Comparison of acetylcholinesterase among employees based on job positions and personal protective equipment in fuel station.

The purpose of this study was to compare the levels of acetylcholinesterase (AChE) among employees based on job positions and the wearing of personal protective equipment (PPE) in fuel station areas. The sample group consisted of 200 people sorted into various groups, including (i) Inside fuel dispenser area (I-FDA) group consisting of 100 employees for refueling, cashier, and loading fuel into storage tanks, and (ii) Outside fuel dispenser area (O-FDA) group, consisting of 100 employees working in convenience stores, food stores, coffee shops, and offices, as well as general staff and car washers. Data were collected using interview questionnaires and blood samples were analyzed for AChE activity. The results showed that the I-FDA group had a significantly lower mean of serum AChE (7.38±1.73 U/ml) than the O-FDA group (7.85±1.49 U/ml) (p<0.05). The I-FDA group had a 2.43 times higher risk of abnormal serum AChE than the O-FDA group (OR=2.43, 95%CI=1.05-5.60). When considering the risk factors for job positions, it was found that refueling and cashier positions had lower AChE activity levels than those who did not (p<0.05). In the part, employees for food sales in a closed building and those wearing PPE masks had significantly higher AChE activity levels than those who did not or who wore them (p<0.05). Based on the aforementioned, employers at fuel stations should strictly determine the appropriate measures for wearing a PPE mask. Further, employees should be provided accommodation away from oil supply or enclosed buildings during breaks to reduce the effects on the neurotransmitter.

Benzene health risk assessment for neurological disorders of gas station employees in Rayong Province, Thailand.

Background: The main job of employees working in the area of fuel service stations is to provide refueling services to customers. Therefore, operators at petrol stations may be exposed to chemicals for long periods, potentially affecting their health in nervous system. Objectives: This study aims to assess the risk of benzene exposure to the nervous system in gas station operators. Data were collected from 100 fuel service personnel working at fuel dispensers and 100 employees working outside fuel dispensers, accounting to 200 cases. Material and methods: Data were collected using interview questionnaires. Urine samples were used for the analysis of t,t-muconic acid. Results: The results showed that t,t-muconic acid concentration is 431.23 ± 233.69 µg/g.cr (449.28 ± 213.32 µg/g.cr at fuel dispensers vs 413.18 ± 252.20 µg/g.cr outside fuel dispensers). The risk characterization results showed that most of the risks were at level 1 (low risk), as observed in 108 people (54.0%). The results of the analysis of the relationship between t,t-muconic acid concentrations classified by 3 levels of percentile and neurological disorders of the study group, the results showed that there was a statistically significant relationship (p-value <0.05). Conclusion: Therefore, the benzene neurotoxic risk assessment model could be utilized in field practice.

Comparison of monoamine oxidase and selected heavy metal levels in the blood and the workplace among e-waste sorting workers in Ubon Ratchathani Province, Thailand.

Background: E-waste sorting workers usually separate electronic waste. Therefore, they can be exposed to heavy metals. Objectives: This study compared monoamine oxidase (MAO) levels affected by the levels of lead (Pb), cadmium (Cd), and nickel (Ni) in the blood and their workplace among e-waste sorting workers (EWSW). Material and methods: The exposed group included 76 EWSW, and the non-exposed group included 49 village health volunteers. An interview form was used to assess the risk factors. We measured Pb, Cd, and Ni on the work surfaces and in the blood, and MAO levels as a neurological enzymes. Results: Among the EWSW, 42 were males (55.3%), and the mean age (SD) 48.0 (12.64) years, and income were 156.37 ± 88.08 USD. In the work areas of the exposed group, the concentration of Pb, Cd, and Ni were 245.042 (± 613.910), 0.375 (± 0.662), and 46.115 (± 75.740) µg/100 cm2, respectively, while the non-exposed group, the concentration of Pb, Cd, and Ni were 0.609 (± 0.934), 0.167 (± 1.171) and 1.020 (± 0.142) µg/100 cm2. Pb and Ni concentrations in the workplace of the exposed groups were statistically different from that of the non-exposed group. Pb, Cd, and Ni concentrations in serum were 6.411 ± 1.492 µg/dL, 0.9480 ± 0.350 µg/L, 2.568 ± 0.468 µg/L, respectively, while in the non-exposed group, the heavy metal concentrations were 6.411 ± 1.620 µg/dL, 0.909 ± 0.277 µg/L, 2.527 ± 0.457 µg/L. The MAO in the exposed group was 362.060 ± 97.981 U/L, while that in the non-exposed group was 369.771 ± 86.752 U/L. Moreover, MAO concentration was significantly different from Ni concentration (p < 0.05). Conclusion: The electronic waste sorting workers should clean their work areas to reduce the Pb, Cd, and Ni levels on the working surfaces, and health surveillance should be performed.

Health status and factors influencing access to healthcare services by workers in petrol stations in Rayong province, Thailand.

Background: Petrol station (PS) workers are categorized as "unskilled labor", which leads to low wages, economic instability, and a lack of adequate access to healthcare services (HCS) despite exposure to dangerous chemicals. A lack of information on the HCS access of PS workers is concerning. Objective: This study was undertaken to elucidate factors that influenced access to health care for fuel station workers in gas stations in Rayong province, Thailand. Material and methods: Two-hundred PS workers (100 serving at fuel dispensers and 100 working at other locations) were interviewed to evaluate their health conditions and factors affecting HCS access. The study cohort comprised 137 (68.5%) women and 63 (31.5%) men. The mean age was 30.29±10.97 years and the average monthly salary was 341.16 ± 124.72 USD. Results: The average distance between a respondent's residence and government hospital was 10.49 ± 8.571 km. Most respondents (63.5%) were in good physical health, and 79.5% reported having "positive mental health". However, 73% reported neurological disorders and 57% reported respiratory symptoms. During the previous 12 months, 44.5% of respondents had HCS access; 80.9% of participants reported that they had accessed HCS to obtain treatment for an illness, and 18% went for a health checkup. Government centers were rated as "satisfactory" by 78.8% of PS workers, and 75.5% received medical coverage under a social-security scheme. Moreover, 38.5% obtained HC information from their colleagues. HCS access was attributed to the cost of receiving HCS as well as the sex, marital status, illness severity of PS workers. Conclusions: Workers should have access to comprehensive HCS. Policy frameworks and systems for HCS should take account of employees' sex, marital status, and the type and severity of their illnesses.

Factors affecting prevalence of neurological symptoms among workers at gasoline stations in Rayong Province, Thailand.

This cross-sectional study was aimed at assessing the exposure to organic solvents and the factors affecting prevalence of neurological symptoms among workers at gas stations in Rayong Province. The sample included 200 workers at gas stations, including refueling staff, cashiers, food shop, coffee shop, and convenience store employees. Interview questionnaire included general information, work history, and neurological symptoms. Urine collection devices were used to detect organic solvents metabolized in urine, including t,t-muconic acid (t,t-MA), hippulic acid (HA), mandelic acid (MA), and methylhppuric acid (MHA).The results showed that the workers' medians (interquartile range: IQR) of the metabolized organic solvents were as follows: t,t-MA was 393.62 (244.59) µg/g Cr, HA was 0.32 (0.14) g/g Cr, MA was 0.06 (0.02) g/g Cr, and MHA was 0.40 (0.13) g/g Cr. For prevalence of neurological symptoms, top three symptoms were headache (49.0%), dizziness (42.5%), and stress/irritability (38.5%). Working at a gas station present was neurological symptoms more than in the past was 32.5%. According to the assessment of exposure to metabolized organic solvents and factors affecting the prevalence of neurological symptoms, overtime work ≥ 6 hours and HA content greater than quartiles Q3 had an effect on neurologic symptoms (OR=2.17; 95%CI=1.23-5.10 and OR=2.15; 95%CI=1.18- 4.76, respectively). In summary, time spent working in gas stations and exposure to toluene organic solvents can cause neurological symptoms. It is recommended to reduce overtime or add breaks during work shifts or shift changes. In addition, workers should be away from the solvent.

Comparison of urinary biomarkers concentrations in exposed and non-exposed petrol station workers in the Eastern Economic Corridor (EEC), Thailand.

Background: The Thai government has been developing its Eastern Economic Corridor (EEC), which spans three provinces, with the aim of improving connections with other Asian nations. Since this strategic development, the number of trucks, private car, and passenger car registrations have continued to grow, with a corresponding increase in related to benzene, toluene, ethylbenzene, and xylene (BTEX). Objectives: This study aims to compare the levels of trans, trans-muconic acid (t, t MA); toluene (TU); mandelic acid (MA); and methyl hippuric acid (MHA) in the urine of gas station employees, considering demographic and occupational factors. Material and methods: These employees worked either near or away from the fuel dispenser, and there 100 people in each group. Data were collected using interviews and testing environmental air and urine samples for benzene, toluene, ethyl benzene, and xylene (BTEX). Results: The results showed that BTEX concentrations were just detectable in all 200 cases (100%). The mean (±SD) urine level of t, t MA was 449.28 (±213.32) µg/g creatinine, while the median (min-max) was 428.23 (95.58-1202.56) µg/g creatinine. The mean TU was 0.011 (0.001) mg/L, while the median (min-max) was 0.011 (0.010-0.013) mg/L. MA levels were higher inside the pollution control zone than they were outside the zone (p=.009). Employees who practiced poor personal hygiene had relatively high urinary toluene and MHA levels (p=.009) and those who did not wear personal protective equipment (PPE) had relatively high MA levels (p=.040). Conclusion: The results of this study revealed statistically significant biomarkers influencing the levels of t, t MA; TU; MA; and MHA in urine. The recommendations of this study are that employers should provide their employees with suitable PPE, check regularly to ensure that it is worn, and strongly encourage employees to take care of their sanitation. Employees should take appropriate breaks and days off to minimize their exposure to BTEX.

Short-distance versus long-distance deep-seaport container truck drivers' prevalence and perceived discomfort of musculoskeletal symptoms in the Thailand Eastern Economic Corridor.

Objectives. This research aimed to study the prevalence and perceived discomfort of musculoskeletal (MSK) symptoms among short-distance and long-distance deep-seaport truck drivers. Methods. Cross-sectional analysis using a standardized modified version of the Nordic musculoskeletal questionnaire (NMQ) was carried out using direct interviews with 25 male participants: 15 short-distance and 10 long-distance truck drivers. Results. As much as 88% was reported for the existence of MSK symptoms in the past 12 months. Considering all truck groups, regardless of short or long distance, the lower back was found with the highest prevalence (72%) followed by the neck (32%). The χ2 test showed long-distance truck drivers had statistically significantly more prevalence in the neck (p = 0.028) than short-distance drivers. Perceived discomfort by the Borg CR10 scale confirmed the lower back had the highest score (2.4) followed by the neck (1.44). The Kruskal-Wallis test revealed that long-distance truck drivers had significantly higher scores on the lower back and neck (p = 0.039 and p = 0.009, respectively). Conclusion. Longer exposure to prolonged non-natural working postures, vibration, traffic conditions and working stress could be the judicial causes. To minimize this problem, integrated interventions need to be implemented with particular measures among short-distance and long-distance truck drivers.

The risk factors for occupational contact dermatitis among workers in a medium density fiberboard furniture factory in Eastern Thailand.

The aim of this study was to determine the occupational exposure to formaldehyde on the medium-density fiberboard (MDF) dust and allergic contact dermatitis among the workers at a furniture factory. Data were collected from 439 subjects using questionnaires and patch testing to evaluate allergic contact dermatitis resulting from formaldehyde on wood dust exposure in the workplace. The geometric mean concentration of formaldehyde on MDF dust that the workers in the production department were exposed to was 2.07 ppm (GSD 4.54). Patch test results revealed that some subjects developed allergy to various substances, including epoxy resin (16.7%) and formaldehyde (5.6%). The odds ratios (95% CI) for contact dermatitis were 3.6 (1.7-7.3) among those with a history of metal allergy, 1.8 (0.6-5.2) whose family members having a history of allergic contact dermatitis. Exposure to MDF dust in the workplace should be reduced, as the current levels of exposure exceed the permissible OSHA standard.

A Cross-sectional Study of Musculoskeletal Symptoms and Risk Factors in Cambodian Fruit Farm Workers in Eastern Region, Thailand.

BACKGROUND: Work-related musculoskeletal disorders are accumulative disorders that are most frequently found in agricultural farmers. The purpose of this study was to investigate factors that affect symptoms resulting from work-related musculoskeletal disorders among Cambodian farm workers working in fruit plantations in the eastern region of Thailand. METHODS: The Nordic Musculoskeletal Questionnaire, Rapid Upper Limb Assessment, and Hazard Zone Jobs Checklist techniques were used to interview 861 farmers who participated in the study. RESULTS: The data showed that men who had been working for >10 years were more at risk of neck pain than those working for <1 year with adjusted odds ratio (aOR) 1.66, 95% confidence interval (CI) (1.90, 14.5). Among women those who had been working for >10 years experienced lower back pain with aOR 8.13, 95% CI (1.04, 63.74), compared with those who had been working for <1 year. Men whose tasks required raising the arms above shoulder height had a risk factor contributing to neck pain of aOR 1.68, 95% CI (1.08, 2.61) when compared with those who did not work with this posture, and women had aOR 1.82, 95% CI (1.07, 3.12) when compared with those who did not work with this posture. CONCLUSION: Based on the results of this study, it is recommended that work-related health conditions are monitored in migrant plantation workers to reduce the risks of musculoskeletal disorders.

Work-related musculoskeletal disorders among workers in an MDF furniture factory in eastern Thailand.

The purpose of this study was to analyze the factors contributing to musculoskeletal disorders (MSDs) among 439 workers in an MDF furniture factory using questionnaires and the risk assessment form of the Ergonomic Assessment Tool for Arthritis technique to assess aspects of the workstations and working postures of jobs. With regard to factors that affected MSDs, it was found that workers older than 50 years were having knee symptoms: their adjusted odds ratio (aOR) was 18.49, 95% confidence interval (CI) [1.51, 226.40]. Those who had been working for 1-2 years were having neck pain symptoms: aOR 12.01, 95% CI [1.82, 79.43]. The recommendation of this study is that health monitoring should be provided for workers who have pain in various parts of their bodies, especially those who have been working for 6-10 years, and those who are over 50 years old with knee pain.

Access to Health Care by Migrant Farm Workers on Fruit Plantations in Eastern Thailand.

OBJECTIVES: This study was undertaken to elucidate factors that influenced access to health care for migrant farm workers from Cambodia employed on fruit plantations in eastern Thailand. METHODS: Data were collected from 861 participants via interview questions and focus group discussions. RESULTS: The results revealed that 58.2% of immigrant workers were male, averaged 30.4 years of age, and 56.3% had no formal education. In the past year, 28% reported back pain and 25% had joint pain. Most of the workers (89.8%) received health care services at a nearby government health promotion hospital (THPH). From the analysis of factors contributing to the access to health services among immigrant farm workers, the data indicate that the Cambodian workers had few concerns with their ability to access health care services, reporting high and medium levels of satisfaction (with odds ratios [ORs] of 6.19 and 3.94, respectively) versus being unsatisfied. The differences between those who reported significant minor illnesses and serious illness were important, as workers with significant complaints were 3.17 and 4.85 times more likely, respectively, to have sought medical treatment than those not reporting illness. CONCLUSION: The main recommendation resulting from this study is that factors leading to higher degrees of satisfaction with health care services by migrant farm workers for preventative care could be improved.

Pesticide Exposure and Cholinesterase Levels in Migrant Farm Workers in Thailand.

OBJECTIVES: In this study, we examined the effects of pesticides in migrant farm workers from Cambodia after workplace exposure on fruit plantations in eastern Thailand. METHODS: We studied 891 migrant farm workers employed on pineapple, durian, and rambutan plantations in Thailand. Data were collected via a detailed questionnaire survey and measurements of serum cholinesterase level (SChE). RESULTS: The majority of subjects was male (57.7%), with an average age of 30.3 years. Most subjects (76.8%) were moderately aware of good industrial hygiene practices. SChE level was divided into four groups based on the results. Only 4.4% had normal levels of cholinesterase activity, 20.5% had slightly reduced levels, 58.5% had markedly reduced levels and were "at risk," and 16.6% who had highest levels of cholinesterase inhibition were deemed to be in an "unsafe" range. SChE was classified into two groups, SChE value of 87.5 was "normal" and <87.5 units/mL "abnormal." For the multiple logistic regression analysis of the abnormal SChE levels, the variables entered in the model included gender, period of insecticide use, the total area of plantation, frequency of spraying, period of daily insecticide spraying, and insecticide spraying method. The results indicated that the aOR (adjust odds ratio) for male migrant farm workers (95% confidence interval [CI]) was 1.58 (1.14, 2.17). The OR for farm migrant workers who worked on larger plantations of more than 39.5 acres (95% CI) was 2.69 (1.51, 4.82). Finally, the OR for the migrant farm workers who used a backpack sprayer (95% CI) was 2.07 (1.28, 3.34). CONCLUSIONS: These results suggest that health screening should be provided to migrant farm workers, especially those who spray pesticides on plantations of >39 acres, use a backpack sprayer, or have a low level of compliance with accepted industrial hygiene practices. These three classes of workers are at increased risk of chemical exposures and developing acute or chronic illness from pesticide exposures.

Factors that contribute to insecticide poisoning among immigrant agricultural workers in Thailand.

BACKGROUND: There has been a strong increase in the international movement of workers during the last few decades. As Thailand's economy has rapidly developed during the past 20 years, it has attracted growing numbers of laborers from the bordering countries of Myanmar, Lao PDR, and Cambodia. Numbers of migrant workers in Thai agriculture have risen to the extent that the sector's continued growth has become increasingly dependent on migrant workers. OBJECTIVE: The purpose of this study was to explore the factors that contribute to the development of symptoms of insecticide poisoning among immigrant agricultural workers in the eastern region of Thailand. METHODS: Data were collected via interviews (N = 891), and the levels of cholinesterase activity in the workers' blood were tested using reactive test strips. RESULTS: Only 4.4% of the workers had normal levels of cholinesterase activity and 75.1% had levels that were abnormal. Regarding factors that affect gastrointestinal symptoms of poisoning, being aged 45 to 50 increased the risk of developing gastrointestinal symptoms (odds ratio (OR): 2.51; 95% CI: 1.41-4.46), as did using a backpack spraying technique (OR: 3.74; 95% CI: 2.16-6.49) and having only moderate levels of self-protection behavior while spraying the insecticides (OR: 2.23; 95% CI: 1.16-4.29). Having an at risk level of cholinesterase activity increased the risk of gastrointestinal symptoms (OR: 3.25; 95% CI: 1.05-10.04) and the risk of respiratory symptoms (OR: 2.75; 95% CI: 1.17-6.44). CONCLUSION: It is recommended that insecticide self-protection measures should be promoted and health monitoring should be implemented for migrant workers affected by high-risk insecticide use.

Respiratory Symptoms due to Occupational Exposure to Formaldehyde and MDF Dust in a MDF Furniture Factory in Eastern Thailand.

The study aimed to investigate factors associated with respiratory symptoms in workers in a medium-density fiberboard (MDF) furniture factory in Eastern Thailand. Data were collected from 439 employees exposed to formaldehyde and MDF dust using questionnaire and personal sampler (Institute of Occupational Medicine; IOM). The average concentration of formaldehyde from MDF dust was 2.62 ppm (SD 367), whereas the average concentration of MDF dust itself was 7.67 mg/m3 (SD 3.63). Atopic allergic history was a factor associated with respiratory irritation symptoms and allergic symptoms among the workers exposed to formaldehyde and were associated with respiratory irritation symptoms and allergic symptoms among those exposed to MDF dust. Exposure to MDF dust at high level (>5 mg/m3) was associated with respiratory irritation symptoms and allergic symptoms. Excluding allergic workers from the study population produced the same kind of results in the analysis as in all workers. The symptoms were associated with the high concentrations of formaldehyde and MDF dust in this factory. If the concentration of MDF dust was >5 mg/m3, the risk of irritation and allergic symptoms in the respiratory system increased. The respiratory health of the employees with atopic allergic history exposed to formaldehyde and MDF dust should be monitored closely.

Migrant Workers in Agriculture: A View from Thailand.

There has been a dramatic increase in the global movement of workers during the last few decades. As Thailand has developed rapidly over the past 20 years, it has attracted laborers (both authorized and unauthorized) from the neighboring countries of Myanmar, People's Democratic Republic of Lao (Lao PDR), and Cambodia. Given that agriculture has been Thailand's most important industry, its continued growth has been dependent on migrant workers. Both crop agriculture and animal-production agriculture have employed migrant labor. Migrants have been hired to plant, weed, fertilize, spray pesticides, and harvest crops such as rice, corn, sugar cane, and cassava. They have worked at rubber and coffee plantations, as well as in the production of ornamental crops. Also, migrants have labored on pig, beef, and duck farms. There have been numerous documented health problems among migrant workers, including acute diarrhea, malaria, and fever of unknown causes. Occupational illness and injury have been a significant concern, and there has been limited health and safety training. This article reviewed the demographic changes in Thailand, studied the agricultural crops and animal production that are dependent on migrant labor, discussed the health status and safety challenges pertaining to migrant workers in agriculture, and described several recommendations. Among the recommendations, the conclusions of this study have suggested that addressing the cost for health care and solutions to health care access for migrant labor are needed.

Factors affecting the musculoskeletal disorders of workers in the frozen food manufacturing factories in Thailand.

The purpose of this research was to study factors affecting musculoskeletal disorders. The sample population of the study was 528 factory workers from the frozen food industry, as well as a controlled group of 255 office workers. The samples were collected during interviews using the Nordic questionnaire to assess musculoskeletal disorders, and to assess the risk by the rapid upper limb assessment and rapid entire body assessment techniques. The findings of the study were that most symptoms were found in the dissecting department, higher than in the controlled group. The details of the symptoms were, accordingly: elbow pain (adjusted odds ratio, 35.1; 95% CI [17.4, 70.9]). Regarding the risk of alcohol drinking, workers were exposed to more risks when alcohol was consumed. It is suggested that workers' health should be monitored regularly. People who work in a cold environment should be encouraged to wear body protection and to avoid drinking.

Neuropsychological Symptoms among Workers Exposed to Toluene and Xylene in Two Paint Manufacturing Factories in Eastern Thailand.

The study analyzed the exposure factors that may lead to neuropsychological symptoms among 92 workers who were exposed to xylene and toluene and 100 workers who were not exposed to the solvents. The airborne concentration of xylene and toluene was evaluated with personal passive badges. The levels of methyl hippuric acid and hippuric acid in urine were assessed, and interviews were performed to observe the neuropsychological symptoms that may result from exposure to the solvents. The result showed that the average concentration for the exposed group of xylene in the paint company working environment was 2.7 (SD = 2.4) ppm and the average concentration of toluene was 9.5 (SD = 10.4) ppm. The average level of methyl hippuric acid in urine was 78 (SD = 74.7) mg/g creatinine. Factors that affected the neuropsychological symptoms included the following. (1) The impact of age: the risk (adjusted odds ratio) for getting psychosomatic symptoms in persons over 40 and exposed to xylene was 9.5 and the aOR of those exposed to toluene was 8.3. (2) The impact of not providing personal protective equipment was found to be sleep disturbance; it was found that the aOR of those exposed to xylene was 3.9, and the aOR of those exposed to toluene was 4.4. In summary, periodic examination of workers by occupational physician is needed for detection of early neuropsychological effects, especially psychosomatic symptoms, and sleep disturbances.

Semi-quantitative exposure assessment of occupational exposure to wood dust and nasopharyngeal cancer risk.

Occupational exposure to wood dust is one cause of nasopharyngeal cancer (NPC); however, assessing this exposure remains problematic. Therefore, the objective of this study was to develop a semi-quantitative exposure assessment method and then utilize it to evaluate the association between occupational exposure to wood dust and the development of NPC. In addition, variations in risk by histology were examined. A case-control study was conducted with 327 newly diagnosed cases of NPC at the National Cancer Institute and regional cancer centers in Thailand with 1:1 controls matched for age, gender and geographical residence. Occupational information was obtained through personal interviews. The potential probability, frequency and intensity of exposure to wood dust were assessed on a job-by-job basis by experienced experts. Analysis was performed by conditional logistic regression and presented in odds ratio (ORs) estimates and 95% confidence intervals (CI). Overall, a non significant relationship between occupational wood dust exposure and NPC risk for all subjects was observed (ORs=1.61, 95%CI 0.99-2.59); however, the risk became significant when analyses focused on types 2 and 3 of NPC (ORs=1.62, 95%CI 1.03-2.74). The significant association was stronger for those exposed to wood dust for >10 year (ORs=2.26, 95%CI 1.10-4.63), for those with first-time exposure at age>25 year (ORs=2.07, 95%CI 1.08-3.94), and for those who had a high cumulative exposure (ORs=2.17, 95%CI 1.03-4.58) when compared with those considered unexposed. In conclusion, wood dust is likely to be associated with an increased risk of type 2 or 3 NPC in the Thai population. The results of this study show that semi-quantitative exposure assessment is suitable for occupational exposure assessment in a case control study and complements the information from self-reporting.

Cold exposure and health effects among frozen food processing workers in eastern Thailand.

Frozen food processing workers work under a cold environment which can cause several adverse health effects.This study explored factors affecting workers' health in the frozen food industry in Thailand. Participants comprised 497 workers exposed to a cold working environment and 255 office workers who served as the controls. Data were collected by a survey on the work environment, and the interview of workers for abnormal symptoms. The exposed group had the following characteristics: 52.7% male, overall average age of 27 (SD 6.6) years old, attained elementary education (Grade 4 and Grade 6) (54.1%), married (48.9%), smokers (21.3%), alcohol consumption (31.0%), duration of work was between 1 and 5 years (65.2%), working 6 days a week (82.7%), 1-5 hours of overtime per week (33.8%), office workers (33.9%); work category: sizing (6.9%), peeling (28.3%) dissecting (22.2%), and in the warehouse (8.6%). The temperature in the work environment ranged from 17.2°C to 19.2°C in most sections, -18.0°C in the warehouse, and 25°C in the office areas. Warehouse workers had more abnormal symptoms than controls including repeated pain in the musculoskeletal system (OR 11.9; 95% CI 6.12-23.45), disturbance throughout the body (OR 4.60; 95% CI 2.00-10.56), respiratory symptoms (OR 9.73; 95% CI 3.53-26.80), episodic finger symptoms (OR 13.51; 95% CI 5.17-35.33). The study results suggest that workers' health should be monitored especially with regard to back and muscle pain, respiratory symptoms, episodic finger symptoms, and cardiovascular symptoms. Health promotion campaigns such as antismoking and reduction of alcohol consumption should be established because smoking and alcohol consumption are contributing factors to the pathogenesis of Raynaud's phenomenon and peripheral vascular disorders such as hypertension and heart disease.

Factors influencing poisoning symptoms: a case study of vegetable farmers exposed to mixed insecticides in Prek Balatchheng Village, Cambodia.

This study aimed to identify factors influencing poisoning symptoms among 153 mixed insecticide-exposed vegetable farmers in one Cambodian village, where 153 factory workers were selected as a comparative nonexposed group. The research instruments were questionnaires and reactive-paper test kits. The majority of vegetable farmers were male, with approximately 87% of the total participants with an average age of 34 years. The personal hygiene scores of most vegetable farmers (108; 70.8%) were moderate, and knowledge scores were at poor level (131; 85.6%). Abnormally low cholinesterase (ChE) levels were detected among 119 (77.8%) farmers. Multiple logistic regression analysis was used to identify factors associated with possible poisoning symptoms. This study found that mixing an average of four to six types of insecticides (odds ratio [OR] = 4.6; P = .03) and abnormal ChE level (OR = 4.09; P = .004) was associated with central nervous system (CNS) symptoms. Age group >45 years (OR = 2.8; P = .04) and type of vegetable "other" (OR = 2.73; P = .02) were associated with gastrointestinal symptoms. Type of insecticide, organophosphates (OPs) and carbamates (CMs) (OR = 3.2; P = .04), was associated with respiratory symptoms. It is recommended that farmers should reduce insecticide spraying times, increase their use of personal protective equipment (PPE), and undergo training on insecticide use. These combined measures should improve the insecticide-related health status of vegetable farmers in this area.