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

Am J Ind Med. 2017 Mar;60(3):255-263. doi: 10.1002/ajim.22680.

Abstract

Background: 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.

Methods: Linear regression was used to estimate the associations of airborne exposure to dust concentration, endotoxin, and muramic acid with pulmonary outcomes (i.e., FEV1 , exhaled nitric oxide). Logistic regression was used to estimate associations with self-reported pulmonary symptoms.

Results: Mean exposure concentration to inhalable dust, endotoxin, and muramic acid were 0.55 mg/m3 , 118 EU/m3 , and 3.6 mg/m3 , 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.

Conclusions: 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.

Keywords: aerosol; agriculture; dairy; endotoxin; exhaled nitric oxide; inhalation exposure; muramic acid; worker.

Publication types

  • Evaluation Study

MeSH terms

  • 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

Substances

  • Aerosols
  • Air Pollutants, Occupational
  • Dust
  • Endotoxins
  • Muramic Acids