Conclusion

There is ample evidence that agricultural workers and those who reside in agricultural areas have an increased risk for a variety of adverse reproductive health outcomes. Both paternal and maternal exposures to biologic and chemical agents and maternal exposure to physical factors must be recognized and controlled to prevent these adverse effects on fertility and on the next generation of children. Strategies should include reduction or elimination of chemical agents whenever possible, proper personal protective equipment, improved work practices and hygiene, worker education, avoidance of biologic exposures, and reduction in the intensity and duration of maternal physical labor.

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