<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD Journal Publishing DTD v2.3 20070202//EN" "journalpublishing.dtd">
<article xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article">
  <front>
    <journal-meta>
      <journal-id journal-id-type="nlm-ta">Instituto Nacional de Investigación y  Tecnología  Agraria y  Alimentaria (INIA)</journal-id>
      <journal-id journal-id-type="publisher-id">e0305</journal-id>
      <journal-title>Instituto Nacional de Investigación y  Tecnología  Agraria y  Alimentaria (INIA)</journal-title><issn pub-type="ppub">2171-9292</issn><issn pub-type="epub">2171-9292</issn><publisher>
      	<publisher-name>Instituto Nacional de Investigación y  Tecnología  Agraria y  Alimentaria (INIA)</publisher-name>
      </publisher>
    </journal-meta>
    <article-meta>
      <article-id pub-id-type="doi">https://doi.org/10.5424/sjar/2020184-15450</article-id>
      <article-categories>
        <subj-group subj-group-type="heading">
          <subject>Research Article</subject>
        </subj-group>
        <subj-group><subject>organophosphates</subject><subject>endosulfan</subject><subject>POCER</subject><subject>ƩSeq indicator</subject></subj-group>
      </article-categories>
      <title-group>
        <article-title>Toxicological and ecotoxicological pressure due to pesticide use   in Sancti Spíritus, Cuba</article-title><subtitle>Toxicological and ecotoxicological pressure due to pesticide use   in Sancti Spíritus, Cuba</subtitle></title-group>
      <contrib-group><contrib contrib-type="author">
	<name name-style="western">
	<surname>López-Dávila </surname>
		<given-names>Edelbis</given-names>
	</name>
	<aff>Sancti Spíritus University, Study Centre of Energy and Industrial Process.  Avda. de Los Mártires #360. Sancti Spíritus, Cuba. Ghent University,   Faculty of Bioscience Engineering, Dept. of Plants and Crops. Coupure Links 653, Ghent, Belgium.</aff>
		  <author-notes>
        <corresp id="c1">should be addressed to Edelbis F. López-Dávila: <email xlink:href="edelbis86@gmail.com ">edelbis86@gmail.com </email>
        </corresp>
      </author-notes>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Houbraken</surname>
		<given-names>Michael</given-names>
	</name>
	<aff>Ghent University,   Faculty of Bioscience Engineering, Dept. of Plants and Crops. Coupure Links 653, Ghent, Belgium.</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>De Rop</surname>
		<given-names>Jasmine</given-names>
	</name>
	<aff>Ghent University,   Faculty of Bioscience Engineering, Dept. of Plants and Crops. Coupure Links 653, Ghent, Belgium.</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Du Laing</surname>
		<given-names>Gijs</given-names>
	</name>
	<aff>Ghent University, Faculty of Bioscience   Engineering, Dept. of Green Chemistry and Technology. Coupure Links 653, Ghent, Belgium.</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Romero</surname>
		<given-names>Osvaldo</given-names>
	</name>
	<aff>Sancti Spíritus University, Study Centre of Energy and Industrial Process.  Avda. de Los Mártires #360. Sancti Spíritus, Cuba. School of Technology , SRH - Hochschule Berlin Ernts Reuter Platz 10, Berlin, Germany</aff>
	</contrib><contrib contrib-type="author">
	<name name-style="western">
	<surname>Spanoghe</surname>
		<given-names>Pieter</given-names>
	</name>
	<aff>Ghent University,   Faculty of Bioscience Engineering, Dept. of Plants and Crops. Coupure Links 653, Ghent, Belgium. </aff>
	</contrib></contrib-group>		
      <pub-date pub-type="ppub">
        <month>11</month>
        <year>2020</year>
      </pub-date>
      <pub-date pub-type="epub">
        <day>17</day>
        <month>11</month>
        <year>2020</year>
      </pub-date>
      <volume>18</volume>
      <issue>4</issue>
      <permissions>
        <copyright-statement>© 2020 Copyright © 2020 INIA.  This  is  an  open  access  article  distributed  under  the  terms  of  the  Creative  Commons  Attribution  4.0  International (CC-by 4.0) License.</copyright-statement>
        <copyright-year>2020</copyright-year>
        <license license-type="open-access" xlink:href="http://creativecommons.org/licenses/by/2.5/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.</p></license>
      </permissions>
      <related-article related-article-type="companion" vol="2" page="e235" id="RA1" ext-link-type="pmc">
			<article-title>Toxicological and ecotoxicological pressure due to pesticide use   in Sancti Spíritus, Cuba</article-title>
      </related-article>
	  <abstract abstract-type="toc">
		<p>
			Aim  of  study:  To  quantify  the  toxicity  and  ecotoxicological  pressure of pesticides  in  Sancti  Spíritus  province,  Cuba,  between  2011  and 2014. Material  and methods:  A  longitudinal descriptive  study was designed for the study period, to identify potential  risks to the environment and  human  health  associated  with  the  use  of  pesticides.  In  order  to  determine  the  toxicity  and  ecotoxicity  of  pesticide  use,  ƩSeq  (Spread equivalents),  POCER (Pesticide Occupational  and Environmental  Risk) indicator, and the  Toxic Load (TL) methodology of the Plant Health Cuban Institute were used. Main results:  Corresponding to 62 chemical  families,  124 active  ingredients were applied in the province during the study period. Organophosphates,  carbamates,  pyrethroids,  inorganic  compounds  (such  as copper),  dithiocarbamates,  aryloxyphenoxypropionates,  neonicotinoids, sulfonylurea, triazoles,  and organochlorines  predominated  due to their frequency of use. Use of toxic-pesticides,  lack of personal protection  equipment  amount others made workers, residents and applicators  the toxicological  modules with the highest risk of exposure. From the POCER results we found that  aquatic  organisms, persistence,  and groundwater are the modules with the highest ecotoxicological pressure. Research  highlights:  With  the  use  of  the  POCER  indicator  as  well  as  ƩSeq,  a  more  accurate  assessment  of  toxicity  and  ecotoxicity  from certain  pesticide  can  be done instead  of the  TL  equation  currently  used in Cuba. In addition  substitution  of the  most toxic  pesticides  by less toxic  ones could  help  to  reduce  synthetic  pesticide  pressure on humans and  the  environment.  This  study can  help  to  develop  policies  and management practices to reduce the hazards of synthetic pesticide use in Cuba.
		</p>
		</abstract>
    </article-meta>
  </front>
  <body><sec>
			<title>Introduction</title>
				<p>The use of pesticides worldwide has become a basic need for different crops to ensure quantity and quality in crop production. Pesticides have been a solution to fight against hunger and many diseases of humanity, allowing broad sectors of the population access to more high quality food (Räsänen et al., 2015). The tendency to increase yields is argued in the pertinence of controlling diseases, insects, weeds and other organisms that can interfere with crop production (Leyva Morales et al., 2014). Although its use favors production processes, it is also true that the inadequate use of synthetic pesticides, inappropriate timing of application, and their use in crops in which they have not been registered, make these pesticides a potential risk to human health andthe environment (Mesnage et al., 2014; Dugger-Webster &amp; LePrevost, 2018).</p><p>The increased use of pesticides can result in certain side effects in humans (Vryzas, 2018). There is no pesticide that lacks toxicity; they can result in acute poisoning once they are absorbed and accumulated in organisms (la Rosa et al., 2014), and chronic damage can result from repeated exposure (Ventura et al., 2016). For example, there are reports of teratogenic, carcinogenic and mutagenic diseases; damages to eyes, skin and mucous membranes; neurotoxic damage; damage to the immune system and lungs; and infertility (WHO, 2009; Mwila et al., 2013; Botião et al., 2014).</p><p>In Cuba, in order to increase the productivity of agricultural systems, technological packages have been introduced whose main component is the use of synthetic pesticides (Rosquete, 2011). In the province of Sancti Spíritus, where agriculture is the main economic sector, its management is in line with the rest of the country. As described by Damalas &amp; Koutroubas (2018) in their studies on agricultural development in developing countries, the need to increase yields of priority crops in the province to reduce imports led to the use of synthetic pesticides. </p><p>Coupled with the use of synthetic pesticides, mainly in fruits and vegetables, there is a constant concern in the local population regarding the risk to human health and the environment reflected in various journalistic studies. There are currently no scientific studies that evaluate this risk pressure. </p><p>Toxicity and ecotoxicity studies are useful in monitoring environmental quality (Moermond et al., 2016). Different methods and models have been developed and applied like the Dutch pesticide risk indicator (NMI 3), Danish pesticide load (PL) indicator, German pesticide risk indicator (SYNOPS), health risk indicator for operators (IRSA) and toxicity risk indicator for the environment (IRTE) (Strassemeyer &amp; Gutsche, 2010; Kruijne et al., 2012; Oussama et al., 2015; Kudsk et al., 2018) and software or programs like JOVA (Petersen et al., 2013; Tollefsen et al., 2016) and USEtox (Räsänen et al., 2013; Nordborg et al., 2017). An example of method is the criteria for reporting and evaluating ecotoxicity data (CRED) (Moermond et al., 2016). </p><p>Derived from simplified quantitative models, the pesticide occupational and environmental risk indicator (POCER) (Vercruysse &amp; Steurbaut, 2002), and the indicator based on the sum of the annual Spread equivalents (ΣSeq) (De Smet &amp; Steurbaut, 2002), both developed at Ghent University (Belgium), stand as relevant options for the Cuban context. POCER assesses the risk for a large number of environmental modules, being one of the most dynamic and comprehensive models (Wustenberghs et al., 2012). Five modules assessing the risk arising from occupational or other non-dietary exposure to agricultural pesticides, covering the four categories of persons, includes: risk to operators who apply the pesticides; risk to workers who may be exposed through re-entry activities such as harvest; risk to consumer; and risk to residents and bystanders who may be incidentally exposed during or after the pesticide applications. Seven modules covering different effects and environmental compartments assess the risk to the environment and include: persistence in the soil; risk of groundwater contamination; and acute risk to aquatic organisms, birds, bees and other beneficial arthropods, and earthworms. For each module, the risk is estimated by the use of risk indices (Vercruysse &amp; Steurbaut, 2002). </p><p>The risk for modules concerning consumers and benef icial arthropods were not considered in this study. First, because the initial analysis obtained were very low and it was decided to study the risk of consumers through a probabilistic method, where detected residues in crops collected and the level of consumption of them are taken into account; the result from the probabilistic study is being reviewed. Second, because a ‘No Data’ response was obtained for many compounds of interest (e.g. ametryn, prometryn, triadimenol), due to the absence of necessary reference values, like the percentage of reduction of control capacity (RC), which affects the general analysis. </p><p>ƩSeq expresses the pressure on aquatic life that is produced by the use of pesticides (Fevery et al., 2015). This indicator has been used since 1996 in the Flemish Government's (region in Belgium) environmental policy for a regional assessment of pesticide use (De Smet &amp; Steurbaut, 2002). The use of each pesticide is weighted according to the differences in toxicity to aquatic organisms and the time of permanence in the environment (De Smet et al., 2005). </p><p>In 1998 Cuba officially established the Environmental Law (González &amp; Conill, 1999), in order to regulate sustainable agriculture. In addition, during the period 2007-2010, the Cuban Ministry of Science, Technology and Environment established a national environmental strategy, where by 2010, 80% of pest and disease control in the country should be done using natural products or biopesticides (Rosquete, 2011; Hernández &amp; Pérez, 2012). However, there are no reports of compliance with this strategy to date. Similarly, there are no studies published in peer-reviewed journals or national information articles on the level of pesticide use in this territory or the evaluation of the toxicity and ecotoxicity due to the use of pesticides, and no indicators measuring such parameters were defined. </p><p>The constant concern for human health and environment in the local population was the basis to conduct this study, using the POCER and ΣSeq indicators to evaluate the toxicity and ecotoxicity instead of the level of toxic load (TL) according to the methodology of the Cuban Plant Health Institute. The goal is to determine the risks to human and environmental health that arise from the use of synthetic pesticides in the province of Sancti Spíritus. The studyconcerns the years 2011 to 2014 and aims to identify the main pesticides causing pressure (unfortunately, usage data from more recent years were not available).</p>
			</sec><sec>
			<title>Material and methods</title>
				<p>The province of Sancti Spíritus, constituted by eight municipalities, is one of Cuba’s central provinces. Sancti Spíritus has a tropical climate, characterized by an avera-ge annual temperature of 24.3 ºC, average annual precipi-tation of 1,546.06 mm and 79.1% relative humidity recor-ded for the study period (National Bureau of Statistics and Information, 2015). Sancti Spíritus province has a varied agriculture, the main crops harvested being rice, tobacco, beans, roots, tubers (e.g. sweet potato), sugar cane, ve-getables (e.g. tomato, cucumber, sweet pepper, onions), maize and fruits (e.g. papaya, guava, banana).</p><p><bold>Operationalization of the variables</bold></p><p>A database with all the pesticide use data registered in the accounting campaign strategy system of the Provin-cial Plant Protection Department during the study period was compiled. The use data per product were compiled according to their chemical family and biological func-tion (per crop and year), as well as their toxicological re-ference values in humans and other terrestrial and aquatic organisms. The hazard classification criteria of the World Health Organization (WHO, 2009) were used. </p><p><bold>Toxic load assessment</bold></p><p>In the Cuban agricultural context, the indicator ‘Toxic pollutant load’ or simply ‘Toxic load’ (kg or L of active ingredient/ha) established by the Plant Protection Depart-ment of the Ministry of Agriculture of Cuba (Díaz, 2009) was used to give a measure of the general load on the en-vironment resulting from the use of pesticides. To calcu-late the TL in priority crops, Eq. (1) was used. Analyzing Eq. (1) reveals that TL is a mere volume indicator and not at all a load indicator as meant by Kudsk et al. (2018). It has long and widely been acknowledged that quanti-ties are not adequate proxies for assessing pesticide risk (Wustenberghs et al., 2012). A similar equation was used to evaluate the contamination of drinking water by the use of pesticides in Vietnam (Chau et al., 2015).</p><p>TL=D∗a.i.%∗NA           (1)</p><p>where: TL=toxic load (kg or L of active ingredient/ha); D= dose (kg or L of commercial product/ha); a.i.% = active ingredient percentage in the commercialproduct; NA=number of applications = 1. It was calcula-ted for each active ingredient per crop and year, showing the total in each case.</p><p>Toxicity and ecotoxicity assessment</p><p>In POCER, risk indices (RIs) for human health and for the environment are calculated as the ratio of predicted environmental concentration (PEC) to a toxicological reference value, as described by Vercruysse &amp; Steurbaut (2002). After assessing the relevant risk parameters, the POCER calculations can be carried out by inserting the parameters (Eqs. 2-11) into the model, resulting in ten va-lues, one for each of the human and environmental com-partments (Claeys et al., 2005). The calculated RI values are log-transformed, then a benchmarked between a lower and an upper limit are set, resulting in a dimensionless value between 0 and 1 for each compartment, where 0 indicates low risk and 1 indicates a high risk of exposure (Vercruysse &amp; Steurbaut, 2002).</p><p>In POCER, the total risk for human and environment exposure is calculated by summing the values of the di-fferent components, assuming that all components are equally important. The risk for humans is thus the sum of the risk for applicator, worker, resident, and bystander. The risk for the environment was calculated as the sum of the risk for persistence, leaching to groundwater, water organisms, birds, earthworms and bees. The calculation formulas for each module are described below:</p><p>(2)</p><p>where IE = internal exposure during mixing/loading and application (mg kg−1 day−1); AOEL = acceptable operator exposure level (mg kg−1 day−1).</p><p>(3)</p><p>where DE = dermal exposure (mg kg−1 day−1); Abde = der-mal absorption (–).</p><p>(5)</p><p>(6)</p><p>where PECaqua org = predicted concentration in surface wa-ter (g L−1); minimum (normaqua org) = lowest toxicity value of three groups of organisms (fish, Daphnia, and algae) (g L−1).</p><p>The lowest of the following three quotients are used as the minimum (normaqua org): LC50 for fish/100; EC50 for Daphnia/100 and NOEC for algae/100.</p><p>(7)</p><p>where PECbird = the estimated total daily pesticide intake (mg day−1); LD50 = lethal dose for 50% of the population (mg kg−1 day−1); BW = body weight (default = 0.01 kg).Factor 10 is the criteria set by the uniform principles of the Commission of the European Communities establi-shed in 1994.</p><p>(8)</p><p>where LD50 = lethal dose for 50% of the population (μg bee−1).</p><p>(9)</p><p>where PECsoil = estimated concentration in the soil (mg kg−1); LC50 = lethal concentration for 50% of the popula-tion (mg kg−1).</p><p>(11)</p><p>where PECgroundwater = predicted concentration in the groundwater (μg L−1); 0.1 = European drinking-water li-mit (μg L−1).</p><p>Based on the fact that only the total amount of pesti-cides and areas cultivated for each crop are reported, per crop and year, the amount of each a.i. was divided by the area under cultivation to get a dosage value per ha (appli-cation rate). At the end in each case (crop and year), the sum of the final values of POCER was multiplied by the total hectares. In this way, it can be observed which crop’s production has the greatest impact, at the territorial level, on human health and the environment. </p><p>For the toxicities modules, a group of assumptions was made. The assumptions were considered based on the re-sults from a farmer survey study (Lopez et al., 2020). First, IEoperator in Eq. (2) is strongly influenced by the use of protective clothing during mixing, loading and spraying. In this case, only a long-sleeved shirt, pants, boots and hat were considered protective clothing. Aerial spraying was considered for rice, as well as the tractor (open cabinet) for sugar cane. Second, for re-entry workers, similar to the operator scenario, no protective equipment like masks with or without filter, gloves, face- and/or eye shield was considered. For the resident module, there was no buffer zone considered because homes are within the farm and very close to the crops, and there is significant pesticide drift due to the use of a classic nozzle.</p><p>The sum of spread equivalents (ΣSeq) used in envi-ronmental policy in Flanders (Belgium) is an indicator of ecotoxicity that calculates the pressure from using pesticides for both agricultural and non-agricultural pur-poses (vector control) in aquatic organisms (De Smet &amp; Steurbaut, 2002; Fevery et al., 2015). ΣSeq was conside-red in this study since POCER considers that the expo-sure of aquatic organisms is mainly caused by the drift of pesticides, does not consider their ability to persist in the soil, and therefore ends in water bodies through sur-face runoff and leaching; parameters more in line with the current Cuban agricultural context. In addition, the variable minimum (normaqua org) is restricted to only three ecotoxicity values (LC50 for fish, EC50 for Daphnia and NOEC for algae), while MAC (maximum allowa-ble concentration for aquatic life, mg L-1) is determined on the basis of six different ecotoxicity values, allowing more accurate results. </p><p>(12)</p><p>where ∑Seq= Seq; E= annual use of pesticides (kg of a.i./year); DT50= degradation time of 50% of the a.i. in the soil (years).</p><p>The MAC values are calculated through dividing the lowest toxicity value (representative aquatic organisms, i.e. the acute or chronic toxicity to three trophic levels: EC50algae, NOECalgae, LC50crustacea, NOECcrustacea, LC50fish, and NOECfish) by safety factor ‘10’, as in Fevery et al.(2015).</p><p><bold>Procedures for data processing</bold></p><p>Data for all variables were summarized and tabula-ted. A group called ‘vegetables’ was created which in-cludes tomatoes, onions, garlic, sweet pepper, cucur-bitaceous vegetables, among others. The group ‘grain’ includes beans and corn; the ‘roots and tubers’ group is formed by sweet potato, malanga, and potato. ‘Fruits’ are a general group, taking into account coffee and ba-nana, among others. The Statistical Package for Social Sciences (SPSS) program (v. 20) was used. Pearson correlations (p&lt;0.01 and p&lt;0.05) were used to evalua-te the parametric correlation between TL values which POCER and ƩSeq indicator.</p>
			</sec><sec>
			<title>Results </title>
				<p><bold>Pesticide use in the province of Sancti Spíritus during the years 2011-2014</bold></p><p>Fig. 1 shows that herbicides are the predominantly used pesticides, representing 63% of the total (1110 tons of a.i.). They are followed by fungicides (22%) and in-secticides (15%). This is due to the fact that large land extensions have been used to grow crops such as sugarcane, rice and fruit trees, which requires large volumes of herbicides to control weeds. It is important to note that potato from the group ‘roots and tubers’ was planted only in 2011 and 2012. The country's economic strategy decided to stop planting potatoes in the province. On the other hand, potatoes were considered because they represented 73% and 33% respectively of the total amount of pesticide used in 2011 and 2012 in the group ‘roots and tubers’. No data was found for sugarcane for 2014. </p><p>The absence of data for sugarcane for 2014 should not mean a problem to issue a conclusion in the general discussion at the end of the work if an average pressure equivalent to previous years is assumed. For the assumption, the following data were considered:</p><p>― The values of harvested area and production are similar to the average reported for the period 2011-2013 (Oficina Nacional de Estadística e Información de la República de Cuba, 2019, http://www.one.cu/).</p><p>― The stability between the annual values of kg of total a.i. (coefficient of variation of 8.7%).</p><p>― According to the national statistics of Cuba, the value of herbicide investment and its respective amount in tons for 2014 is equivalent to the average for the years 20112013 (ONEI, 2017). </p><p>During the study period the use of synthetic pesticides in Sancti Spíritus province showed a fairly constant use, as seen in Fig. 1 (except for 2014). These values are in contrast to the progressive reduction strategy of the crop protection policy promoted by the Cuban Ministry of Science Technology and Environment, where the aim is to reduce toxic pollutant load and its potential side effects in the environment and human health. </p><p>From the total amounts seen in Fig. 1, just sugar cane crop (scattered throughout the province) used 40% of total pesticides. Together with sugar cane, rice (24%) and tobacco (14%) used 78%. The results are in line with the main crops that are developed in the territory (rice, tobacco, vegetables, grains, sugar cane, and fruits). </p><p>In total, 124 a.i. (40 fungicides, 42 herbicides, and 42 insecticides) were used in agricultural activities during the study period, with a variable amount of their uses depending on the crop to which they were assigned. This a.i. corresponds to 62 chemical families. A similar amount (69 chemical families) were applied in other provinces of equal agricultural importance. The predominant chemical families are organophosphates, triazoles, sulfonylurea, pyrethroids, inorganic compounds (e.g. copper oxychloride), carbamates, dithiocarbamates, neonicotinoids, organochlorines, and aryloxyphenoxypropionate. </p><p>The a.i. most used during the study period was ametryn (215 tons, 19% from the total a.i. and 30% of the total herbicide used), followed by 2.4-D amine salt (165 tons, 14% from the total a.i. and 23% of the total herbicide used) and mancozeb (100 tons, 8% from the total a.i. and 36% of the total fungicide used). They were used in several crops, like sugar cane, rice and tobacco. There are six a.i., namely methyl parathion, methamidophos, methiocarb, methomyl, 1.3-dichloropropene and endosulfan, which are classified by WHO as extremely toxic (Ia) and highly toxic (Ib) to humans. In addition, 28 other compounds are in the category of moderately toxic (II). The 59% of the products show some degree of toxicity against bees; this constitutes an important environmental risk factor, as it can lead to declines in bee populations and the ecosystem services they perform. It is also shown that 80% of the pesticides are to some degree toxic to fish.</p><p><bold>Evaluation of the toxic and ecotoxic load in Sancti Spíritus province </bold></p><p>Studying pesticide pressure by calculating the (eco) toxic load has vital importance to understand the environment and human health risk. Once the more critical molecules are identified, actions can be proposed to eliminate them or to substitute them with less toxic compounds. </p><p>Fig. 2 shows that although herbicides were the pesticides most used in the province (as seen in Fig. 1), their pressure on humans and the environment was not always the highest. The TL values were different between biological functions. In 2011, for example, TL fungicide was significantly higher than TL herbicide due to potato cultivation, which reported the higher ratio kg a.i. per treated area (73.2 kg a.i. ha-1), from 8 (tobacco 8.8 kg a.i. ha-1) to 490 (corn 0.15 kg a.i. ha-1) times higher than the other crops. The fungicides (e.g. mancozeb, chlorothalonil, copper oxychloride) represented 48% of the a.i. used this year. The herbicides (e.g. ametryn, glyphosate, EPTC) took the second position with 42%. In 2012 the ratio in potatoes decreased to 14.8 kg a.i. ha-1, and in further years potato was not planted. Another observation is the TL trend, which decreased over time, although the consumption of a.i. remained fairly constant during the study period (Fig. 1), this is because the treated area of the crops increased (from 82.9 to 103.8 thousands of hectares), except sugarcane (from 58.7 to 28.3 thousands of hectares), thus causing a general progressive decrease in the ratio of kg a.i. used per treated area. </p><p>According to Eq. (1), TL only expresses the amount of a.i. (kg or L) applied per hectare, the particular toxicities for human health (NOAEL, AOEL…) and environment (DT50, EC50, NOEC, and LC50 values) are not taken into account, and hence the pressure of pesticide use is not very accurate. A simple substitution by another pesticide with a lower amount of a.i. will result in a decrease in the TL. However, if this new pesticide has higher toxicity and/or ecotoxicity, this will increase the pressure. </p><p>Fig. 2 also shows that POCER herbicide in 2011 is quantitatively greater than in the rest of the years. This is due to the cultivation of sugarcane, which has the largest treated area of all crops (41% in 2011), declining about half in 2012 (23%) and 2013 (24%). Sugar cane crop represented 75% of the total POCER herbicide pressure for 2011, the main a.i., due to its toxicity, being paraquat, hexazinone and diuron. In this work the ΣSeq for insecticide increased gradually due to endosulfan use, the a.i. with the higher Seq-factor (DT50/MAC = 1.2 * 108), 71 times higher than paraquat, the second ecotoxic a.i. (DT50/ MAC = 1.7 * 106). Endosulfan was used in corn (10 kg), beans (140 kg) and onion (280 kg) in 2011, in 2012 just in onion (296 kg), then for 2013 in tomato (175 kg) and onion (348). In 2014 tomato used 280 kg and onion 925 kg, onion being the crop that exerts the higher ecotoxic pressure on aquatic organisms. Unlike TL and POCER that decreased over the years, ƩSeq increased, its values are directly related to the use of endosulfan with an increase over the years. </p><p>With the use of POCER and ΣSeq indicators, taking into account the effect on both terrestrial and aquatic organisms, the pressure caused by a specific a.i. can be more accurately assessed. This is why, in both ƩSeq and POCER, insecticides exert significant pressure, with marked differences in the ΣSeq indicator case due to the use of endosulfan. The a.i. of the used insecticides negatively impacts the environment and human health. </p><p>Table S1 [suppl.] shows the trend over four years for the values of TL, ƩSeq, and POCER per the main group of crops. A positive Pearson’s correlation shown in Table 1 isfound between the POCER parameters Sum toxic (human toxicity) and Sum ecotoxic with and without dependency on the year. Also between POCER parameters and TL, a correlation was found. Only no correlation was found be-tween the evaluated ƩSeq indicator with the TL and PO-CER parameters. This result may be due to the opposite described trend of the ƩSeq indicator.</p><p>As seen in Table S1 [suppl.], the order of the crops ac-cording to the level of pressure on human health and the environment will vary among the indicators. In general, the indicators evaluated point in the direction of sugarca-ne as the crop that exerts the largest pressure on human health and the environment followed by rice and fruits. Vegetables and grains follow in importance, especially on the ƩSeq where their values were higher than those exerted by sugarcane. Once the crops of higher pressu-re were identified, the benefit of using indicators such as POCER and ƩSeq instead of TL was that one also knows which modules from the environment and humans are most affected, in order to make decisions to reverse the pressure. </p><p>It should be mentioned that tobacco cultivation uses old and toxic compounds such as methamidophos, pa-rathion methyl, diazinon, acephate and zineb, which are forbidden in the European Union. Its use was low, around 10%, there being other compounds based on the amount used that represented a higher pressure, but should not be neglected, and if possible replace them with less toxic compounds. </p><p>From a toxicological point of view, and taking into account the assumptions of the POCERs calculation, the non-use of personal protective equipment (PPE) by re-en-try workers, and the negative consequences of not using a drift-reducing nozzle on residents during spraying acti-vities, make these modules more risky than the applicator module. The ecotoxicological modules aquatic organis-ms, persistence, and groundwater were also most at risk, due to the use of old and persistent a.i. in the environment like endosulfan, parathion methyl, paraquat, ametryn amount others.</p><p><bold>Analysis of individual hazardous active ingredients</bold></p><p>Some developing countries maintain the use of a group of pesticides forbidden mainly in Europe and North America, and unfortunately Cuba is an example of these.An example of the forbidden pesticides used is metha-midophos (25.8 ton) which represented 15% of the total amount of insecticide used (half of this was used in 2011), mainly in rice, sweet potato, tobacco, grain, and vegeta-bles. Other 5% are represented by endosulfan (3.5 ton), parathion-methyl (3.0 ton) and thiodicarb (1.7 ton). Some forbidden herbicides like ametryn (215.3 ton, 30% of the total herbicide used), prometryn, hexazinone, and para-quat (Table 2) were also used. Table 2 shows the main a.i. responsible for (eco) toxic pressure values. As can be seen, the quotient of DT50/MAC is very important for the Seq values. For example, while the endosulfan DT50 (0.236 year) is 23 times higher than methamidophos DT50 (0.01 year), MAC endosulfan value (2 10-9 mg L-1) is 1350 times lower than methamidophos MAC value (0.0027 mg L-1). Based on this, the ecotoxicological quotient of en-dosulfan is 31.8 million times higher than the methami-dophos quotient. This example shows how small volumes of certain a.i. (such as endosulfan, paraquat and oxychlo-ride copper) can exert greater pressure than others used in large volumes. </p><p>Similar results are also found for POCER. In this case, only the 2011 scenario is shown in Table 2, considered by the authors as the year that exerted the greatest (eco) toxicological pressure, due to the type of pesticides and quantity used. These can make the reduction of ecotoxic pressure easier since by eliminating or replacing a smaller amount of a.i. of higher (eco) ecotoxic pressure reduc-tions can be achieved. To illustrate the previous approach, some examples such as those shown in Figs. 3 and 4 were developed.</p><p>Fig. 3 shows a scenario with average values of total ƩSeq reduced for each crop, based on the result from Ta-ble 2. For this purpose, the contributed values from the higher pressure a.i. per family (endosulfan, copper oxy-chloride and paraquat) were eliminated. In the case of tobacco, bifenthrin is used instead of endosulfan. Reduc-tions in total ƩSeq values higher than 99% for crops using endosulfan (4.16 10+11 endosulfan ƩSeq over 5.58 10+11 of total ƩSeq), copper oxychloride (8.21 10+08 ƩSeq), and pa-raquat (1.40 10+11 ƩSeq) were achieved. In rice scenario, λ-cyhalothrin (5.33 10+07 over 3.77 10+08 of total ƩSeq), copper sulfate (1.25 10+07), and ametryn (2.33 10+08) were used instead of endosulfan, copper oxychloride and para-quat. The percentage of reduction of sugarcane crops is based only on the reduction of the use of paraquat (7.41 10+08 ƩSeq over 8.58 10+08 total ƩSeq) since insecticides and fungicides have not been assigned. </p><p>As seen in Fig. 3, the percentage reduction in the group of roots and tubers was lower compared to the rest because potato, the cropwith the highest demand for pesticides in the group, was only cultivated in 2011 and 2012. As POCER's objective is to evaluate the pressure, from low to high risk, exerted by a pesticide on each one of the evaluated modules, the decision-makers can either forbid the use of high risk a.i. (Table 2) or replace them with other a.i. that fulfill the same plant protection function with less pressure. In POCER results, (eco) toxicities from organophosphates and others like imidacloprid, bifenthrin and β-cyfluthrin were higher than coming from endosulfan in some scenarios. On the other hand, endosulfan remained in ƩSeq as one of the a.i. that received the highest score from the POCER's aquatic organisms module. </p><p>The organophosphorus compounds play an important role as a whole, due to their toxicities. As seen in Fig. 4, possible substitutes for the highest-scoring products are cypermethrin for parathion methyl, potentially reducing the risk by 50%. A mix of tebuconazole and triadimenol under commercial name Silvacur Combi® EC 30 reduce the risk exerted by copper oxychloride by 95%, and bispyribac-sodium reduce a 98% the risk exerted by the mix paraquat-diquat (Doblete® LS 20).</p>
			</sec><sec>
			<title>Discussion</title>
				<p><bold>Effects of pesticide use </bold></p><p>Herbicides are the most used pesticides, mainly due to the development of monocultures in large areas of land, for example in cereal grains (Petersen et al., 2013) and fruits, as is the case in this province. Cereals grains and fruits are the main crops of many countries that suffer from the highest pesticide load (Shil et al., 2014; Chau et al., 2015; Schreinemachers et al., 2015; Böcker &amp; Finger, 2016). The trend of the use of pesticides (slightly the same, considering also the lack of sugarcane data for 2014) shown in Sancti Spiritus for the study period is in correspondence with the national data shown in the statistical yearbook (ONEI, 2017) and not with strategies promoted to progressively reduce the use of synthetic pesticides (Rosquete, 2011). However, in other provinces, there was a sustained increase in the use of pesticides (Hernández &amp; Pérez, 2012). The pressure of pesticide use is in correspondence with other tropical regions (El Salvador, Brazil, Taiwan, Cambodia, Tanzania, Vietnam…) (Cremonese et al., 2014; Schreinemachers et al., 2015). As can be observed, pesticides such as organophosphates, pyrethroids, carbamates, dithiocarbamates, neonicotinoids, and organochlorines used during the study period constitute an important risk to humans and the environment (Chau et al., 2015). </p><p>Long-term environmental effects of pesticide use are worldwide alerted (Burgos, 2015; Mendonca et al., 2016). Lethal and sublethal effects on wild and managed bees are well documented (Vázquez et al., 2015; Fevery et al., 2016; Hladik et al., 2016). In aquatic ecosystems, pesticides constitute a potential threat to aquatic biodiversity (Levine &amp; Borgert, 2018; Pérez et al., 2018). The presence of highly toxic compounds can lead to a decrease in the number and varieties of fish, or alter phytoplankton communities, subsequently affecting other trophic levels (Altenburger et al., 2013).</p><p><bold>Toxic load associated risk </bold></p><p>There is now a perception that pesticide use is increa-sing (Lopez et al., 2020). This study showed that the total a.i. used in the studied period was slightly the same. What may peasant sector be misunderstood are the actions de-veloped in biological control promoted by the country. Being increased the use of biological products and most of farmers do not distinguish differences between synthe-tic and biological products (Lopez et al., 2020). In other provinces, crop production (rice, cucurbits, beans, sweet potato, and tomato) used amounts of pesticides similar to those reported in this study (Hernández &amp; Pérez, 2012). </p><p>It is recommended that farmers become informed of the risks to which they are exposed, and the importance of using PPE and drift reduction nozzle in order to minimi-ze pesticide exposure (Yarpuz &amp; Bozdogan, 2016). At the same time, the government must be able to provide such PPE and nozzles, that today is not enough available. Af-terward, their use should be mandatory. Examples of nee-ded PPE that can well fit the tropics are: face masks with filters, eye protection glasses, and gloves. Its use would greatly help reduce the applicator's exposure. In addition, make extensible (only used today in some government enterprises) the use of tractors with closed cab equipped with interchangeable carbon filter and updated irrigation systems (drift reducing nozzles), similar to those used in aerial spraying on rice.Another way to reduce risk is to use a.i. of lower toxi-city (Morel, 2010). The FAO recommends in its Code of Conduct on Pesticides that pesticides of category Ia and Ib (WHO, 2009), and if possible Class II of human toxi-city, should not be used in developing countries (OMS/FAO, 2014). Regardless no so elevated values in POCER human modules were obtained compared with the POCER en-vironmental modules, the POCER human modules only assess acute risk, not long term (chronic) risk. In this case is alerted that 45.7% of the total pesticides applied, present a category of possible, probable or human carci-nogen and endocrine disruptor. From the 124 a.i. applied in Cuba, paraquat, methyl parathion, methamidophos and endosulfan are included in international conventions (PIC, COP, LRTAP), with the aim to eliminate or limit their use (UNEP/POPS/POPRC.5/10, 2009; FAO-PNU-MA, 2016). In both the EU and North America, 15 of these pro-ducts still used in Cuba were banned (Roberts &amp; Reigart, 2013; EFSA, 2017) because of damages to human health and biodiversity 10 years ago (Morel, 2010). In addition listed with a classification in cancer categories (possible, probable or human carcinogen) by USEPA, EU and the International Agency for Research on Cancer (IARC) is 41 a.i. Other 32 a.i. are potential endocrine disruptors in humans and wildlife (WHO, 2009), posing a risk for hu-man health and the environment. </p><p><bold>Ecotoxicity tests</bold></p><p>From the total ƩSeq indicator obtained values, Sancti Spíritus increased ecotoxic output over time, from 118 bi-llion Seq to 259 billion, in contrast to a developed country like Belgium which reduced the ecotoxicity values cause by pesticides. The province's ƩSeq values for 2011 were more than 10 times higher than those obtained by Fevery et al. (2015) for 2011 in Flanders (10.56 billion Seq). As they mentioned in their paper, the use of endosulfan was responsible for the high ecotoxicity values. Endosulfan represented in this study between 94.83% (beans in 2011) and 99.97% (onion in 2014) of the ecotoxicity indicatoroutcome for the crops where it was used. It is necessary to eliminate the use of this insecticide, as was done in most developed countries (EFSA, 2017). An example of the positive change in ecotoxicity values when the use of endosulfan is eliminated is that experienced by the Flanders region in Belgium. When it was discontinued in 2012, its ƩSeq value decreased by 71% compared to the 2009 values (Fevery et al., 2015). Like in this study, paraquat and copper oxychloride are also responsible for high pesticide pressure values in the province. Several authors agree that, due to the persistence of some pesticides in soil and their ability to leach into groundwater and water bodies, aquatic organisms from the POCER indicator are the main modules at risk as a consequence of the use of highly toxic herbicides like paraquat and prometryn, as well as organophosphate insecticides (Bozdogan et al., 2015; Fevery et al., 2016; Yarpuz &amp; Bozdogan, 2016). Also, in a citrus-growing region of Spain, the organophosphate chlorpyrifos followed by copper oxychloride were the most ecotoxic of the commonly applied pesticides for aquatic organisms (Cunha et al., 2012). As Fevery et al. (2015) mentioned and other authors before them too, 1 kg of certain pesticide can exert a different pressure than 1 kg of another pesticide. To quantify the risk of exposure to pesticides, it is necessary to weigh the use of pesticides to the toxicity coefficients for the various environmental compartments (Wustenberghs et al., 2012; Fevery et al., 2016). The POCER indicator has already proven its usefulness in Belgium as well as in other European countries (Claeys et al., 2005; Cunha et al., 2012; Bozdogan et al., 2015; Yarpuz &amp; Bozdogan, 2016) as a tool of toxic pesticide reduction plans. POCER can be used as a decision-making tool for choosing alternative pesticides with respect to pressure on humans and the environment (Wustenberghs et al., 2018). Coupled with economic models, the feasibility and effectiveness of policy measures, and the best practice on a farm level without jeopardizing profitability, can be evaluated (Vercruysse &amp; Steurbaut, 2002; Wustenberghs et al., 2018). In summary, the study shows the suitability of POCER and ƩSeq as important tools for decision-makers as they help to reduce the toxicity and ecotoxicity pressure due to the use of pesticides. With the use of the POCER indicator as well ƩSeq, more accurate assessments of toxicity and ecotoxicity from pesticides can be done, compared to the TL equation currently used in Cuba. The toxic and ecotoxic pressure can be reduced by more than 50% by replacing the active ingredient. Those results are directly related to the reduction goals promoted by the national government. And will help in developing policies and management practices to reduce the hazards from pesticides by reducing the use of pesticides having the highest pressure on humans and the environment.</p>
			</sec><sec>
			<title>References</title>
				<p>Altenburger R, Arrhenius Å, Backhaus T, Coors A, Faust M, Zitzkat D, 2013. Ecotoxicological combined effects from chemical mixtures (Section IV). Federal Environment Agency (UBA, FKZ 3709 65 404). http://www.umweltbundesamt.de/publikationen/ecotoxicological-combined-effects-from-chemical Böcker T, Finger R, 2016. European pesticide tax schemes in comparison: An analysis of experiences and developments. Sustainability 8 (378): 1-22. https://doi.org/10.3390/su8040378Botião Nerilo S, Andrade Martins F, Botião Nerilo L, Cocco VE, Yoshio Endo R, Oliveira Rocha GH, et al., 2014. Pesticide use and cholinesterase inhibition in small-scale agricultural workers in southern Brazil. Braz J Pharm Sci 50 (4): 10. https://doi.org/10.1590/S1984-82502014000400014Bozdogan AM, Yarpuz-Bozdogan N, Tobi I, 2015. Relationship between environmental risk and pesticide application in cereal farming. Int J Environ Res 9 (3): 1047-1054.Burgos Alonso P, 2015. Estudio de estabilidad de plaguicidas en vegetales y frutas Laboratorio de Residuos de Agroquímicos Costa Rica. Revista Pensamiento Actual 15(25): 197-205.Chau N D G, Sebesvari Z, Amelung W, Renaud F G, 2015. Pesticide pollution of multiple drinking water sources in the Mekong Delta, Vietnam: evidence from two provinces. Environ Sci Pollut Res 22(12): 9042-9058. https://doi.org/10.1007/s11356-014-4034-xClaeys S, Vagenende B, De Smet B, Lelieur L, Steurbaut W, 2005. The POCER indicator: A decision tool for non-agricultural pesticide use. Pest Manag Sci 61(8): 779-786. https://doi.org/10.1002/ps.1062Cremonese C, Freire C, Camargo A, Lima J, Koifman S, Meyer A, 2014. Pesticide consumption, central nervous system and cardiovascular congenital malformations in the South and Southeast region of Brazil. Int J Occup Med Environ Health 27(3): 474 - 486. https://doi.org/10.2478/s13382-014-0269-5Cunha JP, Chueca P, Garcerá C, Moltó E, 2012. Risk assessment of pesticide spray drift from citrus applications with air-blast sprayers in Spain. Crop Prot 42: 116-123. https://doi.org/10.1016/j.cropro.2012.06.001Damalas CA, Koutroubas S D, 2018. Farmers' behaviour in pesticide use: A key concept for improving environmental safety. Curr Opin Environ Sci Health 4: 27-30. https://doi.org/10.1016/j.coesh.2018.07.001De Smet B, Steurbaut W, 2002. Verfijning van de SEQ-indicator voor de evaluatie van het bestrijdingsmiddelengebruik in Vlaanderen,. Studie Uitgevoerd in Opdracht van de Vlaamse Milieumaatschappij, MIRA, Universiteit Gent, Vakgroep Gewasbescherming.De Smet B, Claeys S, Vagenende B, Overloop S, Steurbaut W, Van Steertegem M, 2005. The sum of spread equivalents: a pesticide risk index used in environmental policy in Flanders, Belgium. Crop Prot 24(4): 363-374. https://doi.org/10.1016/j.cropro.2004.09.005Díaz Martínez JD, 2009. Disminución del número de aplicaciones de plaguicidas químicos en la Empresa Cultivos Varios Manacas. Universidad Central "Martha Abreu" de Las Villas, Cuba.Dugger-Webster A, LePrevost CE, 2018. Following pesticide labels: A continued journey toward user comprehension and safe use. Curr Opin Environ Sci Health 4: 19-26. https://doi.org/10.1016/j.coesh.2018.03.004EFSA, 2017. The 2015 European Union report on pesticide residues in food. EFSA J 15(4): 134. https://doi.org/10.2903/j.efsa.2017.4791FAO-PNUMA, 2016. Rotterdam Convention. on the Prior Informed Consent Procedure for Certain Hazardous Chemicals and Pesticides in International Trade. www.pic.intFevery D, Peeters B, Lenders S, Spanoghe P, 2015. Adjustments of the Pesticide Risk Index Used in Environmental Policy in Flanders. PLoS one 10(6): 1-21. https://doi.org/10.1371/journal.pone.0129669Fevery D, Houbraken M, Spanoghe P, 2016. Pressure of non-professional use of pesticides on operators, aquatic organisms and bees in Belgium. Sci Total Environ 550: 514-521. https://doi.org/10.1016/j.scitotenv.2016.01.123González Valiente ML, Conill Díaz TP, 1999. Mortalidad por intoxicaciones agudas producidas por plaguicidas: Cuba, 1990-1994. Rev Cubana Hig Epidemiol 37(2): 76-81. http://scielo.sld.cu/scielo.php?script=sci_arttext&amp;pid=S1561-30031999000200005&amp;lng=es&amp;nrm=iso&amp;tlng=esHernández Núñez J, Pérez-Consuegra N, 2012. Tendencias en el uso de plaguicidas en Batabanó, provincia Mayabeque. Agricultura Orgánica 18(1): 30-33. http://www.actaf.co.cu/revistas/revista_ao_95-2010/Rev 2012-1/10 plaguicidasBatabano.pdf Hladik ML, Vandever M, Smalling KL, 2016. Exposure of native bees foraging in an agricultural landscape to current-use pesticides. Sci Total Environ 542: 469-477. https://doi.org/10.1016/j.scitotenv.2015.10.077Kruijne R, van der Linden AM, Deneer JW, Groenwold JG, Wipfler EL, 2012. Dutch Environmental Risk Indicator for Plant Protection Products. Wageningen, Alterra-Report 2250.1, 84. http://www.alterra.wur.nl Kudsk P, Jørgensen LN, Ørum JE, 2018. Pesticide Load-A new Danish pesticide risk indicator with multiple applications. Land Use Policy, 70: 384-393. https://doi.org/10.1016/j.landusepol.2017.11.010la Rosa Cruz NL, Sánchez-Salinas E, Ortiz-Hernández ML, 2014. Biosurfactantes y su papel en la biorremediación de suelos contaminados con plaguicidas. RELBAA, 4(1): 47-67. https://doi.org/10.7603/s40682-013-0004-0Levine SL, Borgert CJ, 2018. Review and recommendations on criteria to evaluate the relevance of pesticide interaction data for ecological risk assessments. Chemosphere 209: 124-136. https://doi.org/10.1016/j.chemosphere.2018.06.081Leyva Morales JB, García de la Parra LM, Bastidas Bastidas PJ, Astorga Rodríguez JE, Bejarano Trujillo J, Cruz Hernández A, et al., 2014. Uso de plaguicidas en un valle agrícola tecnificado en el noroeste de México. Rev Int Contam Ambie 30(3): 247-261. http://www.scielo.org.mx/pdf/rica/v30n3/v30n3a2.pdf Lopez Davila E, Ramos Torres L, Houbraken M, Du Laing G, Romero Romero O, Spanoghe P, 2020. Cuba pesticides knowledge and practical use. Ciencia &amp; Tecnología Agropecuaria, 21(1): e1282. https://doi.org/10.21930/rcta.vol21_num1_art:1282Mendonca M, Tamas C, Kiraly L, Talo H, Rajah J, 2016. Successful use of ECLS in cardiopulmonary failure due to aluminum phosphide poising. Egypt J Crit Care Med 4(1): 33-35 https://doi.org/10.1016/j.ejccm.2016.02.004Mesnage R, Defarge N, De Vendômois J S, Séralini G, 2014. Major pesticides are more toxic to human cells than their declared active principles. Biomed Res Int: Article ID 179691. https://doi.org/10.1155/2014/179691Moermond CTA, Kase R, Korkaric M, Ågerstrand M, 2016. Hazard/Risk assessment CRED : Criteria for reporting and evaluating ecotoxicity data. Environ Toxicol Chem 35(5): 1297-1309. https://doi.org/10.1002/etc.3259Morel D, 2010. NAP Best Practice. Sustainable use of pesticides: Implementing a National Action Plan. In Meeting the challenge, protecting health, environment &amp; biodiversity.Mwila K, Burton MH, Van Dyk JS, Pletschke BI, 2013. The effect of mixtures of organophosphate and carbamate pesticides on acetylcholinesterase and application of chemometrics to identify pesticides in mixtures. Environ Monit Assess 185(3): 2315-2327. https://doi.org/10.1007/s10661-012-2711-0National Bureau of Statistics and Information, 2015. Statistical Yearbook 2014 Sancti Spíritus. http://www.one.cu/publicaciones/provincias_masinf/sancti spiritus.htm Nordborg M, Arvidsson R, Finnveden G, Cederberg C, Sörme L, Palm V, et al., 2017. Updated indicators of Swedish national human toxicity and ecotoxicity footprints using USEtox 2 . 01. Environ Impact Assess Rev 62: 110-114. https://doi.org/10.1016/j.eiar.2016.08.004OMS/FAO, 2014. Código Internacional de Conducta para la Gestión de Plaguicidas. Organización de las Naciones Unidas para la Agricultura y la Alimentación Organización Mundial de la Salud.ONEI, 2017. CAPÍTULO 8: Sector Externo. Anuario Estadístico de Cuba 2016. http://www.one.cu/aec2016/08 Sector Externo.pdfONEI, 2019. Oficina Nacional de Estadistica e Información de la republica de Cuba. Agricultura, Ganaderia, Silvicultura y Pesca. http://www.one.cu/Oussama M, Kamel E, Philippe LG, Elisabeth M, Jacques F, Habiba A, et al., 2015. Assessing plant protection practices using pressure indicator and toxicity risk indicators : analysis of therelationship between these indicators for improved risk management , application in viticulture. Environ Sci Pollut Res 22: 8058-8074. https://doi.org/10.1007/s11356-014-3736-4Petersen K, Stenrød M, Tollefsen KE, 2013. Initial environmental risk assessment of combined effects of plant protection products in six different areas in Norway (6588th-2013th ed.).Räsänen K, Nousiainen R, Kurppa S, Autio S, Junnila S, Tiilikkala K, et al., 2013. How to measure the environmental risks from uses of plant protection products for achieving the IPM requirements and risk communication - A case study on the production chain of cereal farming in Finland. https://jukuri.luke.fi/handle/10024/481109 Räsänen K, Mattila T, Porvari P, Kurppa S, Tiilikkala K, 2015. Estimating the development of ecotoxicological pressure on water systems from pesticides in Finland 2000-2011. J Clean Prod 89: 65-77. https://doi.org/10.1016/j.jclepro.2014.11.008Roberts JR, Routt Reigart J, 2013. Recognition and management of pesticide poisonings (Sixth). Office of Pesticide Programs, U. S. Enviromental Protection Agency. http://www2.epa.gov/pesticide-worker-safety%0A????? Rosquete Pérez C, 2011. Evaluación de impacto de la supresión de endosulfán en el agroecosistema Güira de Melena, Master Tesis, Universidad Agraria de La Habana, Artemisa, Cuba.Schreinemachers P, Afari-sefa V, Hy C, Thi P, Dung M, Praneetvatakul S, et al., 2015. Environmental Science &amp; Policy Safe and sustainable crop protection in Southeast Asia : Status , challenges and policy options. Environ Sci Policy 54: 357-366. https://doi.org/10.1016/j.envsci.2015.07.017Shil Cha E, Hwang S, Jin Lee W, 2014. Childhood leukemia mortality and farming exposure in South Korea : A national population-based birth cohort study. Cancer Epidemiol 38(4): 401-407. https://doi.org/10.1016/j.canep.2014.05.003Strassemeyer J, Gutsche V, 2010. The approach of the German pesticide risk indicator SYNOPS in frame of the National Action Plan for Sustainable Use of Pesticides. OECD Workshop on Agri-Environmental Indicators, Leysin, Switzerland, 23-26 March 2010, 19. http://www.oecd.org/document/9/0,3746,en_2825_494504_43662921_1_1_1_1,00.html Tollefsen KE, Bæk K, Almeida AC, Haug LA, Norli HR, Odenmarck S, et al., 2016. Evaluation of the combined toxicity assessment and cumulative risk assessment of ecologically relevant mixtures of plant protection products (PPPs) under Norwegian conditions. (7030th ed.). Norwegian Institute for Water Research.UNEP/POPS/POPRC.5/10, 2009. Stockholm Convention on Persistent Organic Pollutants. Report of the Persistent Organic Pollutants Review Committee on the work of its fifth meeting (Issue November). http://chm.pops.int/Default.aspx?tabid=592 Vázquez PP, Lozano A, Uclés S, Ramos MMG, Fernández-Alba A R, 2015. A sensitive and efficient method for routine pesticide multiresidue analysis in bee pollen samples using gas and liquid chromatography coupled to tandem mass spectrometry. J Chromatogr A 1426: 24 December 2015, Pages 161-173 https://doi.org/10.1016/j.chroma.2015.11.081Ventura C, Ramos Nieto MR, Bourguignon N, Lux-Lantos V, Rodriguez H, Cao G, et al., 2016. Pesticide chlorpyrifos acts as an endocrine disruptor in adult rats causing changes in mammary gland and hormonal balance. J Steroid Biochem Mol 156: 10. https://doi.org/10.1016/j.jsbmb.2015.10.010Vercruysse F, Steurbaut W, 2002. POCER, the pesticide occupational and environmental risk indicator. Crop Prot 21(4): 307-315. https://doi.org/10.1016/S0261-2194(01)00102-8Vryzas Z, 2018. Pesticide fate in soil-sediment-water environment in relation to contamination preventing actions. Curr Opin Environ Sci Health 4: 5-9. https://doi.org/10.1016/j.coesh.2018.03.001WHO, 2009. The WHO Recommended Classification of Pesticides by Hazard and Guidelines to Classification. WHO Press. http://www.who.int/ipcs/publications/pesticides_hazard_2009.pdf Wustenberghs H, Delcour I, D'Haene K, Lauwers L, Marchand F, Steurbaut W, et al., 2012. A dual indicator set to help farms achieve more sustainable crop protection. Pest Manag Sci 68(8): 1130-1140. https://doi.org/10.1002/ps.3332Wustenberghs H, Fevery D, Lauwers L, Marchand F, Spanoghe P, 2018. Minimising farm crop protection pressure supported by the multiple functionalities of the DISCUSS indicator set. Sci Total Environ 618: 1184-1198. https://doi.org/10.1016/j.scitotenv.2017.09.211Yarpuz-Bozdogan N, Bozdogan AM, 2016. Pesticide exposure risk on occupational health in herbicide application. Fresenius Environ Bull 25(9): 3720-3727.</p>
			</sec></body>
  <back>
    <ack>
      <p>The author would like to thank Mr. Eris Perdomo specialist  of the Provincial  Institute  of  Vegetal  Health  for the data provided for the realization of this study.</p>
    </ack>
  </back>
</article>