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[大豆相关哮喘的风险管理:监测与监督]

[Risk management of soybean-related asthma: monitoring and surveillance].

作者信息

Villalbí Joan R, Carrascal Dolors, Caylà Joan A, Rodríguez Pau, Cruz M A Jesús, Pintó Josep M

机构信息

Agència de Salut Pública de Barcelona, Barcelona, España.

出版信息

Gac Sanit. 2011 Nov-Dec;25(6):542-4. doi: 10.1016/j.gaceta.2011.05.011. Epub 2011 Jul 29.

DOI:10.1016/j.gaceta.2011.05.011
PMID:21802795
Abstract

OBJECTIVES

Allergen emissions during soybean unloading operations in the Barcelona harbor have caused asthma epidemics. The present article aimed to describe the surveillance and control measures carried out by the public health services.

METHODS

Data were extracted from control systems from 1999 to 2009, with description of the surveillance schemes for allergen emissions, environmental concentrations (with defined reference levels) and for health.

RESULTS

Of 95 studies of plant emission, four were above the reference levels, and filters were found to be the most likely cause. Mean environmental concentrations were low but were above the reference levels on 13 days; these levels were related to adverse meteorological conditions and incidents in the plants. No health effects were detected in the panel of patients nor epidemic asthma days.

CONCLUSIONS

The system detects incidents and has shown its usefulness in protecting public health.

摘要

目的

巴塞罗那港大豆卸载作业期间的过敏原排放引发了哮喘流行。本文旨在描述公共卫生服务部门采取的监测和控制措施。

方法

从1999年至2009年的控制系统中提取数据,描述过敏原排放、环境浓度(有规定的参考水平)和健康状况的监测方案。

结果

在95项工厂排放研究中,有4项高于参考水平,过滤器被认为是最可能的原因。平均环境浓度较低,但有13天超过了参考水平;这些水平与不利的气象条件和工厂事故有关。在患者群体中未检测到健康影响,也没有哮喘流行日。

结论

该系统能检测到事故,并已证明其在保护公众健康方面的作用。

相似文献

1
[Risk management of soybean-related asthma: monitoring and surveillance].[大豆相关哮喘的风险管理:监测与监督]
Gac Sanit. 2011 Nov-Dec;25(6):542-4. doi: 10.1016/j.gaceta.2011.05.011. Epub 2011 Jul 29.
2
Epidemic soybean asthma and public health: new control systems and initial evaluation in Barcelona, 1996-98.流行性大豆哮喘与公共卫生:1996 - 1998年巴塞罗那的新控制系统及初步评估
J Epidemiol Community Health. 2004 Jun;58(6):461-5. doi: 10.1136/jech.2003.009001.
3
Long term outcome of soybean epidemic asthma after an allergen reduction intervention.变应原减少干预后大豆流行性哮喘的长期结局
Thorax. 1999 Aug;54(8):670-4. doi: 10.1136/thx.54.8.670.
4
Preventing asthma epidemics due to soybeans by dust-control measures.通过粉尘控制措施预防大豆引发的哮喘流行。
N Engl J Med. 1993 Dec 9;329(24):1760-3. doi: 10.1056/NEJM199312093292402.
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Epidemic asthma in Barcelona: an evaluation of new strategies for the control of soybean dust emission.巴塞罗那的流行性哮喘:控制大豆粉尘排放新策略的评估
Int Arch Allergy Immunol. 2004 Jun;134(2):158-64. doi: 10.1159/000078649. Epub 2004 May 19.
6
Community outbreaks of asthma associated with inhalation of soybean dust. Toxicoepidemiological Committee.与吸入大豆粉尘相关的社区哮喘暴发。毒理流行病学委员会。
N Engl J Med. 1989 Apr 27;320(17):1097-102. doi: 10.1056/NEJM198904273201701.
7
Immunoquantitative measurement of soybean aeroallergen emissions at industrial sites.工业场所大豆气传变应原排放的免疫定量测定。
J Investig Allergol Clin Immunol. 2008;18(6):443-8.
8
Asthma visits to emergency rooms and soybean unloading in the harbors of Valencia and A Coruña, Spain.西班牙巴伦西亚和拉科鲁尼亚港口因哮喘前往急诊室就诊的情况以及大豆卸载情况。
Am J Epidemiol. 1999 Feb 15;149(4):315-22. doi: 10.1093/oxfordjournals.aje.a009815.
9
[Soybean hull unloading in Tarragona (Spain) and asthma outbreak risk].[西班牙塔拉戈纳的大豆壳卸载与哮喘爆发风险]
Gac Sanit. 2010 Mar-Apr;24(2):109-14. doi: 10.1016/j.gaceta.2009.09.018. Epub 2010 Jan 27.
10
Reexamination of epidemic asthma in New Orleans, Louisiana, in relation to the presence of soy at the harbor.对路易斯安那州新奥尔良市流行性哮喘与港口大豆存在情况的重新审视。
Am J Epidemiol. 1997 Mar 1;145(5):432-8. doi: 10.1093/oxfordjournals.aje.a009125.

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