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Occupational exposure and respiratory health problems among nutmeg production workers in Grenada,the Caribbean
Authors:Muge Akpinar-Elci  Satesh Bidaisee  MyNgoc Thuy Nguyen  Omur Cinar Elci
Affiliation:1. Center for Global Health, College of Health Sciences, Old Dominion University, Norfolk, VA, USA;2. Department of Public Health and Preventive Medicine, School of Medicine, St. George’s University, St. George, Grenada;3. Department of Public Health and Preventive Medicine, School of Medicine, St. George’s University, St. George, Grenada
Abstract:Background: The nutmeg industry is a major contributor to the Grenadian economy. However, workers in the industry face many environmental and occupational health risks.

Objectives: The goal of this study was to investigate respiratory health problems and possible related occupational exposures among nutmeg production workers.

Methods: A questionnaire, spirometry and allergen skin-prick test was given to 92 nutmeg workers. Samples for measurement of airborne dust, mold, and phosphine were also collected from work environments.

Results: Approximately half of the workers with lower respiratory symptoms such as dry cough (49.4%) and shortness of breath (42.9%) reported that their symptoms were work related. Spirometry results showed that 18.8% of workers had obstruction. Area geometric mean (GM) inhalable dust concentrations, GM personal concentrations, and total mold spores during work activities were found to be high.

Conclusions: High prevalence of respiratory symptoms among workers in this facility was consistent with measured levels of dust and mold, and was widespread over all work areas.

Keywords:Nutmeg  mace  spice industry  mold exposure  spirometry  caribbean  respiratory health
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