中华劳动卫生职业病杂志最新文献

Objective: To establish an evaluation index system for the emergency capability of occupational poisoning incidents in Tianjin, providing a reference basis for evaluating the emergency capability level of occupational poisoning incidents in Tianjin. Methods: In February 2023, the Delphi method was applied to conduct expert consultation and establish the framework of the emergency response capability evaluation index system for occupational poisoning incidents in Tianjin. The positive coefficient, authority coefficient and coordination coefficient of experts were calculated. The weights of indicators at all levels were determined by using the Analytic Hierarchy Process (AHP) and the proportional allocation method, and the internal consistency reliability of the evaluation index system was tested by using the Cronbach's α wefficient. Results: Regarding the evaluation index system for the emergency capability of occupational poisoning incidents in Tianjin, the expert positive coefficient in both rounds of consultation was 100.00% (33/33), the expert authority coefficients were 0.80 and 0.74 respectively, the expert coordination coefficients were 0.59 and 0.62 respectively (P<0.001), and the Cronbach's α coefficient of all indicators was 0.998. The evaluation index system of emergency capability for occupational poisoning incidents in Tianjin was finally determined, including 7 first-level indicators, 30 second-level indicators and 135 third-level indicators. Conclusion: The evaluation index system of emergency capability for occupational poisoning incidents in Tianjin constructed based on the Delphi method shows that the expert consultation is active, representative and authoritative. The indicator system covers the emergency response capability to occupational poisoning incidents and has high internal consistency, providing a reliable and quantifiable reference for improving the emergency response level of occupational poisoning incidents in Tianjin.

Silica dust is known as the most important risk factor of chronic obstructive pulmonary disease (COPD), and COPD is a leading cause of the third mortality worldwide. Workers exposed to silica dust are at increased risk of COPD as a result of being exposed to silica particles for extended periods of time. While clear links have been established between silica exposure and the development of COPD, the mechanisms are still poorly understood. However, both cigarette and silica combination exposure can be easy to result in COPD. Here we review the current understanding of silica-induced COPD, including incubation period, and the use of experimental animal models for better understanding these mechanisms of pathogenesis. The review summarizes important new knowledge and presents new research directions that are likely to provide new insights, diagnosis and treatments of silica-induced COPD.

Objective: To investigate the relationship between susceptibility to hearing loss in noise-exposed Han Chinese male homo sapiens and glutathione S-transferase (GST) gene polymorphisms, providing a scientific basis for further understanding the pathogenic mechanisms of noise-induced hearing loss (NIHL) and screening for genetic susceptibility biomarkers. Methods: In May 2024, a cross-sectional survey was conducted to recruit 332 male Han workers exposed to noise from a prominent mechanical maintenance enterprise. Workers were classified into the hearing loss group if they exhibited a binaural high-frequency average hearing threshold exceeding 25 dB and a binaural speech frequency average hearing threshold loss that was less than the binaural high-frequency average hearing threshold loss, resulting in a total of 332 individuals in this group. Furthermore, a matched group of 332 hearing-normal workers was established on a 1∶1 basis for each hearing-impaired worker, using criteria such as the same job type, age, and a noise exposure duration of ≤4 years. Basic data of worker was collected through a questionnaire survey, and individual noise exposure levels were assessed using cumulative noise exposure (CNE). Various PCR and high-throughput sequencing techniques were employed to identify polymorphisms in the GSTT1, GSTM1, and GSTP1rs1695 genes. The basic information and genotypes of the two groups were compared using paired t-tests and paired chi-square tests. A Cox regression model was utilized to establish a 1∶1 paired logistic regression model to examine the correlation between GST gene polymorphisms and susceptibility to NIHL. Results: Individuals with GSTM1 and GSTT1 gene deletion are more susceptible to NIHL compared to those with existing genes, even after adjusting for other factors (OR=1.464, 95%CI: 1.02-2.09; OR=0.68, 95%CI: 1.06-2.02). Wearing protective equipment occasionally, rather than consistently, significantly increases the risk of NIHL (OR=1.38, 95%CI: 1.01-1.88). There was no link between GSTP1rs1695 polymorphism and NIHL risk (P>0.05) . Conclusion: The deletion of GSTM1 and GSTT1 genes is an independent influencing factor that increases the risk of NIHL, and can be considered as a genetic susceptibility biomarker for the NIHL population. Strengthening personal hearing protection is an effective measure to reduce the risk of NIHL.

Heavy metals are common occupational hazards that can enter the human body through ingestion, skin contact, and inhalation, damaging various systems including the nervous system and causing a serious disease burden. Numerous studies have shown that heavy metal-induced neurotoxicity is closely linked to intestinal flora imbalance, with exposure to heavy metals leading to a reduction in the diversity of intestinal flora and a decrease in beneficial intestinal bacteria. Due to their few adverse reactions and significant health-regulating effects, probiotics and their formulations are widely used. Supplementing probiotics can alleviate heavy metal-induced neurotoxicity by modulating intestinal flora and their metabolites, reducing inflammation and oxidative stress, and adsorbing heavy metal ions to facilitate their excretion. This article takes four common heavy metals, namely lead, mercury, cadmium and manganese, as examples to review the role of intestinal flora imbalance in the neurotoxicity of heavy metals and the mechanism and application of probiotic intervention treatment, aiming to provide new ideas for the prevention and treatment of heavy metal neurotoxicity and explore the potential mechanism and application value of probiotic intervention.

Objective: To understand the current situation of occupational internal exposure dose research using direct measurement method in China, and to explore the occupational internal dose level of nuclear medicine staff. Methods: From 2023 to April 2024, search on platforms such as China National Knowledge Infrastructure and Chinese Medical Journal Network, to collect research literature on the internal exposure dose monitoring of nuclear medicine staff and discuss the internal exposure dose assessment method. According to the literature reported thyroid (131)I activity level at the measuring time, the internal exposure dose level was estimated using the method recommended by GBZ 129-2016. Results: According to existing research reports on direct measurement using portable γ spectrometers, 6.1% of nuclear medicine workers may receive a (131)I dose greater than 1 mSv/a. Conclusion: It is necessary to conduct periodic continuous monitoring for personnel whose internal exposure dose may greater than 1 mSv/a, and it is necessary to explore the feasibility of periodic internal exposure monitoring method carried out by hospitals.

Methyl acetic acid methyl ester (MAME), a colorless, transparent, low-toxicity chemical with an aromatic odor, is widely used in the textile industry as a liquid substance. When absorbed through inhalation, ingestion, or skin contact, MAME is metabolized into methanol, potentially causing methanol-like poisoning symptoms. Clinical manifestations vary significantly among individuals, commonly presenting as metabolic acidosis, toxic encephalopathy, optic nerve damage, and even death, all associated with accumulation of formate in the body. This study reports two cases of acute MAME poisoning from August to December 2024. Both patients had confirmed occupational exposure to MAME and exhibited acute optic nerve and retinal damage, diagnosed as occupational acute severe MAME poisoning.

With the vigorous promotion of the national "dual-carbon" program, the new energy industry represented by lithium-ion batteries is developing rapidly, and micro-and nano-scale cathode materials, as the core components of lithium-ion batteries, have been applied and produced in large quantities, and the industrial population has increased dramatically, but the health effects of their occupational exposure are still not clear. This paper summarizes the potential health hazards of exposure to this new type of material in terms of the main types and characteristics of cathode materials, health hazard studies and exposure limits. It establishes a scientific foundation for occupational health risk assessment in workers exposed to cathode materials.

Objective: To analyze the characteristics of acute chemical poisoning cases and provide data support for establishing a regional network poisoning early warning and surveillance platform. Methods: In July 2023, patients with acute chemical poisoning who visited the Emergency Department, West China School of Public Health, and West China Fourth Hospital, Sichuan University from May 2016 to May 2023 were selected as the research subjects. Their characteristics such as gender, age, types of poisons, seasonal distribution, and the change trend of the number of poisoned people were analyzed. The annual trend of poisoning population was analyzed by linear regression. Results: There were a total of 2033 patients with acute chemical poisoning, among whom 32 were children (accounting for 1.57%). The gender was mainly female (1146 cases, accounting for 56.37%). The age ranged from 4 to 86 (34.60±10.45) years old. The top three poisonings in terms of acute chemical poisoning were carbon monoxide poisoning with 889 cases (accounting for 43.73%), diquat poisoning with 193 cases (accounting for 9.49%), and paraquat poisoning with 168 cases (accounting for 8.26%). Sedative-hypnotic drug poisoning was mainly in spring (65 cases, accounting for 43.62%), paraquat (65 cases, accounting for 38.69%) and diquat (68 cases, accounting for 35.23%) poisoning was mainly in summer, and carbon monoxide poisoning was mainly in winter (452 cases, accounting for 50.84%). The number of poisoning cases showed a significant increasing trend over the past seven years (t=6.97, P<0.001). The detection rate of carbon monoxide poisoning was 95.61% (850/889), the detection rate of diquat poisoning was 28.50% (55/193), and the detection rate of paraquat poisoning was 14.88% (25/168) . Conclusion: The poisons of acute chemical poisoning are mainly carbon monoxide, diquat and paraquat. It is necessary to strengthen the publicity and education related to chemical poisoning, the supervision of poisons, and the construction of regional network poisoning early warning and surveillance platforms.

Objective: To construct a rat model of osteoporosis induced by lead exposure, simulate the effects of lead exposure on the skeletal system of rats, and provide reliable basic data support for subsequent research. Methods: In July 2021, 40 eight-week-old SPF-grade SD rats were selected and randomly divided into 5 experimental groups according to body weight stratification randomization: blank control group, positive control group, low-dose, medium-dose and high-dose groups, with 8 rats in each group. Continuous intragastric administration (1 ml/100 g) for 60 days was performed respectively with ultrapure water, 0.4 g/L prednisone acetate, 2.0 g/L, 4.0 g/L, and 8.0 g/L lead acetate (PbAc). During the experiment, the general condition and weight changes of the rats were recorded in detail. After model establishment, biological samples of rats were collected. The levels of blood lead, serum calcium, phosphorus, tartrate-resistant acid phosphatase (TRAP) and bone alkaline phosphatase (BALP) in rats were determined. Additionally, micro-computed tomography (Micro-CT) was used to perform 3D reconstruction of the rat femurs and examine ultrastructural changes. One-way analysis of variance was used to compare multiple groups of data, and LSD or SNK methods were used for pairwise comparisons between groups. Results: During the experiment, there were no obvious abnormalities in feeding and drinking, behavioral activities, and fur color of rats in each group, and the body weight maintained normal and gentle growth. Compared with the blank control group, the levels of blood lead, serum calcium, phosphorus, TRAP and BALP in each dose group of PbAc were significantly increased (P<0.05), while the femoral bone mineral density, bone volume/total volume and trabecular thickness were significantly decreased (P<0.05). Compared with the blank control group, the trabecular separation of the femur in the high-dose group was significantly increased, and the trabecular number was significantly decreased (P<0.05). Compared with the blank control group, the bone mass loss of the femur in each dose group of PbAc was severe in rats. Conclusion: PbAc can cause osteoporosis in rats, and osteoporosis assessment indicators such as bone resorption and bone formation markers in rats, femoral bone mineral density and its ultrastructure can all evaluate the success of model construction.