RESUMO
OBJECTIVE: The chronic impact of acetylcholinesterase (AChE) inhibitors and other toxicants on Gulf War (GW) veterans' health symptoms is unclear. METHODS: Building on reports of adverse neuropsychological outcomes in GW pesticide applicators exposed to pesticides and pyridostigmine bromide (PB), we now report on health symptoms in this group. RESULTS: In adjusted analyses, applicators with high exposures/impact to pesticides reported significantly more symptoms (18/34 symptoms) than applicators with lower exposures/impact and were more likely to meet modified Kansas and CDC Gulf War Illness criteria. The high PB exposure/impact group was three times more likely to report irregular heart rates. With regard to specific pesticide types, fly baits, pest-strips and delousers were the most associated with increased health symptom reporting. CONCLUSIONS: These results suggest that GW veterans with high AChE inhibitor and organochlorine exposures are most at risk for chronic health symptoms.
RESUMO
Our submission is responsive to the urgent need for public mental health action prompted by the escalating COVID-19 pandemic. In it, we review the evidence calling for urgent public mental health action, propose a mental health equivalent fo the World Health Organization's 'Do the Five' concept, and describe the 'REACH for Mental Health' public health measure we have launched at the Harvard T.H. Chan School of Public Health.
Nuestra presentación responde a la necesidad urgente de acciones en la salud mental pública debido a la creciente pandemia de COVID-19. En esta presentación revisamos la evidencia que exige acciones urgentes de la salud mental pública, proponemos un equivalente de salud mental del concepto 'Haz los cinco' de la Organización Mundial de la Salud, y describimos la intervención de salud pública 'REACH (por sus siglas en ingles) para Salud Mental' que hemos lanzado en la Escuela T.H. Chan de Salud Pública de Harvard.