A comparative environmental and medical study of dust exposure in jute and cotton mills in Burma

Jute is extensively cultivated and processed in Burma, as well as "lower-grade" cotton. This study was conducted there to compare dust exposure in jute and cotton mills, to study the acute and chronic effects of dust exposure on workers, and to establish exposure-response relationship. A sample of 799 male and female workers in two jute mills and two cotton textile mills, as well as a control group of 153 matching subjects, was examined, and dust exposure in the work environment was evaluated. Very high dust concentrations existed in the early stages of jute processing and sorting, which were reduced when jute fibers got cleaner, as in drawing and spinning, and were related to the grade of the processed fiber. Much lower concentrations of dust existed in the cotton mills, but exceeded the TLV (ACGIH) only in opening and cleaning and in carding operations. However, byssinosis occurred only in workers exposed to cotton dust, particularly among males, and its prevalence was related to the level and duration of dust exposure. Chronic bronchitis, cough and wheezing occurred at higher rates among all workers than in the control, while irritation to nose and throat, eyes and skin prevailed only among jute workers. A significant reduction in FVC, FEV1.0 and PEF (before and during shift) was observed in workers compared to control subjects, and was related to workers' exposure and age; however, this reduction was not related to symptoms of different respiratory conditions. "Cheroots" smoking was found to be an important potentiating factor in the occurrence of non-specific respiratory diseases and reduction in FEV1.0, particularly among jute workers.     

Occupational exposure to dust in slate pencil manufacture

Slate pencils are manufactured from natural rock known as Binota Shale in small factories. Since the dust generated by stone-cutting and groove-making machines during the process contains a very high percentage of free silica and the particles are of sizes ranging up to a few microns in diameter the exposure both to respirable and to total inhalable airborne dust was assessed. Dust sizing revealed that all of the dust was respirable (less than 2.5 μm). Measurement of the intake velocity of the exhaust system in many cases showed it to be less than 10 m s⁻¹. Suggestions are made for improvement in the working conditions.     

Occupational exposure to dust in quartz manufacturing industry.

Owing to the abundance of a sedimentary rock, 65 small-scale quartz manufacturing enterprises, employing 650 workers, have been established in the region studied. Quartz powder manufacturing involves various processes and operations, such as manual handling of quartz stones, crushing, grinding, sieving, screening, mixing, storing and bagging. Results demonstrate that each of these operations generates high concentrations of airborne 'total' dust and respirable dust, which contain a very high percentage (> 75%) free silica. The estimated average exposure to airborne 'total' dust was 22.5 mg m-3 (Permissible Limit of Exposure 1.08 mg m-3), and respirable dust 2.93 mg m-3 (PLE 0.36 mg m-3). This shows that 'total' dust exposure was 7.7 times higher than respirable dust. Since the present work systems and practices may pose a serious health risk to the workers, public and the environment, suitable preventive and control measures have been suggested for improvement in the workplace.     

棉纺生产粉尘危害治理措施优化设计的研究

棉纺生产过程中产生的棉尘采取"卧式圆笼除尘器"通风防尘系统后,经不断优化改造更臻成熟,工人作业现场空气中的粉尘浓度降至短时间容许浓度(PC-STEL)以下.经评价认为"圆笼除尘器"的研制成功,改变了过去防尘措施效率低、效果差、造成二次污染的状况,可有效的控制粉尘危害.该除尘器结构简单,易于推广.测定结果表明,不使用通风防尘系统时,粉尘点合格率为零,使用后,合格率为100%."圆笼除尘器"的净化效率也能满足环境保护的要求,不造成二次污染.     

Occupational exposure to amorphous silica dust and pulmonary function

Respiratory manifestations among 41 workers exposed to amorphous silica dust were compared with a control group comprising 90 workers of equivalent socioeconomic state in the same plant. Flow volumes were determined, blood gas concentrations were measured at rest and during exercise, chest radiographs were obtained, and data about respiratory symptoms were collected by questionnaire. A dust exposure index was calculated for each exposed worker. It was not possible to differentiate between the two groups from the questionnaire, blood gas analysis, or chest radiographs. On the other hand, the tests of respiratory function showed a significant decrease in forced expiratory flow (FEF25-75, FEF50, and FEF75) in the exposed group compared with the controls, although no correlation was found between the exposure index and pulmonary function. It appears that smoking and exposure to amorphous silica synergise to induce small airway disease.     

Pulmonary cell reactions after exposure to cotton dust extract

Rylander, R. and Nordstrand, Annie (1974).British Journal of Industrial Medicine,31, 220-223. Pulmonary cell reactions after exposure to cotton dust extract. Free lung cells were studied in guinea-pigs exposed to a water extract of cotton mill dust. An increase in the number of leucocytes was found 5 hours after exposure with a peak after about 20 hours. The response was related to the concentration of the extract and was equal in conventional and infection-controlled animals. The reaction provides a useful tool for further studies of the toxicity of various fractions of cotton dust.     

Relationships between dust level and byssinosis and bronchitis in Lancashire cotton mills

Berry, G., Molyneux, M. K. B., and Tombleson, J. B. L. (1974). British Journal of Industrial Medicine,31, 18-27. Relationships between dust level and byssinosis and bronchitis in Lancashire cotton mills. A prospective survey of workers in 14 cotton and two man-made fibre spinning mills was carried out. A questionnaire on respiratory symptoms was completed at the start of the survey by 1 359 cotton workers and 227 workers in man-made fibre mills and again two years later by about half of these workers. Dust measurements were available for 772 women and 234 men cotton workers.

The prevalence of bronchitis was found to be unrelated to dust level but for women was related to years of exposure. The change in symptoms of bronchitis was unrelated to dust level or to length of exposure. There was, however, an increased prevalence of bronchitis in the cotton mills when compared with the man-made fibre mills, and also over the two-year period a greater proportion of symptom-free workers developed symptoms and a lower proportion of those with symptoms lost their symptoms in the cotton mills than in the man-made fibre mills.

The prevalence of byssinosis was related to smoking habits, the smokers having about 1·4 times as much byssinosis as the non- and ex-smokers after allowing for exposure. Byssinosis was associated with the dust level and years of exposure, more so for the women, and an association between the incidence of new cases over the two years and dust level was also found. After allowing for dust level, years of exposure, and smoking there were still differences between the occupational groups in byssinosis prevalence. Strippers and grinders had the highest prevalence followed by drawframe tenters. Speedframe tenters, card tenters, and comber tenters had similar prevalences and ring spinners the lowest.

     

Occupational exposure to wood dust. Health effects and exposure limit values

This article presents a review of the health effects of occupational exposure to wood dusts and of the data that could be used for setting occupational exposure limits for this nuisance. The causal role of wood dust in the onset of sinonasal cancers is solidly established by numerous epidemiological studies, and the magnitude of the risk is particularly high for adenocarcinoma induced by exposure to hardwood dust. However, no current data allows to rule out the carcinogenic role of softwood dusts and, in the view of protecting the health of the workers, it does not seem relevant to distinguish these two types of wood. Various impairments of the lung function have been frequently associated with exposure to both 'allergenic' and 'non-allergenic' wood dusts and may occur at very low concentrations. According to the SUMER 94 and CAREX studies, about 200 000 workers are currently exposed to wood dusts in France (about 1% of the working population between 1990 and 1994). When taking into account full professional careers, the percentage of workers having been occupationally exposed can be estimated to be about 15% for men and 5% for women. Measurements performed in France between 1987 and 2000 show that exposure levels are high, about 50% of the samplings being over 1mg/m(3) (actual TWA in France). Although the studies present limits, particularly for the quantitative assessment of individual exposure levels, it seems that nonmalignant effects are susceptible to arise at the level of 1mg/m(3); a limit value of 0.5mg/m(3) would credibly allow to protect exposed workers from most of the risks of nonmalignant pulmonary effects. However, it is impossible to assure that this value will avoid the induction of sinonasal cancer, even if this level is certainly lower than the levels to which the cases of sinonasal cancers published in the literature were exposed.     

Cotton dust and gram-negative bacterial endotoxin correlations in two cotton textile mills

Exposure to cotton dust is known to cause both acute and chronic respiratory illness. A specific pattern of symptoms called byssinosis is well described to occur among workers in the cotton processing (e.g., yarn preparation) industry. Recent studies have implicated Gram-negative bacterial endotoxin as one of the agents responsible for acute, and possibly chronic, respiratory illness. Laboratory experiments using a model cardroom have found poor correlations between airborne dust and associated endotoxin. This study reports the results of vertical elutriated dust and endotoxin levels in 11 work areas of 2 cotton textile mills in 1986 in Shanghai, China. The overall correlation between dust and endotoxin was strong, r_s + 0.66 and 0.79 (p < 0.0001) for mills 1 and 2, respectively. The dust-endotoxin correlation was relatively poor in early yarn preparation in the workshops and improved in the later preparation areas. Our findings suggest that in these mill settings, dust and endotoxin levels may be well correlated in most work areas. Therefore, dust may be a useful index for monitoring populations employed in the cotton textile industry throughout the world. Additional field studies need to be performed which consider the various determinants of dust and endotoxin levels. © 1993 Wiley-Liss, Inc.     

Respiratory effects of cotton dust exposure in the cotton garnetting industry

We measured exposures to total dust, vertically elutriated dust, and endotoxin and studied acute pulmonary responses among 128 workers in the cotton garnetting and mattress assembly industries. Previous studies in this segment of industry have not characterized endotoxin exposures or related them to pulmonary responses. The median 8-hour time-weighted average total dust was 0.72 mg/m3, the median vertically elutriated dust was 0.22 mg/m3, and the median endotoxin concentration was 5.2 ng/m3. Ten percent of the subjects reported chest tightness or dyspnea on Mondays. Thirteen percent of the subjects reported symptoms of chronic bronchitis. Although there was no relationship between changes in pulmonary function across the workshift and either total dust, vertically elutriated dust, or endotoxin exposure, 13% of the subjects had greater than 5% decrements in FEV1 over the workshift.     

Occupational exposure to amorphous silica dust and pulmonary function.

Respiratory manifestations among 41 workers exposed to amorphous silica dust were compared with a control group comprising 90 workers of equivalent socioeconomic state in the same plant. Flow volumes were determined, blood gas concentrations were measured at rest and during exercise, chest radiographs were obtained, and data about respiratory symptoms were collected by questionnaire. A dust exposure index was calculated for each exposed worker. It was not possible to differentiate between the two groups from the questionnaire, blood gas analysis, or chest radiographs. On the other hand, the tests of respiratory function showed a significant decrease in forced expiratory flow (FEF25-75, FEF50, and FEF75) in the exposed group compared with the controls, although no correlation was found between the exposure index and pulmonary function. It appears that smoking and exposure to amorphous silica synergise to induce small airway disease.     

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.     

Occupational exposure to formaldehyde and wood dust and nasopharyngeal carcinoma

OBJECTIVES—To investigate whether occupational exposures to formaldehyde and wood dust increase the risk of nasopharyngeal cancer (NPC).
METHODS—A multicentred, population based case-control study was carried out at five cancer registries in the United States participating in the National Cancer Institute's SEER program. Cases (n=196) with a newly diagnosed NPC between 1987 and 1993, and controls (n=244) selected over the same period from the general population through random digit dialing participated in structured telephone interviews which inquired about suspected risk factors for the disease, including a lifetime history of occupational and chemical exposure. Histological type of cancer was abstracted from clinical records of the registries. Potential exposure to formaldehyde and wood dust was assessed on a job by job basis by experienced industrial hygienists who were blinded as to case or control status.
RESULTS—For formaldehyde, after adjusting for cigarette use, race, and other risk factors, a trend of increasing risk of squamous and unspecified epithelial carcinomas was found for increasing duration (p=0.014) and cumulative exposure (p=0.033) but not for maximum exposure concentration. The odds ratio (OR) for people cumulatively exposed to >1.10 ppm-years was 3.0 (95% confidence interval (95% CI) 1.3 to 6.6) compared with those considered unexposed. In analyses limited to jobs considered definitely exposed, these trends became stronger. The associations were most evident among cigarette smokers. By contrast, there was no association between potential exposure to formaldehyde and undifferentiated and non-keratinising carcinomas. There was little evidence that exposure to wood dust increased risk of NPC, as modest crude associations essentially disappeared after control for potential exposure to formaldehyde.
CONCLUSIONS—These results support the hypothesis that occupational exposure to formaldehyde, but not wood dust, increases risk of NPC. This association seems to be specific to squamous cell carcinomas. Established cohorts of workers exposed to formaldehyde and wood dust should continue to be monitored for NPC and other respiratory cancers. Future studies of NPC should take into account histological type in assessing risk from environmental and host factors.


Keywords: occupational exposure; formaldehyde; wood dust     

Occupational noise exposure and hearing protector use in Canadian lumber mills

Noise exposure is probably the most ubiquitous of all occupational hazards, and there is evidence for causal links between noise and both auditory and nonauditory health effects. Noise control at source is rarely considered, resulting in reliance on hearing protection devices to reduce exposure. A comprehensive noise survey of four lumber mills using a randomized sampling strategy was undertaken, resulting in 350 full-shift personal dosimetry measurements. Sound frequency spectrum data and information on hearing protector usage was collected. A determinants-of-exposure regression model for noise was developed. Mean (L(eq,8hr)) exposure level was 91.7 dBA, well above the exposure British Columbia (BC) limit of 85 dBA. Of 52 jobs for which more than a single observation was made, only 4 were below the exposure limit. Twenty-eight jobs had means over 90 dBA, and four jobs had means over 100 dBA. The sawmill and by-products departments of the lumber mills had the highest exposure to low frequency noise, while the planing and saw filing areas had the highest exposure to high frequency noise. Hearing protector use was greatest among those exposed above 95 dBA, and among those exposed between 85 and 95 dBA, self-reported use was 84% for 73% of the time. The determinants of exposure model had an R(2) of 0.52, and the within-participant correlation was 0.07. Key predictors in the final model were mill; enclosure and enclosure construction material; and certain departments, jobs, and noise sources. The study showed that workers in lumber mills are highly exposed to noise, and although the prevalence of the use of hearing protection is high, their use is unlikely to provide complete protection again noise-induced hearing loss at the observed exposures. Determinants of noise exposure modeling offers a good method for the quantitative estimation of noise exposure.     

Occupational exposure to dust: inflammation and ischaemic heart disease.

OBJECTIVES: To review the possible association between occupational exposure to dust and ischaemic heart disease (IHD). METHODS: A literature search was performed of relevant studies regarding IHD in specific exposures to dust. The chosen exposures were arsenic, asbestos, beryllium, lead, polycyclic aromatic hydrocarbons, and quartz. The chosen occupations were farmers, paper and paper pulp workers, sawyers, and welders. DISCUSSION: A theory was launched in 1995 that urban particulate air pollution may provoke alveolar inflammation, with release of mediators capable of increasing blood coagulability in susceptible people and cause cardiovascular deaths. The present review expands this hypothesis and links occupational exposure to inhaled particles with the occurrence of ischaemic heart disease. CONCLUSION: This hypothesis should be tested by comparing the concentrations of fibrinogen in workers exposed and nonexposed to particles with control for other possible confounders such as smoking habits.     

The role of endotoxin for reactions after exposure to cotton dust

Gram-negative bacteria and their endotoxins are present on all parts of the cotton plant and occur in large numbers after rain or frost. Endotoxins activate pulmonary macrophages that in turn recruit neutrophils into the airways. Platelets accumulate in pulmonary capillaries. The presence of these cells allows for the initiation of acute and chronic inflammation. Dose-response relationships have been demonstrated between endotoxin and fever, chest tightness, and reduction in air flow (bronchoconstriction) in cotton workers. Limited data suggest that after cotton dust exposure, other symptoms, such as airway hyperreactivity and chronic inflammation, are also related to the endotoxin exposure. Tentative thresholds for airborne endotoxins are presented.