title: Eye and respiratory symptoms in poultry processing workers exposed to chlorine by-products.
abstract: BACKGROUND
  CDC/NIOSH responded to a request to investigate complaints of eye and respiratory irritation among workers in a poultry processing facility's evisceration department.
  
  
  METHODS
  Investigators administered symptom questionnaires and sampled for chlorine and chloramines. Spirometry was performed on workers before and after their work shift.
  
  
  RESULTS
  Symptoms were significantly more prevalent in evisceration workers than in dark meat workers (a control group). Air concentrations of chloramine compounds (i.e., trichloramine and 'soluble chlorine') were significantly higher in the evisceration area than the dark meat area. Exposure levels were significantly higher for employees reporting various symptoms compared to employees not reporting those symptoms. Mean trichloramine exposure concentrations were significantly higher in workers with significant cross-shift declines in lung function; air concentrations of 'soluble chlorine' were higher as well, however, not significantly so.
  
  
  CONCLUSIONS
  Results of this evaluation suggest a health hazard may exist from exposure to chloramines.
authors.affiliation: Centers for Disease Control and Prevention (CDC), National Institute for Occupational Safety and Health (NIOSH), Division of Surveillance, Hazard Evaluations, and Field Studies (DSHEFS), Cincinnati, Ohio 45226, USA. bking1@cdc.gov
authors.forename: Bradley S
authors.initials: BS
authors.lastname: King
authors.forename: Elena H
authors.initials: EH
authors.lastname: Page
authors.forename: Charles A
authors.initials: CA
authors.lastname: Mueller
authors.forename: Donald D
authors.initials: DD
authors.lastname: Dollberg
authors.forename: Katherine E
authors.initials: KE
authors.lastname: Gomez
authors.forename: Angela M
authors.initials: AM
authors.lastname: Warren
mesh_terms: D000328:Adult; D000382:Agricultural Workers' Diseases / Q000453:epidemiology* / Q000209:etiology; D000818:Animals; D016022:Case-Control Studies; D002712:Chlorides / Q000633:toxicity*; D002713:Chlorine / Q000633:toxicity*; D005128:Eye Diseases / Q000453:epidemiology* / Q000209:etiology; D005260:Female; D006306:Health Surveys; D006801:Humans; D008297:Male; D017672:Nitrogen Compounds / Q000633:toxicity*; D011200:Poultry; D012140:Respiratory Tract Diseases / Q000453:epidemiology* / Q000209:etiology; D013147:Spirometry; D011795:Surveys and Questionnaires; D014768:Virginia / Q000453:epidemiology
chemical_list: D002712:Chlorides; D017672:Nitrogen Compounds; D002713:Chlorine; C037454:nitrogen chloride