In 2004, the Washington State Department of Labor and Industries adopted a cholinesterase medical monitoring program. It requires that agricultural employers implement a monitoring program for their employees who, as part of their job, handle category I or II organophosphates and carbamates, with the words “Danger” or “Warning” on the label. (For details on the regulation, go to www.lni.wa.gov and search for “cholinesterase.”) Handlers may decline testing only after they discuss the risks and benefits with a physician or licensed health care provider. Since everyone has a different cholinesterase level in their blood, each participating handler must submit a baseline […]