Adopting less disruptive agricultural practices
Ultimately, reducing health risks from agriculture will require a shift to a more
environmentally benign form of agriculture, one that uses fewer agricultural chemicals overall,
minimizes ecological disruption, and reduces agriculture’s heavy demand for water.
Managing Pests Strategically. Over the long term, IPM promises to
reduce the use of
pesticides greatly. This strategy encourages natural control of pest populations by anticipating
problems and preventing them from reaching economically damaging levels. Techniques
include enhancing natural enemies, planting pest-resistant crops, and, as a last resort, judicious
use of pesticides.
In a number of cases, IPM has proven not only better for health but more economical
than pest control based solely on agrochemicals. In Brazil, about 40 percent of commercial
soybean farmers have switched to IPM since the 1970s, saving more than US$200 million
dollars a year as the result of reduced use of insecticides, labor, machinery, and fuel. In the early
1970s, five insecticide applications per season were needed to control soybean pests; now one or
two yearly applications are sufficient (76). Pesticide use has been reduced by 80 to 90
percent (77).
Although IPM use has increased steadily over the past two decades, the proportion of
farmers using it remains small. Part of the difficulty is that in each case, specific techniques
must be identified for local conditions. Governments often offer little support, such as funding
or education, to encourage growers to invest in this new approach. In addition, pesticides
continue to be attractive to most farmers and governments because their use is simple and
economic returns are predictable. Promoting a switch to IPM will require more education and
training at the farm level, along with continuing research. In addition, promoting IPM will
require adjusting those subsidies and policies that encourage extensive pesticide use.
Reducing Fertilizer Use. Excessive fertilization of agricultural crops
can damage both ecosystems and human health. Excess fertilizer can leach through soil where porosity is high,
leading to nitrate contamination of groundwater, which poses a direct threat to infant health.
Runoff from heavily fertilized fields is also a prime contributor to the eutrophication of surface
waters and coastal estuaries–one of the most critical threats to aquatic ecosystems today
and therefore to the harvest of fish and shellfish that constitute an important human food source.
Reducing the risks of fertilizer use will require a combination of better agricultural
practices that raise fertilizer efficiency and increased efforts to trap agricultural runoff before it
leaches into waterways. Better timing of fertilizer applications, for instance, can reduce the
amount of fertilizer wasted in the field. In Hawaii, one sugar cane plantation was able to cut
nitrogen fertilizer use by one third and reduce losses of nitrous oxide 10-fold by dissolving the
fertilizer in irrigation water, delivering it below the soil surface, and timing multiple applications
to meet the needs of the growing crop (78). Other strategies to keep excess fertilizer
from contaminating local waterways include establishing vegetation buffer strips around crop
and pasture lands and restoring natural wetlands. Over the long term, controlling water pollution
from agriculture will require more coordination between agricultural and environmental objectives.
Rational Irrigation. Although the spread of irrigation has been a major
contributor to the remarkable increases in agricultural output, current irrigation practices can cause much
damage. Problems include excessive consumption of fresh water, which can contribute to local
water scarcity and also indirectly undermine health by harming the agricultural resource base.
Irrigation projects can also create breeding sites for mosquitoes and other vectors, increasing the
transmission of these diseases. And when wastewater is used for irrigation, it can increase the
risk of cholera, hepatitis, and other diseases associated with human sewage.
Even relatively simple improvements in irrigation projects and planning can bring high
short-term rewards in terms of reduced water consumption and improved health. Careful
scheduling of irrigation, matching crops to local climatic conditions, and modest improvements
to inefficient systems can result in large water savings (79). Coordination between
water development planners and health authorities could substantially lower the incidence of
vector-borne diseases. If health concerns and costs are analyzed and factored into planning,
controlling vectors through environmental management can be relatively inexpensive and
effective, with long-term benefits–in contrast to having to implement a chemical control
strategy or establish treatment centers after the disease vector has taken hold (80).
Changing dam water levels at strategic times, or digging channels to ensure proper water flow,
for instance, can reduce the risks of vector-borne disease.
The risks associated with using wastewater for irrigation can also be greatly reduced
through simple interventions. For example, irrigation with wastewater during planting is less
risky than application during the growing cycle; risks drop if wastewater irrigation ceases several
weeks before the harvest. Using wastewater to irrigate cotton or animal fodder, rather than fruits
and vegetables, is another good choice. (81).




