Epidemiology of chronic lung disease in a cotton mill community

Bouhuys, Arend; Schoenberg, Janet B.; Beck, Gerald J.; Schilling, R. S. F.

doi:10.1007/bf02713532

Cited by 52 publications

(18 citation statements)

References 24 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Byssinosis was described as the onset of cough and chest tightness among textile workers in the first days of work along with pulmonary function decrement [6]. Besides, chronic obstruction of airways in workers exposed to cotton dust is more frequent than in general population [7][8][9][10][11]. Various mechanisms have been proposed as a reason for pulmonary function loss among textile wor kers, and inflammation of airways after inhalation of cotton dust containing endotoxin is one of the oldest proposed mechanisms [12,13].…”

Section: Introductionmentioning

confidence: 99%

Across-shift changes of exhaled nitric oxide and spirometric indices among cotton textile workers

Mirmohammadi

Mehrparvar

Safaei

et al. 2014

IJOMEH

View full text Add to dashboard Cite

Objectives: For the purpose of evaluation of exhaled NO as an index of airway inflammation, we assessed changes in fractional exhaled NO (FeNO) across a work shift and its relationship with respiratory complaints. Material and Methods: Chronic and work-aggravated respiratory complaints were assessed using a questionnaire in 89 male textile workers. FeNO and spirometry were performed before and after a work shift and all the changes were registered. Results: A significant increase in FeNO after a work shift was observed. Post-shift FeNO was significantly higher among the subjects with chronic respiratory complaints. There was an obvious decrease in FVC, and FEV 1 after a work shift; however, we couldn't find a significant relationship between changes in respiratory parameters and concentration of inhalable dusts. Conclusions: FeNO increase after a work shift along with pulmonary function decrement and higher post-shift FeNO among subjects with respiratory complaints makes across-shift FeNO a non-invasive test for assessment of airway hyper-responsiveness in textile workers.

show abstract

Section: Introductionmentioning

confidence: 99%

Across-shift changes of exhaled nitric oxide and spirometric indices among cotton textile workers

Mirmohammadi

Mehrparvar

Safaei

et al. 2014

IJOMEH

View full text Add to dashboard Cite

show abstract

“…However, the magnitude of chronic airway disease after long-term exposure to cotton dust remains unclear. Several studies have indicated that longterm exposure may lead to chronic respiratory disease [1][2][3] and excessive loss of lung function [4,5], whereas others have not [6,7]. Due to a scarcity of longitudinally collected data, some important questions remain unresolved.…”

mentioning

confidence: 99%

A 20-year follow-up study on chronic respiratory effects of exposure to cotton dust

Wang¹

2005

Eur Respir J

View full text Add to dashboard Cite

In order to evaluate chronic effects of long-term exposure to cotton dust on respiratory health, and the role of dust and endotoxin, longitudinal changes in lung function and respiratory symptoms were observed prospectively from 1981 to 2001 in 447 cotton textile workers, along with 472 silk textile controls.The results from five surveys conducted over the 20-yr period are reported, including standardised questionnaires, pre-and post-shift spirometric measurements, work-area inhalable dust sample collections and airborne Gram-bacterial endotoxin analysis.Cotton workers had more persistent respiratory symptoms and greater annual declines in forced expiratory volume in one second (FEV1) and forced vital capacity as compared with silk workers. After exposure cessation, in the final 5-yr period, the rate of FEV1 decline tended to slow in nonsmoking males, but not in nonsmoking females. Workers who reported byssinotic symptoms more persistently suffered greater declines in FEV1. Chronic loss in lung function was more strongly associated with exposure to endotoxin than to dust.In conclusion, the current study suggests that long-term exposure to cotton dust, in which airborne endotoxin appears to play an important role, results in substantial adverse chronic respiratory effects.

show abstract

“…Post mortem examination of the lungs of cotton workers has shown emphysema and airways disease to varying degrees. [1][2][3][4][5][6][7][8][9][10][11][12][13][14][15][16][17][18][19][20] In one recent study of 44 cotton textile workers, it was asserted that emphysema was not a consequence of cotton dust but of cigarette smoking.20 This report, by Pratt, et al, has been the subject of several strong criticisms by world authorities on byssinoSiS.21-23 Suffice to say that Pratt, et al, provided no details of the job descriptions of their cotton workers nor any other details of exposures to cotton dust; it is unclear whether any of their subjects experienced byssinosis or any other pulmonary disability during life. In other post mortem studies" 19 of workers being compensated for byssinosis in the United Kingdom, emphysema was found more commonly in the lungs of smokers but was found also in the lungs of nonsmokers.…”

Section: Current Status Of the Scientific Debatementioning

confidence: 99%

Byssinosis: a role for public health in the face of scientific uncertainty.

Wegman¹,

Levenstein²,

Greaves³

1983

Am J Public Health

View full text Add to dashboard Cite

Byssinosis, a lung disease caused by cotton dust, has been the subject of recent controversy. Debates over the nature of the disease, possible interactions with cigarette smoking, and the proposed reevaluation of the cotton dust standard by the Occupational Safety and Health Administration have tended to overlook the plight of affected workers and to obscure the most effective means for preventing the

show abstract

Epidemiology of chronic lung disease in a cotton mill community

Cited by 52 publications

References 24 publications

Across-shift changes of exhaled nitric oxide and spirometric indices among cotton textile workers

Across-shift changes of exhaled nitric oxide and spirometric indices among cotton textile workers

A 20-year follow-up study on chronic respiratory effects of exposure to cotton dust

Byssinosis: a role for public health in the face of scientific uncertainty.

Contact Info

Product

Resources

About