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固体废物处理设施中的病毒职业暴露。

Virus occupational exposure in solid waste processing facilities.

作者信息

Carducci Annalaura, Federigi Ileana, Verani Marco

机构信息

Department of Biology, Hygiene and Environmental Virology Laboratory, University of Pisa, via S. Zeno 35/39, Pisa 56127, Italy.

出版信息

Ann Occup Hyg. 2013 Nov;57(9):1115-27. doi: 10.1093/annhyg/met043. Epub 2013 Aug 5.

Abstract

It is well known that workers involved in the management of solid waste are at risk of exposure to bioaerosol, which is generally studied in relation to bacteria, fungi, and endotoxins. However, to date, there have been no reports on the incidence of work-related infectious diseases. To determine if occupational exposure to viruses occurs upon exposure to waste-related activities, monitoring was carried out in a landfill, a waste recycling plant, an incineration plant, and a waste collection vehicles. Air and surfaces were sampled and analyzed for torque teno virus (TTV), human adenovirus (HAdV), norovirus, rotavirus, and enterovirus using polymerase chain reaction (PCR)-based techniques. Positivity was confirmed by sequencing and quantification with real-time PCR; infectivity was also tested for culturable viruses. Samples were analyzed in parallel for mean total bacterial and fungi counts in both the summer and winter. In total, 30% (12/40) of air and 13.5% (5/37) of surface samples collected in plants were positive for HAdV and TTV. Among the eight HAdV-positive samples, six (75%), revealed in landfill and recycling plant air and in incinerator and waste vehicles surfaces, were able to replicate in cell culture and were subsequently confirmed as infective. The frequency of detection of virus-positive samples was similar in both seasons, but with evident differences in the type of virus detected: TTV and HAdV were more frequently detected in the summer and winter, respectively. The area of highest viral contamination was the paper selection landfill. Fungi and bacterial contamination did not correlate with viral presence or concentration. In conclusion, we evidence that working with solid and liquid waste can lead to infectious viruses, included in Group 2 of the European Directive 90/679/CEE pathogens list; thus, further investigation on the sources and routes of contamination is needed in order to assess the occupational risk.

摘要

众所周知,参与固体废物管理的工人有接触生物气溶胶的风险,生物气溶胶一般是针对细菌、真菌和内毒素进行研究的。然而,迄今为止,尚无关于工作相关传染病发病率的报告。为了确定在接触与废物相关的活动时是否会发生职业性病毒暴露,我们在一个垃圾填埋场、一个废物回收厂、一个焚烧厂和一些垃圾收集车辆中进行了监测。使用基于聚合酶链反应(PCR)的技术对空气和表面进行采样,并分析其中的细小病毒B19(TTV)、人腺病毒(HAdV)、诺如病毒、轮状病毒和肠道病毒。通过实时PCR测序和定量来确认阳性结果;还对可培养病毒进行了感染性测试。同时对夏季和冬季的样本进行分析,以测定平均总细菌和真菌数量。总共,在工厂采集的空气样本中有30%(12/40)、表面样本中有13.5%(5/37)的HAdV和TTV呈阳性。在8个HAdV阳性样本中,有6个(75%)在垃圾填埋场和回收厂的空气中以及焚烧炉和垃圾车辆的表面被检测到,能够在细胞培养中复制,随后被确认为具有感染性。病毒阳性样本的检测频率在两个季节相似,但检测到的病毒类型存在明显差异:TTV和HAdV分别在夏季和冬季更频繁地被检测到。病毒污染最严重的区域是纸张分拣垃圾填埋场。真菌和细菌污染与病毒的存在或浓度无关。总之,我们证明处理固体和液体废物会导致接触欧洲指令90/679/CEE病原体列表第2组中的传染性病毒;因此,需要进一步调查污染来源和途径,以评估职业风险。

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