Research Grant Title:
Reducing deaths from pesticide poisoning - Establishing a regional toxicology research centre

Application ID:  NHMRC 268053 Wellcome Trust GR071669MA (International Collaborative Research grant scheme)
Chief Investigators: Profs Nicholas Buckley/Nimal Senanayake
Administering Institution: Australian National University/SACR
Year Funding Commenced: June 2004

Funding period: June 2004 to June 2011

Summary of the project: This project proposed to establish an Australian/Sri Lankan based research collaboration to evaluate methods to reduce deaths from deliberate self-poisoning with pesticides. Specific questions which grant intent to study include

  1. Can the burden of disease in Sri Lanka attributable to pesticide poisoning be reduced through a coordinated clinical research programme?
  2. Is pesticide restriction an effective primary prevention strategy to reduce the severity or frequency of pesticide poisoning?
  3. Can detailed investigation of the clinical pathophysiology and epidemiology of the “intermediate syndrome” and organophosphorus induced delayed neuropathy (OPIDN) provide information that will enable a reduction in morbidity and mortality from these conditions?
  4. Can changes in serum creatinine predict outcome from paraquat poisoning?
  5. Can we provide evidence (Phase II studies) that the following antidotes are effective in humans sufficient to warrant definitive large (Phase III) trials? 
    1. Bicarbonate, clonidine and diazepam (organophosphorus pesticides (OP)
    2. Bicarbonate (chlorophenoxy herbicides)
    3. Antioxidant therapy (paraquat)
  6. What are the barriers to implementation of evidence based treatment of pesticide poisoning (including antidotes) and how can these be overcome?
  7. What is the marginal cost effectiveness of the common antidotes used as treatments for pesticide poisoning?

Progress of the grant: Near completion