There is a high prevalence of reduced pChE among cocoa farmers in Ghana and this was associated with alteration in liver and lipid biomarkers. Additionally, coffee intake, longer work duration, and poor knowledge of agropesticide side effects were associated with low pChE levels among the study participants. These findings highlight the importance of targeted occupational health interventions, including improved training on pesticide safety and consistent and proper use of personal protective equipment (PPE).
Afrifa et al. (Thu,) studied this question.