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Respiratory function and immunological status in cocoa and flour processing workers

E Zuskin1, B Kanceljak, E N Schachter

  • 1Andrija Stampar School of Public Health, Medical Faculty University of Zagreb, Croatia.

American Journal of Industrial Medicine
|December 31, 1997
PubMed
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Workers in cocoa and flour processing experience high rates of respiratory symptoms and reduced lung function, indicating significant occupational health risks. Exposure to these dusts can lead to allergic sensitization and impaired respiratory health.

Area of Science:

  • Occupational Health
  • Pulmonary Medicine
  • Immunology

Background:

  • Confectionery industry workers handling cocoa and flour face potential respiratory and immunological health risks.
  • Previous studies suggest occupational exposures can lead to respiratory ailments, but specific data on cocoa and flour packers are limited.

Purpose of the Study:

  • To assess respiratory function and immunological status in cocoa and flour processing workers.
  • To determine the prevalence of respiratory symptoms and occupational asthma in exposed workers compared to controls.
  • To investigate the relationship between dust exposure and lung function changes.

Main Methods:

  • Cross-sectional study comparing 40 cocoa workers, 53 flour workers, and 65 unexposed control workers.
  • Assessed chronic and acute respiratory symptoms, diagnosed occupational asthma, and measured ventilatory capacity using spirometry and MEFV curves.

Related Experiment Videos

  • Performed skin prick tests for allergens and measured total serum IgE levels; conducted bronchoprovocation tests.
  • Main Results:

    • Exposed workers showed significantly higher prevalence of chronic respiratory symptoms (5.0-30.0%) and acute symptoms like cough and eye irritation.
    • Occupational asthma was diagnosed in 5-5.7% of exposed workers; none in controls. Significant across-shift reductions in lung function (FEF50, FEF75) were observed.
    • Higher prevalence of positive skin tests to cocoa (60.2%) and flour (25.8%) in exposed workers. Elevated total serum IgE levels (17.5-18.7%) were found only in exposed groups.

    Conclusions:

    • Workers in cocoa and flour processing exhibit a high risk of developing allergic sensitization and respiratory impairment.
    • Occupational exposure to cocoa and flour dusts leads to significant respiratory symptoms and reduced lung function.
    • Current dust concentrations exceed recommended standards, necessitating improved workplace safety measures.