Washington State Cholinesterase Monitoring Rule Evaluation: Medical Monitoring Education, Informed Consent for Handlers

(NIOSH/CDC, 1995-2000) In 2004, the state of Washington began requiring the medical monitoring of farm workers who work frequently with high toxicity pesticides. Washington follows only California in adopting this type of policy, presenting the opportunity for creating a model program. PNASH helped the state build the program by ensuring that there are well-developed and evaluated training programs for the medical providers who will work with employees and employers, and informed consent procedures for participating workers, many with low literacy.
These efforts built upon interagency partnerships, informational interviews, and focus groups; drew on the experience of California’s monitoring program; and adapted their materials for use in Washington.

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