i tere te whakakorea i roto i ngā taupori nui, kanorau ā-whenua e tohu ana i te pānga roa, ā, he mea nui hoki te tautuhi i ngā pūtake taiao motuhake," ko tā rātou i kī.
Heoi, i kitea anō e rātou nā te mea he taitamariki tonu ngā kaiuru o te rangahau (20 ki te 59 tau), he uaua ki te whakatau tata i te nui o te hononga ki te mate o te ngakau me te ngākau.
Heoi, e ai ki a Stellman rāua ko Stellman, nā te "haurua mōrearea tino teitei" e tika ana kia nui ake ngā rangahau mō ēnei matū me ō rātou mōrearea hauora tūmatanui.
Ko tētahi atu herenga o te rangahau, e ai ki ngā kaituhi, ko te whakamahinga o ngā tauira mimi o te mara hei ine i ngā matū pirau pyrethroid, e kore pea e whakaata i ngā huringa i roto i te wā, ka arahi ki te whakarōpūtanga hē o te pānga noa ki ngā patupatu pyrethroid.
He kaituhi matua a Kristen Monaco e tohunga ana ki ngā purongo mō te endocrinology, te psychiatry me te nephrology. Kei te tari o New York ia, ā, kua mahi ia ki te kamupene mai i te tau 2015.
I tautokona te rangahau e ngā National Institutes of Health (NIH) mā te University of Iowa Environmental Health Research Center.
Wā tuku: Hepetema-26-2023