Poulsen K B, Nielsen H W
Slagelse Centralsygehus, arbejdsmedicinsk afdeling, og Nykøbing F Centralsygehus.
Ugeskr Laeger. 1991 Jul 8;153(28):1986-90.
This review describes health problems in persons primarily exposed to grain dust. The main epidemiological investigations from the nineteen seventies and eighties are reviewed. The commonest complaints were mucus membrane irritation. In the majority of investigations, an excess incidence of chronic bronchitis was encountered and it cannot be disproved that asthma developed in a number of the employees. Influenza-like symptoms compatible with the organic dust syndrome have been described in several investigations from silos but allergic alveolitis has not been described in this branch. The latter condition has been encountered in farm workers working with mouldy grain. With dust concentrations of about the Danish threshold limit value, many health problems still occur. The following prophylactic measures are recommended: Effective drying of corn before storage, effective ventilation and cleaning and covering of dusty working procedures. Epidemiological investigations are proposed in the Danish raw material sector to illustrate health problems related to grain dust. These investigations should be combined with qualitative and quantitative occupational hygienic measurements of dust.
本综述描述了主要暴露于谷物粉尘的人群的健康问题。回顾了20世纪70年代和80年代的主要流行病学调查。最常见的主诉是黏膜刺激。在大多数调查中，慢性支气管炎的发病率过高，并且无法排除一些员工患上哮喘的可能性。在来自筒仓的多项调查中描述了与有机粉尘综合征相符的流感样症状，但该领域尚未描述过敏性肺泡炎。后者在处理发霉谷物的农场工人中出现过。当粉尘浓度约为丹麦阈限值时，仍会出现许多健康问题。建议采取以下预防措施：储存前对玉米进行有效干燥、有效通风、清洁以及对多尘的作业程序进行覆盖。建议在丹麦原材料行业开展流行病学调查，以阐明与谷物粉尘相关的健康问题。这些调查应与粉尘的定性和定量职业卫生测量相结合。
