Rips discovered in the plastic during unloading indicated that the car had been entered after fumigation. D Perrotta, PhD, T Willis, D Salzman, J Borders, Bur of Epidemiology, Texas Dept of Health. L Mehler, MD, Pesticide Illness Surveillance Program, Worker Health and Safety Br, California Environmental Protection Agency. Before 1986, carbon tetrachloride and carbon disulfide mixtures were the primary fumigants used during rail transport. Symptoms may begin immediately and can include fatigue, headache, nausea, vomiting, abdominal pain, cough, and shortness of breath.
Treatment is symptomatic and supportive.
These guidelines vary regarding the size and placement of the sign and the wording, graphic symbols, and languages used on the sign. Carriers may conform to either agency's set of regulations and guidelines. DOT is reviewing its regulations for potential updating. Surveillance for pesticide poisoning is complicated by lack of uniform reporting guidelines and difficulty in attributing specific adverse health outcomes to pesticide exposure. California mandates that physicians report all illnesses caused by pesticides to local health officers.