“…Despite a variety of methodologic issues including multiple pesticide exposures with inadequate exposure data, small sample sizes, and variable populations [Blair and Hoar Zahm, 1990;Blondell, 1990;Cordes and Foster, 1991;Munro et al, 1992;Doe and Paddle, 1994;Dich et al, 1997;Fleming et al, 1997;Cantor and Silberman, 1999], some conclusions can be drawn from the aggregate of available chronic disease studies in pesticide-exposed worker populations. Farmers and pesticide applicators (the main worker groups that have been studied since they are the largest groups with the highest occupational exposures) have tended to be healthier compared to the general population, especially with respect to cardiovascular disease and the diseases associated with heavy tobacco and ethanol use.…”