Brandt-Rauf P W, Cosman B, Fallon L F, Tarantini T, Idema C
Division of Environmental Sciences, School of Public Health, Columbia University, New York, NY 10032.
Br J Ind Med. 1989 Mar;46(3):209-11. doi: 10.1136/oem.46.3.209.
As part of an environmental monitoring and medical surveillance programme to evaluate potential health hazards from firefighting, complete baseline medical examinations were performed on a cohort of 77 firefighters. During a ten day study period, 37 follow up medical examinations were performed after exposure to fire to monitor any significant differences in pre-fire and post-fire physiological indices, including pulmonary function and blood counts and chemistries. For the group as a whole, no significant differences were found. For individuals not wearing respiratory protective equipment, however, statistically significant post-fire decrements in FEV1 and FVC were noted. These decrements were consistent with previously shown levels of exposure to pulmonary toxicants in this cohort. These results support the need for more extensive use of respiratory protective equipment by firefighters.
作为一项评估灭火潜在健康危害的环境监测和医学监测计划的一部分，对一组77名消防员进行了全面的基线医学检查。在为期10天的研究期间，在接触火灾后进行了37次随访医学检查，以监测火灾前后生理指标（包括肺功能、血细胞计数和化学指标）的任何显著差异。对于整个组来说，没有发现显著差异。然而，对于未佩戴呼吸防护设备的个体，火灾后FEV1和FVC有统计学意义的下降。这些下降与该队列中先前显示的肺部毒物暴露水平一致。这些结果支持消防员更广泛使用呼吸防护设备的必要性。
