This document summarizes a study on the environmental impacts of pesticide application with agricultural sprayers in southern Adamawa state, Nigeria. The study found that pesticide use has increased significantly in the region over time, with 84% of farmers purchasing pesticides from open markets with less oversight. Prolonged exposure to pesticides led to 164 cases of illness, 103 poisonings, 101 hospitalizations, and 28 deaths among farmers and workers. The study also found negative environmental impacts, including a decline in fresh water quality (83%), fish and aquatic life (80%), bee populations providing food (15-20%), and some bird species (78%). Only 38% of sprayer operators were properly trained, putting them at risk from exposure