Human exposure to ferric sulfate aerosol: effects on pulmonary function and respiratory symptoms

Twenty normal and 18 asthmatic human volunteers were exposed to ferric sulfate aerosol at a nominal concentration of 75 microgram/m3 (equivalent to 20 microgram iron/m3). The concentration and particle size distribution (2 micron mass median aerodynamic diameter; geometric standard deviation of 3) were selected to simulate worst case ambient conditions. Ferric sulfate was chosen for study because it is toxic, it is a respiratory system irritant, and increased use of coal and high sulfur fuel oils will lead to increased concentrations of iron and sulfate in ambient air. A double-blind protocol was followed in which each subject was exposed on two days, separated by about a three week period. The subjects were exposed to clean air (sham) on one day and to ferric sulfate aerosol on the other (exposure); the order of exposure was selected randomly. Neither the subjects nor the staff performing the clinical testing were informed as to the nature of the atmosphere on any given day. Pulmonary function tests were performed immediately before (pre) and after (post) each 2 hr sham or exposure period; this protocol included intermittent exercise. Pre- and post-exposure symptom score interviews were also administered. On the average, the two groups of subjects did not exhibit significant pre- to post-changes in total respiratory system resistance, forced expiratory flow/volume performance, and single breath nitrogen washout parameters. None of the subjects reported more than slight changes in symptoms during exposure. Five individuals showed small but significant decremental trends in pulmonary function; however, nine subjects tended to improve after exposure.