Pesticides including organophosphates (OPs) and carbamates are used extensively in public health and agriculture to increase crop yields.The abuse of pesticides can have a serious impact on farmer's health.The objective of this study is to study changes in serum cholinesterase activity (BChE) as a biological marker of PO poisoning.Workers in a palm tree oil unit during periods of exposure and non-exposure to pesticides, as well as a control group were selected randomly.The clinical signs reported are those observed in the subjects exposed to organophosphates and anticholinesterase carbamates.The serum enzymatic activity (AES) of cholinesterase was quantified by spectrophotometry.The average serum cholinesterase level during the exposure and non-exposure period was 4225.64 U / l ± 791.10 and 4766.47 ± 873.32 versus 6588.95U / l ± 1303, respectively, 42 the control level (n = 43) (p <0.001).The average enzymatic activity of workers (n = 19) during non-exposure and exposure periods increased from (78.95%) to non-exposure (36.84%) (Data Not shown) with a significant difference (p = 0.00750).Inhibition of enzymatic activity greater than 40% was observed during the non-exposure phase in 21.05% of cases, and during the exposure period in 26.32% of cases, a bi-annual biological factor necessary for these workers.

Les teneurs en glucides ont été déterminées par la méthode réductimétrique de LUFF SCHOORL après hydrolyse acide des glucides (8, 10). Les fibres alimentaires (hémicellulose, cellulose, lignine) ont été déterminées par la méthode de VAN SOEST (4, 5). Les habitudes alimentaires traditionnelles en Côte d’Ivoire ont été précisées grâce aux Enquêtes Budget-Consommation (7). Nous avons proposé deux types de conseils diététiques basés sur l’apport énergétique pour les glucides : 1 L’un, adapté à la gestante diabétique non obèse, apportant 2 200 calories. 2 L’autre, adapté à la gestante diabétique obèse apportant 1 800 calories. La proportion des glucides dans les différents types de régime, a été déterminée sur la base de 50 % de la ration calorique globale. L’aspect fondamental de ces conseils diététiques consiste à respecter la répartition de l’alimentation en 5 prises quotidiennes par un apport en glucides à tous les repas. En pratique, nous proposons les heures de repas, de 7 h, 12 h, 19 h et deux collations à 10 h et à 16 h.

SUMMARY We have worked out dietetic recommendations for the diabetic pregnant woman. In determining her diet we have given priority to the content of dietary fibres in local food. This diet is based on traditional food habits. The purpose of this survey is to ensure a free and better support of the diabetic pregnant woman for the diet.