Acute effects of herbal tea dust extracts on lung function.

The acute effect of herbal tea dust extracts on lung function was studied in 15 of 25 healthy subjects responding to the inhalation of these extracts. Bronchial inhalation challenge was performed with tea extracts (sage, dog rose and gruzyan) and with normal saline solution as a control substance to assess their baseline airway reactivity to an isotonic aerosol. Lung function testing was performed before exposure and at 0, 15, 30, and 60 minutes after the cessation of exposure. The same subjects were also tested by challenge with methacholine. Lung function was measured by recording FVC, FEV1, FEF50, FEF25, SGaw, and Raw. Subjects were skin tested by the skin prick method and serum IgE levels were determined. The findings suggested that neither baseline nonspecific airway reactivity nor specific markers of immediate sensitivity to tea predict airway responses to tea extracts. Further evaluation of immunologic markers may help to explain the onset and progression of airway disease in workers.

Respiratory function and immunological status in paper-recycling workers.

The respiratory function and immunological status of workers employed in the paper recycling industry were studied. The mean age of the 101 studied workers was 41 years, and the mean duration of their exposure was 17 years. A group of 87 unexposed workers of similar age, duration of employment, and smoking history was studied for the prevalence of chronic respiratory symptoms. Lung function in the paper workers was measured by recording maximum expiratory flow volume (MEFV) curves and recording forced vital capacity (FVC), 1-second forced expiratory volume (FEV1), and maximum expiratory flow rates at 50% and the last 25% of the FVC (FEF50, FEF25). Immunological studies were performed in all 101 paper workers and in 37 control workers (volunteers). These included skin-prick tests with paper-dust extracts and other nonoccupational allergens, as well as the measurement of total serum immunoglobulin E. Significantly higher prevalences of all chronic respiratory symptoms were found in paper compared with control workers (P < 0.01). The highest prevalences were found for chronic cough (36.6%), chronic phlegm (34.7%), chronic bronchitis (33.7%), sinusitis (31.7%), and dyspnea (18.8%). Occupational asthma was diagnosed in four (4.0%) of the paper workers. A logistic regression analysis performed on chronic respiratory symptoms of paper workers indicated significant effects of smoking and exposure, with the smoking effect being the most important. Multivariate analysis of lung-function parameters indicate significant effects of exposure. For paper workers, the measured FEF50 and FEF25 were significantly decreased, compared with predicted values, suggesting obstructive changes located primarily in smaller airways. Among 101 tested paper workers, 16 (15.8%) had positive skin-prick tests to at least one of the paper extracts; none of the control workers reacted to these extracts. Increased serum IgE levels were found in 21% of the paper workers and in 5% of control workers (P < 0.05). Paper workers with positive skin-prick tests to any of the paper and/or other tested extracts had higher prevalences of chronic respiratory symptoms and lower measured lung-function tests compared with predicted than did those with negative skin-prick tests, but the differences were not statistically significant. The measured concentrations of total and respirable dust in this industry were higher than those recommended by Croatian standards. Our study suggests that work in the paper-recycling industry is associated with respiratory impairment and that sensitive workers employed in this industry may be at particular risk of developing chronic respiratory abnormalities.

Respiratory findings in spice factory workers.

The respiratory consequences of working in the spice industry were studied in 92 female spice factory workers (mean age, 36 yr; mean exposure, 12 yr). A control group of 104 female workers employed in a nondusty industry was also studied. The prevalence of chronic respiratory symptoms was significantly higher in the exposed than in the control group. In particular, the prevalence of dyspnea (57.6%), chronic cough (22.8%), chronic phlegm and chronic bronchitis (19.6%), nasal catarrh (37.0%), and sinusitis (22.2%) was high when compared to controls (p less than .01). Among spice factory workers, a high prevalence of acute symptoms during the workshift was recorded. Acute reductions in lung function were statistically significant over the workshift for forced vital capacity (FVC), -2.0%; forced expiratory volume in one second (FEV1.0), -3.0%; and for maximum expiratory flow rates at 50% (FEF50), -8.3% and at 25% (FEF25), -15.2% measured on maximum expiratory flow-volume (MEFV) curves. No difference was found in across-shift ventilatory function in workers with or without chronic respiratory symptoms, except for FEF25 (with symptoms, 16.7%; without symptoms, 9.6%). Preshift administration of 40 mg of disodium cromoglycate (DSC) inhaled 15 min before the workshift significantly diminished acute reductions in FEF50 and FEF25 in exposed workers. Monday preshift FEF50 and FEF25 in exposed workers were significantly lower than in control workers (p less than .01), which suggests an early irreversible component to this illness.

[Immunologic reactions in poultry-processing workers]. / Neke imunoloske reakcije radnica na preradi hrane za perad.

The relationship between respiratory symptoms and immunological reactions was studied in 57 female workers holding jobs in the poultry food processing industry and in 51 non-exposed female workers. The prevalence of all chronic respiratory symptoms was significantly higher in exposed than in control workers (P < 0.01) except for occupational asthma. The prevalence of chronic respiratory symptoms in exposed workers was highest for chronic cough (49.1%), followed by dyspnoea (43.9%), rhinitis (38.6%), chronic phlegm (31.6%) and chronic bronchitis (26.3%). Occupational asthma was found in 5.3% of exposed workers. Exposed workers with positive skin prick test to poultry food demonstrated a higher prevalence of all chronic respiratory symptoms than those with negative skin tests, although the difference was statistically significant only for rhinitis (P < 0.05). The most frequent positive skin reactions were found for poultry food extract (exposed: 66.7%; control: 25.5%; P < 0.05). Increased IgE serum level was found in 19 (33.3%) exposed and in four (7.8%) control workers (P < 0.01). Three exposed workers with occupational asthma demonstrated increased IgE serum level. Our data indicate that occupational exposure to poultry food dust may be associated with the development of chronic respiratory symptoms and immunological changes in exposed workers.

[Monitoring of respiratory symptoms and pulmonary ventilatory function in sisal processing workers]. / Pracenje respiratornih simptoma i ventilacijske funkcije pluca tekstilnih radnica na preradi sisala.

The prevalence of acute and chronic respiratory symptoms and ventilatory capacity was studied in 50 textile workers exposed to sisal dust. A follow-up study was performed 19 years later and included 20 workers out of the 50. The first study showed a considerably higher prevalence of all chronic respiratory symptoms in the exposed than in control workers although the difference was statistically significant only for chest tightness (P < 0.01). Comparison of the prevalence in the first and the follow-up study in 20 textile workers revealed a statistically significant increase in the rate of chronic cough, dyspnea, chest tightness and nasal catarrh. During the follow-up study the prevalence of almost all chronic respiratory symptoms was significantly higher in exposed than in control workers. Results of ventilatory capacity in 50 sisal workers showed acute reductions of FVC and FEV1 during work shift on Monday and the following Thursday. Comparison of the measured and predicted normal values demonstrated lower values in the follow-up study in comparison to those in the first study. The mean annual fall of ventilatory capacity tests was 0.027 L for FVC and 0.036 L for FEV1. Data suggest that long-term exposure to sisal dust may cause the development of chronic respiratory symptoms and lung function impairment in sensitive subjects.

[Immunologic reactions, respiratory symptoms and ventilatory capacity in jute and sisal textile workers]. / Imunoloske reakcije, respiratorni simptomi i ventilacijski kapacitet pluca tekstilnih radnica na preradi jute i sisala.

Allergic reactions in relation to respiratory symptoms and ventilatory capacity were studied in 41 textile workers employed in the processing of jute and sisal. Only 5.0% of the jute workers and 9.5% of the sisal workers demonstrated positive skin reactions to jute or sisal allergens. Increased IgE was found in 9.8% of the textile workers. Among 35 control workers 11.4% reacted with a positive skin reaction to the jute or sisal allergen and 2.9% had increased IgE. Chronic respiratory symptoms as well as changes in ventilatory capacity were found in textile workers with positive and negative skin tests. Our data suggest that immunological reactions are not likely to be responsible for the development of respiratory impairment in textile workers exposed to jute and sisal dust.

[Monitoring of respiratory function in hemp-processing workers]. / Pracenje respiratorne funkcije radnika na preradi konoplje.

In a follow-up study the prevalence of chronic respiratory symptoms and changes in ventilatory capacity were followed over a period of three years in 38 female and 28 male hemp workers in a textile industry. The prevalence of all respiratory symptoms was found to be increased. Significant acute reductions of ventilatory capacity were recorded during the work shift. The measured ventilatory capacity values were significantly decreased in comparison to predicted normal values. The mean annual decline of FVC (range: 0.014-0.065 L), FEV1 (range: 0.041-0.068 L), FEF50 (range: 0.020-0.220 L/s) and FEF25 (range: 0.030-0.140 L/s) was considerably greater than in healthy non-exposed subjects. The mean annual decline of all tests was considerably larger in workers with the symptoms of byssinosis than in those without such symptoms. Our data suggest that long-term exposure to hemp dust may cause the development of chronic respiratory symptoms and impairment of ventilatory capacity.

[Chronic obstructive lung diseases due to organic dust exposure]. / Kronicna opstruktivna bolest pluca u izlozenosti organskim prasinama.

A group of female workers occupationally exposed to cotton, hemp, flax, spices, soy, tea, coffee and furs was included in the study. The highest prevalence of chronic respiratory symptoms and diseases and greatest changes in ventilatory capacity were due to exposure to hemp and flax aerosols. The development of respiratory impairment can be impeded by control of the working environment and preventive medical examinations.

[Respiratory function in confectionary workers]. / Respiratorna funkcija radnica na proizvodnji slastica.

Respiratory symptoms and ventilatory capacity were studied in 259 female confectionary workers and in 65 non-exposed controls. Most of the chronic respiratory symptoms appeared more frequently among the exposed workers, particularly if they worked in exposure to flour, talc, starch, acids and alcohol. There was a high prevalence of acute symptoms that developed during work shift. This was true especially of cough, dyspnea, burning and dryness of the throat and eye irritation. The exposed workers exhibited statistically significant acute reductions of ventilatory capacity. Those were particularly pronounced for FEF50 (range: 4.6-13.0%) and FEF25 (range: 4.7-22.3%). The measured preshift values of ventilatory capacity were significantly lower than the predicted normal values. The administration of disodium chromoglycate (DSCG 40 mg) significantly diminished mean across-shift reductions in all ventilatory capacity tests. Data suggest that sensitive confectionery workers may develop acute and chronic respiratory symptoms accompanied by acute and/or chronic changes in ventilatory capacity.

[Immunologic findings and ventilatory function in cotton industry workers]. / Imunoloski nalazi i ventilacijske funkcije radnica na preradi pamuka.

Immunological testing was carried out in 24 cotton workers and in 30 control workers. Skin prick test was performed with allergens prepared from cotton dust and cotton seed. Skin tests were positive in 33.3% and IgE level was increased in 62.5% of the cotton workers. Only two 3.3% had positive skin tests and none had increased IgE serum level. Ventilatory capacity in cotton workers with positive skin tests and those with negative skin tests was comparable. The same was true of the workers with increased and normal IgE levels. The effect of cotton dust extract on isolated tracheal smooth muscle of a guinea pig was an indication of a direct irritative action causing airway obstruction.

[Immunologic and respiratory findings in workers on a pig farm]. / Imunoloski i respiratorni nalazi radnika u svinjogojstvu.

The prevalence of respiratory symptoms and ventilatory capacity in relation to immunological status were studied in 32 swine workers and in 39 controls. A large number of swine workers reacted to antigen of swine hair (34%) and to swine confinement antigen (28%) but also to other antigens such as animal food (78%), and corn flour (37%). Control workers showed comparable prevalence in their reaction to these antigens (17%, 25%, 51%, 25%). Increased IgE serum level was determined in three swine workers (9.4%) and in one control worker (2.6%). Swine workers with positive skin tests demonstrated significantly larger acute reductions in FEF50 and FEF25 than those with negative skin tests (P less than 0.01). The ventilatory capacity data measured before shift in swine workers with positive skin tests were significantly lower than the predicted normal values. Swine confinement antigen caused a dose-related contraction of guinea pig smooth muscle in vitro. Our data indicate that non-immunological reactions may be partly responsible for the acute and/or chronic changes in respiratory function.

[Immunologic and respiratory reactions in workers exposed to organic aerosols]. / Imunoloske i respiratorne reakcije radnika izlozenih organskim aerosolima.

The relationship of skin reactivity and IgE serum level to the prevalence of chronic respiratory symptoms and ventilatory capacity in workers exposed to different organic aerosols and in control workers is presented. In general, the exposed workers had a higher prevalence of positive skin tests to occupational allergens than the controls, with the exception of soy-bean workers. The workers with positive skin tests to occupational allergens had a higher prevalence of almost all chronic respiratory symptoms although the differences did not always reach statistical significance. Among workers with positive skin reactions the prevalence of increased IgE serum level was significantly higher than among those with negative skin reactions. There were large mean relative acute across-shift reductions of ventilatory capacity in all groups of exposed workers, varying for FVC from 1.7 to 13.3%, for FEV1 from 0.4 to 21.9%, for FEF50 from 1.5 to 16.1% and for FEF25 from 0 to 24.9%. However, there was no correlation of acute and chronic lung function changes with skin reactivity or IgE serum level. Our data suggest that although exposure to organic aerosols may cause immunological reactions, it appears that such changes are not caused by allergic mechanisms. On the basis of positive skin reactivity or IgE serum level the workers who are prone to the development of chronic respiratory impairment cannot be predicted with certainty.

[Respiratory system reactions to organic aerosol exposure]. / Reakcije respiracijskog sustava na izlozenost organskim aerosolima.

The effects of organic aerosols (coffee, teas, spices, confectionery, soy, animal feed) on the respiratory system of workers occupationally exposed to these aerosols are presented. Described are possible mechanisms responsible for the development of respiratory impairment. Our studies indicate the possibility of development of respiratory impairment in exposed workers. The prevalence of chronic respiratory symptoms and diseases varied from 2.7 to 56.3% and of acute symptoms from 9.9 to 78.9% of exposed workers. Statistically significant acute reductions of ventilatory capacity (FVC, FEV1, FEF50, FEF25) were recorded during the work shift. Described are some immunological changes which can develop in exposure to organic aerosols. Experimental studies with water organic dust extracts on isolated guinea pig trachea suggest that bronchoconstrictive changes in humans may be reproduced in non-sensitized guinea pigs. The need for taking preventive medical examinations in order to prevent development of respiratory and/or immunological impairment is stressed.

[Immunologic changes and pulmonary ventilatory function in animal feed processing workers]. / Imunoloske promjene i ventilacijske funkcije pluca radnika na preradi stocne hrane.

Respiratory symptoms and immunological reactions were examined in 35 animal food workers. The most frequent positive skin prick reactions occurred to fish flour (82.9%), followed by carotene (77.1%), cornflour (65.7%), four-leaf clover (62.9%), sunflower (54.3%), chicken meat (31.4%), soy (28.6%) and yeast (22.7%). The IgE serum level was increased in 40% of the animal food workers and in 2.6% of the controls. A significantly higher prevalence of chronic respiratory symptoms was found in animal food workers than in controls. However, there was no significant difference in prevalence of chronic respiratory symptoms between workers with positive and those with negative skin tests to house dust and fish flour or between those with increased and those with normal IgE levels (except for dyspnoea). There were significant acute across-shift reductions in ventilatory capacity, particularly for FEF25. The workers with positive skin tests to fish flour demonstrated significantly larger acute FEF25 reductions than those with negative skin tests. An extract of animal food caused constriction of isolated guinea pig tracheal smooth muscle in vitro. It appears that animal food dust in addition to immunological response may produce a direct irritative effect on the airways of exposed workers.

[Specific bronchial reactivity in unripe coffee processing workers]. / Specificna bronhalna reaktivnost radnika u preradi sirove kave.

Ventilatory capacity was studied in nine coffee workers who complained of job-related respiratory symptoms. Bronchoprovocation testing with green coffee allergen provoked immediate asthmatic reactions with acute reductions of ventilatory capacity in four workers. The relative fall was greater in FEF25-75 ranging from 28% to 66% than in FEV1 where it ranged from 18% to 62% of the control values. Eight workers out of nine had increased total IgE serum levels and six showed a positive reaction to prick testing with green coffee allergen. According to our data bronhchoprovocation with green coffee allergen along with skin tests and immunoglobulin levels can serve as indicator of the sensitivity of the respiratory system to green coffee dust.

[Ventilatory function and allergic skin tests in cotton mill workers]. / Ventilacijske funkcije i alergijski kozni testovi radnika u predionici pamuka.

Ventilatory capacity, chronic respiratory symptoms and respiratory diseases as well as intradermal skin tests were registered in a group of 112 cotton workers. The prevalence of chronic respiratory symptoms and respiratory diseases was higher among the exposed than among control workers although the differences were statistically significant only for chronic cough, nasal catarrh and byssinosis in women and for chronic cough, chronic phlegm and byssinosis in men. A similar prevalence of byssinosis was noted in women (29.4%) and in men (29.5%). Among textile workers mostly byssinosis grade 1/2 was found (women 22.1%, men 20.5%). There were statistically significant acute reductions over work shift for forced vital capacity (FVC) and one-second forced expiratory volume (FEV1). In men the values were somewhat lower than the expected normal values. A very small number of workers demonstrated positive intradermal skin tests to cotton allergen (exposed 8.2%, control 1.8%). Our data indicate that exposure to cotton dust may lead to the development of respiratory symptoms and diseases as well as to acute changes in ventilatory capacity but without an allergic reaction.

[Immunologic reaction and ventilatory function in hemp-processing workers]. / Imunoloske reakcije i ventilacijske funkcije radnika na preradi konoplje.

The relationship between immunological status and respiratory function was studied in 42 hemp workers and in 49 control workers. The highest prevalence of positive skin tests was recorded for a mixture of hemp and flax (64%), followed by flax (48%), hemp on a combining machine (41%), hemp on a carding machine (38%), hemp on spinning and weaving machines (33%), and hemp on a softening machine (20%). The prevalence of positive skin tests in control workers was smaller and varied from 21 to 5%. Increased IgE was found in 35.7% of the hemp workers and in 5.0% of the controls (P less than 0.05). Hemp workers with positive skin tests had a significantly higher prevalence of chronic respiratory symptoms than those with negative skin tests. Acute ventilatory capacity reductions did not differ in respect to the immunological status. An extract of hemp dust caused a constriction of an isolated guinea pig tracheal smooth muscle in vitro. Our data suggest that hemp dust as well as producing an immunological effect may exert an irritant effect on the respiratory system in exposed textile workers.

[Respiratory function in fur-processing workers]. / Ventilacijska funkcija radnika u preradi krzna.

Forty women employed as furriers in the fur processing industry and a group of 31 control workers were examined. A higher prevalence of chronic respiratory symptoms was found among the furriers than among the controls. The differences were statistically significant for chronic cough and sinusitis (P less than 0.01). The highest prevalence in furriers was found for chronic cough (50%), sinusitis (30%), followed by dyspnea (25%), nasal catarrh (20%) and occupational asthma (5%). A large number of workers complained of acute symptoms during work shift. Statistically significant mean acute reductions in ventilatory capacity over the workshift were recorded for FVC (-4.1%), FEV1 (-5.2%) and FEV50 (-6.3%). The furriers demonstrated significantly lower mean measured pre-shift values for FVC and FEV25 (P less than 0.05) when compared with the predicted. Pre-shift administration of 40 mg of Intal considerably diminished acute ventilatory capacity over the work shift.

[Respiratory diseases, symptoms and ventilatory function in workers involved in processing food for livestock]. / Respiratorne bolesti, simptomi i ventilacijske funkcije radnika u preradi hrane za stoku.

The prevalence of chronic and acute respiratory symptoms and ventilatory capacity were studied in a group of 71 workers employed in animal food processing. A control group of 55 unexposed workers was also included in the study. A significantly higher prevalence for most of the chronic respiratory symptoms was found among the exposed than among control workers. Exposed smokers had a significantly higher prevalence of chronic cough, chronic phlegm, chronic bronchitis and chest tightness than control smokers. The values for FVC, FEV1 and FEF50 measured in the exposed workers were significantly lower in comparison to predicted normal lung function values. In smokers all the measured parameters of ventilatory capacity were significantly lesser than predicted. For non-smokers only FVC and FEV1 were below normal. Our data indicate that occupational exposure to animal food may cause the development of acute and chronic respiratory symptoms and impairment of ventilatory capacity.

[Immunologic status, respiratory symptoms and ventilatory function in fur processing workers]. / Imunoloski status, respiratorni simptomi i ventilacijske funkcije radnica na preradi krzna.

A group of 54 women employed in the fur processing industry and a control group of 31 non-furriers were examined. The highest prevalence of positive immediate skin reactions to antigen from animal hair was found for marten (10%), followed by fox and lamb (7%), mink (5%) and chinese lamb, domestic fox and chinese calf (2%). Precipitating antibodies were demonstrated for lamb (17%), astrakhan (14%), mink, domestic fox and for skunk (12%), chinese lamb (10%), and chinese calf (7%). Increased total IgE was found in 9.5% of the furriers. Chronic respiratory symptoms were more prevalent among workers with positive skin tests and positive precipitins than among those with negative tests. The prevalence of the acute symptoms was higher among workers with precipitins than in those without them. There was no such relationship between the symptoms and the results of skin tests. Acute reductions of ventilatory capacity over the work shift occurred in workers with positive precipitins but not in those with positive skin tests. Our study suggests that furriers can develop acute and chronic respiratory difficulties frequently associated with specific indicators of atopy.