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Respiratory risks in tunnel construction workers.

G Arcangeli1, V Cupelli, M Montalti

  • 1Dipartimento di Scienze Ortopediche, Ricostruttive e del Lavoro, Università di Firenze, Florence, Italy. arcangelig@ao-carreggi.toscana.it

International Journal of Immunopathology and Pharmacology
|September 4, 2004
PubMed
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Tunnel construction workers show reduced lung function (FEV1 and PEF) compared to controls, even with low pollutant levels. Lung function further declines after shift work, indicating potential risks from workplace agents.

Area of Science:

  • Occupational Health
  • Environmental Medicine
  • Respiratory Medicine

Background:

  • Tunnel construction workers are susceptible to respiratory diseases.
  • Assessing occupational exposure and its impact on lung health is crucial.

Purpose of the Study:

  • To investigate respiratory health and lung function in railway tunnel construction workers.
  • To evaluate the impact of environmental pollutants and work shifts on worker respiratory parameters.

Main Methods:

  • A study population of 144 tunnel workers and 69 controls was selected.
  • Air pollutant levels (NO, NO2, SO2, dust, silica) were monitored.
  • Lung function tests (FEV1, PEF) and respiratory symptom questionnaires were administered before and after shifts.

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Main Results:

  • Workers exhibited significantly lower FEV1 and PEF compared to controls.
  • Lung function parameters decreased significantly after work shifts.
  • Factors like smoking, work activity, cough, and winter season influenced parameter decline.

Conclusions:

  • Tunnel construction workers experience altered lung function despite low measured environmental pollutant concentrations.
  • Potential exposure to various noxious agents in the work environment may contribute to these respiratory changes.