An insecticide puts ryots at high risk of diabetes

In 2011, a 15-year-old girl from Madurai was admitted to hospital for diabetes ketoacidosis. It is a life-threatening condition that develops when cells in the body are unable to get the sugar (glucose) they need due to the lack of insulin.

Krishnan Swaminathan, an endocrinologist and president of the Coimbatore-based Kovai Medical Centre and Hospital, saw that the girl was not responding to treatment. “We reinvestigated the case and found high residues of an organophosphate (OP) insecticide in her blood and urine samples. When we asked her parents, they told us she had consumed the insecticide because she had scored less marks in her school examination,” he says.

Derived from phosphoric acid, OPs are a popular class of pesticides. They are also notorious as the poison chosen by farmers to commit suicide. Around the time, the case of a 12-year-old boy suffering from a similar condition was reported from Mysuru, Karnataka. The boy had eaten tomatoes from a field without washing them only a few hours earlier.

Swaminathan says that it was due to this impact of the chemical on the body’s insulin function that he first thought there could be a link between OP exposure and diabetes. The observations in these cases formed the premise of a study conducted by a team from the Madurai Kamaraj University to investigate the high prevalence of diabetes being reported from rural areas.

“Chronic exposure to organophosphate not only induces diabetes but also leads to impaired glucose tolerance (type II diabetes) in both humans and mice,” says Ganesan Velmurugan, lead author of the paper published in the January issue of Genome Biology. Previous studies had shown a high prevalence of diabetes in rural Tamil Nadu, but this is the first study to link pesticide exposure to the disease.

The researchers surveyed 3,080 people from seven villages in Thirupparan-kundram block of Madurai district. Participants were above the age of 35 years. Almost 55 per cent of them were from the farming community and were, hence, more likely to be exposed to OPs. Based on the blood test results, it was found that the prevalence of diabetes among the farming community was three times higher (18.3 per cent) than that in the non-farming community (6.2 per cent), despite the low level of typical risk factors such as obesity, high cholesterol and physical inactivity…

To confirm whether chronic exposure to OPs leads to diabetes, the researchers fed insecticide-laced water to a group of mice for 180 days, which is equivalent to 12-15 years of human life. They found that the mice showed a slow and steady increase in their blood glucose levels, resulting in significantly high levels after 180 days.

Just like nerve agents used in chemical warfare, OPs inhibit the function of an enzyme called cholinesterase, which ensures proper functioning of the nervous system. But researchers were surprised to find no changes in levels of the enzyme in the treated mice. They then investigated whether gut microbiota may have a role to play in the developing of diabetes.

They transplanted faecal material from OP-fed animals to a new set of mice and found that the latter exhibited significant glucose intolerance and developed diabetes. The authors also noticed changes in the gut microbiota, including higher numbers of OP-degrading bacterial enzymes.

Degradation of organophosphates produces short-chain fatty acids—specifically acetate—which in turn lead to the generation of glucose, elevated blood sugar levels and glucose intolerance.

The findings of the study assume importance as India is the diabetes capital of the world. As of 2015, more than 69 million people in the country were estimated to be living with diabetes…

Toxic chemical
The potential health impacts of chronic exposure to OPs have been indicated in many studies. In 2015, the International Agency for Research on Cancer declared that organophosphate insecticides such as tetrachlorvinphos, parathion, malathion, diazinon and glyphosate are carcinogens.

Other studies have shown that organophosphate exposure is associated with neurodegenerative disorders such as Parkinson’s disease and Alzheimer’s disease and metabolic disorders such as diabetes and hypertension. It is also known to cause neurological disorders in infants and young children. What makes OP exposure worse is the lack of awareness about safety gear among farm workers.

In Sundarajpuram village near Madurai most farmers do not take precautionary measures such as wearing masks and gloves while spraying insecticides. “I do not often wear a mask or gloves because it is inconvenient. Sometimes, I forget to wear them,” says 67-year-old Subramanya, president of the local farmers’ association.

Others say that though pesticide sellers inform them about the precautions to take, they do not follow them. OPs are sprayed by diluting them in water. They are, hence, easily absorbable through direct exposure to skin, mucosal linings and respiratory tracts…

Though many studies have called for OPs to be banned, they continue to be used in many countries. In India, pesticide use is regulated by the Central Insecticides Board and Registration Committee (CIBRC) and the Food Safety and Standards Authority of India (FSSAI). As of October 20, 2015, the CIBRC has completely banned two OP pesticides and regulated the use of four others. Of the four are methyl parathion, which is banned for use on fruits and vegetables, and monocrotophos, which is banned for use on vegetables.

Yet, they are used extensively by farmers in Tamil Nadu, says Velmurugan. In fact, he had filed an RTI against some of the state’s agricultural universities, which listed these banned pesticides on their websites and even recommended their use... (For full article, visit http://www.downtoearth.org.in/news/toxic-spray-57309)

By Megha Prakash