title: Respiratory, gastrointestinal, and other health effects among workers in two refuse-derived fuel plants.
abstract: This study was conducted to investigate health effects in workers at two refuse-derived fuel processing plants. Cross-shift pulmonary function testing and self reporting of symptoms from questionnaires formed the basis of a cross-sectional epidemiological study. Other topics addressed were exploration of the possibility of a hand to mouth component resulting in diarrhoea observed historically by the microbiological testing of skin. Symptoms of sinus trouble, headaches, nose irritation, and diarrhoea were reported by over 50% of the employees. Small, but statistically significant, cross-shift decrements of 1.50% and 2.01% were noted for forced vital capacity (FVC) and forced expiratory volume in one second (FEV1), respectively. Workers employed seven years or more had significantly larger cross-shift decrements in FVC and FEV1 than those employed for a shorter period. No active cases of diarrhoea were observed. Low lung function decrements characterise the observed workforce. Elevated reporting of some symptoms and a cross-shift decrement that increases with length of employment indicate that further study is warranted.
authors.affiliation: University of Wolverhampton, School of Health Sciences, United Kingdom. S.Mahar@wlv.ac.uk
authors.forename: S
authors.initials: S
authors.lastname: Mahar
authors.forename: P S
authors.initials: PS
authors.lastname: Thorne
mesh_terms: D000328:Adult; D009783:Dermatitis, Occupational / Q000209:etiology; D003967:Diarrhea / Q000209:etiology* / Q000382:microbiology; D004736:Energy-Generating Resources; D005260:Female; D006225:Hand / Q000382:microbiology; D006801:Humans; D008297:Male; D009784:Occupational Diseases / Q000175:diagnosis / Q000209:etiology*; D012037:Refuse Disposal; D015656:Respiratory Mechanics; D012140:Respiratory Tract Diseases / Q000175:diagnosis / Q000209:etiology*; D011795:Surveys and Questionnaires