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Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill Workers in South-South Nigeria

Authors:
  • Irrua Specialist Teaching Hospital, Irrua, Edo state
  • Olusegun Agagu University of Science and Technology

Abstract

Ill-health from wood dust inhalation results in decreased work output and increased morbidity. Despite the potentially hazardous nature of the work, there has been little attention given to the state of health and safety of the workers in this industry in Nigeria. The study sought to investigate the prevalence of respiratory symptoms and lung function abnormalities from occupational exposure to wood dust among sawmill workers, and assess wood dust concentration in sawmills in Egor Local Government Area of Edo State. A cross-sectional analytical survey involving 227 workers from 17 sawmills recruited through a one stage cluster sampling technique and matched for age and height with 227 workers in water bottling companies in the same locality was carried out. Structured questionnaires and spirometry were used for data collection. Dust monitoring in the both study and comparison sites was carried out with the aid of a gravimetric dust sampler. Data analysis was done using SPSS version 15 and PEPI version 10. Ethical clearance was obtained from the University of Benin Teaching Hospital. Prevalence of respiratory symptoms in the study group was: cough 46.7%, phlegm expectoration 50.2%, wheeze 5.3%, chest tightness 10.1%, chest pain 5.7% and breathlessness 7.5%. Respiratory symptoms were of significantly higher prevalence among the study than the comparison group. Mean value for total and inhalable dust was significantly higher (p = 0.00 and p =0.01 respectively) higher in the study than in the comparison sites. There was no significant difference (p = 0.16) between both sites for mean values of respirable dust. Sawmill workers had a high prevalence of respiratory symptoms particularly cough and phlegm production, and a higher exposure to total suspended and inhalable dust compared to suitably matched respondents. The results have strong implications for improved dust control in the wood industry.
Research Article Open Access
Tobin et al., J Pollut Eff Cont 2016, 4:1
http://dx.doi.org/10.4172/2375-4397.1000154
Research Article Open Access
Pollution Effects & Control
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ISSN: 2375-4397
Volume 4 • Issue 1 • 1000154
J Pollut Eff Cont
ISSN:2375-4397 JPE, an open access journal
Keywords: Air sampler; Respiratory symptoms; Spirometry; Wood dust
Introduction
Wood dust is produced when machines or tools are used to process
wood and is basically a by-product of the process, not produced for
any specic purpose [1,2]. Airborne, wood dust is the most prevalent
occupational exposure hazard in the wood industry [3,4]. Wood
dust inhalation has been associated with upper and lower respiratory
symptoms in humans including cough, wheezing, sputum production
and shortness of breath [5,6]. Syndromes that may arise include mucus
membrane irritation syndrome, extrinsic allergic alveolitis, organic
dust toxic syndrome, occupational asthma, non-asthmatic chronic
airow obstruction, simple chronic bronchitis (mucus hypersecretion),
cryptogenic brosing alveolitis, adenocarcinoma of the nasal and
paranasal sinuses, cancer of the larynx and pharynx [7,8]. Ill-health
from wood dust inhalation results in the inability of the worker to meet
the demands of his job, increased incidences of sickness absenteeism
and eventually early retirement [9]. Despite the potentially hazardous
nature of the work, there has been little attention given to their state
of health and safety in Nigeria by government health departments.
In the academia, few studies have focused on their morbidity pattern
with limited evidence of published data on dust exposure monitoring
in the face of an ever increasing number of sawmills operating within
the country in less than optimal conditions. e present study was
designed to investigate the prevalence of respiratory symptoms and lung
function among sawmill workers in Edo state, and measure particulate
dust concentration in sawmills as an index of exposure. It is envisaged
that the results of this study will add to the body of knowledge about
wood dust exposure in sawmills in Nigeria, and provide data useful
both for advocacy to government and for the planning and design of
interventions targeted towards dust control in the wood industry.
*Corresponding author: Ediagbonya TF, Department of Chemical Sciences, Ondo
State University of Science& Technology, Okitipupa, Nigeria, Tel: +2348069066577;
E-mail: tf.ediagbonya@gmail.com
Received June 03, 2015; Accepted February 03, 2016; Published February 09,
2016
Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016) Occupational
Exposure to Wood Dust and Respiratory Health Status of Sawmill Workers in
South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-4397.1000154
Copyright: © 2016 Tobin EA, et al. This is an open-access article distributed under
the terms of the Creative Commons Attribution License, which permits unrestricted
use, distribution, and reproduction in any medium, provided the original author and
source are credited.
Abstract
Ill-health from wood dust inhalation results in decreased work output and increased morbidity. Despite the
potentially hazardous nature of the work, there has been little attention given to the state of health and safety of the
workers in this industry in Nigeria. The study sought to investigate the prevalence of respiratory symptoms and lung
function abnormalities from occupational exposure to wood dust among sawmill workers, and assess wood dust
concentration in sawmills in Egor Local Government Area of Edo State. A cross-sectional analytical survey involving
227 workers from 17 sawmills recruited through a one stage cluster sampling technique and matched for age and
height with 227 workers in water bottling companies in the same locality was carried out. Structured questionnaires
and spirometry were used for data collection. Dust monitoring in the both study and comparison sites was carried
out with the aid of a gravimetric dust sampler. Data analysis was done using SPSS version 15 and PEPI version 10.
Ethical clearance was obtained from the University of Benin Teaching Hospital. Prevalence of respiratory symptoms
in the study group was: cough 46.7%, phlegm expectoration 50.2%, wheeze 5.3%, chest tightness 10.1%, chest
pain 5.7% and breathlessness 7.5%. Respiratory symptoms were of signicantly higher prevalence among the study
than the comparison group. Mean value for total and inhalable dust was signicantly higher (p = 0.00 and p =0.01
respectively) higher in the study than in the comparison sites. There was no signicant difference (p = 0.16) between
both sites for mean values of respirable dust.
Sawmill workers had a high prevalence of respiratory symptoms particularly cough and phlegm production, and
a higher exposure to total suspended and inhalable dust compared to suitably matched respondents. The results
have strong implications for improved dust control in the wood industry.
Occupational Exposure to Wood Dust and Respiratory Health Status of
Sawmill Workers in South-South Nigeria
Tobin EA1, Ediagbonya TF2*, Okojie OH3 and Asogun DA1
1Institute of Lassa Fever Research and Control, Irrua Specialist Teaching Hospital, Irrua, Edo state, Nigeria
2Department of Chemical Sciences, Ondo State University of Science& Technology, Okitipupa, Nigeria
3Department of Community Health, University of Benin Teaching Hospital, Benin, Edo state, Nigeria
Materials and Methods
Study location
e study was carried out in Egor local government area of the
ancient town of Benin City, the capital of Edo state in the South –
south region of Nigeria. e city is noted for her age long tradition of
woodcra and furniture making, with the sale of timber contributing
signicantly to the economy of the state. A typical sawmill is a large
shed with a roof made of old corrugated zinc supported by wooden
poles. e oor is earth, and covered with several layers of sawdust.
e open shed houses one or more giant electrically driven band saw
and circular saw mounted on a fabricated metal table. Sawdust piles
surround the machines and may also be kept in a waste dump on the
premises, awaiting disposal, usually by burning. ere are about 10-20
workers in each mill, depending on the number of sawing machines,
and the volume of work at hand. e main activities in sawmill are
debarking and cutting of timber logs into planks. Both processes
generate wood dust, some of which is visible to the naked eye.
Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016) Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill
Workers in South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-4397.1000154
Page 2 of 6
Volume 4 • Issue 1 • 1000154
J Pollut Eff Cont
ISSN:2375-4397 JPE, an open access journal
Study population and design
e study which was carried out between August and December
2011 utilised a cross sectional analytical study design. e study group
comprised sawmill workers within the local government area who had
been in continuous employment in the industry for at least one year
preceding the study. e comparison group comprised junior sta of
various water packaging and bottling companies located in the same
local government area. ey belonged to similar socio-economic class
as the study group and included those who had never worked in sawmill
or other wood –related industry. ey were primarily involved in the
distilling, packaging, labelling and distribution of sachet and bottle
water. Sample size was calculated using the formula for comparative
studies with p1 and p2 taken as 4% and 0% respectively, being the
proportion of ventilatory dysfunction among sawmill workers in Benin
city and matched controls, in a study to assess the eect of wood dust
on the respiratory system, a minimum sample size of 227 in each group
was taken. Ethical approval for the study was obtained from the ethical
committee of the University of Benin Teaching Hospital, Benin. Written
informed consent was obtained from each participant.
Sampling method
A one stage cluster sampling technique was used to select participants
in the study group. A list of registered sawmills was obtained from the
Forestry department of the State Ministry of Agriculture. A preliminary
survey gave the average number of workers in sawmill as 15. e
minimum number of sawmills required to yield the sample size was
calculated as 14 (calculated by dividing the sample size by the average
number of workers in each mill). A table of random numbers was
used to select 17 out of 32 registered sawmills. In all selected sawmills,
eligible respondents were invited to participate in the study. Workers in
Water bottling factories within the LGA were matched for age (within a
10-year range), and height (within 10-cm range) with sawmill workers
on a group basis using frequency-matching technique [10] similar to
that used in an earlier study in the country [11], to ensure that they
were compatible and thus avoid the confounding eect of height and
age. All sawmill workers were male, so matching for sex was not done.
Data collection techniques
Data was collected by trained research assistants, Community
health extension workers in the local government health department.
An interviewer-administered structured medical and occupational
questionnaire adapted from the British Medical Research Council
(MRC) questionnaire on respiratory symptoms [12], which has been
validated and used for studies in the country [13,14] was applied to assess
the prevalence of symptoms among respondents. e questionnaire
was pre-tested in sawmill in another local government area within
the state. Cough and sputum were said to be present when the subject
had the symptoms either during the day or at night for 5 or more days
each week; breathlessness was dened as getting short of breath when
walking hurriedly with other people of same age on level ground or
when climbing up a low hill; chest tightness was dened as feeling tight
in the chest ,without a cold, on the rst days back at work on more
than 50% of occasions; wheeze was dened as whistling breathing;
Chest pain was assessed as a positive response to the questions “Do
you experience any pain or discomfort in your chest when hurrying on
level ground or climbing up a hill?” Cough with phlegm was implied
with a positive answer to the question “Have you had a period of
increased cough with phlegm in the last 3 months? To improve recall,
questions on presence of symptoms were limited to occurrence within
3 months prior to the conduct of the study. To control for smoking as
a confounder, respondents were further classied based on smoking
history. A non-smoker was one who had never smoked or who never
smoked as much as one cigarette a day for as long as 1 year; an ex-
smoker was one who smoked regularly as above, but has since stopped
for at least 1 month preceding the survey. A current smoker was one
still smoking as dened even as of the time of the survey.
e occupational section of the questionnaire sought information
on current job description, duration and a history of previous
employment. Physical examination of all participants involving
measurement of height and weight was undertaken. Standing height
was measured using a stadiometer with measuring range up to 78 inches
(207 cm) and graduations in 1/8 inch (1 mm) and standard procedure
[15]. Weight was determined using a digital scale with maximum
capacity of 150 kg in divisions of 100 grams. e respondent stood
in the centre of the scale, with hands by his side, with light clothing
and without shoes. Peak expiratory ow rate was determined on the
study and comparison groups in accordance with American oracic
Society (ATS) guidelines [16] using an electronic spirometer (Micro-
GP by Micromedical Ltd UK). Spirometric testing was carried out from
Tuesday to Friday and between the hours of 12.00 and 17.00, during
which time it was expected that sawmill participants had reasonably
been exposed to wood dust.
Area dust sampling was with the aid of a portable SKC Air check
XR5000 high volume gravimetric sampler model 210-5000, serial No.
20537 with technical assistance provided by the Department of Physics,
University of Benin, Nigeria. e sampling unit consisted of a gas pump
(which creates a ow of air that allows the contaminants in the air to be
captured), an in built ow rate meter (having a rating of 1000 ml/min
-5000 ml/min of air) and an I.O.M (Institute of Occupational medicine)
Multi dust sampler Batch no 221442/1 connected to the sampling pump
by a Teon tube. Sampling was done twice in all selected locations; the
rst time to determine total suspended particulates, and the second
for inhalable and respirable dust (particle selective sampling). Samples
of total suspended particles were collected on a pre-weighed 2.5cm
Whatman glass bre lter with pore size of 1.0 micron by pumping 2000
ml/min (2 L/min) volume of air through it for eight hours, between
8.00 and 16.00 hours without interruption. Aer sampling, the lter
was transported to the laboratory in a lter case. Dust concentration in
mg/m3 was calculated from the changes in weight of the lter (before
and aer sampling) divided by the volume of air sampled [17-20]. For
particle selective sampling, a Multi dust foam disc batch #225772 was
used in the I.O.M sampler cassette. In all 10 samples were collected:
one sample each from 5 sawmills and 5 from 5 purposively selected
locations within the factory premises. e 5 sites in the latter were
presumed to be areas with high human and/or dust generating activity
and included: the reception, factory oor, loading area, storage unit and
oce. In the sampled sawmills, the dust sampler was mounted on a
supporting pole at a height of 1.5meteres, and at a distance of 3 feet
away from the band saw in use.
Data analysis
Data was analysed using Statistical packages for social sciences
(SPSS) version 15.0 and ‘‘Computer Programs for Epidemiologists’
(PEPI), version 10.0 [21]. Discrete data were presented as diagrams and
proportions (percentages) while continuous variables that were normal
in distribution (such as age and height) were expressed as means +
standard deviation. Statistical comparisons of the arithmetic means of
the study and comparison groups were carried out using the unpaired
student’s t-test (two –tailed). Statistical analysis of dierence between
proportions was done by the use of the χ2-test. Where the expected
Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016) Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill
Workers in South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-4397.1000154
Page 3 of 6
Volume 4 • Issue 1 • 1000154
J Pollut Eff Cont
ISSN:2375-4397 JPE, an open access journal
frequency in more than 20% of cells was less than 5, or any cell had an
expected cell count less than 1, Fishers’ exact test was used to test for
association between the variables.
Results
Socio-demographic characteristics
From Table 1, in all, 227 out of a total of 246 eligible all male workers
in 17 sawmills agreed to participate in the study, giving a response rate of
92.3%. A total of 227 respondents in the comparison group participated
as well. Subjects in both groups were generally comparable in terms of
age, height, the Body Mass Index (BMI) (p=0.63, p=0.36 and p=0.17
respectively). e majority in both study and comparison groups were
of Benin origin (37.9% and 55.1% respectively) and secondary level of
education was the highest level attained for the majority (57.5% and
73.6% respectively). ere was no signicant dierence in marital
status between the groups (p=0.64).
Self-reported prevalence of respiratory symptoms in studied groups
was as follows: cough 46.7%, phlegm production 50.2%, breathlessness
7.5%, wheeze 5.3%, chest pain 5.7%, chest tightness 10.1% and cough
with phlegm 8.8%. ere was also a signicantly higher prevalence of all
symptoms among current and ex-smokers than among non-smokers.
In relation to the comparison group, respondents in the study group
had a signicantly (p=0.00) higher prevalence of all symptoms.
Cough had the highest percentage of 41.2% in the study group of
Prevalence of respiratory symptoms among non-smokers in study and
comparison groups as shown in Table 2.
From Table 3, one hundred and y ve (68.3%) respondents in
the study group reported at least one respiratory symptom compared
with 23 (10.1%) in the comparison group. Non-smokers in the study
group had signicantly (p=0.00) higher proportion of all symptom.
e presence of at least one respiratory symptom among sawmill
subjects was signicantly associated with duration of work (p=0.04).
ere was no relationship between job category and history of previous
employment in a dusty occupation with occurrence of at least one
respiratory symptom. e FEV1/FVC ratio also called Tieneail-pinelli
[22] index, is a calculation ratio used in the diagnosis of obstructive
and restrictive lung disease [23,24], it represent the proportion of
Persons vital capacity that are able to respire in the rst second of forced
respiration [25]. e mean values of all parameters Forced Expiratory
Volume in rst second (FEV1), Forced Vital Capacity (FVC), FEV1/FVC
and PEFR) were signicantly (p=0.00, 0.01, 0.00 and 0.00 respectively)
Symptom Study group
(N=227) n (%)
Comparison group
(N=227) n (%) χ2 test p value
Cough 106 (46.7) 18 (7.9) 85.92 0.00*
Phlegm 114(50.2) 11(4.8) 117.12 0.00*
Breathlessness 18 ( 7.5) 3 (1.3) 11.23 0.00*
Wheeze 14 ( 6.0) 3 (2.6) 6.08 0.00*
Chest pain 13 (5.7) 2 (0.9) 8.34 0.00*
Chest tightness 23 ( 10.1) 0 (0.0) 24.23 0.00*
Cough with phlegm 20 ( 8.8) 2 ( 0.9) 15.48 0.00*
*Signicant at p < 0.001
Table 1: Prevalence of respiratory symptoms in study and comparison groups.
Symptom Study group
n = 115
Comparison group
n = 156 p value
Cough 47 (41.2) 7 (4.5) 0.00*
Phlegm 43 (37.4) 0 (0.0) 0.00*
Breathlessness 3 (2.6) 0 (0.0) 0
Wheeze 1 (0.9) 0 (0.0) 0.00*
Chest tightness 3 (2.0) 0 (0.0) 0.00*
Cough with phlegm 4 (3.5) 0 (0.0) 0.00*
*signicant at p < 0.001
Table 2: Prevalence of respiratory symptoms among non-smokers in study and
comparison groups.
Variable
Sawmill group (n= 227) Comparison group (n = 227)
No symptom n (%) At least one
symptom n (%) Total No symptom n (%) At least one
symptom n (%) Total
History of previous dusty job
Yes 15 (41.7) 21 (58.3) 36 (100.0) 24 (70.6) 10 (29.4) 34(100)
No 57 (29.8) 134 (70.2) 191 (100.0) 180 (93.3) 13 (6.7) 193(100)
Total 72 (31.7) 155 (68.3) 227 (100.0) 204(89.9) 23 (10.1) 227(100)
χ2 = 1.96, df 1, p = 0.162 χ2 = 16.32, df 1 , p = 0.000
Duration of work (years)
< 4 37 (33.0) 75 (67.0) 112 (100.0) 96 (77.4) 28 (22.6) 124(100)
5 – 9 12 (21.1) 45 (78.9) 57 (100.0) 41 (89.1) 5 (10.9) 46(100)
10 – 14 9(29.0) 22 (71.0) 31 (100.0) 28 (90.3) 3 (9.7) 31(100)
> 15 14 (51.9) 13 (48.1) 27 (100.0) 20 (76.9) 6 (23.1) 26(100)
Total 72 (31.7) 155 (68.3) 227 (100.0) 185 (81.5) 42(18.5) 227(100)
χ2 = 8.24 df 3 , p = 0.041 Fisher’s exact test p = 0.137
Job category
Operator 22 (36.1) 39 (63.9) 61 (100.0)
Drawer/Table boy 21 (24.1) 66 (75.9) 87 (100.0)
Jack man 9 (25.7) 26 (74.3) 35 (100.0)
Maintenance 9 (50.0) 9 (50.0) 18 (100.0)
Manager 4 (40.0) 6 (60.0) 10 (100.0)
Loader/Packer 7 (43.8) 9 (56.2) 16 (100.0)
Total 72 (31.7) 155 (68.3) 227 (100.0)
χ2 = 7.59, df = 5, p = 0.18
Table 3: Factors associated with the presence of at least one respiratory symptom among study and comparison groups.
Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016) Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill
Workers in South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-4397.1000154
Page 4 of 6
Volume 4 • Issue 1 • 1000154
J Pollut Eff Cont
ISSN:2375-4397 JPE, an open access journal
higher in the comparison than among the study group as shown in
Table 4. Total suspended and inhalable dust levels were signicantly
(p=0.000 and 0.012 respectively) higher in study than comparison sites.
Respirable dust was higher in concentration, though not signicantly
(p = 0.156), in the study compared to comparison sites as shown in
Table 5.
Discussion
e higher prevalence of respiratory symptoms in the study group
gives the impression that occupational exposure to wood dust may
expose workers to a higher risk of developing pulmonary disorders.
is nding is in agreement with results from other comparative
studies [26-28]. Respondents in the study group reported a higher
prevalence of cough, and phlegm expectoration compared to chest
pain, chest tightness, wheeze or breathlessness. e implication is
that upper respiratory tract involvement was more likely compared
to lower respiratory tract involvement, the latter presenting with
wheeze, chest pain, breathlessness and tightness. is nding, which
has been similarly reported by other investigators [29-31] might be
as a result of the fact that wood dust, made up of cellulose and other
soluble chemicals including acetic acid and resins, is largely of large
diameter bres that irritate the cough receptors in the trachea and cause
mucostasis in the upper respiratory tract, leading to cough and phlegm
production. is is supported by area sampling of the study sites which
showed concentrations of total particulates clearly in excess of that
obtained from control sites with a clear absence of any form of dust
control mechanism in place. It may possibly also be due to the fact that
sawmill workers represent a ‘survival population’ that have experienced
less debilitating symptoms which otherwise would have sent them out
of the establishment.
About 68% of the study group and 10% of the comparison group
in the study reported at least one respiratory symptom, which was
lower than what was obtained in an earlier study conducted in the same
geopolitical region (87.6% in study group and 18.5% in the comparison)
[32,33] and comparable to what was obtained (62%) among wood
workers in Jos, Nigeria [34,35]. Respondents in the study group who
had put in less than 10 years in the trade had a signicantly higher
proportion of respiratory symptoms than those who had put in more
than 10 years. Correspondingly, the mean age of the former workers was
41.2 ± 7.7 years compared to the mean age of those who had put in less
than 10 years (29.0 ± 7.1 years). is may be explained by considering
that in the course of their work, as symptoms develop, those who are
worse aected tend to leave or change jobs leaving the ‘apparently
healthier’ ones behind. A comparison of non-smokers in both groups
showed prevalence of symptoms higher in the study compared to
comparison group, indicating that wood dust acts on the respiratory
tract independent of smoking. Similarly, when comparison was made
among non-smokers, spirometric readings and peak expiratory ow
readings were signicantly better in the comparison than the study
groups, though for both groups, the ratio of forced expiratory volume
in rst second and forced vital capacity (FEV1/FVC) was essentially
normal. is has been reported in previous studies outside the country
[36] and contrary to what was obtained in an earlier study carried out
in Tanzania [37].
e study sites had signicantly higher levels of total and inhalable
dust than control sites. Similar results have been documented in earlier
studies [38]. e higher concentration of dust might possibly explain
the high prevalence of upper airway irritation symptoms among
sawmill workers. Similar ndings have been documented in other
studies [39,40]. is can be explained by the fact that operations such
as debarking, sawing and cutting produce relatively coarse ( rather than
ne) dust that is largely in the thoracic fraction [41,42] with diameter
greater than 10 microns, and are thus outside the respirable range.
e processing of fresh (rather than dried) timber, as is the case with
sawmills in the study area, may also be responsible for production of
large diameter wood dust. Respirable wood dust (<5.0 to 0.5 microns
in size and designated PM2.5), made up a small proportion (31%) of
inhalable dust concentration in the sawmills, and not signicantly
dierent from what was obtained in comparison sites. us only a
small portion of wood dust generated actually penetrated the deeper
lung tissue to provoke pathological changes. However, because of the
irritant and allergic properties of wood dust, this small proportion is
responsible for the higher prevalence of lower respiratory symptoms
among study than control subjects. Previous employment in a dusty job
was not associated with presence of at least one respiratory symptom in
the study as against the control group, implying a continued destruction
of lung tissue by wood dust exposure in spite of previous assault from
other inhaled agent encountered in previous work.
e Time weighted average (TWA) for total inhalable wood dust
in the study sites (1.39 mg/m3), fell below the 15 mg/m3 permissible
exposure limit (PEL) set by the Occupational safety and health
administration (OSHA) for total inhalable wood dust for an 8-hour
work- shi. While this nding is obviously not due to the existence
of dust extraction systems in the sawmills, the most likely explanation
may be the fact that the study sites, being open sheds, have a good
supply of natural ventilation, which serve to readily disperse the dust.
Moreover, the gravimetric sampler used measures airborne dust, and
since wood particles generated during debarking and planning are to an
extent of large diameter, they settle quickly to the ground and may not
be measured. Also, the limits specied by these regulatory bodies apply
mainly to personal exposure sampling, whereas, the value obtained in
this study was based on area sampling, which may give lower values,
and therefore be an underestimation of worker exposure to wood dust.
e value obtained for total inhalable dust in this study was higher than
Parameter Sawmill workers Mean
± SD N = 115
Control group Mean
± SD N = 156 p value
FEV1 (L) 3.07 ± 0.51 3.30 ± 0.53 0
FVC (L) 3.60 ± 0.70 3.79 ± 0.69 0.01
FEV1/FVC 77.64 ± 4.32 79.48 ± 6.26 0
PEFR (L/min) 404.11 ± 88.80 457.40 ± 84.45 0
Table 4: Comparison of lung function among non-smokers in study and comparison
groups.
Sampling location
Type of particulate Study site
(n = 5)
Comparison site
(n = 5) t test (p value)
Total suspended
particulates (mg/m3)
mean ± SD 1.39 ± 0.28 0.52 ± 0.07 6.77
(Range) (0.94 – 1.67) (0.83 -1.67) 0
Inhalable suspended
particulates (mg/m3)
mean ± SD 1.07 ± 0.34 0.44 ± 0.09 4.07
(Range) (0.60 – 1.66) (0.31 – 0.53) -0.01
Respirable suspended
particulates (mg/m3)
mean ± SD 0.33 ± 0.12 0.23 ± 0.08 1.57
(Range) (0.17 – 0.57) (0.10 – 0.31) -0.16
Table 5: Assessment of mean particulate concentration in study and comparison
sites.
Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016) Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill
Workers in South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-4397.1000154
Page 5 of 6
Volume 4 • Issue 1 • 1000154
J Pollut Eff Cont
ISSN:2375-4397 JPE, an open access journal
what was obtained in sawmill in Canada [43] (0.2 mg/m3), probably
because the Canadian mills may have dust extraction systems in use.
e value obtained was comparable to that obtained from the sawmill
section of a wood furniture factory in ailand [44,45], a developing
country like Nigeria.
e TWA for respirable dust obtained in this study (0.33mg/m3)
was also well below the PEL set by OSHA (5 mg/m3), and the 1 mg/m3
recommended exposure limit set by National Institute of Occupational
Safety and Health (NIOSH). e value was lower than what was
obtained in a study in Calabar (31.75 mg/m3) [46] possibly because of
the dierence in air sampling equipment’s used in both studies. e
value for respirable dust in this study was similar to what was obtained
in sawmill in Sweden (0.3 mg/m3) [47]. A limitation of the study is that
assessment of respiratory symptoms was made based on self-report,
and was not validated using medical records.
Conclusion
Sawmills in a developing country like Nigeria face the challenge
of providing work environments where hazards such as wood dust are
poorly controlled. Sawmill workers in Nigeria are like their counterparts
elsewhere therefore at an increased risk of developing respiratory
symptoms from occupational exposure to wood dust. Symptoms from
this study were predominantly from aectation of the upper airway, and
showed a signicantly higher prevalence in smokers than non-smokers.
Area sampling of sawmills showed higher concentrations of particulate
dust than in control sites. It is needful for dust control mechanisms
to be put in place in sawmills, and sawmill workers educated on the
need to use protective devices while at work. Standards for permissible
dust exposure levels should be set for sawmills in Nigeria to guide
monitoring.
Acknowledgement
The authors would like to express their gratitude to the research assistants who
participated in data collection, to the Sawmill managers who granted permission
to recruit their workers as well as to the study participants. The authors are also
grateful to the management of the Water bottling factories for permitting their staff
to participate in the study.
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Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016) Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill
Workers in South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-4397.1000154
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Volume 4 • Issue 1 • 1000154
J Pollut Eff Cont
ISSN:2375-4397 JPE, an open access journal
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Citation: Tobin EA, Ediagbonya TF, Okojie OH, Asogun DA (2016)
Occupational Exposure to Wood Dust and Respiratory Health Status of Sawmill
Workers in South-South Nigeria. J Pollut Eff Cont 4: 154. doi:10.4172/2375-
4397.1000154
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... Studies have found that exposure to wood dust can cause health effects from nasal mucosa damage, irritation and sino-nasal cancer, while deep lung deposition leads to lung cancer and impaired respiratory function (WHO, 2005;Ravikumar et al, 2014). Although, there are existing dust emission control regulations within countries , the stipulated standard is often exceeded due to improper dust extraction system and poor machining conditions (Tobin et al, 2016). Nevertheless, reports on the wood dust generation are sparse and hence, efforts to control dust emission is hampered (Ratnasingam and Scholz, 2008). ...
... Despite the potentially hazardous nature of the work, there has been little attention given to the state of health and safety of the workers in the sawmill industry in Nigeria by government health departments (Tobin et al, 2016). Based on this, this work is focused on assessing health risk associated with inhalable wood dust in timber milling industry in the study area. ...
... The result of this is suspected to be due to the management of the wood waste and the size of the saw used. While this finding is obviously not due to the existence of dust extraction systems in the sawmills, the most likely explanation may be the fact that the study sites, being open sheds, have a good supply of natural ventilation, which serve to readily disperse the dust (Tobin et al, 2016). WS2, WS3 and WS4 (21.50 µg/m 3 , 17.41 µg/m 3 , 22.25 µg/m 3 ) exceeded the FMENV guideline of 0.25 µg/m 3 for total inhalable wood dust for an 8-hour work-shift, this is suspected to be due to build-sheds and trees that blocked the wind for dispersion. ...
Article
Full-text available
Health risk assessment in timber milling industry was conducted using PM2.5 as air quality indicator in Umuoayali timber market in Mbaitoli Local Government Area of Imo State to evaluate its impact on timber workers. Determination of ambient air quality was by application of hand-held Multi Gas Analyzer to sample PM2.5. The mean result of the (PM2.5) in the six workshops ranks viz: WS4>WS2>WS3>WS5>WS6>WS1 due to the effect of temperature, relative humidity and wind speed in the area that shown significant relationship with PM2.5 (p<0.05), and the mean results compared to FMENV STD for good air quality. Health Risk Index (HRI) Air Quality Index (AQHI) was used to assess the level of risk and health implication of exposure to PM2.5 respectively. The result of PM2.5 when compared to FMENV STD indicated that, the 20 sampled locations for wood dust ranged between 0.33-4.95 µg/m 3 above the 0.25 µg/m 3 FMENV STD. Health risk assessment result indicated that WS1, WS5 and WS6 (0.22-0.64 µg/m 3) were within the risk scale of 0-signifying timber workers within this range are bound to experience low risk ,and WS2, WS3 and WS4 (95.4-118.5 µg/m 3) were within the risk scale of >10 indicating very high risk (VHR) , and health implication showing poor in the selected workshops: (WS1,WS5, WS6) to very poor : (WS2,WS3,WS4) workshops showing tendency for respiratory disease for exposed sensitive population in and around timber market. This then calls for application of best management practices like local exhaust ventilation (LEV), respiratory protective device (RPD), and enforcement of rules and regulations to mitigate wood dust generation.
... These studies produced somewhat contradictory results, depending on the type, extent, and duration of exposure to wood dust in the workplace, the characteristics of the workers studied (age, smoking status, et cetera), the nature of their work activities, as well as the type of study [3]. Ill-health due to the inhalation of wood dust result in the worker being unable to meet the demands of their job, becoming sick more often, being absent more often, and eventually retiring earlier [23]. Workers exposed to wood dust have a higher prevalence of respiratory symptoms than unexposed workers because when symptoms develop during the course of their work, those more severely affected tend to leave or change jobs, leaving the healthier ones behind [24]. ...
... Workers exposed to wood dust have a higher prevalence of respiratory symptoms than unexposed workers because when symptoms develop during the course of their work, those more severely affected tend to leave or change jobs, leaving the healthier ones behind [24]. Despite the potentially dangerous nature of woodwork, government health departments have paid little attention on respiratory symptoms caused by occupational exposure to wood dust at the large-scale sawmills [23]. ...
... The questionnaire was developed based on the research tools used in previous studies [3,7,8,16,18,20,23,24,[43][44][45]. The question was adopted from previous research and literature to suit the needs of the sawmill industry. ...
Article
Full-text available
Abstract Background Occupational exposure to wood dust may cause respiratory illnesses, while prolonged exposure to loud noise may cause noise-induced hearing loss. Objective The objective of the study was to assess the prevalence of hearing loss and respiratory symptoms among large-scale sawmill workers within the Gert Sibande Municipality in Mpumalanga Province, South Africa. Methods A comparative cross-sectional study consisting of 137 exposed and 20 unexposed randomly selected workers was undertaken from January to March 2021. The respondents completed a semi-structured questionnaire on hearing loss and respiratory health symptoms. Data analyse The data was analysed using Statistical Package for Social Sciences (SPSS) version 21 (Chicago II, USA). The statistical analysis of the difference between the two proportions was done using an independent student t-test. The level of significance was set at p
... Some studies showed a high prevalence of respiratory symptoms like cough, phlegm, chest tightness, wheezing, and breathlessness among exposed group relative to unexposed groups [11][12][13]. Similar studies also reported a high prevalence of respiratory symptoms among wood dust exposed group [7,[14][15][16]. ...
... In this study, the overall prevalence of respiratory symptom was higher among the exposed group (59.4%) than unexposed groups (18.0%).This finding is similar to other studies conducted in Europe, Macedonia, [11], Iran [12], Thailand [14], Nigeria [16], and Ethiopia [2,7]. All of these studies reported that the prevalence of respiratory symptom was higher among the exposed group than in the unexposed groups. ...
Article
Full-text available
Background Exposure to wood dust can cause respiratory symptoms, like cough, phlegm, breathlessness, and chest pain, reduce lung function. Objective The objective of the study was to assess the prevalence of respiratory symptoms and associated factors among woodwork workers in Bahir-Dar city, Ethiopia. Methods A comparative cross-sectional study was employed among 229 exposed and 228 unexposed groups. Participants for the study were selected using simple random sampling technique. The chronic respiratory symptoms were assessed using a questionnaire adopted from the American Thoracic Society. The data was entered using Epi-Data version 4.6 and export to SPSS version 22 for analysis. Poisson regression, Multivariate linear regression and multivariable logistic regression analysis were used to identify factors associated with woodworkers, general population and in pooled analysis. Result The prevalence of having at least one chronic respiratory symptom was higher among exposed group (59.4%) than unexposed group (18.0%) with PR = 3.03(95%CI: 2.45, 4.45). In woodworker; Not taking health and safety training(5.15,95%(CI:1.93–13.76),primary educational(3.85,95%,CI:(1.1,13.47), not using Mask(6.38, 95%CI:(2.69–15.76) & number of families(3.05,95%,CI:1.04–9.028), In general population; Number of family members(2.75, 95%CI:1.1–7.19)& lower monthly income (3.3, 95%CI: (1.49–7.4), and In pooled analysis; wood dust exposure status 14.36 95%, CI:(7.6–27.00),primary education(2.93,95%CI:1.24–6.92), number of families(3.46,95%CI:1.8–6.64), lower monthly income(2.13,95%CI:1.19–3.81), & smoking (6.65, 95%CI:1.19–36.9) were associated with respiratory symptom. Conclusion Prevalence of respiratory symptoms was higher among exposed group than unexposed group. Reduced wood dust exposure status, Provision of occupational safety and health training, use of respiratory protective devices is recommended to reduce respiratory symptoms among woodwork workers.
... This might be due to the high concentration of wood dust found in the working area causing a chronic inflammation from continuous exposure to the wood dust. This result corroborates observation in Nigeria and Ethiopia [20,26]. A reduced occurrence of respiratory symptoms was found in woodworkers who worked in well-equipped environments and adhered to the enforced use of personal protective equipment (PPE), such as masks [27]. ...
... Additionally, numerous studies have reported a significant association between work duration and the presence of at least one respiratory symptom. This could be due to the fact that extended exposure in the workplace leads to the highest levels of dust accumulation in the respiratory system [20,26,[28][29][30]. ...
Preprint
Full-text available
Background: Occupational respiratory diseases are responsible of one-third of all documented work-related deaths. Exposure to wood dust leads to multiple respiratory manifestations including cough, chest pain, asthma and altered lung function. The aim of this study was to assess the level of exposure to wood dust and its respiratory health correlates among woodworkers in Yaounde. Methodology: The present descriptive cross-sectional study was conducted in 37 carpentry workshops in the city of Yaounde. From October 2021 to February 2022. The geographical site selection was purposeful, taking into account areas with large numbers of workers and woodworker shop. Woodworker shops were enumerated and randomly selected. Respiratory manifestations were assessed upon a clinical respiratory examination involving cough, expectoration, wheezing and dyspnea. The forced expiratory volume was determined using a dry spirometer. Statistical analyses were performed using IBM SPSS version 23.0 software; tables and graphs were generated using Excel 2013 software. The significance level was set at 0.05. Results: The study population was exclusively male, with a mean age of 34.04 plus-minus 11.69 years. With 15.02 plus-minus 12 years of woodwork experience. The respiratory symptoms reported were cough that was productive (41.8%) or dry (33.6%), chest pain (34.4%), dyspnea (41%) and wheezing (15.6%). The lung function decreased among the duration of woodwork experience. Conclusion: Respiratory manifestation among woodworkers were reported. And there is a urgent need to implement woodwork safety measures including education on exposure and adherence to protective measure.
... A growing body of evidence, including those from studies carried out in Nigeria-a country in West Africa with similar wood types, industrial wood processing techniques and workplace conditions-indicates that high wood dust exposure is associated with increased frequency of respiratory symptoms and impaired lung function, as reflected in significant decrease in selected respiratory parameters such as the one-second forced expiratory volume (FEV 1 ) and forced vital capacity (FVC). [13][14][15][16][17][18] The present study addresses the effect of wood dust exposure on respiratory function of the Ghanaian woodworker by examining the wood dust exposure at some sawmill operating sites in the Cape Coast Metropolis, the prevalence of respiratory symptoms and occurrence of acute and chronic changes in respiratory function compared to healthy controls. ...
... This finding is in agreement with previous reports. [14][15][16][17][18][31][32][33][34][35][36][37] The allergenic effects of wood dust have been firmly established in numerous studies, [38][39][40][41][42][43][44][45][46] which explains the association, although a few other studies have reported finding no adverse respiratory symptoms with wood dust exposure. 35,36,47 Some of these differences may arise from differences in wood type, use of RPEs and adherence to workplace safety protocols, grooming behaviour and other confounding demographic, genetic, anthropometric and behavioural parameters. ...
Article
Full-text available
Background Diseases affecting the lungs and airways contribute significantly to the global burden of disease. The problem in low- and middle-income countries appears to be exacerbated by a shift in global manufacturing base to these countries and inadequate enforcement of environmental and safety standards. In Ghana, the potential adverse effects on respiratory function associated with occupational wood dust exposure have not been thoroughly investigated. Methods Sixty-four male sawmill workers and 64 non-woodworkers participated in this study. The concentration of wood dust exposure, prevalence and likelihood of association of respiratory symptoms with wood dust exposure and changes in pulmonary function test (PFT) parameters in association with wood dust exposure were determined from dust concentration measurements, symptoms questionnaire and lung function test parameters. Results Sawmill workers were exposed to inhalable dust concentration of 3.09 ± 0.04 mg/m³ but did not use respirators and engaged in personal grooming habits that are known to increase dust inhalation. The sawmill operators also showed higher prevalence and likelihoods of association with respiratory symptoms, a significant cross-shift decline in some PFT parameters and a shift towards a restrictive pattern of lung dysfunction by end of daily shift. The before-shift PFT parameters of woodworkers were comparable to those of non-woodworkers, indicating a lack of chronic effects of wood dust exposure. Conclusions Wood dust exposure at the study site was associated with acute respiratory symptoms and acute changes in some PFT parameters. This calls for institution and enforcement of workplace and environmental safety policies to minimise exposure at sawmill operating sites, and ultimately, decrease the burden of respiratory diseases.
... Another study of wood workers found that the prevalence of respiratory symptoms was 29.9% in the North East of Thailand [22] and 68% in South-South Nigeria [23]. Furthermore, 61.54% of paper factory workers in Sweden experienced respiratory symptoms [24]. ...
... However, the finding of this study was higher than the findings of studies conducted among cement factory workers in eastern Nepal (21.1%), flour mill factory workers in the United Kingdom (22%) [14], Iran (28%) [15], and Nigeria (45%) [16], textile factory workers in Iran (26%) [21], and a study conducted among wood workers in Thailand's North East (29.9%) [22], whereas the result of this study was lower than those of studies conducted among Egyptian factory workers in flour mills (90%) [17], Nigerian factory workers in textiles (62%) [18], study conducted among South-South Nigerian wood factory workers (68%) [23], and in Sweden, paper factory (61.54%) [24]. Differences in the work environment, the type of factory, and occupational health and safety practices could all be contributing factors to the discrepancy. ...
Article
Full-text available
Background: Occupational respiratory disorders are a major global public health concern among workers exposed to dust particles in dust-generating workplaces. Despite fragmented research findings on the magnitude of respiratory problems and the lack of a national occupational respiratory disease recording and reporting system at the Ethiopian factory, the prevalence of respiratory symptoms among factory workers were unknown. Therefore, the aim of this meta-analysis was to summarize and pool estimates from studies that reported the prevalence of respiratory symptoms and predictors among Ethiopian factory workers who worked in dusty environments. Methods: A systematic literature searches were conducted using electronic databases (PubMed, Science Direct, African Journals Online, and Web of Science). The primary and secondary outcomes were prevalence of respiratory symptoms and predictors, respectively. The STATA version 17 was used to analyze the data. A random effect meta-analysis model was used. Eggers test with p-value less than 5%, as well as the funnel plot, were used to assess publication bias. Results: The searches yielded 1596 articles, 15 of which were included in the systematic review and meta-analysis. The pooled prevalence of respiratory symptoms among Ethiopian factory workers was 54.96% [95% confidence interval (CI):49.33-60.59%]. Lack of occupational health and safety (OSH) training [Odds Ratio (OR) = 2.34, 95%CI:1.56-3.52], work experience of over 5 years [OR = 3.19, 95%CI: 1.33-7.65], not using personal protective equipment (PPE) [OR = 1.76, 95%CI:1.30-2.39], and working more than eight hours per day [OR = 1.89, 95%CI:1.16-3.05] were all significant predictors of respiratory symptoms. Conclusion: The prevalence of respiratory symptom was found to be high in Ethiopian factory workers. To prevent workers from being exposed to dust, regular provision and monitoring of PPE use, workers OSH training, and adequate ventilation in the workplace should be implemented.
... Similar to the findings of this study, studies conducted in Nigeria (Njinaka et al., 2011;Bamidele et al., 2011;Tobin et al., 2016;Johnson and Umoren, 2018) and other developing countries (Jacobsen et al., 2008;Chandra et al., 2011;Thepakson et al., 2018) reported high prevalence rates for immediate and remote health conditions, with severe negative impacts on the quality of life of those affected (including their families) and their efficiency. The fire hazards encountered in the industry since 2004 are presented in Table 7. ...
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... More than half of them had cold (51.6%) and cough (61.8%), however only 10.8%, 7.6% and 11.5% had wheezing, shortness of breath and chest tightness respectively. These are like the findings from previous studies 4,9,14,18 ; however, it contradicted the findings by Adeoye et al which reported lower percentages of respiratory symptoms among sawmill workers. ...
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Recent recommendations for wood dust sampling include sampling according to the inhalable convention of International Organization for Standardization (ISO) 7708 (1995) Air quality--particle size fraction definitions for health-related sampling. However, a specific sampling device is not mandated, and while several samplers have laboratory performance approaching theoretical for an 'inhalable' sampler, the best choice of sampler for wood dust is not clear. A side-by-side field study was considered the most practical test of samplers as laboratory performance tests consider overall performance based on a wider range of particle sizes than are commonly encountered in the wood products industry. Seven companies in the wood products industry of the Southeast USA (MS, KY, AL, and WV) participated in this study. The products included hardwood flooring, engineered hardwood flooring, door skins, shutter blinds, kitchen cabinets, plywood, and veneer. The samplers selected were 37-mm closed-face cassette with ACCU-CAP™, Button, CIP10-I, GSP, and Institute of Occupational Medicine. Approximately 30 of each possible pairwise combination of samplers were collected as personal sample sets. Paired samplers of the same type were used to calculate environmental variance that was then used to determine the number of pairs of samples necessary to detect any difference at a specified level of confidence. Total valid sample number was 888 (444 valid pairs). The mass concentration of wood dust ranged from 0.02 to 195 mg m(-3). Geometric mean (geometric standard deviation) and arithmetic mean (standard deviation) of wood dust were 0.98 mg m(-3) (3.06) and 2.12 mg m(-3) (7.74), respectively. One percent of the samples exceeded 15 mg m(-3), 6% exceeded 5 mg m(-3), and 48% exceeded 1 mg m(-3). The number of collected pairs is generally appropriate to detect a 35% difference when outliers (negative mass loadings) are removed. Statistical evaluation of the nonsimilar sampler pair results produced a finding of no significant difference between any pairing of sampler type. A practical consideration for sampling in the USA is that the ACCU-CAP™ is similar to the sampler currently used by the Occupational Safety and Health Administration for purposes of demonstrating compliance with its permissible exposure limit for wood dust, which is the same as for Particles Not Otherwise Regulated, also known as inert dust or nuisance dust (Method PV2121).
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Studies elsewhere have shown that exposure to sawdust increases susceptibility to development of pulmonary symptoms but there is paucity of information on this in Benin City, Nigeria where, there are many sawmill factories. The objective of this study, was to determine the prevalence of respiratory symptoms in sawmill workers in Benin City, Nigeria. This was a cross-sectional study, in which the British Medical Research Council Questionnaire was used to obtain information on respiratory symptoms in a standardized manner in sawmill workers, who met the inclusion criteria for the study and age-matched controls. Two hundred and twenty eight sawmill workers and 371 controls with mean ages of 33.1 ±7.3 and 32.9±7.2 years, respectively were studied. Symptoms like cough, sputum production, breathlessness and wheeze were more common in sawmill workers compared to controls (p<0.05). Respiratory symptoms are more prevalent in sawmill workers compared to controls. Use of appropriate protective devices is advocated in order to reduce this preventable morbidity.
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Background: Exposure to wood dust has been shown to cause organic dust toxic syndrome, occupational asthma, airway inflammation, an increased risk of sinusoidal cancer and impaired lung functions in woodworkers. This study determines the prevalence of respiratory symptoms and the lung functions of woodworkers in Jos, north-central, Nigeria. Materials and Methods: A cross–sectional study design was used to interview 120 timber workers from a timber market sampled using simple random sampling. Information was obtained using interviewer-administered questionnaires and the lung function tests of the participants measured using a peak flow meter. Results: The mean age of the respondents was 28 years. At the time of the study 62.5% (75 ) of the respondents had respiratory symptoms; many had more than one symptom. The main symptoms among the respondents were regular blocked nose in 74(61.71%), runny nose 50(41.7%) recurrent cold 27 (22.5%), sneezing 68(56.7%), noisy breathing 11 (9.2%), shortness of breath 8(6.7%), chest tightness 16(13.3%) and cough 63(52.5%). All the workers with symptoms experienced them at work while, 56(74.6%) had relief when away from work. The symptoms were mainly associated with Mahogany, Masonia, Bosca and Obeche (African whitewood) woods. None of the workers in the mill were observed to be using respirators or masks. Only one (0.8%) of the workers had peak expiratory flow volume (PEFV) less than 300 liters /minute. The peak expiratory value had no significant association with the presence of symptoms and the number of years spent working in the wood industry (p= 0.454). Conclusion: Wood workers should be health educated on the dangers of wood dust; they should be encouraged to use masks and wood dust should be controlled at source.KEY WORDS: Timber workers; Respiratory Symptoms; Lung function; JosJournal of Community Medicine & Primary Health Care Vol.16(2) 2004: 30-33
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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 β(1,3)-glucan levels in 37 samples from two New Zealand sawmills.ResultsNearly one-third of the measured dust levels exceeded 1 mg/m3 and only one sample exceeded the legal limit of 5 mg/m3. Endotoxin levels were clearly elevated with 50% of all measured exposures above 50 EU/m3 (range: 7–588 EU/m3). β(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 β(1,3)-glucan. Dust levels were only weakly correlated with endotoxin and β(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 β(1,3)-glucan and endotoxin exposure in sawmill workers. Am. J. Ind. Med. 38:426–430, 2000. © 2000 Wiley-Liss, Inc.
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Few studies have assessed respiratory symptoms and dust exposure levels in small-scale wood industry workers in Africa. We interviewed 546 workers exposed to wood dust and 565 control subjects using a respiratory health questionnaire. Inhalable dust measurements were collected for 106 workers. The dust exposure was high, and job title-based geometric mean exposure levels ranged from 2.9 to 22.8 mg/m3. Prevalence of respiratory symptoms in the previous 12 months was significantly higher in the exposed group compared with the nonexposed office workers. Allergy and sensitivity symptoms were reported regularly in the exposed group with Odds ratios and 95% confidence intervals (CIs) varying from 2.4 (95% CI = 1.8-3.1) for low-and 2.7 (1.8-4.0) for high-exposure groups compared with controls. We conclude that working in the small-scale wood industry in Tanzania is associated with an increased prevalence of respiratory symptoms.