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Respiratory disorders and atopy in cotton, wool, and other textile mill workers in Denmark.

A cross-sectional study of respiratory disorders and atopy in Danish textile industry workers was conducted to survey respiratory symptoms throughout the textile industry, to estimate the association of these disorders with atopy, and to study dose-response relationships within the cotton industry. Workers at cotton mills, a wool mill, and a man-made fiber (MMF) mill were examined. Four hundred nine (90%) of the 445 workers participated in this survey, i.e., 253, 62, and 94 workers at the cotton mills, the wool mill, and the MMF mill, respectively. An interview designed to assess the prevalence of common respiratory and allergic symptoms was given to all workers willing to participate, and blood samples were drawn. Lung function measurements determined a baseline FEV1, FVC and the change in FEV1 and FVC during work hours on a Monday. The working environment was examined for dust, bacteria, endotoxins, and molds, and the exposure was estimated for each participant. The mean personal samples of airborne respirable dust and respirable endotoxin were highest in the cotton industry, i.e., 0.17-0.50 mg/m3 and 9.0-126 ng/m3 respectively, whereas mold spores were found in the highest concentrations in the wool mill: 280-791 colony-forming units (cfu)/m3. Only small concentrations of microorganisms were found in the MMF mill. The mean change in FEV1% and FVC% was greatest among atopic individuals in both cotton and wool industry and other textile industries although the differences were not significant. FEV1% and FVC% in the cotton workers were significantly associated with the cumulative exposure to respirable endotoxin. Byssinosis was diagnosed only in the cotton industry. We found a dose-response relationship between endotoxin exposure and byssinosis, and a significant association between A-1-A serum concentrations less than or equal to 35 mumol/liter and byssinosis, a finding we are further evaluating in subsequent studies.

Animals↗

The effect of public controversy on occupational health problems: byssinosis.

The effect of the byssinosis controversy on surveillance programs in the cotton textile industry is reviewed. The federally regulated format for industry medical surveillance guarantees neither automatic reduction of cotton dust exposure for high-risk workers nor wage rate retention for workers who are transferred to less dusty job sites. The absence of universal guidelines for worker management, combined with doubt over the severity and prevalence of byssinosis, encourages employers to evaluate medical surveillance programs primarily on the basis of their economic impact. When employers use the programs to control their losses, the potential costs of worker participation are increased. Comparisons with medical surveillance programs in the coal industry suggest that health benefits to workers can be guaranteed in the context of disputes over occupational diseases if industry, labor, and government agencies all participate in program design and operation.

Air Pollutants, Occupational↗

Long-term cotton dust exposure in the textile industry.

A three-year survey was conducted in six cotton-yarn manufacturing mills and one mill processing synthetic polyester fibers as part of a longitudinal epidemiologic investigation of the health experience of workers employed in the textile industry. A total of 1324 elutriated and total dust samples were collected during the three years of the study. The results indicate that the average elutriated dust concentrations in the surveyed mills were generally at or below the current OSHA standard and they ranged from 0.069 to 0.396 mg/m3, 0.089 to 0.391 mg/m3, and 0.106 to 0.210 mg/m3 for the first, second and third year surveys, respectively. Introduction of modern automated yarn processing equipment and elimination of some of the classic processes were associated with a decreasing trend in airborne dust concentrations in these mills.

Dust↗

Airborne endotoxin in industries processing vegetable fibers.

Airborne lipopolysaccharide (LPS) levels were determined at various working sites in industries processing vegetable fibers. On several occasions the amounts assessed with the Limulus assay exceeded those presumed to cause human reactions i.e. about 0.5 microgram/m3. Low values were often found in areas for weaving. High levels of LPS were found in flax carding rooms but levels in jute mills did not exceed those considered to produce reactions in humans. Low values were also found in nontextile industries processing cotton fibers. By and large the variations in airborne LPS corresponded to previous experience on the extent of byssinosis seen in the different types of industries.

Air Microbiology↗

Development of a job exposure matrix (JEM) for the textile industry in Shanghai, China.

We developed a job exposure matrix (JEM) for the Shanghai textile industry constructed along three axes: industry sector, textile process, and hazardous agent. We assessed 35 different categories of dust, chemical, and physical agents for 149 textile processes within nine industry sectors: cotton, cotton/synthetic, cotton/other (nonsynthetic), wool, silk, synthetic, mineral, other mixed (e.g., wool and synthetic), and nonproduction. The JEM was constructed from two components: a priori assessment of the textile process by a team of U.S. industrial hygienists, and the prevalence of exposures reported by Chinese industrial hygienists in specific textile processes within the factory. The JEM was applied to an ongoing case-cohort study of cancer in women textile workers. The JEM assessed only dichotomous exposure (ever/never), and could be coupled with cumulative exposure by years of employment. The most common exposures in cotton mills were cotton dust and solvent exposures. Dyeing processes had the highest frequency of exposures, including solvents, acids, bases and caustics, bleaching agents, dyes, dye chemicals and intermediates, and formaldehyde. Only two processes were identified with formaldehyde exposure, beck dyeing and resin finishing. The most prevalent exposures among the subcohort, occurring in more than 60% of the women, were electromagnetic fields, lubricants, and cotton dust. More than one-third of subcohort subjects were also exposed to synthetic fiber dust, and slightly less than one-third of women were exposed to endotoxin. This JEM could be applicable for epidemiologic research in other textile industries.

Aged↗

Integration of biotechnological wastewater treatment units in textile finishing factories: from end of the pipe solutions to combined production and wastewater treatment units.

Increasing costs for water, wastewater and energy put pressure on textile finishing plants to increase the efficiency of wet processing. An improved water management can decrease the use of these resources and is a prerequisite for the integration of an efficient, anaerobic on-site pretreatment of effluents that will further cut wastewater costs. A two-phase anaerobic treatment is proposed, and successful laboratory experiments with model effluents from the cotton finishing industry are reported. The chemical oxygen demand of this wastewater was reduced by over 88% at retention times of 1 day or longer. The next step to boost the efficiency is to combine the production and wastewater treatment. The example of cotton fabric desizing (removing size from the fabric) illustrates how this final step of integration uses the acidic phase bioreactor as a part of the production and allows to close the water cycle of the system.

Bioreactors↗

Comparison of methods for quantitative determinations of airborne bacteria and evaluation of total viable counts.

Three different methods of estimating airborne bacteria were compared. An Anderson sampler, a slit sampler, an impinger, and filter samplers with gelatine filters or membrane filters were tested for collection efficiency. The comparisons were made in laboratory experiments with an aerosol of Staphylococcus epidermidis or Serratia marcescens, in field experiments in two different industries, i.e., cotton mill and sewage plant, and in experiments with skin fragment sampling. Experiments were also performed estimating the total number of viable microorganisms on the airborne particles. The Andersen sampler gave the highest bacterial counts in all environments tested. The slit sampler gave statistically lower counts only in the aerosol experiments and cotton mill experiments, where the size of the majority of the particles carrying visible bacteria was 2 to 6 micrometers or smaller. In the sewage plant and skin fragment experiments, where the particles were mainly 5 micrometers or larger, the difference was not significant. The filters were efficient in sampling in skin fragment experiments only. With the agar impingement method, the total viable cell count showed a rising index value with increasing particle size. A mean of 13 bacteria was found per particle in the cotton mill, a mean of 24 in the sewage plant, and a mean of 147 in skin fragment experiments.

Aerosols↗

Some observations on epidemiologic studies in Egyptian gins, cotton pressing plants and cottonseed oil extraction plants.

The follow-up studies presented in this report wee conducted to evaluate the impact of the relative technical improvements that took place in the cotton processing industries of Egypt in the last 10-15 years on the health of the workers. Results have indicated tha: 1) the health status of the workers has been relatively improved; however, their work environment is far from being safe. 2) The prevalence of byssinosis and reduction in FEV1 during the first day of work after the weekend are related to the duration of exposure, level of dustiness and content of plant debris in dust. 3) Chronic effect of exposure to cotton dust, demonstrated as reduction in predicted FVC, develops in workers continuing exposure for long durations, even if the classic symptoms of byssinosis and reduction in FEV1 do not occur. 4) Women workers are more liable to be affected by cotton dust exposure than the men. 5) "Cottonseed dust" may not be a "byssinnogenic" dust; however, it is capable of producing ventilatory function effects similar to those produced by cotton dust.

Adolescent↗

Bladder cancer in the textile industry.

OBJECTIVES: This study examined the occupations and industries at high risk for bladder cancer in an area where the textile industry is plentiful and the incidence of the disease is very high. METHODS: A case-referent study concerning 218 incident bladder cancer cases diagnosed during 1993-1995 in the county of Vallès Occidental, Barcelona, was carried out. A reference group (N=344) was selected from municipal lists matched to the cases by age, gender, and area of residence. All the subjects were personally interviewed, and a complete occupational history was abstracted together with other sociodemographic and life-style factors. All odds ratios (OR) and 95% confidence intervals (95% CI) were adjusted for age, gender, and smoking. RESULTS: No overall excess risk was found forever having worked in the textile industry (OR 1.13, 95% CI 0.79-1.63) nor for specific sectors of this industry (ie cotton, wool, silk). An excess risk was observed for spinners and winders employed for more than 20 years (OR 3.28, 95% CI 1.08-9.97) and for machine setters employed between 1960 and 1974 (OR 4.26, 95% CI 1.09-16.7). CONCLUSIONS: The results of this study do not support the findings of some earlier studies for an increased bladder cancer risk in the textile industry. However, some elevated risks were observed among the workers with the highest exposures.

Adult↗

Small mammal populations at hazardous waste disposal sites near Houston, Texas, USA.

Small mammals were trapped, tagged and recaptured in 0.45 ha plots at six hazardous industrial waste disposal sites to determine if populations, body mass and age structures were different from paired control site plots. Low numbers of six species of small mammals were captured on industrial waste sites or control sites. Only populations of hispid cotton rats at industrial waste sites and control sites were large enough for comparisons. Overall population numbers, age structure, and body mass of adult male and female cotton rats were similar at industrial waste sites and control sites. Populations of small mammals (particularly hispid cotton rats) may not suffice as indicators of environments with hazardous industrial waste contamination.

Journal Article↗