scholarly journals Chronic respiratory symptoms and associated factors among cement factory workers in Dejen town, Amhara regional state, Ethiopia, 2015

2016 ◽  
Vol 11 ◽  
Author(s):  
Zemichael Gizaw ◽  
Bamlaku Yifred ◽  
Takele Tadesse

Background: Chronic respiratory diseases represent a public health challenge in both industrialized and developing countries. Chronic respiratory symptoms are more prevalent in cement factories of developing countries, where occupational health and safety issues are less emphasized. This study was conducted to determine the prevalence and factors affecting chronic respiratory symptoms among workers in Dejen cement factory, 2015. Methods: Institution based cross sectional study was conducted among 404 randomly selected study participants. Data were collected through interviewer administered structured questions derived from British Medical Research Council (BMRC) adult respiratory symptom assessment questions and observational check lists for the assessment of dust exposure, hygienic practices and use of personal protective equipments. Multivariable logistic regression model was used to identify predictor variables which have association with chronic respiratory symptoms and finally the variables which had significant association were identified on the basis of Adjusted Odds Ratio (AOR) with 95 % Confidence Interval (CI) and p < 0.05. Results: The prevalence of chronic respiratory symptoms among Dejen cement factory workers was 62.9 %, with prevalence of chronic cough 24.5 %, chronic wheezing 36.9 %, chronic phlegm 24.5 %, chronic shortness of breath 38.6 %, and chest pain 21.0 %. Chronic respiratory symptoms were associated with sex (AOR = 2.07, 95 % CI = 1.18, 3.63), age (AOR = 4.20, 95 % CI = 1.94, 9.12), education level (AOR = 4.07,95 % CI = 1.86, 8.92), cement mill (AOR = 3.72, 95 % CI = 1.92, 7.21), burner and clinker (AOR = 2.28, 95 % CI = 1.18, 4.43), work experience (AOR = 5.44, 95 % CI = 3.09, 9.59), training on occupational safety and health (AOR = 2.73, 95 % CI = 1.41, 5.29), smoking (AOR = 5.38, 95 % CI = 1.42, 20.39) and chronic respiratory diseases (AOR = 7.79, 95 % CI = 2.02, 30.04). Conclusion: Chronic respiratory symptoms were highly prevalent among Dejen cement factory workers. Age, sex, education level, working department, smoking, work experience, and training were identified factors. Pre employment and on service training, smoking cessation programs, improving hygienic practices are important tasks in order to maintain the health and safety of workers.

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Tegegnework Yitayew Awoke ◽  
Abera Kumie Takele ◽  
Worku Tefera Mekonnen ◽  
Samson Wakuma Abaya ◽  
Yifokire Tefera Zele ◽  
...  

Abstract Background Wood dust in a form of inhalable particulates can penetrate the lung tissues and affect respiratory health. Woodwork factory workers are at a greater risk of developing respiratory health problems because of exposure in their working environment, but existing data were few. The aim of this study was to assess the prevalence of chronic respiratory symptoms, associated factors, and concentration of personal total wood dust level among medium-scale woodwork factory workers. Methods An institutional based cross-sectional study was conducted among 506 woodwork factory workers. We selected study participants using a simple random sampling technique. We assessed chronic respiratory symptoms using the British Medical Research Council respiratory symptoms questionnaire with a few modifications. A multivariate logistic regression model was used to identify the factors. Forty dust measurements were collected from 20 randomly selected workers using a closed-face cassette (CFC) personal sampler. We analyzed the dust samples gravimetrically using a standard microbalance scale. Results We recruited a random sample of 506 workers in the study with a response rate of 98%. The prevalence of chronic respiratory health symptoms among woodworkers was 69.8% with a prevalence of cough (54.6%), phlegm (52.2%), wheezing (44.6%), breathlessness (42.1%), and chest pain (42.9%). Past occupational dust exposure history (AOR = 2.09, 95% CI; 1.09–4.01), work experience > 5 years (AOR = 9.18, 95% CI; 5.27–16.00), using bio-fuel as energy for cooking (AOR = 2.42, 95% CI; 1.44–4.07), and having no occupational safety and health training (AOR = 3.38, 95% CI; 1.20–9.49) were factors that significantly associated with chronic respiratory symptoms among woodwork workers. The geometric mean (GM) of dust exposure level among woodworkers was 10.27 mg/m3, which exceeded the limit of 10 mg/m3 set by the ACGIH. Conclusions High prevalence of chronic respiratory symptoms was reported from woodwork factory workers. Increased work- experience, using bio-fuel as an energy source for cooking, past occupational dust exposure history, and having no occupational safety and health training were identified risk factors. The measured average personal wood dust exposure level was above the recommended occupational threshold limit value. Therefore, workers’ wood dust exposure reduction and control methods and respiratory health awareness programs should be implemented.


2018 ◽  
Vol 2018 ◽  
pp. 1-10 ◽  
Author(s):  
Sahle Asfaw ◽  
Fikre Enquselassie ◽  
Yifokire Tefera ◽  
Muluken Gizaw ◽  
Samson Wakuma ◽  
...  

Background. Chronic respiratory symptoms including chronic cough, chronic phlegm, wheezing, shortness of breath, and chest pain are manifestations of respiratory problems which are mainly evolved as a result of occupational exposures. This study aims to assess determinants of chronic respiratory symptoms among pharmaceutical factory workers. Methods. A case control study was carried out among 453 pharmaceutical factory workers with 151 cases and 302 controls. Data was collected using pretested and structured questionnaire. The data was analyzed using descriptive statistics and bivariate and multivariate analysis. Result. Previous history of chronic respiratory diseases (AOR = 3.36, 95% CI = 1.85–6.12), family history of chronic respiratory diseases (AOR = 2.55, 95% CI = 1.51–4.32), previous dusty working environment (AOR = 2.26, 95% CI = 1.07–4.78), ever smoking (AOR = 3.66, 95% CI = 1.05–12.72), and service years (AOR = 1.86, 95% CI = 1.16–2.99) showed statistically significant association with chronic respiratory symptoms. Conclusion. Previous history of respiratory diseases, family history of chronic respiratory diseases, previous dusty working environment, smoking, and service years were determinants of chronic respiratory symptoms. Public health endeavors to prevent the burden of chronic respiratory symptoms among pharmaceutical factory workers should target the reduction of adverse workplace exposures and discouragement of smoking.


Author(s):  
Giridharan S ◽  
Shankar S

Background: Cement is one of the most important building materials of the world. More than 250 000 people work in concrete manufacturing. Cement factory workers are exposed to dust during various manufacturing and production process, such as quarrying and handling of raw materials. Methods: This cross sectional study aims at determining the prevalence of respiratory morbidity and ventilatory function impairment among the cement factory employees and the use of personal protective equipment (PPE). Results: The mean age was 33.8±11.4 and most of them belonged to 21-30 age groups. The major respiratory symptoms were shortness of breath (18%), coughing out phlegm (22%), coughing that wakes up in the morning (14%) and wheezing (6%).Though study had its focus on respiratory morbidity, a significant proportion of the workers had other chronic non communicable diseases including diabetes (37%), blood pressure (10%) and cardio-vascular diseases/symptoms (26.6%). Conclusion: Though everyone was aware about the PPE some lacked the use of it due to discomfort leading to lung function impairment. The percentage predicted lung volumes and the respiratory symptoms helped to create awareness about the use of PPE and using proper ventilation systems, to protect the workers from developing chronic respiratory diseases in future. Keywords: Cement factory workers, respiration, morbidity


2017 ◽  
Vol 13 (2) ◽  
pp. 125-129 ◽  
Author(s):  
I. Soongkhang ◽  
W. Laohasiriwong

Background Wood furniture manufacturing factory workers are at high risk of exposure to wood dust in wood working processes. Wood dust exposure could cause respiratory symptoms, such as reduce lung function, chronic bronchitis, and asthma. The Northeast region of Thailand has many wood furniture manufacturing factories. However, limited studies were carried out to explore the effect of wood dust exposure on workers.Objective This study aimed to assess the respiratory symptoms and determine factors associated with these symptoms among wood furniture manufacturing factory workers.Method This cross-sectional analytical research used a multistage random sampling to select 511 workers from three provinces in the Northeast of Thailand. The data was collected using a structured questionnaire interview. The content validity of questionnaire was tested by 3 experts and had a Cronbach’s alpha coefficient of 0.82. Data were analyzed using descriptive statistics and multiple logistic regressions.Result The result indicated that 29.94% of these workers had respiratory symptoms, including coughing(18.79%), nasal secretion (15.66%), and stuffy nose (15.07%). Factors that were significantly associated with respiratory symptoms (p–value<0.05) were (a) not always wearing mask (adjusted OR=2.26;95% CI=1.37-3.72), (b) low to medium level of knowledge on dust prevention (adjusted OR=1.83;95% CI=1.23- 2.73) and (c) contacted softwood dust (adjusted OR=1.97;95% CI= 1.06-3.64).Conclusion About 30% of wood furniture manufacturing factory workers had respiratory symptoms with related to both personal preventive behaviors and their working environments. Therefore, the raising awareness for using personal protective equipment during work will help them to prevent from various respiratory track problems.


2019 ◽  
Vol 29 (4) ◽  
pp. 457-467
Author(s):  
S. N. Avdeev ◽  
S. R. Aisanov ◽  
A. S. Belevskiy ◽  
A. V. Emel’yanov ◽  
O. M. Kurbacheva ◽  
...  

Recently, bronchial asthma is considered as a heterogeneous disease characterized by chronic airway inflammation and respiratory symptoms, which vary in time and intensity and manifest together with variable obstruction of the airways. Asthma is one of the most common chronic respiratory diseases in primary care. Patients with certain respiratory symptoms seek for medical aid initially in primary care physicians, such as therapeutists, general practitioners, and family physicians, who can suspect and diagnose chronic respiratory diseases such as bronchial asthma, chronic obstructive pulmonary disease (COPD), allergic rhinitis, etc. Currently, untimely diagnosis of asthma and late initiation of anti-inflammatory treatment are widespread, mainly due to insufficient knowledge of primary care physicians on diagnostic criteria and therapeutic standards for asthma. Feasible and convenient algorithms for asthma diagnosis and treatment in primary care were developed by experts of Russian Respiratory Society and Russian Association of Allergologists and Clinical Immunologists. A therapeutic algorithm for asthma treatment in primary care institutions uses an approach considering symptom severity both in patients with newly diagnosed and previously treated for asthma. Diagnostic tools, such as a questionnaire for asthma diagnosis and an algorithm for differential diagnosis between asthma and COPD are mainly intended to facilitate diagnosis of chronic respiratory disease, particularly bronchial asthma, by a primary care physician and to improve the healthcare quality for these patients.


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