This section of the present study deals with the empirical results and discussion based on the various parameters which are related to agriculture inputs and human health. In this study, we focused on the global scenario of chemical inputs used by the agriculture sector, i.e., chemical fertilizers, insecticides, herbicides, fungicides, bactericides, and other pesticides, and their utilization trends. However, it impacts on foodgrain availability, undernourishment, and non-communicable diseases globally. Additionally, we have analyzed the correlation between synthetic input utilization in the agriculture and its impacts on human health.
Global Use of Synthetic Fertilizers in the Agriculture Sector:
In order to nourish growing plants, fertilisers have been crucial. It is estimated that just under half of the people alive today depend on synthetic fertilizers (Vince Gaia, 2012; Ehsan Elahi, et al. 2019). Fertilizers can increase crop productivity and yields, and increasing crop yields can reduce the land that we use for agriculture (Jacquet et al. 2022). In contrast, synthetic fertilisers damage the environment in terms of soil and water pollution (Jorge et al. 2020; Lata Rani et al. 2021)
Table 1
Global Trends of Synthetic Fertilizer Consumption in Agricultural Sector
Year
|
Nitrogen
(N)
|
Y-0-Y
(%)
|
Phosphate
(P2O5)
|
Y-0-Y
(%)
|
Potash
(K2O)
|
Y-0-Y
(%)
|
Total
(N.P.K)
|
Y-0-Y
(%)
|
2001
|
81.73
|
-
|
32.95
|
-
|
22.50
|
-
|
137.18
|
-
|
2002
|
84.42
|
3.30
|
34.07
|
3.39
|
23.21
|
3.16
|
141.70
|
3.30
|
2003
|
87.16
|
3.25
|
35.31
|
3.66
|
24.52
|
5.66
|
147.01
|
3.74
|
2004
|
89.48
|
2.65
|
37.61
|
6.50
|
27.53
|
12.26
|
154.62
|
5.18
|
2005
|
90.08
|
0.68
|
37.84
|
0.62
|
27.20
|
-1.19
|
155.14
|
0.33
|
2006
|
93.01
|
3.25
|
39.28
|
3.80
|
27.15
|
-0.20
|
159.45
|
2.78
|
2007
|
96.37
|
3.61
|
38.89
|
-0.99
|
31.38
|
15.58
|
166.65
|
4.52
|
2008
|
94.78
|
-1.65
|
34.89
|
-10.27
|
26.70
|
-14.92
|
156.38
|
-6.16
|
2009
|
97.35
|
2.70
|
38.18
|
9.41
|
22.81
|
-14.55
|
158.35
|
1.25
|
2010
|
101.45
|
4.22
|
43.22
|
13.21
|
29.42
|
28.96
|
174.10
|
9.95
|
2011
|
105.06
|
3.56
|
44.11
|
2.05
|
31.86
|
8.29
|
181.04
|
3.98
|
2012
|
105.14
|
0.07
|
43.60
|
-1.17
|
31.41
|
-1.41
|
180.15
|
-0.49
|
2013
|
106.79
|
1.57
|
44.22
|
1.43
|
32.88
|
4.70
|
183.90
|
2.08
|
2014
|
107.90
|
1.04
|
44.40
|
0.42
|
36.23
|
10.18
|
188.55
|
2.53
|
2015
|
106.60
|
-1.20
|
43.89
|
-1.15
|
35.89
|
-0.94
|
186.39
|
-1.14
|
2016
|
107.67
|
1.01
|
43.59
|
-0.68
|
36.73
|
2.33
|
188.00
|
0.86
|
2017
|
109.87
|
2.04
|
45.05
|
3.34
|
38.99
|
6.17
|
193.93
|
3.15
|
2018
|
108.40
|
-1.34
|
44.26
|
-1.76
|
39.00
|
0.01
|
191.67
|
-1.16
|
2019
|
108.45
|
0.05
|
43.82
|
-0.98
|
37.34
|
-4.25
|
189.63
|
-1.06
|
2020
|
113.29
|
4.46
|
48.12
|
9.80
|
39.15
|
4.85
|
200.57
|
5.77
|
C.G.R.%
|
2.31
|
-
|
1.69
|
-
|
2.98
|
-
|
1.88
|
-
|
Source: OurWorldInData.org. Retrieved from: https://ourworldindata.org/fertilizers (Value: Million Tonnes)
Most countries in the world overuse fertilizers, it impacts leading to the runoff of nutrients into water systems and ecosystems and hence creates the pollution. Also, excessive use of fertilizers requires additional land and it’s also have an adverse effect on environmental health. The excessive use of fertilization creates problems of soil salinity, accumulation of heavy metal, water eutrophication, and accumulation of nitrate. However, agriculture production benefits from feeding a growing population while reducing the environmental damage (Serpil Savci, 2012). The three elements that every plant needs most for nourishment are nitrate (N), phosphorus (P), and potash (K). As a result, N.P.K. is increasingly used in agricultural areas to boost production globally. The total amount of synthetic fertiliser (NPK) used in agriculture in 2001 was 13.71 million tonnes. More specifically, in 2001, the world consumed 8.17 million tonnes of nitrogen, 3.29 million tonnes of phosphorus, and 2.25 billion tonnes of potash, respectively. The world's consumption of chemical fertilisers increased to up to 20.05 million tonnes in 2020 in response to higher agricultural production. In 2020, 11.32 million tonnes, 4.81 million tonnes, and 3.91 billion tonnes of nitrate, phosphorus, and potash were consumed, respectively. In comparison to the year before, the yearly growth rate of nitrogen consumption was negative in 2008, 2015, and 2018. From 2001 to 2020, the average annual growth rate of the total consumption of chemical fertilisers was 1.88%, followed by 2.31% for nitrogen, 1.69% for phosphorus, and 2.98% for potash. The growth rate of Potash consumption was high than Nitrogen and phosphorus consumption. Worldwide chemical fertilizer use per cropland area was 103.71 kilograms per hectare in 2001 and increased to 146.40 kilograms per hectare in 2020.
Use of Synthetic Pesticides in Agriculture Around the World:
Pesticides control and protect plants against visible and invisible pests, including herbicides, insecticides, fungicides, and other substances used to control pests. Pesticides, in various forms, have been used for millennia in agriculture. Pesticides have often been produced artificially. They can be necessary to protect crops and farmers' produce and increase crop yields. However, pesticides can also negatively impact biodiversity and farmers' and workers' health (EPA 2023). Excess pesticide use affects food, which becomes poison (WHO 2022). Global pesticide use increased from 2001 to 2020 by 24.21% (i.e. 24,39,806 tonnes) in 2020. The use of herbicides in agriculture for weed management continually increased, reaching up to 13,97,465 tonnes in 2020. The share of insecticides, herbicides, fungicides & bactericides, and other pesticides in total pesticide use was 17.57%, 57.28%, 24.87%, and 0.28%, respectively, in 2020 worldwide. The herbicides used a compound growth rate (2.51%) was more than the other pesticides from 2001 to 2020. The average amount of fertiliser used worldwide increased at a rate of 1.88% between 2001 and 2020, which is higher than the compound growth rate of total pesticide use, which was 1.68%.
Global Net Per Capita Foodgrains Availability:
Every human being needs food grains as part of their daily diet. Cereals and pulses are included in the food grain. Cereals provide a good source of carbohydrates, and pulses are the main protein source. Protein protects against a variety of diseases, but carbohydrates are necessary to supply the daily required energy (Gulati et al. 2021). Each individual must consume enough food grains to meet their nutritional needs and provide food security. According to the data, the global availability of food grains per person was 347.10 kg per year and 0.95 kg per day in 2001, but this amount increased from the previous year's 394.58 kg per year to 1.08 kg per day in 2020. The net availability of cereals per person grew from 338.06 kg per year and 0.93 kg per day in 2000 to 383.09 kg per year and 1.05 kg per day in 2020. Similar to this, the net availability of pulses per person worldwide grew from 9.05 kg per year and 0.02 kg per day in 2000 to 11.48 kg per year and 0.03 kg per day in 2020.
Table 2
Global Trends of Net per Capita Foodgrain Availability
Year
|
Cereal
|
Pulses
|
Foodgrain
|
Kg/
Day
|
Kg/
Annum
|
Kg/
Day
|
Kg/
Annum
|
Kg/
Day
|
Y-o-Y
(%)
|
Kg/
Annum
|
Y-o-Y
(%)
|
2001
|
0.93
|
338.06
|
0.02
|
9.05
|
0.95
|
-
|
347.10
|
-
|
2002
|
0.89
|
325.58
|
0.03
|
9.24
|
0.92
|
-3.16
|
334.82
|
-3.54
|
2003
|
0.89
|
324.58
|
0.03
|
9.31
|
0.91
|
-1.09
|
333.88
|
-0.28
|
2004
|
0.97
|
353.21
|
0.03
|
9.27
|
0.99
|
8.79
|
362.49
|
8.57
|
2005
|
0.95
|
345.92
|
0.03
|
9.39
|
0.97
|
-2.02
|
355.30
|
-1.98
|
2006
|
0.93
|
339.95
|
0.03
|
9.22
|
0.96
|
-1.03
|
349.17
|
-1.73
|
2007
|
0.96
|
349.21
|
0.03
|
9.23
|
0.98
|
2.08
|
358.44
|
2.65
|
2008
|
1.01
|
370.41
|
0.03
|
9.28
|
1.04
|
6.12
|
379.69
|
5.93
|
2009
|
0.99
|
361.26
|
0.03
|
9.40
|
1.02
|
-1.92
|
370.66
|
-2.38
|
2010
|
0.97
|
353.18
|
0.03
|
10.30
|
1.00
|
-1.96
|
363.48
|
-1.94
|
2011
|
1.00
|
366.16
|
0.03
|
9.95
|
1.03
|
3.00
|
376.11
|
3.47
|
2012
|
0.98
|
357.95
|
0.03
|
10.43
|
1.01
|
-1.94
|
368.38
|
-2.06
|
2013
|
1.05
|
381.64
|
0.03
|
10.88
|
1.08
|
6.93
|
392.51
|
6.55
|
2014
|
1.05
|
383.97
|
0.03
|
10.52
|
1.08
|
0.00
|
394.49
|
0.50
|
2015
|
1.05
|
382.67
|
0.03
|
10.37
|
1.08
|
0.00
|
393.04
|
-0.37
|
2016
|
1.07
|
388.77
|
0.03
|
11.20
|
1.10
|
1.85
|
399.97
|
1.76
|
2017
|
1.07
|
390.79
|
0.03
|
12.51
|
1.10
|
0.00
|
403.30
|
0.83
|
2018
|
1.04
|
379.35
|
0.03
|
11.80
|
1.07
|
-2.73
|
391.15
|
-3.01
|
2019
|
1.05
|
382.79
|
0.03
|
10.94
|
1.08
|
0.93
|
393.73
|
0.66
|
2020
|
1.05
|
383.09
|
0.03
|
11.48
|
1.08
|
0.00
|
394.58
|
0.22
|
CGR %
|
0.90
|
0.90
|
0.58
|
1.50
|
0.93
|
-
|
0.92
|
-
|
Source: World Bank, and Food and Agriculture Organization (FAO).
Prevalence of Undernourishment in the World:
Health level shows individuals' and households' economic, physical, and social access to nutrient diet. The proportions of different nutrients contained vary among foods. Hunger is measured by under-nourishment status, indicating the incompetence to obtain adequate food to meet nutritional requirements (Gulati et.al 2021; Marie et.al 2018). The prevalence of undernourishment is an estimate of the proportion of the population whose habitual food consumption is inadequate to deliver the dietary energy levels required to maintain a normally active and healthy life.
According to Fig. 2, the number of undernourished individuals decreased from 13.1% (815.7 million) in 2001 to 9.8% (767.9 million) in 2021, meaning that one (1) out of every nine (9) people worldwide still lacks access to enough food for an active and healthy life. Interestingly, the majority of them are from developing nations, and between 2015 and 2019, the prevalence of undernourishment has increased.
Global Trends of Non-Communicable Disease Burden (NCDS):
Nearly 74.0% of all deaths worldwide were caused by non-communicable diseases, which also include chronic lung disease, diabetes, cancer, and heart disease (WHO 2022). The burden is increasing the number of individuals, households, and communities afflicted is continuously growing. They include unhealthy diet, smoking and harmful drinking of alcohol, obesity, blood pressure, blood sugar, raised cholesterol, and insufficient physical activity (FAO 2017). Unhealthy diets and/or chemical food are major causes of non-communicable diseases (Zarean and Poursafa 2019, Budreviciute et al. 2020; Patel et al. 2023).
Table 3
Global Trends of Total Non-Communicable Disease
Year
|
Non-Communicable
Disease
|
Y-O-Y
(%)
|
Share in Total
Diseases
|
Y-O-Y
(%)
|
2001
|
1287.48
|
-
|
48.81
|
-
|
2002
|
1306.23
|
1.46
|
49.53
|
1.48
|
2003
|
1322.63
|
1.26
|
50.23
|
1.41
|
2004
|
1335.03
|
0.94
|
50.61
|
0.77
|
2005
|
1354.90
|
1.49
|
51.54
|
1.84
|
2006
|
1363.88
|
0.66
|
52.31
|
1.49
|
2007
|
1377.30
|
0.98
|
53.12
|
1.55
|
2008
|
1396.45
|
1.39
|
53.75
|
1.17
|
2009
|
1408.71
|
0.88
|
54.81
|
1.98
|
2010
|
1426.53
|
1.27
|
55.37
|
1.01
|
2011
|
1443.32
|
1.18
|
56.51
|
2.07
|
2012
|
1460.68
|
1.20
|
57.41
|
1.59
|
2013
|
1478.92
|
1.25
|
58.30
|
1.54
|
2014
|
1496.70
|
1.20
|
59.15
|
1.47
|
2015
|
1522.73
|
1.74
|
60.11
|
1.62
|
2016
|
1546.15
|
1.54
|
61.10
|
1.64
|
2017
|
1567.39
|
1.37
|
62.02
|
1.51
|
2018
|
1593.36
|
1.66
|
62.99
|
1.56
|
2019
|
1620.16
|
1.68
|
63.84
|
1.34
|
C.G.R.%
|
1.24
|
-
|
1.53
|
-
|
Source: OurWorldInData.org. Retrieved from: https://ourworldindata.org/burden-of-disease (Value: in million)
We observed that the non-communicable diseases and their threat causes an increase in the likelihood of hospitalization or death from Corona pandemic in all age groups (WHO 2022). From Table 3, Worldwide total non-communicable diseases were at 1287.48 million in 2001. In 2019, the globally non-communicable disease increased to 1620.16 million by a positive 1.24% compound growth rate. Similarly, the share of non-communicable diseases in total diseases was 48.8% in 2001, and it increased to 63.84% in 2019 worldwide. Communicable diseases average annual growth share in total diseases average annual growth was 1.53% and which was higher than the non-communicable disease. While the non-communicable diseases annual growth was high in 2015, nearly 1.74%, and low in 2006, i.e., 0.66% compared to the previous year during the study period.
Correlation Analysis between Synthetic Agricultural Inputs and Health:
We have evaluated the correlation between synthetic agricultural inputs and various variables like foodgrain availability, undernourishment, and non-communicable diseases by using parametric tool namely the Karl Pearson's coefficient of correlation (by using in Eq. 2). It was observed there are close correlations between chemical inputs used in agriculture and health issues. The chemical inputs negatively or positively affect biodiversity, food quality, and human health directly and indirectly. We have used Karl Pearson's correlation coefficient method in this study to measure the strength and direction of the relationship between the utilization of chemical inputs and health dimensions.
Table 4
Correlation between the Use of Synthetic Agricultural Inputs with Various Variables
Variables
|
Value of r
|
Conclusion
|
X: Chemical Inputs
|
-
|
-
|
Y1: Food Grain Availability
|
0.892
|
Strong Positive
|
Y2: Undernourishment People
|
− 0.945
|
Strong Negative
|
Y3: Non-Communicable Diseases
|
0.859
|
Strong Positive
|
Source: Authors Calculation |
-
The value of correlation coefficient of 0.892 and indicates a strong positive correlation between the utilization of synthetic agricultural inputs in agriculture and per capita net availability of food grains. It means that high utilizations of synthetic agricultural inputs in agriculture results into the high net availability of food grains globally and vice versa.
-
The value of correlation coefficient of -0.945 and shows a strong negative correlation between the utilization of synthetic agricultural inputs in agriculture and the prevalence of undernourished people. Meaning, as synthetic agricultural inputs have increased it results into the decrease in number of undernourished people and vice versa.
-
The value of correlation coefficient of 0.859 and it indicates a strong positive correlation between the utilization of synthetic agricultural inputs in agriculture and the prevalence of non-communicable diseases. The rate of non-communicable diseases increases with the use of synthetic agricultural inputs in agriculture and vice versa.
Fig. 3 indicates the global annual growth rate of synthetic agricultural inputs utilization and the availability of per capita food grains during the last twenty years from 2000. During the study period, it was observed that the growth rate of chemical inputs utilization in agriculture is higher than the per capita availability of food grains globally. Except for some years like 2005, 2006, 2009, 2010, 2012, and 2018, the annual growth rate of per capita foodgrain availability was negative, however the growth rate of synthetic agricultural inputs use was positive, which was 2.2% in 2020.
Fig. 4 indicates the annual growth rate of synthetic agricultural inputs utilization and under-nourishment people in the World from 2000 to 2020. From 2000 to 2016, the annual growth of synthetic agricultural inputs utilization in agriculture was higher than the annual growth rate of undernourished people. However, after 2016, the annual growth rate of undernourished people in the World was higher than that of synthetic agricultural inputs utilization is 16.3% in the year 2020.
Figure 5 shows the annual growth rate of synthetic agricultural inputs utilization and non-communicable diseases in the World for the last twenty years. From 2011 to 2020, the growth rate of non-communicable diseases was higher than synthetic agricultural inputs utilization in agriculture. During the study period, the annual growth of synthetic agricultural inputs was negative for some years, but most of the years it was observed to be positive and stood at 2.2% in 2020. Conversely, the global status of annual growth rate of non-communicable diseases was continuously increasing from the year of 2011 to 2020 and it was 1.7% in 2020.