Cumulative exposure to dust causes accelerated decline in lung function in tunnel workers

OBJECTIVES—To examine whether underground construction workers exposed to tunnelling pollutants over a follow up period of 8 years have an increased risk of decline in lung function and respiratory symptoms compared with reference subjects working outside the tunnel atmosphere, and relate the findings to job groups and cumulative exposure to dust and gases.
METHODS—96 Tunnel workers and a reference group of 249 other heavy construction workers were examined in 1991 and re-examined in 1999. Exposure measurements were carried out to estimate personal cumulative exposure to total dust, respirable dust, α-quartz, oil mist, and nitrogen dioxide. The subjects answered a questionnaire on respiratory symptoms and smoking habits, performed spirometry, and had chest radiographs taken. Radiological signs of silicosis were evaluated (International Labour Organisation (ILO) classification). Atopy was determined by a multiple radioallergosorbent test (RAST).
RESULTS—The mean exposure to respirable dust and α-quartz in tunnel workers varied from 1.2-3.6 mg/m³ (respirable dust) and 0.019-0.044 mg/m³ (α-quartz) depending on job task performed. Decrease in forced expiratory volume in 1 second (FEV₁) was associated with cumulative exposure to respirable dust (p<0.001) and α-quartz (p=0.02). The multiple regression model predicted that in a worker 40 years of age, the annual decrease in FEV₁ would be 25 ml in a non-exposed non-smoker, 35 ml in a non-exposed smoker, and 50-63 ml in a non-smoking tunnel worker (depending on job). Compared with the reference group the odds ratio for the occurrence of new respiratory symptoms during the follow up period was increased in the tunnel workers and associated with cumulative exposure to respirable dust.
CONCLUSIONS—Cumulative exposures to respirable dust and α-quartz are the most important risk factors for airflow limitation in underground heavy construction workers, and cumulative exposure to respirable dust is the most important risk factor for respiratory symptoms. The finding of accelerated decline in lung function in tunnel workers suggests that better control of exposures is needed.


     

Personal exposures to inorganic and organic dust in manual harvest of California citrus and table grapes

The aim of this study was to determine characteristics of personal exposure to inorganic and organic dust during manual harvest operations of California citrus and table grapes. Personal exposures to inhalable dust and respirable dust were measured five times over a 4-month period of harvesting season. We analyzed components of the dust samples for mineralogy, respirable quartz, endotoxin, and total and culturable microorganisms. Workers manually harvesting were exposed to a complex mixture of inorganic and organic dust. Exposures for citrus harvest had geometric means of 39.7 mg/m(3) for inhalable dust and 1.14 mg/m(3) for respirable dust. These exposures were significantly higher than those for table grape operations and exceeded the threshold limit value for inhalable dust and respirable quartz. Exposures for table grape operations were lower than the threshold limit value, except inhalable dust exposure during leaf pulling. Considered independently, exposures to inhalable dust and respirable quartz in citrus harvest may be high enough to cause respiratory health effects. The degree of vigorous contact with foliage appeared to be a significant determining factor of exposures in manual harvesting.     

The relation between subjective dust exposure estimates and quantitative dust exposure measurements in California agriculture

Measuring exposure levels for epidemiologic research is time consuming and expensive and therefore subjective exposure estimates are sometimes used instead. In this study we related the subjective dust exposure estimates of workers in California agriculture to personal dust exposure measurements. One hundred and twenty-four observations were available for comparison of subjective dust estimates and inhalable dust measurements and 129 observations for comparison of subjective dust estimates and respirable dust measurements. Individual subjective dust estimates showed weak to moderate correlations with measured dust concentrations for both the inhalable (R_s = 0.67) and respirable dust fraction (R_s = 0.36). The within-worker reliability coefficients were low (0.2 and 0.1, respectively). Grouped subjective dust estimates performed better and showed a consistent increase with average measured dust levels, in particular for the inhalable dust fraction (R² = 0.81). Age, the number of years working in agriculture, education level, the presence of any respiratory symptoms, and the language of the questionnaire did not have a significant independent effect on the relationship between measured dust levels and subjective dust estimates. California agricultural workers appear to be reasonably good at estimating inhalable dust levels, in particular if an average of many different workers is taken, but they are unable to provide good estimates of respirable dust levels. Measuring dust levels remains the preferred option. Am. J. Ind. Med. 32:355–363, 1997. © 1997 Wiley-Liss, Inc.     

Respiratory health effects of occupational exposure to charcoal dust in Namibia

Background: Charcoal processing activities can increase the risk of adverse respiratory outcomes.

Objective: To determine dose–response relationships between occupational exposure to charcoal dust, respiratory symptoms and lung function among charcoal-processing workers in Namibia.

Methods: A cross-sectional study was conducted with 307 workers from charcoal factories in Namibia. All respondents completed interviewer-administered questionnaires. Spirometry was performed, ambient and respirable dust levels were assessed in different work sections. Multiple logistic regression analysis estimated the overall effect of charcoal dust exposure on respiratory outcomes, while linear regression estimated the exposure-related effect on lung function. Workers were stratified according to cumulative dust exposure category.

Results: Exposure to respirable charcoal dust levels was above occupational exposure limits in most sectors, with packing and weighing having the highest dust exposure levels (median 27.7 mg/m³, range: 0.2–33.0 for the 8-h time-weighted average). The high cumulative dust exposure category was significantly associated with usual cough (OR: 2.1; 95% CI: 1.1–4.0), usual phlegm (OR: 2.1; 95% CI: 1.1–4.1), episodes of phlegm and cough (OR: 2.8; 95% CI: 1.1–6.1), and shortness of breath. A non-statistically significant lower adjusted mean-predicted % FEV1 was observed (98.1% for male and 95.5% for female) among workers with greater exposure.

Conclusions: Charcoal dust levels exceeded the US OSHA recommended limit of 3.5 mg/m³ for carbon-black-containing material and study participants presented with exposure-related adverse respiratory outcomes in a dose–response manner. Our findings suggest that the Namibian Ministry of Labour introduce stronger enforcement strategies of existing national health and safety regulations within the industry.     

Identification of agricultural tasks important to cumulative exposures to inhalable and respirable dust in California

Little data exists on the determinants of agricultural dust exposure, particularly in dry climates. Annual exposure indices to inhalable and respirable dust were constructed by exposure estimates for specific tasks, task duration, and task frequency. The estimates of exposure levels were based on actual field measurements and subjective dust exposure ranking. The task duration and frequency data were obtained by questionnaire from 546 farm operators in California. Annual exposure indices were analyzed to determine which tasks were major contributors to chronic dust exposure. The important tasks were identified by comparisons of the cumulative distribution of exposures for all tasks and the cumulative distribution of exposures with one task deleted. Thirteen and 11 tasks were identified to be important to both inhalable and respirable dust exposures, respectively. Tasks identified to be important to agricultural exposure may be ascribed to exposure duration more than to exposure intensity. Information on task-specific exposure is important for developing control strategies in the agricultural workplace.     

Effects of personal exposures on pulmonary function and work-related symptoms among sawmill workers

Three green mills and two dry mills were studied for personal exposure to wood dust and biohazards associated with wood dust and their correlation to lung function and work-related symptoms among sawmill workers. The levels of exposure to endotoxin, (1-->3)-beta-D-glucan, bacteria and fungi were high in green mills compared with dry mills. Compared with dry mill workers, green mill workers had significantly high prevalence of regular cough, chronic bronchitis, regular blocked nose, regular sneezing, sinus problems, flu-like symptoms, and eye and throat irritation. Significant positive correlations were found among endotoxin and Gram (-)ve bacteria, (1-->3)-beta-D-glucan and fungi, and endotoxin and (1-->3)-beta-D-glucan exposure levels. Significant dose-response relationships were found for personal exposures and lung function, and lung function and work-related respiratory symptoms. The significant correlations found for respirable fractions show that not only inhalable but also respirable fractions are important in determining potential health effects of exposure to wood dust. The management and employees of the sawmilling industry should be educated on the potential health effects of wood dust. Wood dust should be controlled at the source.     

Dust exposure and impairment of lung function at a small iron foundry in a rapidly developing country

OBJECTIVES—A cross sectional prospective study was carried out among iron foundry workers (exposed) and soft drink bottling and supply company workers (unexposed) to assess their occupational exposure to ambient respiratory dust in their work environment and its effect on their lung function profile.
PARTICIPANTS—Lung function was measured in 81 exposed and 113 unexposed workers. Personal respirable dust concentrations were measured for all the exposed and the unexposed workers. Information on respiratory signs and symptoms was also collected from the participants.
RESULTS—Among the exposed workers, midexpiratory flow (FEF_25-75), forced expiratory volume in 1 second (FEV₁), peak expiratory flow (PEF), FEV₁/FVC, and FEV₁/VC ratios were significantly lower whereas the vital capacity (VC) and forced vital capacity (FVC) were non-significantly higher. Job at the iron foundry was a significant predictor of lung function. Exposure to high concentration of respirable dust at the iron foundry was also a significant predictor. Workers working in high exposure areas (general works, furnace, continuous casting areas, and fabrication workshop) had lower lung function values than workers in medium and low exposure areas. Smoking did not enhance the effects of exposure to dust on lung function.
CONCLUSIONS—Exposure to respirable dust was higher among the iron foundry workers; and among these, general, furnace, rolling mill, and fabrication workers had higher exposures to dust than did workers in continuous casting, the mechanical workshop, and the bottling plant. Job type and exposure to dust were significant predictors of lung function. Implementation of industrial hygiene and proper and efficient use of personal protection equipment while at work could help to protect the respiratory health of industrial workers.


Keywords: lung function; dust exposure; foundry; smoking; personal protection     

Respiratory effects of exposure to low levels of concrete dust containing crystalline silica

BACKGROUND: Dusts containing crystalline silica are generated in mining, construction, glass, granite and concrete production industries. The association between exposure to low levels of concrete dust containing crystalline silica and reduction in lung function, was evaluated in a cross-sectional study. METHODS: The study was carried out among 144 concrete workers, from two factories, with exposure assessment of respirable dust and silica by personal samplers. Results of respiratory questionnaires and standardized measurements of lung function were compared with the results in a control population. Multiple linear regression analysis was used in selecting factors that predict (age and standing height standardized residual) lung function. RESULTS: The average concentration of respirable dust in both factories was 0.8 mg/m(3) and 0.06 mg/m(3) for respirable silica. The average silica content of the dust was 9%. The average cumulative dust exposure was 7.0 mg/m(3) year and cumulative silica exposure was 0.6 mg/m(3) year. Significant associations between exposure to concrete dust and a small lung function (FEV(1)/FVC ratio, MMEF) loss were found, independent of smoking habits and of a history of allergy. CONCLUSIONS: Our results indicate that, concrete workers with chronic obstructive pulmonary symptoms and/or work-related lower respiratory symptoms are at risk of having a reduction in lung function (FEV&(1)/FVC ratio) outside the 5th percentile of the external reference population, and therefore, of mild chronic obstructive pulmonary disease, at respirable concrete dust levels below 1 mg/m(3) with a respirable crystalline silica content of 10% (TWA, 8 hr).     

Exposure to dust,endotoxin and micro-organisms in the potato processing industry

Exposure to organic dust components was studied in four potato processing plants because preliminary results showed high exposures accompanied by work-related health complaints. Ambient air concentrations of inhalable dust ranged from below 0.4 up to 44 mg m⁻³ [geometric mean (GM) 0.64 mg m⁻³]. Respirable dust concentrations were considerably lower. Personal concentrations of inhalable dust were somewhat higher, and strongly related to a few working tasks dealing with dried starch or protein. Ambient air concentrations of endotoxin ranged from 0.5 to more than 60 000 endotoxin units (EU) per m³ for the inhalable size fraction (GM = 280 EU m⁻³). For the respirable size fraction, endotoxin concentrations were lower (about the same factor as for dust). Personal endotoxin concentrations were lower than ambient air concentrations, probably because workers did not work the whole period of the shift near endotoxin sources. Endotoxin exposure was evaluated as very high; 23% of the workers had a mean exposure above 1000 EU m⁻³ (100 ng m⁻³). Differences between plants had a large influence on both dust and endotoxin exposure. A fairly good correlation was found between counts of airborne gram-negative bacteria and airborne endotoxin of the respirable size fraction. Ambient air levels of bacteria and endotoxin were strongly related to process water temperature, suggesting that exposure reduction can be achieved by lowering this temperature or by other measures that inhibit bacterial growth. We conclude that recycling of process water probably constitutes an exposure source of bacteria and endotoxin in many facilities.     

A triangulation approach to historical exposure assessment for the carbon black industry

The determination of cumulative exposures for individual workers is necessary for research and practice of occupational health and hygiene. Reconstruction of exposures for a study of respiratory morbidity was needed to study the effects of exposure to carbon black production. Approximately 15,800 exposure estimates were needed. There were 22 plants, a 40-year time span, six job categories, and three types of dust-exposure metrics (respirable, inhalable, and "total" dust). Three information sources were used: 1) Industrial hygiene air level measurements where available (several industry-wide surveys had been conducted). 2) A formal process survey identifying specific dates and types of process and control changes. 3) An Historical Relative Exposure Rating Scale; plant health and safety personnel used this spreadsheet-based rating scheme to quantify exposures before and between years of actual measurement relative to a reference year in which measurements were available. A job-exposure matrix was calculated by integrating these three methods. Linear scaling factors were identified to interconvert geometric to arithmetic means and to interconvert total and inhalable dust. Individual worker cumulative exposures were then calculated based upon job histories linked with the job-exposure matrix. The nine-step process for integrating all available relevant data was effective in estimating the exposures for each of the cells of the job-exposure matrix. Among the 1680 workers participating, the mean cumulative inhalable dust exposure was 48.4 mg-years/m3. Early years contribute disproportionately to the cumulative exposures of individuals since levels have declined significantly over time. The use of multiple sources of information, including a relative exposure rating instrument, significantly facilitates reconstruction of historical exposures. Inadequate adjustment for temporal trends can lead to underestimation of cumulative exposures and significantly affect estimation of dose-effect relationships. These methods are applicable to other situations requiring estimation of cumulative exposure with sparse industrial hygiene data in early years.     

Pulmonary effects of inhaled dust and fumes: Exposure-response study in rubber workers

Lung function changes and respiratory symptoms were investigated in a cross-sectional study in rubber workers exposed to dust and fumes. To exclude acute pulmonary effects related to “rubber fumes,” lung function was measured in curing workers at the start and end of the day shift. Exposure to inhalable dust was measured in all production areas. The results were compared with a reference population from the same geographical region. This study indicates that exposure to “rubber fumes” in curing workers was not related to cross-shift and cross-week decreases in pulmonary function at levels ∼1 mg/m³ (AM) inhalable dust and 260 μg/m³ cyclohexane soluble fraction (CSF). Cross-sectional analyses gave indications for a small loss in pulmonary function in all rubber workers. This decrease in lung function was associated with 10 years of exposure to an average of 2.0 mg/m³ inhalable dust. Our study showed a mean annual decline of 0.08% for the FEV₁/FVC ratio and of 10 ml/s for the MMEF. Self-reported chronic respiratory symptoms were not related to dust exposure. Am. J. Med. 33:16–23, 1998 © 1998 Wiley-Liss, Inc.     

A survey of size-fractionated dust levels in the U.S. wood processing industry

A survey of size-fractionated dust exposure was carried out in 10 wood processing plants across the United States as part of a 5-year longitudinal respiratory health study. The facilities included a sawmill, plywood assembly plants, secondary wood milling operations, and factories producing finished wood products such as wood furniture and cabinets. Size-fractionated dust exposures were determined using the RespiCon Personal Particle Sampler. There were 2430 valid sets of respirable, thoracic, and inhalable dust samples collected. Overall, geometric mean (geometric standard deviation) exposure levels were found to be 1.44 (2.67), 0.35 (2.65), and 0.18 (2.54) mg/m, for the inhalable, thoracic, and respirable fractions, respectively. Averaged across all samples, the respirable fraction accounted for 16.7% of the inhalable dust mass, whereas the corresponding figure for thoracic fraction as a percentage of the inhalable fraction was 28.7%. Exposures in the furniture manufacturing plants were significantly higher than those in sawmill and plywood assembly plants, wood milling plants, and cabinet manufacturing plants, whereas the sawmill and plywood assembly plants exhibited significantly lower dust levels than the other industry segments. Among work activities, cleaning with compressed air and sanding processes produced the highest size-fractionated dust exposures, whereas forklift drivers demonstrated the lowest respirable and inhalable dust fractions and shipping processes produced the lowest thoracic dust fraction. Other common work activities such as sawing, milling, and clamping exhibited intermediate exposure levels, but there were significant differences in relative ranking of these across the various industry segments. Processing of hardwood and mixed woods generally were associated with higher exposures than were softwood and plywood, although these results were confounded with industry segment also.     

Health effects of working in pulp and paper mills: Exposure,obstructive airways diseases,hypersensitivity reactions,and cardiovascular diseases

Workers in the pulp and paper industry are exposed to different substances, such as hydrogen sulfide and other reduced sulfur compounds, chlorine, chlorine dioxide, sulfur dioxide, terpenes, and paper dust. The exposure level depends on the process, i.e., sulfite, sulfate, groundwood, bleachery, or paper production. Hitherto, exposures have been poorly described and more studies are certainly needed. Workers with repeated exposure peaks to chlorine, e.g., bleachery workers, seem to have an impaired lung function and an increased prevalence of respiratory symptoms. Exposure to high levels of paper dust, (>5 mg/m³) causes impaired lung function. Therefore, exposure to respiratory irritants is an important, and probably overlooked, occupational risk among certain groups of pulp and paper workers. Some studies indicate that sulfate workers with high exposure to reduced sulfur compounds have an increased mortality due to ischemic heart disease. However, before any definite conclusions can be drawn, the impact of important confounders, such as shift-work and smoking habits have to be further evaluated. © 1996 Wiley-Liss, Inc.     

Radiologic abnormalities in South African mica millers: a survey of a mica milling plant in the Limpopo Province

All 73 workers at a South African mica milling plant were surveyed for radiographic evidence of abnormalities related to dust exposures at work. Chest x-rays were taken and questionnaires administered to determine occupational and environmental exposure histories. Dust levels to which workers were exposed were measured. All but one of 12 airborne inhalable and respirable dust levels were below the occupational exposure limits (OEL-RLs) of 10 mg/m3 and 5 mg/m3 respectively. The mica concentrations were below the OEL-RL of 1 mg/m3 for respirable mica. Mean age and service duration of the workers were 45 and 14 years, respectively. 19 workers (27%) had changes referable to their exposures to asbestos, mica, silica, or combinations. Of these, four showed additional radiographic changes in keeping with tuberculous lung scarring. Six had evidence of lung changes consistent with past tuberculosis alone. Rates of radiologic abnormalities were higher in older workers and those with longer service. An association between mica and radiologic changes could not be convincingly shown because of the nature of the survey and the co-exposure to other mineral dusts. Nevertheless, six workers had radiologic changes consistent with pneumoconiosis attributable to mica or the combination of mica and silica.     

Work-related symptoms and dose-response relationships for personal exposures and pulmonary function among woodworkers

BACKGROUND: Four sawmills, a wood chipping mill, and five joineries in New South Wales, Australia, were studied for the effects of personal exposure to wood dust, endotoxins. (1-->3)-beta-D-glucans, Gram-negative bacteria, and fungi on lung function among woodworkers. METHODS: Personal inhalable and respirable dust sampling was carried out. The lung function tests of workers were conducted before and after a workshift. RESULTS: The mean percentage cross-shift decrease in lung function was markedly high for woodworkers compared with the controls. Dose-response relationships among personal exposures and percentage cross-shift decrease in lung function and percentage predicted lung function were more pronounced among joinery workers compared with sawmill and chip mill workers. Woodworkers had markedly high prevalence of regular cough, phlegm, and chronic bronchitis compared with controls. Significant associations were found between percentage cross-shift decrease in FVC and regular phlegm and blocked nose among sawmill and chip mill workers. Both joinery workers and sawmill and chip mill workers showed significant relationships between percentage predicted lung function (FVC, FEV1, FEV1/FVC, FEF25-75%) and respiratory symptoms. CONCLUSIONS: Wood dust and biohazards associated with wood dust are potential health hazards and should be controlled.     

Assessment of exposure to organic dust in a hemp processing plant

The aim of this preliminary study was to assess exposure to various constituents of the organic dust generated during the processing of hemp in a small group of exposed workers. Airborne levels of inhalable dust, endotoxin and soluble protein, and the respirable, thoracic and inhalable fractions of fungal, bacterial and actinomycete contamination were measured in the personal breathing zone of exposed workers. Inhalable dust, endotoxin, fungal and bacterial contamination all exceeded levels found in similar vegetable fibre processing factories, since inhalable dust levels ranged from 10.4 to 79.8 mg/m(3) and inhalable bacterial levels between 4.7 and 190 x 10(6) cfu/m(3). Soluble protein and endotoxin (r=0.99, P<0.0001), endotoxin and inhalable dust (r=0.94, P<0.005) and inhalable dust and protein (r=0.98, P<0.0001) were significantly correlated, suggesting that there was little variation in the composition of the dust from different sites or activities around the workplace. Andersen sampling gave an indication of background microbe levels, although no attempt was made to identify the specific microorganisms as all plates were significantly overgrown. Airborne assessments demonstrated that exposures were highly task specific. For example, sweeping the floor generated the highest exposure levels of total dust, protein, endotoxin, bacteria and fungi. Therefore, we have shown that a modern-day hemp fibre processing plant produces significant quantities of respirable dust which is highly contaminated with endotoxin and microorganisms. This organic dust has the potential to cause a range of ill health problems.     

Work-related respiratory symptoms and ventilatory disorders among employees of a cement industry in Shiraz, Iran

Although the main hazard in cement processing is dust and respiratory tract disorders are the most important group of occupational diseases in this industry, evidence for associations between exposure to cement dust and either respiratory symptoms or functional impairment has not been conclusive. This study was, therefore, undertaken to more thoroughly examine the effects of occupational exposure to cement dust on the respiratory system. The study population consisted of a group of 88, randomly selected, male workers with current exposure to cement dust and 80 healthy male office workers without present or past history of exposure to dust that served as the referent group. Subjects were interviewed and were given respiratory symptom questionnaires to answer. They also underwent chest X-ray and lung function tests. Additionally, personal dust monitoring for airborne inhalable and respirable dust was carried out at nine different worksites. Moreover, X-ray diffraction (XRD) and X-ray fluorescence (XRF) techniques were performed to determine the silica phases and the SiO2 contents of the dust samples. Levels of exposures to inhalable and respirable cement dust were estimated to be 53.4+/-42.6 and 26+/-14.2 mg/m3, respectively (Mean+/-SD). Statistical analysis of the data revealed that symptoms like regular cough, phlegm, wheezing and shortness of breath were significantly (p<0.05) more prevalent among exposed workers. Similarly, chest radiographs of exposed workers showed various degrees of abnormalities including emphysematous changes, old calcified granulomas, emphysematous changes associated with inflammatory processes, evidence of chronic inflammatory processes, focusal calcification of the lungs and infiltrative changes. However, no significant changes were noted in the radiographs of the referent group. Furthermore, exposed workers compared to their referent counterparts showed significant reductions in the parameters of lung function. In conclusions, our data provide corroborative evidence further substantiating the contention that exposure to cement dust is associated with respiratory symptoms and functional impairments.     

Elemental properties of copper slag and measured airborne exposures at a copper slag processing facility

In 1974, the National Institute for Occupational Safety and Health recommended a ban on the use of abrasives containing >1% silica, giving rise to abrasive substitutes like copper slag. We present results from a National Institute for Occupational Safety and Health industrial hygiene survey at a copper slag processing facility that consisted of the collection of bulk samples for metals and silica; and full-shift area and personal air samples for dust, metals, and respirable silica.

Carcinogens, suspect carcinogens, and other toxic elements were detected in all bulk samples, and area and personal air samples. Area air samples identified several areas with elevated levels of inhalable and respirable dust, and respirable silica: quality control check area (236 mg/m³ inhalable; 10.3 mg/m³ respirable; 0.430 mg/m³ silica), inside the screen house (109 mg/m³ inhalable; 13.8 mg/m³ respirable; 0.686 mg/m³ silica), under the conveyor belt leading to the screen house (19.8 mg/m³ inhalable), and inside a conveyor access shack (11.4 mg/m³ inhalable; 1.74 mg/m³ respirable; 0.067 mg/m³ silica). Overall, personal dust samples were lower than area dust samples and did not exceed published occupational exposure limits. Silica samples collected from a plant hand and a laborer exceeded the American Conference of Governmental Industrial Hygienist Threshold Limit Value of 0.025 µg/m³. All workers involved in copper slag processing (n = 5) approached or exceeded the Occupational Safety and Health Administration permissible exposure limit of 10 µg/m³ for arsenic (range: 9.12–18.0 µg/m³). Personal total dust levels were moderately correlated with personal arsenic levels (R_s = 0.70) and personal respirable dust levels were strongly correlated with respirable silica levels (R_s = 0.89).

We identified multiple areas with elevated levels of dust, respirable silica, and metals that may have implications for personal exposure at other facilities if preventive measures are not taken. To our knowledge, this is the first attempt to characterize exposures associated with copper slag processing. More in-depth air monitoring and health surveillance is needed to understand occupational exposures and health outcomes in this industry.     

Respiratory effects and dust exposures in hog confinement farming

Fifty-three hog confinement farmers and 43 control farmers were studied. Pulmonary function, total and respirable personal dust levels, and responses to a health status questionnaire were obtained for all farmers. The hog farmers' total and respirable personal dust exposures were significantly higher than the respective levels of the control farmers. Higher dust levels were associated with the use of floor (scatter) feeding, indoor feed grinding, and the use of high moisture corn feed. Pork producers reported respiratory symptoms significantly more often than controls. Lung function did not differ between the two groups of farmers, nor could dust exposure levels be related to lung function.     

Dust exposure in workers from grain storage facilities in Costa Rica

Background

About 12 million workers are involved in the production of basic grains in Central America. However, few studies in the region have examined the occupational factors associated with inhalable dust exposure.