Quartz exposure and increased respiratory symptoms among coal mine workers in Tanzania.

Simon H D Mamuya, Bente Moen, Magne Bråtveit
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Abstract

Unlabelled: Quartz has been an inevitable composition of different type of coal mined. The quartz exposures among coalmine workers has been attributed to activities such as cutting the adjacent rock, the roof, the floor and the intrusions.

Objective: The aim of the study is to determine the associations between quartz exposures and respiratory health in a labour intensive coal mine.

Methods: 239 randomly selected men participated in the study. A respiratory questionnaire was used, collected information and data were analysed by SPSS version 15. The criterion for significant association was 0.05 and below.

Results: Logistic regression controlling for age, smoking status and duration of employment showed a significantly increased odds ratio for breathlessness in the high exposed group (OR = 3.9 (95%CI: 1.4, 10.7). In addition there were significantly increased odds ratio in the highest cumulative quartz group for cough day and night (OR: 3.6), cough for four days or more in a week (OR: 6.7), cough with sputum in day and night (OR: 6.5) and dyspnoea (OR: 10.9) (Table 4).

Conclusion: The results from this study provide important information for targeting prevention program for reducing exposure at mine workplace. Improvements in the work environment where exposures are higher than the TLV for respirable silica, ought to be performed.

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坦桑尼亚煤矿工人接触石英和呼吸道症状增加
未标注:石英是不同类型煤炭开采中不可避免的成分。煤矿工人的石英暴露可归因于切割邻近岩石、顶板、底板和侵入体等活动。目的:本研究的目的是确定劳动密集型煤矿中石英暴露与呼吸健康之间的关系。方法:随机选取239名男性参与研究。采用呼吸系统问卷,收集的资料和数据用SPSS软件进行分析。显著相关标准为0.05及以下。结果:控制年龄、吸烟状况和工作时间的Logistic回归显示,高暴露组呼吸困难的优势比显著增加(OR = 3.9 (95%CI: 1.4, 10.7)。此外,石英累积量最高组昼夜咳嗽(OR: 3.6)、一周内咳嗽4天及以上(OR: 6.7)、昼夜咳痰(OR: 6.5)和呼吸困难(OR: 10.9)的比值比显著增加(表4)。结论:本研究结果为针对性预防方案减少矿山工作场所暴露提供了重要信息。对于暴露量高于可吸入二氧化硅的TLV的工作环境,应该进行改进。
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