Positive impact on vitamin D related lifestyle of medical advice in pregnant Somali-born women and new mothers: a mixed method study in Swedish primary care.

BACKGROUND: A previous study showed that pregnant women/new mothers especially Somali-born and some Swedish-born had extremely low vitamin D levels and poor physical performance. Our study aimed to examine vitamin D related lifestyle, attitudes and behaviour before and after brief information about vitamin D, with special long-term focus on Somali-born women. METHODS: A cohort of 91 pregnant women/new mothers having serum hydroxyvitamin D (S-25-OHD) ≤ 50 nmol/L (n = 51 Somali-born with one third < 10 nmol/L of S-25-OHD) in primary health care in Sweden was targeted for intervention. Brief individual oral and visual information on vitamin D was given by doctors at baseline and after four and ten months. Questionnaires with ordinal scales on vitamin D related lifestyle of food, clothing, and outdoor activities were distributed on all occasions. Focus-group interviews with 15 women from the target-group were performed after two years. A Somali interpreter was available. RESULTS: Veiled clothing, indoor living, and a low intake of milk, cheese, and fatty fish were common in the target group. Consumption pattern had increased significantly among the Somali-born women at the four-month follow-up but declined to non-significant levels at the ten-month follow-up. The focus-group interviews showed improved understanding of vitamin D deficiency, symptoms and attitudes, but varying applied behaviours related to sun exposure. Sun exposure for the children and increased fish consumption was the most evident positive results. CONCLUSIONS: Vitamin D related lifestyle, attitudes and behaviour improved in a Somali-born group of pregnant women/new mothers with severe vitamin D deficiency. The preventive measures suggested in our study may have impact on public health in relation to bone and muscle strength and immunity especially in vitamin D deficiency risk groups. TRIAL REGISTRATION: ClinicalTrials.gov Identifier: NCT02922803 . Date of registration: 28 September 2016.

Comparison of VOC and ammonia emissions from individual PVC materials, adhesives and from complete structures.

Emission rates of volatile organic compounds (VOCs) and ammonia measured from six PVC materials and four adhesives in the laboratory were compared to the emission rates measured on site from complete structures. Significantly higher specific emission rates (SERs) were generally measured from the complete structures than from individual materials. There were large differences between different PVC materials in their permeability for VOCs originating from the underlying structure. Glycol ethers and esters from adhesives used in the installation contributed to the emissions from the PVC covered structure. Emissions of 2-ethylhexanol and TXIB (2,2,4-trimethyl-1,3-pentanediol diisobutyrate) were common. High ammonia SERs were measured from single adhesives but their contribution to the emissions from the complete structure did not appear as obvious as for VOCs. The results indicate that three factors affected the VOC emissions from the PVC flooring on a structure: 1) the permeability of the PVC product for VOCs, 2) the VOC emission from the adhesive used, and 3) the VOC emission from the backside of the PVC product.

A multi-faceted approach to risk assessment of laboratory animal allergens at two facilities.

BACKGROUND: Risk assessment of exposure to allergens is difficult because the relationship between exposure, sensitization, and symptoms has not been fully established. Laboratory animal allergens (LAA) are an important occupational health risk factor; 10-32% of workers exposed to these allergens develop allergic diseases. This article introduces a versatile approach to assessing the risks posed by LAA at two laboratory animal facilities. METHODS: The risk assessment approach that was used at the laboratory animal facilities included questionnaires for management and employees, a hazard identification visit and measurements in the workplaces, as well as the creation of a list of generally recommended procedures to reduce allergen exposure. RESULTS: The prevalence of work-related allergic symptoms was 17%. Suggested countermeasures at the sites included changes in ventilation and work practices, reduction of unnecessary exposure, recommendations for more comprehensive use of personal protective equipment, and wider communication about LAA risks. CONCLUSIONS: The approach managed to identify critical points and potential means for controlling LAA exposure.

Indoor radon concentrations caused by construction materials in 23 workplaces.

The aim of this study was to compare the measured and the calculated concentrations of indoor radon caused by building materials at 23 workplaces. The measured concentrations of radon were clearly higher than the calculated radon concentrations from the building materials, which indicated that the main source of indoor radon was the soil under and around the buildings. The highest means of continuously (933 Bq m(-3)) and integrated (169 Bq m(-3)) measured and calculated (from 70 to 169 Bq m(-3)) concentrations of radon were found in hillside locations. On the other hand, the median (27 and 43 Bq m(-3)) and maximum (626 and 1002 Bq m(-3)) values of calculated indoor radon concentrations exhaled from construction materials were the highest at the ground level places. On average, only 7-19% of the radon seemed to originate from the construction materials.

Applicability of homogeneous exposure groups for exposure assessment in the chemical industry.

The purpose of the study was to assess occupational exposure to chemicals, by taking the aspects presented in European standard EN 689 into account, especially with respect to homogeneous exposure groups and their suitability as the basis for exposure assessment. In addition, dermal exposure to chemicals was assessed when appropriate. The industries studied included a plywood factory, a paint factory and a sewage treatment plant of an oil refinery. The workers were classified into homogeneous exposure groups by the persons in charge of occupational health issues in the respective workplaces. The concentrations of the contaminants were measured in workplace air by breathing-zone and stationary sampling, and these approaches were compared. Dermal exposure was measured when applicable. The homogeneity of the grouping was tested with analysis of variance whenever possible. The tasks studied in plywood manufacturing fulfilled the criteria of homogeneous exposure groups for both respiratory and dermal exposure. The group of operators in the sewage treatment plant was highly homogeneous. The complicated organization of the tasks made the use of homogeneous exposure groups (HEG) unsuitable at the paint factory. These findings show that reliable exposure assessment cannot be achieved with a formal standard; instead, comprehensive occupational hygiene evaluation is needed. It should also have a great importance when exposure models are developed.

The relationship between measured moisture conditions and fungal concentrations in water-damaged building materials.

We determined the moisture levels, relative humidity (RH) or moisture content (MC) of materials, and concentrations of culturable fungi, actinomycetes and total spores as well as a composition of fungal flora in 122 building material samples collected from 18 moisture problem buildings. The purpose of this work was to clarify if the is any correlation between the moisture parameters and microbial levels or generic composition depending on the type of materials and the time passed after a water damage. The results showed an agreement between the concentrations of total spores and culturable fungi for the wood, wood-based and gypsum board samples (r > 0.47). The concentrations of total spores and/or culturable fungi correlated with RH of materials particularly among the wood and insulation materials (r > 0.79), but not usually with MC (r < 0.45). For the samples collected from ongoing damage, there was a correlation between RH of materials and the concentrations of total spores and culturable fungi (r > 0.51), while such a relationship could not be observed for the samples taken from dry damage. A wide range of fungal species were found in the samples from ongoing damage, whereas Penicillia and in some cases yeasts dominated the fungal flora in the dry samples. This study indicates that fungal contamination can be evaluated on the basis of moisture measurements of constructions in ongoing damage, but the measurements are not solely adequate for estimation of possible microbial growth in dry damage.

Assessment of total exposure to phenol-formaldehyde resin glue in plywood manufacturing.

OBJECTIVE: Respiratory and dermal exposure to phenol-formaldehyde resin-glue components used in plywood manufacturing were assessed. METHODS: Formaldehyde and phenol were monitored in the workplace air. Formaldehyde was measured both in the breathing zones of the workers and at stationary sampling sites. Phenol was used as a marker agent for dermal exposure due to its near-nonvolatility at the temperatures occurring during the present study and to its ready absorption through the skin, causing systemic exposure in addition to local skin rashes. Sampling and analytical methods were developed to measure the dermal exposure to phenol. Sampling was accomplished with whole-body dosimetry using Tyvek coveralls and cotton gloves. In addition, a liquid chromatography method was developed for the analysis of phenol from dermal exposure samples. RESULTS: As expected, formaldehyde was noted to be the major compound causing respiratory exposure. When exposure assessment was done on the basis of air samples collected both at stationary sampling sites and in the breathing zones of the workers the agreement between the results obtained was good. The dermal sampling revealed that the workers were exposed to phenol, but the risk for toxic effects was slight due to the low concentrations of urinary phenol. CONCLUSIONS: We conclude that it is possible to use the stationary sampling method for the assessment of respiratory exposure in a plywood factory instead of the usually more complicated breathing-zone sampling. This study also demonstrates the importance of taking dermal exposure into account, at least due to the ability of the resins to cause skin rashes, in assessment of the exposure to chemicals in plywood manufacturing.

Ergosterol content in various fungal species and biocontaminated building materials

This paper reports the ergosterol content for microbial cultures of six filamentous fungi, three yeast species, and one actinomycete and the ergosterol levels in 40 samples of building materials (wood chip, gypsum board, and glass wool) contaminated by microorganisms. The samples were hydrolyzed in alkaline methanol, and sterols were silylated and analyzed by gas chromatography-mass spectrometry. The average ergosterol content varied widely among the fungal species over the range of 2.6 to 42 &mgr;g/ml of dry mass or 0.00011 to 17 pg/spore or cell. Ergosterol could not be detected in the actinomycete culture. The results for both the fungal cultures and building material samples supported the idea that the ergosterol content reflects the concentration of filamentous fungi but it underestimates the occurrence of yeast cells. The ergosterol content in building material samples ranged from 0.017 to 68 &mgr;g/g of dry mass of material. A good agreement between the ergosterol concentration and viable fungal concentrations was detected in the wood chip (r > 0.66, P 0.48, P 0.63, P < 0.0001). In conclusion, the ergosterol concentration could be a suitable marker for estimation of fungal concentrations in contaminated building materials with certain reservations, including the underestimation of yeast concentrations.

Control of exposure to airborne viable microorganisms during remediation of moldy buildings; report of three case studies.

Three different techniques for reducing exposure to microorganisms were tested during remediation of moldy buildings. Concentrations of spores (fungi and actinomycetes) were determined by filter sampling before, during, and after remediation. The local exhaust method used for asbestos dismantling was the most effective control method. In the construction zone, concentrations of microorganisms were 4-25 times higher during remediation than before it. In the adjacent area no increase in concentrations was seen. When the construction zone was placed under negative pressure with a fan and isolated with a plastic barrier, concentrations of microorganisms were about 100 times higher there during remediation work. Nevertheless, levels remained low in the adjacent area. The use of a portable exhaust fan with a side-draft hood decreased concentrations of fungi to one-tenth compared with demolition without the control technology. Furthermore, this method prevented the migration of fungal spores from the construction zone to the adjacent area, although it was less effective in prevention of actinomycete spore migration. It also decreased the levels of microorganisms in the construction zone below the preconstruction level within 2 hours. This study showed that levels of airborne microorganisms, including from the working area to adjacent area, can be reduced with commonly used dust control methods during demolition work. However, microorganism levels in the construction zone remained elevated. Therefore, personal protection of construction workers is needed even with control techniques.

Dissolution of short and long rockwool and glasswool fibers by macrophages in flowthrough cell culture.

Dissolution of MMVF (man-made vitreous fibers) by macrophages has previously been studied utilizing cell cultures in wells. A new, more dynamic method has been developed to explore the effects of macrophages on MMVF dissolution. In this method, the culture medium flows through a membrane on which the macrophages and fibers are placed. The dissolution of short and long rockwool and glasswool fibers was investigated in the present study by macrophages by assessing the dissolution of Si (silicon), Fe (iron), and Al (aluminium) from the fibers. Dissolution of these elements usually increased as a function of time. Generally, the dissolution of elements from the fibers in the flowthrough culture exceeded that observed with the culture in wells system. The dissolution of glasswool fibers was greater in medium than in cell culture, whereas the opposite was true for rockwool fibers. Dissolution of Si was greater from glasswool than from rockwool fibers, while the opposite was true for Fe and Al. Macrophages that had phagocytized fibers in flowthrough culture contained Si, and there were also precipitations with Si in the samples. The fibers in the flowthrough culture also exhibited surface changes such as breakings, pittings, etching, and peeling. The short rockwool fibers tended to fracture more than short glasswool fibers, while long glasswool fibers were more extensively broken than short glasswool fibers. The results with this new, dynamic, flowthrough culture method with macrophages demonstrate that this method provides valuable information on the abilities of macrophages to dissolve MMVF leading to subsequent morphological changes of fibers.

Serum IgG antibodies against Wallemia sebi and Fusarium species in Finnish farmers.

BACKGROUND: Wallemia sebi and Fusarium species are common fungi in agricultural environments. Because Fusarium species are difficult to culture, and W. sebi has only recently been found in an agricultural environment with the use of a new culture medium, immunochemical methods may be important for evaluating exposure to these fungi. OBJECTIVE: Immunoglobulin (Ig) G antibodies against W. sebi and two Fusarium species were measured in the sera of Finnish farmers to estimate exposure to fungi. METHODS: Serum-specific IgG antibody levels against the fungi were determined in farmers with farmer's lung disease and asthma, as well as in asymptomatic farmers with low and high IgG antibody levels against other agricultural microorganisms, and in control persons (printing and office workers). Both enzyme-linked immunosorbent assay (ELISA) and enzyme-linked immunofiltration assay (ELIFA) techniques were used. RESULTS: Significantly higher IgG antibody levels against the fungi studied were observed in farmer's lung patients and asymptomatic farmers with high IgG levels against other agricultural fungi, than in the control group. On the other hand, the development of IgG antibodies to the fungi in asthmatic farmers remained unclear because of a discrepancy between the ELISA and ELIFA results. Cross-reactivity between Fusarium species was detected. CONCLUSIONS: The results indicate that Finnish farmers are exposed to W. sebi and Fusarium species in their work environment to a greater extent than has earlier been evaluated with air sampling and microbiologic methods.

Identification of environmental hazards of gasoline oxygenate tert-amyl methyl ether (TAME).

The physico-chemical and environmental properties of a new gasoline component tert-amyl methyl ether (TAME, 2-methoxy-2-methylbutane) were determined experimentally and environmental hazards of the new component were thereafter identified. The methodology was based on the chemical regulations of the European Union (EU). On the basis of the experimental results, TAME is a volatile, non-hydrophobic and water-soluble liquid, which is not expected to be adsorbed onto organic matter in soil or sediment. It is not readily biodegradable. TAME has very low acute toxicity to aquatic organisms and is not expected to bioaccumulate.

Assessment of occupational exposure to PAHs in an Estonian coke oven plant- correlation of total external exposure to internal dose measured as 1-hydroxypyrene concentration.

The exposure of cokery workers to polynuclear aromatic hydrocarbons at an Estonian oil shale processing plant was assessed by using occupational hygiene and biomonitoring measurements which were carried out twice, in midwinter and in the autumn. To assess the external dose of polynuclear aromatic hydrocarbons, pyrene and benzo[a]pyrene concentrations were measured from the breathing zone of workers during a workshift. Skin contamination with pyrene and benzo[a]pyrene was assessed by skin wipe sampling before and after the workshift. As a biomarker of overall exposure to polynuclear aromatic hydrocarbons, and as an integral of all absorption routes of pyrene, 1-hydroxypyrene concentration was measured from post shift urine samples. Of the personal air samples, 18% exceeded the Finnish threshold limit value of benzo[a]pyrene (10 µg m(-3)). Mean value (two separate measurements together) for benzo[a]pyrene was 5.7 µg m(-3) and for pyrene, 8.1 µg m(-3). Based on skin wipe sample analyses, the skin contamination was also obvious. The mean value of benzo[a]pyrene in the samples collected after the shift was 1.2 ng cm(-2). Benzo[a]pyrene was not found in control samples. The mean value of urinary 1-hydroxypyrene concentration was 6.0 µmol mol(-1) creatinine for the exposed workers and 0.5 µmol mol(-1) creatinine for the controls. This study undoubtedly shows the usefulness of 1-hydroxypyrene as an indicator of internal dose of polynuclear aromatic hydrocarbons. It can be concluded that the cokery workers at the Kohtla-Järve plant are exposed to high concentrations of polynuclear aromatic compounds, and the exposure level is considerably higher during the winter measurements.

Exposure to airborne microbes during the repair of moldy buildings.

Concentrations of airborne microbes, studied during the repair of seven moldy buildings, showed that concentrations of airborne fungi increased during the repair work. This was especially true during the demolition of moldy building materials, even though the total dust levels remained low. Concentrations of viable fungi sampled with a six-stage cascade impactor were 10(3) - > 1.9 x 10(5) cfu/m3, and the total concentrations of fungal propagules, as determined by the Camnea method (i.e., air filtration method with epifluorescence microscopic counting of acridine-stained organisms) showed 10(5)-10(6) counts/m3 during the demolition. Penicillium was the main genus throughout. Concentrations of viable total bacteria also increased, but this change proved less noticeable than that of the fungi. However, rather high concentrations of viable actinomycetes up to 10(4) cfu/m3 were detected during the demolition. Results show that construction workers are exposed to high concentrations of microbes, perhaps causing health problems. Thus, personal protection of both the respiratory system and eyes is strongly recommended for workers as they repair moldy buildings. In addition, the repair room should be isolated from other areas to protect occupants or any other people present.

Exposure to airborne metals in the manufacture and maintenance of hard metal and stellite blades.

This study evaluated the exposure of Finnish workers to airborne metals. It was conducted in 16 workplaces; 8 tool manufacturing companies (3 of which specialize in the maintenance of hard metal blades) and 8 blade repair shops in the mechanical wood-processing industry. The main emphasis of the study was on exposure in servicing (resharpening), especially involving wet-tip grinding processes. The results show that workers grinding hard metal blades may be exposed to high levels of airborne cobalt even when airborne total dust concentrations are low. The respirable proportion of the total dust was found to be high, and the total dust concentrations correlated well with the cobalt concentrations. Most of the airborne cobalt was water soluble (ionized), but there was also solid particles containing cobalt and other materials in the air of the workplaces. The mean concentration of cobalt in the grinding coolants was high, though it varied considerably. Concentrations of all the other metals measured in the air (tungsten, chromium, cadmium, silver, and nickel) and in the coolants (tungsten and chromium) were low. To reduce workers' exposure to cobalt, it is recommended that grinding machines should be enclosed and equipped with local exhausts. Use of coolants that dissolve less cobalt is also recommended, and the coolants should be changed more often. Brazing should be done in a well-ventilated place, and only cadmium-free materials should be used.

The effect of fiber length on the dissolution by macrophages of rockwool and glasswool fibers.

The effect of fiber length on the dissolution of experimental rockwool and commercial glasswood fibers in rat alveolar macrophage (AM) culture and in mere culture medium was studied. The ultrastructure of macrophages after their exposure to fibers and the suitability of macrophage-type cell line P388D1 culture in dissolution studies were also explored. The fiber samples included short (ground) and long (untreated) rockwool and glasswool fibers. The fibers were incubated in rat AM cultures, in P388D1 culture, or in mere culture medium for 4 or 8 days. The dissolution of the fibers was determined by measuring the amounts of silicon (Si), iron (Fe), and aluminum (Al) in the medium. There were no differences in the diameter of the fibers, but a clear difference existed in the length of the short and long fibers. The dissolution of Si, Fe, and Al was more pronounced from experimental rockwool than from commercial glasswool fibers. The dissolution of Si was always greater in mere culture medium than in rat AM culture. Moreover, the dissolution of Si was greater from the long fibers than from the short ones. On the contrary, the dissolution of Fe and Al in AM culture exceeded that in mere culture medium. The dissolution of Si, Fe, and Al from both fibers in P388D1 culture was similar to their dissolution in rat AM culture. The fibers were also effectively phagocytized by the macrophages. The present results together suggest that the intracellular and the extracellular dissolutions of man-made vitreous fibers differ from each other.

Microbial growth on respirator filters from improper storage.

Microbiological contamination and particle penetration were studied in two respirator filters with high efficiency. Microbial growth in filter materials during storage under conditions and the passing of microorganisms through the filters were particularly examined. Filters with different fiberglass and cellulose proportions were loaded in environments containing high microbial levels and incubated at a relative humidity of 98%. Particle penetration through loaded and incubated filters and carbon, nitrogen and microbial content were measured. After incubation, considerable particle penetration and the passing of fungal spores were observed for filters composed mainly of cellulose, probably because of humid conditions, which stimulated fungi to grow and extend mycelia and spores through the filter. Microbial activity, microorganism concentrations, and the chemical properties of the filter materials also supported this hypothesis. Storing used respirators in humid environments may result in heavy microbial contamination of the filters, especially if the filter material is biodegradable by microorganisms.

Chromosome aberrations in peripheral lymphocytes of workers employed in the plywood industry.

Workers employed in sawmills and in the manufacture of plywood are exposed to potentially mutagenic chemical aromatic emissions from wood. However, very little is known about the exposure to these natural wood components. In an attempt to determine whether such exposure could have clastogenic effects, a group of 13 male nonsmoking employees mainly from the beginning of the wood-processing line of three plywood mills and 15 matched nonsmoking referents were studied for chromosome aberrations in blood lymphocytes. A statistically significant elevation of the frequency of cells with chromatid-type breaks (mean 2.1%), as compared with the corresponding frequency of the referents (mean 1.0%), was observed for the lymphocytes of the wood workers. These results lend support to previous studies which suggested that wood-drying fumes may be carcinogenic.

Mutagenic compounds in wood-chip drying fumes.

The mutagenicity of fumes from the heating of freshly cut spruce and birch chips was measured with Salmonella typhimurium strains TA98, TA100 and TA102. The bacteria were exposed directly and indirectly to the fumes. Wood chips were also extracted with solvents. No mutagenicity was found in wood extracts or the fume samples measured indirectly. The results from the direct exposure experiments indicate, however, that drying spruce and birch at 170 degrees C emits mutagenic compounds, which are short-lived and/or volatile. One of the mutagenic compounds of the fumes is probably 3-carene. These results are consistent with previous epidemiological findings, which suggest that these fumes are carcinogenic.

Concentrations of specific dusts in swineries and the humoral response of swinery workers.

The concentrations of swine epithelial antigen (SEA), swine urinary antigen (SUA) and swine feed antigen (SFA) were measured in swineries. SEA seems to be the most prevalent of the constituents measured. In the serum samples of the subjects studied, specific IgG antibodies against the antigens were frequently encountered. However, a difference was seen in the distribution of anti-SUA-IgG antibodies between swinery workers and a control group of students. The influence of the level of specific dust concentrations on specific antibody titers was studied statistically. Positive correlations were observed between stationary site SUA concentrations and anti-SUA-IgG and anti-SEA-IgG titers, respectively, pointing to an association between exposure and humoral response in swinery work. Consequently, our results suggest that the measurement of antibodies against SUA or its components could offer a basis for the estimation of the level of swinery work-related respiratory exposure and for monitoring the quality of the working environment in swineries.