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Pulmonary function and airway inflammation among dairy parlor workers after exposure to inhalable aerosols
Journal article   Peer reviewed

Pulmonary function and airway inflammation among dairy parlor workers after exposure to inhalable aerosols

Matthew W Nonnenmann, David Gimeno Ruiz de Porras, Jeffrey Levin, David Douphrate, Vijay Boggaram, Joshua Schaffer, Michael Gallagher, Madeleine Hornick and Stephen Reynolds
American journal of industrial medicine, Vol.60(3), pp.255-263
03/2017
DOI: 10.1002/ajim.22680
PMCID: PMC7082837
PMID: 28195657

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Abstract

Inhalation exposure to organic dust causes lung inflammation among agricultural workers. Due to changes in production and work organization, task-based inhalation exposure data, including novel lung inflammation biomarkers, will inform exposure recommendations for dairy farm workers. Linear regression was used to estimate the associations of airborne exposure to dust concentration, endotoxin, and muramic acid with pulmonary outcomes (i.e., FEV , exhaled nitric oxide). Logistic regression was used to estimate associations with self-reported pulmonary symptoms. Mean exposure concentration to inhalable dust, endotoxin, and muramic acid were 0.55 mg/m , 118 EU/m , and 3.6 mg/m , respectively. We found cross-shift differences for exhaled nitric oxide (P = 0.005) and self-reported pulmonary symptoms (P = 0.008) but no association of exposure with respiratory outcomes. Inhalation exposures during parlor tasks, which were lower than previously reported and were not associated with cross-shift measures of pulmonary health among dairy workers. Modern milking parlor designs may be contributing to lower inhalation exposure. Am. J. Ind. Med. 60:255-263, 2017. © 2017 Wiley Periodicals, Inc.
Adult Aerosols - analysis Aerosols - toxicity Air Pollutants, Occupational - analysis Air Pollutants, Occupational - toxicity Cross-Sectional Studies Dairying Dust - analysis Endotoxins - analysis Endotoxins - toxicity Female Humans Inhalation Exposure - adverse effects Inhalation Exposure - analysis Lung Diseases - etiology Lung Diseases - physiopathology Male Muramic Acids - analysis Muramic Acids - toxicity Occupational Diseases - etiology Occupational Diseases - physiopathology Occupational Exposure - adverse effects Occupational Exposure - analysis Respiratory Function Tests

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