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对接触甲苯蒸气的鞋匠的健康风险和呼吸道症状的分析。

Analysis of health risk and respiratory complaints on footwear craftsman exposed to Toluene vapour.

作者信息

Maryiantari Ellyza Setya, Keman Soedjajadi

机构信息

Doctoral Program of Public Health.

Study Program of Occupational Health and Safety.

出版信息

J Public Health Res. 2020 Jul 2;9(2):1818. doi: 10.4081/jphr.2020.1818. eCollection 2020 Jul 3.

Abstract

The primary effect of toluene on the respiratory tract following inhalation is irritation. This study was conducted to analyze the level of health risks and respiratory complaints due to toluene exposure by footwear craftsmen, in order to get scientific reference for Maximum Contaminant Level and working tenure restriction. A total of 51 footwear craftsmen from eight factories participated in this study. The toluene concentration in the work environment was measured according to National Institute of Occupational Safety and Health 1501. Moreover, data were collected using an American Thoracic Society standardized questionnaire to assess respiratory health effects. A characterization of risk model was to analyze the toluene exposure risk and suggest improvements. The results showed toluene levels were over the Threshold Limit Value 20 ppm (138.88 ppm). The most commonly observed respiratory symptoms included coughing by 81.3% and cold by 85.7%, Symptoms of respiratory irritation by 72.7%, higher among workers who were highly exposed to toluene above the median. This is observed from the opportunity value (P-value) of toluene exposure with the characteristics the workers of each variable which was less than 0.05 work station and working tenure. Maximum Contaminant Level of toluene is 4.59 ppm, a safe working tenure restriction for toluene exposure is maximum 25 years. The recommended risk control measures include ventilation improvements, personal hygiene and protection of workers through periodic physical examinations.

摘要

吸入甲苯后对呼吸道的主要影响是刺激。开展本研究以分析鞋类工匠接触甲苯所致的健康风险水平和呼吸道不适情况,以便为最大污染物水平和工作期限限制提供科学参考。来自8家工厂的51名鞋类工匠参与了本研究。根据美国国家职业安全与健康研究所1501标准测量工作环境中的甲苯浓度。此外,使用美国胸科学会标准化问卷收集数据以评估呼吸道健康影响。风险模型特征分析是为了分析甲苯暴露风险并提出改进建议。结果显示甲苯水平超过了阈限值20 ppm(138.88 ppm)。最常观察到的呼吸道症状包括咳嗽(81.3%)、感冒(85.7%)、呼吸道刺激症状(72.7%),在甲苯暴露高于中位数的高暴露工人中更为常见。这从甲苯暴露与各变量工人特征的机会值(P值)小于0.05的工作岗位和工作期限中可以观察到。甲苯的最大污染物水平为4.59 ppm,甲苯暴露的安全工作期限限制最长为25年。建议的风险控制措施包括改善通风、个人卫生以及通过定期体检保护工人。

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