[Rhinitis and asthma related to cotton dust exposure in apprentices in the clothing industry].
OBJECTIVE
Respiratory allergies are the most common occupational diseases in the world. The aim of this study was to determine the prevalence of rhinitis and asthma among apprentices exposed to cotton dust in the clothing industry and to describe their epidemiologic and clinical profiles.


METHODS
We carried out a descriptive study of 600 apprentices in a textile and clothing vocational training centre in the Monastir area. The investigation comprised a questionnaire exploring risk factors and symptoms appearing during their training. Subjects who developed allergic respiratory symptoms at the work-place underwent a clinical examination, rhinomanometry and investigation of their allergic status and respiratory function.


RESULTS
One hundred twenty apprentices (20%) developed allergic respiratory reactions due to exposure to textile dust (exclusively cotton) during their training, with a positive withdrawal-re-exposure test. Conjunctivitis (14.3%) and rhinitis (8.5%) were the most frequent allergic symptoms. Twenty eight apprentices (4.6%) presented symptoms of asthma. Rhinitis was associated with asthma in 45% of cases. Two cases of asthma were diagnosed clinically at the work-place following their exposure to textile dust. The prick test performed in 120 symptomatic apprentices was positive in 41.6% of cases. There was sensitization to pollens in 29 cases and to dermatophagoides in 13 cases. Cotton and wool allergy was noted in two cases. Allergic symptoms developing during the training were significantly more frequent in the atopic group, and they varied according to the intensity of textile dust exposure.


CONCLUSIONS
In the textile and clothing industry the frequency of respiratory disorders caused by allergens remains high, especially in atopic apprentices who constitute a population at high risk.
Chaari
N
N
Service de Médecine du travail et de pathologies professionnelles, Hôpital Universitaire de Monastir, Tunisie. chaari_new@yahoo.fr
Amri
C
C
Khalfallah
T
T
Alaya
A
A
Abdallah
B
B
Harzallah
L
L
Henchi
M-A
MA
Bchir
N
N
Kamel
A
A
Akrout
M
M
D000485:Allergens; D001249:Asthma / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D003020:Clothing; D032561:Cotton Fiber; D018592:Cross-Over Studies; D004391:Dust / Q000276:immunology*; D005260:Female; D006801:Humans; D007221:Industry; D008297:Male; D009784:Occupational Diseases / Q000453:epidemiology / Q000209:etiology*; D016273:Occupational Exposure / Q000009:adverse effects*; D015995:Prevalence; D012221:Rhinitis, Allergic, Perennial / Q000175:diagnosis / Q000453:epidemiology / Q000209:etiology*; D012307:Risk Factors; D012882:Skin Tests; D011795:Surveys and Questionnaires; D013784:Textiles / Q000009:adverse effects*; D014416:Tunisia / Q000453:epidemiology
D000485:Allergens; D004391:Dust