Kozajda Anna, Szadkowska-Stańczyk Irena
Zakład Srodowiskowych Zagrozen Zdrowia Instytut Medycyny Pracy im. prof. J. Nofera, Łódź.
Med Pr. 2009;60(6):491-9.
BACKGROUNDBackground: Recycling workers belong to a high risk occupational group because of their contact with high concentrationsria and moulds at the workplace. The aim of the study was to assess the selected elements of health in workers, their knowledge of exposure to biological agents, potential health effects and preventive measures.
The questionnaire survey was carried out among 69 workers of two sorting waste plants.
Knowledge of harmful health effects of biological agents was observed in 64% workers, but only 18% of respondents were able to give an accurate example of diseases caused by them. For 42% of workers their employers were the major source of acquired knowledge. All respondents used personal preventive measures, washed hands before eating and after work, however, 7% of them consumed meals at the workplace. Acute upper respiratory tract symptoms were found in 64% of respondents, dry and persistent cough in 33%, paroxysmal dyspnea and/or whistling breath in 19%, eye troubles in 36%, and skin troubles in 14%. Those symptoms showed varied frequency and intensity. Allergic diseases were diagnosed in 23% of workers, including 11% of those with allergy diagnosed before commencing the employment at the sorting plant.
The compulsory training in occupational health and safety concerning the occupational exposure to biological agents should be expanded for this occupational group. The intensity of acute upper respiratory tract symptoms with allergic background that increased at work in the majority (77%) of workers indicate the adverse effects of bioaerosol on the worker's health. To protect health of workers it is needed to intensify preventive activities aimed at minimizing bioaerosol concentrations at the workplace and making the protection of eyes, skin and respiratory system much more effective.
背景
由于回收工人在工作场所接触高浓度的微生物和霉菌,他们属于高风险职业群体。本研究的目的是评估工人健康的选定要素、他们对生物制剂接触的知识、潜在的健康影响和预防措施。
对两家垃圾分类处理厂的69名工人进行了问卷调查。
64%的工人了解生物制剂对健康的有害影响,但只有18%的受访者能够准确举例说出由它们引起的疾病。42%的工人表示,他们的雇主是获取知识的主要来源。所有受访者都采取了个人预防措施,在饭前和下班后洗手,然而,7%的人在工作场所用餐。64%的受访者出现急性上呼吸道症状,33%的人出现干咳和持续性咳嗽,19%的人出现阵发性呼吸困难和/或哮鸣音,36%的人出现眼部问题,14%的人出现皮肤问题。这些症状表现出不同的频率和强度。23%的工人被诊断患有过敏性疾病,其中11%的人在开始在垃圾分类处理厂工作之前就被诊断出患有过敏症。
应针对该职业群体扩大关于职业接触生物制剂的职业健康与安全方面必修培训。大多数(77%)工人在工作时出现的具有过敏背景的急性上呼吸道症状的强度增加,表明生物气溶胶对工人健康有不良影响。为保护工人健康,需要加强预防活动,以尽量降低工作场所生物气溶胶浓度,并使眼睛、皮肤和呼吸系统的防护更加有效。