Rovira Enric, Cuadras Anna, Gaig Pere, Gázquez Vanessa, Dalmau Gaspar, Gómez-Ollés Susana, Cruz Ma Jesús
Observatori de Salut i Medi Ambient del Camp de Tarragona, Servei Regional al Camp de Tarragona de l'Agència de Protecció de la Salut, Tarragona, Spain.
Gac Sanit. 2010 Mar-Apr;24(2):109-14. doi: 10.1016/j.gaceta.2009.09.018. Epub 2010 Jan 27.
From 2007 to 2008, 215,000 tons of soybean hull were unloaded in the Port of Tarragona. Soybean hull was identified as the etiologic agent causing bronchial asthma outbreaks. The aim of the present study was to identify the characteristics of soybean unloading, soybean allergen dispersion, and the population risk.
Data on soybean hull unloading, carriage and storage, meteorological conditions and the number of emergency room admissions for asthma were recorded. Allergen concentrations were obtained by sampling PM(10) filters retaining particles of less than 10 microns for 24 hours in the atmospheric contamination surveillance stations. Sensitized patients underwent clinical examination consisting of skin prick test, total and specific IgE and immunoblotting to soybean extracts.
Allergen emissions were moderate at one kilometer from the unloading source (above 300 U/m(3) on 3 days, maximum 441 U/m(3)). The protein pattern of hull soybean extracts was similar to that found in asthma epidemics in Barcelona. Ninety-two percent of the patients were sensitized to soybean hull extracts. No asthma epidemic was detected during unloading days. In addition to the low molecular weight soybean proteins identified in previous studies (6 and 14-17 kDa), high molecular weight proteins were found (14-49 kDa).
There is allergen dispersion at a short distance from the unloading source, posing a risk to sensitized patients. Technical measures are required during soybean hull operations to reduce particle emissions.
2007年至2008年期间,塔拉戈纳港卸载了21.5万吨大豆皮。大豆皮被确定为导致支气管哮喘暴发的病原体。本研究的目的是确定大豆卸载、大豆过敏原扩散及人群风险的特征。
记录大豆皮卸载、运输和储存、气象条件以及哮喘急诊入院人数的数据。通过在大气污染监测站对截留小于10微米颗粒的PM(10)过滤器进行24小时采样来获取过敏原浓度。对致敏患者进行临床检查,包括皮肤点刺试验、总IgE和特异性IgE以及对大豆提取物的免疫印迹。
在距离卸载源1公里处,过敏原排放为中度(3天中超过300 U/m(3),最高441 U/m(3))。大豆皮提取物的蛋白质图谱与巴塞罗那哮喘流行中发现的相似。92%的患者对大豆皮提取物致敏。卸载期间未检测到哮喘流行。除了先前研究中鉴定出的低分子量大豆蛋白(6和14 - 17 kDa)外,还发现了高分子量蛋白(14 - 49 kDa)。
在距卸载源短距离处存在过敏原扩散,对致敏患者构成风险。在大豆皮作业期间需要采取技术措施以减少颗粒排放。