Healthy Hospitals: Controlling Pests Without Harmful Pesticides

0,62

MB

62

stron

4051

ID

Health Care Without Harm

2003

rok

Table of Contents

Preface by Jackie Hunt Christensen . 1

Executive Summary2

I. The Pesticide Problem . 4

Pesticide Toxicology 4

Health Effects of Pesticides 4

The Hazards of “Inert” Ingredients 5

Pesticide Exposure Routes . 6

Pesticide Efficacy and Resistance 7

Pesticide Regulation . 10

Limited and Misleading Information on Product Label 10

Missing Toxicity Data . 11

Pesticide Laws Allow An “Acceptable” Risk . 11

II. Hospital Pesticide Use Survey Findings 12

Methodology 12

Summary of Survey Findings 12

Hospital Pest Management Plans . 13

Hospital Integrated Pest Management (IPM) Programs 13

In-House versus Contract Pest Management 14

Hospital Pesticide Use . 15

Least Hazardous Pesticide Use . 16

Hospital Use of Cancelled Pesticide Products and Active Ingredients16

Hospital Pesticide Use Notification . 18

Record Keeping 19

Staff Training on Pesticide Health Effects. 19

Cost of Hospital Pest Management . 19

III. Safer Pest Management Practices . 24

Integrated Pest Management (IPM): A Safer Solution . 26

Key Elements of an IPM Program 27

Education 27

Monitoring . 27

Pest Prevention 27

Least Hazardous Approach to Pests . 29

Pesticide Use Notification 30

Record Keeping 30

IPM is Cost Effective 31

Examples of Hospital IPM Programs 32

Veterans Hospitals 32

Oregon Health and Science University. 32

San Francisco General Hospital33

Massachusetts General Hospital . 33

Brigham and Women’s Hospital . 33

Hackensack University Medical Center33

IV. Conclusion and Recommendations 38

V. Appendix40

Resource List . 40

Model Hospital Integrated Pest Management (IPM) Policy . 41

Hospital Pesticide Use Cover Letter and Survey 43

Hospital Pesticide Use Survey Results. 47

VI. Endnotes 52