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Systematic review of respiratory health among dairy workers.

Authors
Reynolds-SJ; Nonnenmann-MW; Basinas-I; Davidson-M; Elfman-L; Gordon-J; Kirychuck-S; Reed-S; Schaeffer-JW; Schenker-MB; Schlünssen-V; Sigsgaard-T
Source
J Agromed 2013 Jul; 18(3):219-243
NIOSHTIC No.
20044659
Abstract
The dairy industry is changing on a global scale with larger, more efficient operations. The impact of this change on worker health and safety, specifically, associations between occupational lung disease and inhalation exposures, has yet to be reported in a comprehensive review of the scientific literature. Therefore, a three-tier process was used to identify information using a keyword search of online databases of scientific literature. Of the 147 citations reviewed, 52 met initial screening criteria, and 30 were included in this review. Dairy workers experience lung conditions such as asthma, chronic obstructive pulmonary disease, hypersensitivity pneumonitis, chronic bronchitis, and cancer. Recent pulmonary function studies have identified obstructive lung changes among dairy farm workers. The increased scale of dairy production with significant changes in technology and work practices has altered inhalation exposure patterns among dairy workers. The inhalation exposure in the dairy work environment may elicit differing inflammatory responses in relation to timing of initial exposure as well as to repeated exposures. Few studies have measured inhalation exposure while simultaneously assessing the impact of the exposure on lung function of dairy farm workers. Even fewer studies have been implemented to assess the impact of aerosol control technology to reduce inhalation exposure. Future research should evaluate worker exposure to aerosols through a task-based approach while utilizing novel methods to assess inhalation exposure and associated inflammatory responses. Finally, potential solutions should be developed and tested to reduce inhalation exposure to inflammatory agents and respiratory diseases in the dairy farm work environment.
Keywords
Agriculture; Agricultural-workers; Agricultural-products; Animal-products-workers; Dairy-products; Farmers; Animals; Respiratory-system-disorders; Pulmonary-system-disorders; Lung-disorders; Worker-health; Employee-exposure; Work-organization; Work-practices; Information-retrieval-systems; Information-systems; Bronchial-asthma; Airway-obstruction; Hypersensitivity; Inhalants; Lung-cancer; Pulmonary-function; Immune-reaction; Environmental-technology; Aerosols
Contact
Stephen J. Reynolds, PhD, CIH, Fellow AIHA, Department of Environmental and Radiological Health Sciences, Colorado State University, 1681 Environmental Health, Fort Collins, CO 80523-1681, USA
Publication Date
20130711
Document Type
Journal Article
Email Address
stephen.reynolds@colostate.edu
Funding Type
Cooperative Agreement; Agriculture
Fiscal Year
2013
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U50-OH-008085
Issue of Publication
3
ISSN
1059-924X
Source Name
Journal of Agromedicine
State
CO; IA; CA
Performing Organization
Colorado State University - Ft. Collins
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