Respiratory symptoms and pulmonary function among Chinese rice-granary workers

The authors conducted a cross-sectional study of 474 rice-granary workers and 235 non-granary worker controls in a rural area near Shanghai, the People's Republic of China. Responses to a respiratory-symptom questionnaire and pre- and post-shift spirometry were obtained for all subjects. Area sampling was performed for total and vertically elutriated (相似文献   

Respiratory Symptoms and Pulmonary Function among Chinese Rice-granary Workers

Abstract

The authors conducted a cross-sectional study of 474 rice-granary workers and 235 non-granary worker controls in a rural area near Shanghai, the People's Republic of China. Responses to a respiratory-symptom questionnaire and pre- and post-shift spirometry were obtained for all subjects. Area sampling was performed for total and vertically elutriated (≤15 μm)dust levels. Total dust levels were high, ranging from 6.6 mg/m³ to 59.8 mg/m³, with vertical elutriated dust concentrations ranging from 2.0 to 10.4 mg/m³. The granary workers reported significantly more respiratory symptoms, induding chronic cough, sputum production, chronic bronchitis, grain fever (ODTS), and nasal and skin irritation. Grain dust and tobacco smoking were more than additivc for the prevalence of chronic cough and chronic bronchitis. Meter adjusting for confounders, the granary workers had lower mean FEV₁/FVC values both pre- and post-shift, indicating an association between chronic grain-dust exposure and chronic airway obstruction. The results suggest that exposure to rice dust can induce pulmonary responses similar to those observed with exposures to other types of grains.     

Dose-response relationships between occupational aerosol exposures and cross-shift declines of lung function in poultry workers: recommendations for exposure limits

Numerous articles have been published regarding the adverse respiratory health consequences of working in intensive livestock and poultry housing. Threshold limit exposure guidelines are not currently applied to this environment, but they are essential to implement and monitor effective environmental controls. Previous dose-response research work with swine workers has resulted in exposure limit recommendations of 2.5 mg/m3 total dust, 0.23 mg/m3 respirable dust, 100 EU/m3 endotoxin, and 7 ppm ammonia. No similar recommendations have been reported previously for poultry workers. Therefore, an industry-wide study was conducted to examine dose-response relationships of bioaerosol exposures and worker respiratory health. A total of 257 poultry workers were studied for respiratory symptoms, pulmonary function, and exposure to dust (total and respirable), endotoxin (respirable and total), and ammonia. Details of the sampling plan and environmental assessment are described elsewhere. Relationships between exposures and response were studied by correlation and multiple regressions. Significant dose-response relationships were observed between exposures and pulmonary function decrements over a work shift. Exposure concentrations associated with significant pulmonary function decrements were as follows: 2.4 mg/m3 total dust, 0.16 mg/m3 respirable dust, 614 EU/m3 endotoxin, and 12 ppm ammonia.     

Long-term cotton dust exposure in the textile industry

A three-year survey was conducted in six cotton-yarn manufacturing mills and one mill processing synthetic polyester fibers as part of a longitudinal epidemiologic investigation of the health experience of workers employed in the textile industry. A total of 1324 elutriated and total dust samples were collected during the three years of the study. The results indicate that the average elutriated dust concentrations in the surveyed mills were generally at or below the current OSHA standard and they ranged from 0.069 to 0.396 mg/m3, 0.089 to 0.391 mg/m3, and 0.106 to 0.210 mg/m3 for the first, second and third year surveys, respectively. Introduction of modern automated yarn processing equipment and elimination of some of the classic processes were associated with a decreasing trend in airborne dust concentrations in these mills.     

Human ventilatory response to washed and unwashed cottons from different growing areas.

Thirty volunteer subjects were exposed to controlled amounts of respirable dust generated by the carding of cotton in an experimental cardroom. Eighteen exposures each lasting six hours were performed while carding unwashed and washed cottons from the three major growing regions of the United States. Elutriated dust was analysed gravimetrically and was comparable (0.59 mg/m3 +/- 0.04) for all exposures. Spirometry was recorded before and after each exposure. California cotton resulted in a significantly smaller fall in FEV1 than cotton of the same grade from Texas or Mississippi. All washed cottons resulted in reduced declines when compared with unwashed cottons. For 17 subjects breathing zone personal total dust samples were analysed for airborne endotoxin and compared with the individual's pulmonary function response. A significant correlation between endotoxin exposure and acute decrease in FEV1 was seen. The effect on FEV1 per nanogram of airborne endotoxin was greater for Mississippi cotton than for cotton from the other regions. Airborne endotoxin appears to be an important determinant of acute pulmonary effects of cotton dust. Water washing of cotton results in reduced airborne endotoxin and less bronchoconstriction.     

Human ventilatory response to washed and unwashed cottons from different growing areas

Thirty volunteer subjects were exposed to controlled amounts of respirable dust generated by the carding of cotton in an experimental cardroom. Eighteen exposures each lasting six hours were performed while carding unwashed and washed cottons from the three major growing regions of the United States. Elutriated dust was analysed gravimetrically and was comparable (0.59 mg/m3 +/- 0.04) for all exposures. Spirometry was recorded before and after each exposure. California cotton resulted in a significantly smaller fall in FEV1 than cotton of the same grade from Texas or Mississippi. All washed cottons resulted in reduced declines when compared with unwashed cottons. For 17 subjects breathing zone personal total dust samples were analysed for airborne endotoxin and compared with the individual's pulmonary function response. A significant correlation between endotoxin exposure and acute decrease in FEV1 was seen. The effect on FEV1 per nanogram of airborne endotoxin was greater for Mississippi cotton than for cotton from the other regions. Airborne endotoxin appears to be an important determinant of acute pulmonary effects of cotton dust. Water washing of cotton results in reduced airborne endotoxin and less bronchoconstriction.     

Comparative personal exposures to organic dusts and endotoxin

The aims of the study were to provide valid comparative data for personal exposures to dust and endotoxins for different occupations and to calculate comparative data for the contamination of organic dusts with endotoxin. Nine different occupational settings were studied, drawn from the textile, agricultural and animal handling industries. Samples were collected by personal sampling techniques, using the Institute of Occupational Medicine (IOM) sampling head, glass fibre filters and rechargeable sampling pumps. The dust exposures were calculated by gravimetric analysis and using the calculated volume of air sampled were expressed as mg/m3. Endotoxin exposures were measured using a simple water extraction from the collected dusts, followed by a quantitative turbidimetric assay. Results were expressed as ng/m3, using the calculated volume of air sampled. In addition, the levels of the contamination of dusts with endotoxin for individual industries were expressed as ng/mg of collected dust. Two hundred and fifty-nine samples, collected from 9 different industries and across 36 different sites were analysed. This represented a sampling rate of 25% for the total work force. The average sampling time was 4.62 h. For all the dusts collected, a significant correlation between the collected dust and endotoxin was seen (r = 0.7 and p < 0.001). The highest dust exposures occurred during cleaning activities (grain handling: 72.5 mg/m3). The individuals exposed to the highest median level of dust and endotoxin were the animal handlers (poultry handlers, dust: 11.53 mg/m3, endotoxin: 71,995 ng/m3). Weaving and mushroom cultivation had the lowest exposures for dust and endotoxins. The mostly highly contaminated dusts (median values expressed as ng of endotoxin per mg of collected dust) were found in the animal handling (poultry: 1,030 ng/mg, swine: 152 ng/mg) and cotton spinning (522 ng/mg) industries. Processing of cotton and wool fibres was found to reduce the levels of contamination of dusts with endotoxin. In the study, valid comparative data for personal exposures to organic dusts and endotoxins have been presented. The highest exposures were found amongst animal handlers and during cleaning activities. The results highlight that dust exposures are greater in a number of industries than the set exposure standards. In addition, endotoxin exposures are found to be greater than levels at which harmful effects have been demonstrated.     

Acute lung function response to cotton dust in atopic and non-atopic individuals

Acute spirometric responses to inhaled cotton dust were examined in a population of 226 healthy, non-asthmatic adults whose atopic status had been evaluated by skin prick tests to 10 common environmental allergens. Exposure to cotton dust occurred in model cardrooms where elutriated dust levels were carefully controlled (1.02 mg/m3). Atopy, defined as positive prick tests to at least two allergens, was observed in 26% of subjects. Significant forced expiratory volume in one second (FEV1) decrements occurred after exposure to cotton dust independent of atopic status (p less than 0.001). The mean FEV1 decline in atopic subjects, however, was significantly greater than in non-atopic subjects (p less than 0.05). Degree of atopy, as measured by number of positive skin tests, also exhibited a significant association with cotton induced decrements in FEV1 (p less than 0.05). These data suggest that atopy may be an important determinant of the magnitude of the acute pulmonary response to cotton dust. This may reflect the non-specific airways hyperresponsiveness that has been described in non-asthmatic, atopic individuals.     

Acute lung function response to cotton dust in atopic and non-atopic individuals.

Acute spirometric responses to inhaled cotton dust were examined in a population of 226 healthy, non-asthmatic adults whose atopic status had been evaluated by skin prick tests to 10 common environmental allergens. Exposure to cotton dust occurred in model cardrooms where elutriated dust levels were carefully controlled (1.02 mg/m3). Atopy, defined as positive prick tests to at least two allergens, was observed in 26% of subjects. Significant forced expiratory volume in one second (FEV1) decrements occurred after exposure to cotton dust independent of atopic status (p less than 0.001). The mean FEV1 decline in atopic subjects, however, was significantly greater than in non-atopic subjects (p less than 0.05). Degree of atopy, as measured by number of positive skin tests, also exhibited a significant association with cotton induced decrements in FEV1 (p less than 0.05). These data suggest that atopy may be an important determinant of the magnitude of the acute pulmonary response to cotton dust. This may reflect the non-specific airways hyperresponsiveness that has been described in non-asthmatic, atopic individuals.     

Modeling, estimation and validation of cotton dust and endotoxin exposures in Chinese textile operations

In support of an epidemiological study of cancer incidence among cotton textile workers in Shanghai, PRC, historical estimates of exposure to cotton dust and endotoxin were developed for subjects drawn from a cohort of 267,400 female textile workers. A large dataset of historical cotton dust measurements were available from 56 of the study factories. Using these data, a series of models were developed to estimate cotton dust exposure by year, factory and process. Model estimates were validated by comparing with independently collected measurements gathered over a 15 year period and indicated a low relative bias (< 2%) and relative accuracy (+/- 61%). Endotoxin exposures were estimated using the endotoxin content of cotton dust by major processes obtained in five separate surveys in these factories. The validated exposures were assigned to the 7,242 jobs held by the 3,812 study subjects. Among the exposed workers, the mean cumulative exposure levels were 113.8 mg m(-3)*years for cotton dust and 6,707.7 EU m(-3)*years for endotoxin, respectively. The overall correlation among cotton dust and endotoxin exposures for these subjects was r = 0.58. Using an unusually rich set of historical cotton dust measurements, along with independently collected exposure measurements for validation and conversion to endotoxin levels, validated estimates of cumulative exposure were constructed for this large case-cohort study in the textile industry.     

Work area measurements as predictors of personal exposure to endotoxin and cotton dust in the cotton textile industry

OBJECTIVES: To determine if work area measurements of endotoxin and/or cotton dust obtained from the vertical elutriator (VE) can be used to predict levels of personal endotoxin exposure as measured by the Institute of Occupational Medicine (IOM) inhalable dust sampler in the cotton textile industry. METHODS: Fifty-six work area cotton dust samples were collected from 14 areas and 82 personal cotton dust samples were collected from 41 workers in three textile mills (Mills A, B and C) in Shanghai, China. Cotton dust concentrations were determined gravimetrically from sample filters, of which endotoxin concentrations were determined using a kinetic chromogenic modification of the limulus amoebocyte lysate assay. Linear regression models were used to determine the association between log IOM personal endotoxin concentration and log VE area endotoxin concentration. RESULTS: Median cotton dust and endotoxin concentrations measured from VE area samples in the three mills were 0.36 mg m(-3) and 1280.76 endotoxin units per cubic meter (EU m(-3)), respectively, compared to 1.74 mg m(-3) and 2226.83 EU m(-3) from IOM personal samples. Excluding samples from weaving processes, we observed linear associations between VE area measures of endotoxin and IOM personal endotoxin concentrations; VE area concentration of endotoxin explained 83 and 89% of the total variation in IOM personal endotoxin concentration for Mills A and B, respectively (Mill A: R2 = 0.83, P < 0.0001; Mill B: R2 = 0.89, P < 0.0001). Although area measures of cotton dust was also a significant predictor of person endotoxin, the model explained less of the variance in personal endotoxin measurements. CONCLUSIONS: Specific to the conditions of the textile mills investigated in this study, work area measurements of endotoxin, but not cotton dust, may be reasonable proxies for personal levels, at least for rank-ordering exposures.     

Worker exposures to particulates, endotoxins, and bioaerosols in two refuse-derived fuel plants.

Exposures of refuse-derived fuel (RDF) production workers to total particulates, endotoxin, and total (viable plus nonviable) bioaerosols were characterized at two RDF production plants. Full-shift personal air monitoring for 35 workers was conducted for total particulates, analyzed by gravimetric analysis; endotoxin, analyzed by chromogenic endpoint assay; and total bioaerosols, analyzed by fluorescent microscopy (FM). Geometric mean values of personal air samples were 0.50 mg/m3 for total dust, 29.0 EU/m3 (2.9 ng/m3) for endotoxin, and 6.8 x 10(5) organisms/m3 for bioaerosols. Significant differences were observed between the two plants only for total endotoxin exposures. The mean concentrations for total particulates, total FM bioaerosols, and endotoxins did not differ among the day, evening, or night shifts. Interjob differences were found for exposures to total dust, total endotoxin, and FM bioaerosols. Individual comparisons for total particulates and endotoxin exposures were significant for comparisons between job categories as a result of the greater exposures for personnel cleaning the plants. Significant correlations were detected between total particulates and total endotoxin measurements and between inhalable and total particulates.     

Occupational exposure to cotton dust in cottonseed oil mills

Air samples were collected at breathing height in the hulling-separation department of a modern cottonseed oil mill in Uzbekistan. The average elutriated mass concentration measured by standard cotton dust samplers was 4.6 mg/m3, much lower than the average total dust concentration measured by stationary personal samplers, 12.49 mg/m3, and by personal samplers attached to workers, 14.53 mg/m3. Differences in readings among the vertical elutriators, stationary personal samplers, and roving personal samplers are attributed to the distinct sampling nature and dynamics of these samplers. The data suggest that most of the dust consisted of particles larger than 15 microm, the particle size cutoff of the vertical elutriator. Differences in readings among stationary and roving personal samplers are statistically significant, presumably representing biased sampling by the roving personal samplers of regions characterized by high dust concentration (due to machines malfunctioning), the nonstatic nature of the sampling, and the interaction between the sampler and the worker (the personal cloud). Cotton dust concentrations in the hulling-separation room were nonuniform, peaking in front of and between the huller-separator pairs. The high total mass readings show that workers were exposed to very high levels of nonthoracic airborne dust, which upon inhalation tends to deposit in the extrathoracic airways. The high elutriated mass concentrations suggest that workers were exposed to respirable cotton dust at levels higher than 1 mg/m3 mean concentration, the current Occupational Safety and Health Administration (OSHA) Permissible Exposure Limit (PEL) for cotton dust. Regressions between dust concentrations measured by stationary vertical elutriators and by personal samplers attached to workers serve for estimating the potential occupational exposure to cotton dust of workers in the hulling-separation room.     

Characterization of airborne cotton dust concentrations in the non-textile cotton industry

Workers in the "non-textile" cotton industry breathe a dust which is similar to the dust in the cotton spinning and weaving or "textile" industry. This exposure prompts the question of byssinosis prevalence and other respiratory disease in the non-textile cotton industry. NIOSH has completed a cross-sectional medical and environmental study evaluating the prevalence of byssinosis in five segments of the non-textile cotton industry. A total of 92 non-textile cotton facilities were evaluated, including cotton gins, cotton classing offices, cottonseed oil mills, cotton compress-warehouses, and waste utilization plants. This paper presents the results of the measurements of cotton dust levels and particle size distributions in these segments. Average elutriated dust concentrations for individual plants ranged from 101 to 2050 micrograms per cubic meter of air (micrograms/m3) in 35 cotton gins, 81 to 376 micrograms/m3 in 13 classing offices, 502 to 2041 micrograms/m3 in 18 cottonseed oil mills, 39 to 831 micrograms/m3 in 13 compress-warehouses, and 237 to 3968 micrograms/m3 in 13 waste utilization facilities. Results tend to be lower than those reported in the literature for non-textile operations.     

Variations in exposures to dust and endotoxin in Danish piggeries.

Two surveys studied day-to-day variations in exposures to dust and endotoxin and those caused by different tasks and the content of fat in the feed. The exposure to "total" particulate matter (TPM) was just below and at the same level, respectively, as the Danish occupational exposure limit of 5.0 mg/m3 for organic dust. No variation with task distance from the animals was found, but the results indicated decreased exposure when fat was added to the feed. The endotoxin exposure level was lower than previously reported. High correlations were found between TPM, respirable dust, and endotoxin.     

Branchial challenge of normal subjects with the endotoxin of Enterobacter agglomerans isolated from cotton dust

Endotoxin produced by a culture of Enterobacter agglomerans isolated from cotton dust was inhaled by 12 normal subjects. No significant airway constriction was obtained in doses equivalent to those experienced in a workshift in a dusty mill. There was a statistically significant difference between this result and the bronchoconstriction that had occurred after flax dust inhalation in the same subjects. It is suggested that Enterobacter agglomerans endotoxin is not the causative agent of the acute bronchoconstriction that follows inhalation of textile dust.     

Exposure to cotton dust in an experimental cardroom

Changes in respiratory function (FEV1) and polymorphonuclear neutrophils (PMN) on nasal epithelium were studied in 68 students and 39 cotton mill workers in an experimental cardroom. The exposure was characterised by the vertical elutriator dust and endotoxin levels. A dose related decrease was found for FEV1 which was more pronounced in smoking workers. The thresholds for no FEV1 reaction were 0.58 mg/m3 dust and 0.17 micrograms/m3 endotoxin for students and 0.43 mg/m3 and 0.08 micrograms/m3 for smoking workers. The PMN increased in most of the experiments but no dose response relationship could be shown. In experiments with smoking workers or when washed cotton was carded a better correlation was obtained between FEV1 decrease and endotoxin levels than for dust levels.     

Worker exposures to airborne dust, endotoxin and beta(1,3)-glucan in two New Zealand sawmills

BACKGROUND: Sawmill workers have an increased risk of developing occupational asthma and other respiratory symptoms. Wood dust and microorganisms have both been suggested to play a role, but few studies have measured microbial exposure levels in sawmills. METHODS: The preliminary study reported in this paper assessed airborne dust, bacterial endotoxin and beta(1,3)-glucan levels in 37 samples from two New Zealand sawmills. RESULTS: Nearly one-third of the measured dust levels exceeded 1 mg/m(3) and only one sample exceeded the legal limit of 5 mg/m(3). Endotoxin levels were clearly elevated with 50% of all measured exposures above 50 EU/m(3) (range: 7-588 EU/m(3)). beta(1,3)-glucan levels were comparable with levels measured in other industries where workers are exposed to organic dust. Workers in the planing department had the highest mean exposures to dust, endotoxin and beta(1,3)-glucan. Dust levels were only weakly correlated with endotoxin and beta(1,3)-glucan levels. CONCLUSIONS: Endotoxin exposures in sawmill workers are at levels sufficient to potentially contribute to the development of respiratory symptoms. Moreover, measurement of dust exposure is a poor proxy for beta(1,3)-glucan and endotoxin exposure in sawmill workers.     

Exposure to cotton dust in an experimental cardroom.

Changes in respiratory function (FEV1) and polymorphonuclear neutrophils (PMN) on nasal epithelium were studied in 68 students and 39 cotton mill workers in an experimental cardroom. The exposure was characterised by the vertical elutriator dust and endotoxin levels. A dose related decrease was found for FEV1 which was more pronounced in smoking workers. The thresholds for no FEV1 reaction were 0.58 mg/m3 dust and 0.17 micrograms/m3 endotoxin for students and 0.43 mg/m3 and 0.08 micrograms/m3 for smoking workers. The PMN increased in most of the experiments but no dose response relationship could be shown. In experiments with smoking workers or when washed cotton was carded a better correlation was obtained between FEV1 decrease and endotoxin levels than for dust levels.     

Manganese dioxide exposures and respirator performance at an alkaline battery plant

Two industrial hygiene studies were conducted at an alkaline battery plant to evaluate worker exposures to manganese dioxide particulate and the effectiveness of filtering facepiece respirators. The work areas studied included the plant's powder-processing tower and press rooms where manganese was blended, compacted with graphite, and inserted into battery cans. Full-shift personal breathing zone monitoring was conducted to estimate manganese dust exposures of press operators, mechanics, and material handlers. In-facepiece and personal breathing zone air sampling pairs were also collected using a program protection factor protocol to estimate the protection provided by the respirators. Particle size evaluations were made using nylon cyclones and Marple personal multi-stage impactors. All samples were analyzed for manganese by inductively coupled argon plasma, atomic emission spectroscopy via NIOSH analytical method 7300 utilizing a modified acid digestion procedure. Fifty-four, full-shift, time-weighted average (TWA) exposures to total manganese ranged from 0.1 to 5.4 milligrams per cubic meter (mg/m3); worker exposures were substantially lower during a follow-up study due to engineering control improvements. Concurrent area sample comparisons of total and respirable manganese revealed that the respirable particulate mass fractions ranged from 6 to 32 percent, and mass median aerodynamic diameters determined from personal breathing zone air samples were mostly greater than 10 micrometers. Fifteen respirator performance evaluations were conducted using Moldex 2200 respirators fitted with 25 millimeter cassettes and light weight sampling probes. Protection factors ranged from 5 to 220, with a geometric mean and standard deviation of 31 and 2.97, respectively. The 5th percentile protection factor estimate was 5, as calculated from the protection factor distribution for this sample set. In 1995, the American Conference of Governmental Industrial Hygienists (ACGIH) lowered the elemental and inorganic manganese dust Threshold Limit Value (TLV) from 5 mg/m3 to 0.2 mg/m3 to address adverse pulmonary and central nervous system effects and male infertility. Although most personal breathing zone concentrations were above 0.2 mg/m3, none of the in-facepiece concentrations exceeded this concentration. Parkinson's-like symptoms have been reported in the literature for high manganese dust and fume exposures, but the importance of low dust exposures for producing neurological effects is uncertain.