PESTROP Project Pesticide use in Smallholder Farms: Challenges and Opportunities for Health, Environment and Policy in

HIGHLIGHTS • Analysis of urine samples from • Information on alternative methods • To protect water, good pesticide smallholder farmers in to synthetic pesticides is not readily lifecycle management practices have showed that conventional farmers available to smallholder farmers to be promoted. These include among are particularly exposed to synthetic when needed. others; mixing only recommended pesticides. Surprisingly organic doses away from water sources, farmers also showed high levels of • To protect human health, the Ministry maintaining of buffer zones when pesticide exposure. of Agriculture Animal Industry and applying pesticides, designated Fisheries, through its extension areas for disposing waste water from • Analysis of water samples from River workers should offer more trainings pesticide washings and triple rinsed, Mayanja, its feeder streams and on responsible pesticide handling, punctured empty containers. community drinking water sources integrated pest management and revealed relatively high pesticide alternative farming practices to • To sustainably manage pesticide residue levels in surface water bodies. smallholder farmers in their localities. lifecyle, multi-sectoral collaboration Furthermore, access to affordable and is paramount, especially amongst • Pesticide use and handling practices climate friendly personal protective Ministry of Agriculture Animal Industry among the surveyed smallholder clothing should be promoted by the and Fisheries, Ministry of Health, farmers predisposes them risk of Government of Uganda. Ministry of Water and Environment, exposure and the resultant negative National Drug Authority, and National effects on environmental and human Environment Management Authority. health. 1.0 INTRODUCTION 1.1 Brief background to this policy brief 1.2 Pesticide use by smallholder farmers in Uganda This policy brief presents the main research findings of the “Pesticide use in Tropical Settings” The agricultural sector plays an important role (PESTROP) Project and implications of two and is characterized by mostly smallholder overarching research questions for Uganda; farmers. With low temperature variability 1. What are the human and environmental health and two rainy seasons, Uganda largely has fertile agricultural land. In Wakiso District, effects of pesticide use? subsistence farming and supply of the local 2. Which changes in pesticide use practice and market dominate the use of the small agricultural policy are needed to efficiently reduce human plots. A growing number of farmers is cultivating and environmental exposure to pesticides? horticultural products for commercial purposes. To protect their horticultural crops, livestock and households, farmers frequently apply synthetic pesticides, some of which are highly hazardous. These chemicals have potential negative effects for human and environmental health.

1.3 Information gap

In Uganda, there is a lack of empirical studies that investigate: (i) how smallholder farmers use pesticides under tropical conditions; (ii) how these use patterns are influenced by the Pestrop Project Working Package institutional settings of a given country; and (iii) Extensive field data related to the environmental, how farm practices subsequently affect human health and institutional aspects of pesticide and environmental health. At the same time, use among smallholder farmers was gathered decision-makers are pressured to come up with between September and November 2017. The policies that regulate pesticide use and human main results are summarized here for decision- and environmental protection in a way to ensure makers, to illustrate policy implications, and to economic productivity while maintaining physical provide recommendations on how to close the and environmental integrity. observed policy-practice gap to better protect human health and the environment. Wakiso District case study * Study area: River Mayanja catchment areas in Wakiso District (72 km2, 1100 to 1300 meters above sea level)

* The topography is rolling to slightly hilly

* Major crops: beans, maize, sweet potato, banana, cassava, coffee, tomatoes, and groundnuts

* Use of a broad range of hazardous pesticides: 2,4- D, Glyphosate, Mancozeb, Cypermethrin, Profenofos 2.0 RESULTS and IMPLICATIONS 2.1 Health assessment pesticide levels are increased mainly in surface In 2017, a study with 302 smallholder farmers water bodies, which require better protection. applying different pest management strategies such as the use of synthetic or natural pesticides was conducted in the Wakiso District in the Sub- Counties of Mende, and Gombe. A questionnaire was administered in combination with clinical assessments and the collection of urine, hair, toenail, and blood samples. Tests were applied to study the farmer’s memory and ability to concentrate. Only one in four (23%) farmers had received training in pesticide use, such as proper application techniques, storage, or safety procedures. Among the users of synthetic pesticides, numbers were even lower (14%). The Sampling sites in Mende Subcounty analysis of 96 urine samples from conventional 2.3 Behavioural assessment and organic farms showed elevated levels of Among 50 smallholder farmers in-depth pesticide metabolites in almost all urine samples. interviews were conducted to understand their Concentrations were higher in conventional need for information on pest management, farmers. In terms of health effects, a connection how they search, acquire and use it. Farmers between the application of synthetic pesticides use different information sources depending on and psychiatric distress, symptoms of depression, pest management strategy. Information about anxiety and somatization was found. synthetic pesticides is locally available. Organic strategies aren’t easily accessible in farming communities. Moreover, 309 smallholder farmers were interviewed about personal protective equipment (PPE). Most farmers did not see many others using PPE. Farmers who have received education on PPE use it more often, which shows the value of trainings. They are aware of the health risks related to pesticide use and feel more vulnerable when using less protection. Most feel proud when using more PPE and believe in the effectiveness of protective measures. Some farmers were not aware of the safety labels on pesticide containers, which can help to inform Wakiso District case study correct application and safe handling. Concentration of pesticide metabolites in urine 2.2 Environmental assessment 2.4 Institutional assessment In 2017, water samples were taken at five Due to the concerns about negative effects on locations along the streams of human and environmental health caused by basin. Moreover, grab samples were taken at pesticides, most countries have introduced legal different drinking water sources (4 boreholes, 4 regulation of their use. To assess Uganda’s fetch ponds and 2 springs). Out of 40 different institutional setting governing pesticide use pesticides and transformation products detected on the one side and resource protection on in the catchment, 32 were found in fetch ponds the other, public policies and ownership rights and 16 in Mayanja river and its side streams. In were analysed in-depth and interviews with key the river, concentrations of the herbicide 2,4-D representatives of governmental institutions, were highest (up to 790 ng/L). In the boreholes academia and civil society organizations were and springs, 21 and 2 different pesticides were held. Findings showed that several policies exist found, respectively in low concentrations (< to protect occupational health from pesticide 30ng/L). Overall these findings indicate that exposure. However, existing policy measures do RESULTS and IMPLICATIONS not address farmers and generally the informal for the aquatic ecosystem and drinking water. sector directly, which means that this group Policy measures in place target polluters in does not enjoy the necessary protection from general, not specifically addressing farmers and pesticide exposure. Policies related to water exist their pesticide use as potential source of water and mostly consider pesticides as a problem contamination.

• The Ministry of Agriculture Animal Industry PPEs to make them readily available and and Fisheries should strengthen promotion of affordable by smallholder farmers. ecological farming, especially Integrated Pest Management amongst smallholder farmers. • The Ministry of Agriculture Animal Industry and For instance building the technical capacity and Fisheries to undertake frequent inspection of support to extension workers. agro-dealers to guarantee quality of advice passed on to farmers. • The Ministry of Gender Labour and Social Development should revise existing • To safeguard community water sources occupational health and safety regulations to and rivers, the government should put in incorporate regular inspection and protection place incentives to compel farmers to return of informal sector workers like farmers. empty triple rinsed and punctured pesticides containers to pesticide shops or to central • Deliberate efforts should be put in place collection points for further proper disposal. to promote biopesticides. The Ministry of Agriculture Animal Industry and Fisheries • Local leaders at Sub County put in place by- should expedite their approval process. Uganda laws that discourage farmers from applying Revenue Authority should subsidize taxes pesticides upstream and/or close to known levied on biopesticides and other non-chemical community water sources. alternative technologies. • More persuasive policy measures are needed

Recommendations: • The Ministry of Agriculture Animal Industry to promote self-protection and protect and Fisheries should expedite passing and occupational health, in particularly farmers popularisation of regulations under the from pesticide exposure. For instance, the wide Agricultural Chemicals Control Act, 2006 on network of radio stations across the country personal protection to guide on importation broadcasting in more than 30 local languages of PPEs that are adapted to tropical climate should be leveraged to broadcast pest safe use conditions. In addition, we recommend messages (on public health, environmental application of waiver taxes on such imported conservation and sustainable production).

This research was part of the National Association of inter- and transdisciplinary Community and Occupational Contact Person: research project “Pesticide Health (UNACOH), Makerere use in Tropical Settings” University, Directorate of

(PESTROP) which aimed at Government Analytical better understanding the use Laboratory (DGAL), the Swiss of agricultural pesticide in Institute of Tropical and Public tropical settings by studying Health (Swiss TPH), the Swiss its environmental, health Federal Institute of Aquatic and institutional dimensions. Sciences and Technology (UNACOH)

The PESTROP project was (Eawag), and the University of Atuhaire Aggrey Uganda National Association of Association National Uganda

conducted in Uganda and Bern. and Community Health Occupational Costa Rica. The research was funded Researchers and collaborators of the project by the Swiss Network for PESTROP: Simon Peter Bakkabulindi, Nikola Diemer, Rik Eggen, Andrea Farnham, Kennedy Francis, Samuel The research has been International Studies (SNIS) Fuhrimann, Jennifer Inauen, John Katende, Oscar Kibirango, Gideon Kironde, Galiwango Kyoloobi, Jonathan Lilje, Christian conducted in a collaboration and the Swiss Federal Institute Lindh, Tiziana Manfioletti, Esther Mirembe, Tonny Mpanga, Project Information: Information: Project Jonathan Mugweri, Damalie Mukasa, Nuhuh Mutebi, Sarah with partners in Uganda of Aquatic Sciences and Namirembe, Julian Nandhego, Annah Nyesigire, Charles and Switzerland: Uganda Technology (Eawag). Niwagaba, Christelle Oltramare, Charlotte Spitznagel, Philipp Staudacher, Frederik Weiss, Ruth Wiedemann, Mirko Winkler and Lydia Yariwo. For more information: [email protected] [email protected]