scholarly journals O3A.6 Recent organic dust exposure and prognosis of asthma and chronic obstructive lung disease (COPD). A nationwide register based follow-up study

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A23.1-A23
Author(s):  
Anne Vested ◽  
Ioannis Basinas ◽  
Alex Burdorf ◽  
Grethe Elholm ◽  
Dick Heederik ◽  
...  

BackgroundAir pollutants at work can contribute to onset of asthma and COPD. How occupational air pollutants affect the prognosis of asthma or COPD among exposed workers is not well established.ObjectiveWe aimed, among individuals with a hospital diagnosis of asthma or COPD, to study the association between recent exposure to organic dust, and hospital readmission and overall mortality.MethodsThe study population comprised individuals ever employed in farming or wood industry with asthma (n=4002) or COPD (n=2429) identified in the Danish national patient register of individuals born 1933–1977. Subjects were included the year immediately following their first asthma or COPD hospital contact (earliest in 1998) and followed until first asthma or COPD readmission, death, or December 31 st 2007. Exposure data was obtained through register-based industry codes from 1997–2007 combined with time-dependent farming and wood industry-specific exposure matrices. We used logistic regression analysis with discrete survival function adjusted for age, calendar year, sex, mineral dust exposure, socioeconomic status, and labour-force participation.ResultsAmong individuals with asthma, the risk of hospital readmission was slightly increased among the exposed vs. the non-exposed, RRadj 1.17 (0.91–1.50), but with no exposure trend. A non-significant decrease in mortality was seen for organic dust exposure and mortality for those individuals, RRadj 0.71 (0.24–2.06).The risk of a COPD readmission among individuals with COPD was decreased among exposed vs. non-exposed individuals, RRadj 0.67 (0.46–0.98), but with no exposure trend. Mortality was non-significantly increased for exposed vs. non-exposed individuals with COPD, RRadj 1.59 (0.82–3.08).ConclusionWe did not observe significant associations between recent exposure to organic dust and readmission for COPD/asthma or overall mortality except for a decreased risk for COPD readmission. Selection effects are presumably playing a role. We did adjust for socioeconomic position and labour-force participation but not for smoking which is a limitation.

2020 ◽  
Vol 12 (3) ◽  
pp. 200
Author(s):  
Faradilla Nikmah

Introduction: Health problems caused by environmental factors are still one of the main things to note. One of the dangers in the work environment is the presence of organic dust including wood dust. Organic dust flying in the air is able to interfere with the health of the workers through the respiratory tract. The resulting wood dust is at risk causing lung faal status disorders in workers. This article aims to explore risks factors for wood dust exposure to the status of lung faal in wood industry workers based on the previously performed research from published journals. Discussion: This research used a method of literature study with a comparative study approach. The selected research should be in appropriated with the topic and through the protocols that have been set to become secondary data. The results of data analysis indicated that almost all research use observational analytic types with cross sectional approaches. Wood dust that has entered through the respiratory tract worker is influenced by several variables. The most often used risk factors as a research variable are dust levels, age, use of PPE, and smoking habit. Conclusion: The research can be concluded that independent variables of selected research are less varied. The selected research variables already existed in previous research. Upcoming researchers are expected to be able display new variables that are suspected to affect the status of the lung Faal on wood industry workers.


2018 ◽  
Vol 76 (2) ◽  
pp. 105-113 ◽  
Author(s):  
Anne Vested ◽  
Ioannis Basinas ◽  
Alex Burdorf ◽  
Grethe Elholm ◽  
Dick J J Heederik ◽  
...  

ObjectivesTo study exposure-response relations between cumulative organic dust exposure and incident chronic obstructive pulmonary disease (COPD) among subjects employed in the Danish farming and wood industry.MethodsWe studied exposure-response relations between cumulative organic dust exposure and incident COPD (1997–2013) among individuals born during 1950–1977 in Denmark ever employed in the farming or wood industry (n=1 75 409). Industry-specific employment history (1964–2007), combined with time-dependent farming and wood industry-specific exposure matrices defined cumulative exposure. We used logistic regression analysis with discrete survival function adjusting for age, sex and calendar year. Adjustment for smoking status was explored in a subgroup of 4023 with smoking information available.ResultsCumulative organic dust exposure was inversely associated with COPD (adjusted rate ratios (RRadj (95% CIs) of 0.90 (0.82 to 0.99), 0.76 (0.69 to 0.84) and 0.52 (0.47 to 0.58) for intermediate-low, intermediate-high and high exposure quartiles, respectively, compared with the lowest exposure quartile). Lagging exposure 10 years was not consistently suggestive of an association between cumulative exposure and COPD; RRadj (95% CI): 1.05 (0.94 to 1.16), 0.92 (0.83 to 1.02) and 0.63 (0.56 to 0.70). Additional stratification by duration of employment showed no clear association between organic dust exposure and COPD except for the longer exposed (15–40 years) where an inverse association was indicated. Subgroup analyses showed that smoking had no impact on exposure-response estimates.ConclusionsOur findings show no increased risk of COPD with increasing occupational exposure to organic dust in the farming or wood industry. Potential residual confounding by smoking can, however, not be ruled out.


1993 ◽  
Vol 32 (4II) ◽  
pp. 1225-1233
Author(s):  
Sabur Ghayur

The barani (rain-fed) region accounts for about a fifth of the cultivated area in Pakistan. It has the potential to significantly increase crop production levels. Similarly, considerable scope exists in this area for the development of forests, fruit and vegetable gardening, pasture and stock rearing. Most of the natural resources are also found in this tract. Its hilly areas possess a vast potential for tourism. Besides, significant opportunities exist for irrigation and hydroelectric power generation. An optimum utilisation of all this potential, obviously, is employmentgenerating and income-augmenting. Despite all such realisations this region as a whole, unfortunately, is identified as the least attended to area in terms of provision of socio-physical infrastructure, other development programmes and, even, research work. This led to a deterioration of the employment situation in the barani region as a whole. A poor information base and analysis thereof on employment and manpower related variables is also the consequence of such a treatment to this area. I This paper, using the data of a field survey, tries to fill, though partly, the vacuum on employment and related variables in the rural barani region. An attempt is made here to record and analyse the labour force participation rates, employment pattern (main economic activities) and unemployment/underemployment levels prevailing in the rural baran; areas of the provinces of the Punjab and North-West Frontier Province (NWFP).


2010 ◽  
Vol 4 (3) ◽  
pp. 32-36 ◽  
Author(s):  
Deborah Schofield ◽  
Rupendra Shrestha ◽  
Emily Callander ◽  
Richard Pervical ◽  
Simon Kelly ◽  
...  

Author(s):  
Wiemer Salverda ◽  
Stefan Thewissen

This chapter sets out how inequality and real incomes across the distribution evolved in the Netherlands from the late 1970s through the economic Crisis. Inequality grew, though not dramatically, while wages showed remarkably little real increase. This meant that real income increases for households relied for the most part on the growth in female labour-force participation and in dual-income couples. The chapter highlights the major changes in population and household structures that underpinned the observed changes in household incomes at different points in the distribution. It also sets out key features of the institutional structures in the labour market and broader welfare state, and the centrality of the priority given to wage moderation and the maintenance of competitiveness in the growth model adopted throughout the period.


Author(s):  
Pierre Pestieau ◽  
Mathieu Lefebvre

This chapter gives an overview of the type of pension system existing in Europe. Contributive and redistributive systems are opposed but the chapter shows that pension systems are more often a mix of both. The chapter shows how these systems have been more or less effective in tackling old age poverty in most countries and it points to the main challenges that these systems are facing, namely population ageing and low labour-force participation. The major reforms that have been implemented to ensure future sustainability of pension systems are presented but a number of additional changes that should be implemented are discussed. The chapter also presents projections for future outcomes and the link between demographic challenges and social security benefits is highlighted.


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