Yıl: 2018 Cilt: 8 Sayı: 3 Sayfa Aralığı: 202 - 206 Metin Dili: İngilizce DOI: 10.5152/clinexphealthsci.2017.664

Evaluation of Health Status of Turkish Ceramic Workers

Öz:
Objectives: The aim of this study was to evaluation of health status of Turkishceramic workers (n=99). For this purpose, leukocyte (WBC), hemoglobin (HGB),haematocrit (HCT), thrombocyte (PLT), alanine aminotransferase (ALT), aspartateaminotransferase (AST), creatinine (CR), arsenic (As) and mercury (Hg) levelswere investigated in workers and their controls (n=81). Also spirometry tests, chestradiographs and workplace dust measurement were analyzed.Methods: As and Hg levels determined by Inductively Coupled Plasma MassSpectrometry (ICP-MS). AST, ALT and CR levels were analyzed by Konelab Prime60i auto-analyzer while Hb, PLT, WBC numbers and HCT percentages weremeasured by Coulter LH780. Chest radiographs of workers were taken by using ashort exposure time with high voltage technique. Standard spirometry measurementsof workers and controls were done with a dry seal spirometry Dust samples werecollected with badge dosimeter and analyzed by gravimetrically.Results: In this study, WBC, PLT, AST, ALT, CR, As and Hg levels of workers higherwhile HGB and HCT levels lower than the controls. 38 workers were diagnosed withsilicosis, 9 workers were suspected to have silicosis, whereas 52 workers were foundto be healthy. Average value of FEV1/FVC ratios was found to be 81.430±5.314(Mean ± SD) for workers and 81.31±5.22 (Mean ± SD) for controls. The meanconcentration of respirable total dust in workplace was 3.58 mg/m3.Conclusion: Ceramic workers must be considered as risky persons as their workingconditions affect many organs and systems in their body such as liver, kidney andhematopoetic system.
Anahtar Kelime:

Konular:
Fen > Tıp > Tıbbi İnformatik
Fen > Tıp > Tıbbi Araştırmalar Deneysel
Fen > Tıp > Temel Sağlık Hizmetleri
Fen > Tıp > Halk ve Çevre Sağlığı
Fen > Tıp > Sağlık Bilimleri ve Hizmetleri
Fen > Tıp > Genel ve Dahili Tıp

Türk Seramik İşçilerinin Sağlık Durumlarının Değerlendirilmesi

Öz:
Amaç: Bu çalışmanın amacı Türk seramik işçilerinin (n=99) sağlık durumlarını değerlendirmektedir. Bu amaçla, işçiler ve kontrol grubunda (n=81) lökosit (WBC), hemoglobin (HGB), hematokrit (HCT), trombosit (PLT), alanin aminotransferaz (ALT), aspartat aminotransferaz (AST), kreatinin (CR), arsenik (As) ve cıva (Hg) düzeyleri incelenmiştir. Ayrıca, solunum fonksiyon testleri, göğüs radyografileri ile işyerindeki toz ölçümü de analiz edilmiştir. Gereç ve Yöntemler: As ve Hg düzeyleri, İndüktif Olarak Eşleştirilmiş Plazma-Kütle Spektrometresi (ICP-MS) ile ölçülmüştür. AST, ALT ve CR düzeyleri Konelab Prime 60i otomatik sistem ile analiz edilirken; Hb, PLT, WBC sayıları ve HCT yüzdeleri Coulter LH780 hematolojik analiz sistemi ile ölçülmüştür. İşçilerin göğüs radyografileri kısa maruziyet süreli, yüksek voltaj tekniği ile çekilmiştir. İşçilerin ve kontrol grubunun solunum fonksiyon testleri kuru pistonlu spirometre ile yapılmıştır. İş yerinden toz örnekleri yaka dozimetresi ile alınıp, gravimetrik olarak analiz edilmiştir. Bulgular: Bu çalışmada işçilerin kontrole göre WBC, PLT, AST, ALT, CR, As ve Hg düzeyleri yüksek bulunurken HGB ve HCT düzeyleri düşük bulunmuştur. 38 işçi silikozis tanısı almış, 9 işçide silikozis şüphesi olduğu saptanmışken 52 işçinin sağlıklı olduğu bulunmuştur. % zorlu soluk vermenin 1.saniyesinde atılan hacim/zorlu vital kapasite değeri işçiler için 81.430±5.314 (Ortalama ± SS) kontrol grubunda bu değer 1.31±5.22 (Ortalama ± SS) olarak bulunmuştur. Solunabilir toz konsantrasyonu ortalama değeri 3.58 mg/m3 ’dür. Sonuç: Seramik işçileri çalışma şartları nedeniyle karaciğer, akciğer ve hematopoetik sistem gibi birçok organ ve sistemin etkileneceği riskli kişiler olarak düşünülmelidir.
Anahtar Kelime:

Konular:
Fen > Tıp > Tıbbi İnformatik
Fen > Tıp > Tıbbi Araştırmalar Deneysel
Fen > Tıp > Temel Sağlık Hizmetleri
Fen > Tıp > Halk ve Çevre Sağlığı
Fen > Tıp > Sağlık Bilimleri ve Hizmetleri
Fen > Tıp > Genel ve Dahili Tıp
Belge Türü: Makale Makale Türü: Araştırma Makalesi Erişim Türü: Erişime Açık
  • [1] Yassin A, Yebesi F, Tingle R. Occupational exposure to crystalline silica dust in the United States, 1988-2003. Environ. Health Perspect 2005; 113: 255-60.
  • [2] International Agency for Research on Cancer (IARC). IARC monographs on the evaluation of carcinogenic risks to humans. Silica, some silicates, coal dust and para-aramid fibrils. Lyon: IARC; 1997.
  • [3] Abdelatty M, Ebeid M, Salem T. Epidemiological Study on the Effect of Ceramic Dust on Egyptian Worker Health. Med. J. Cairo Univ 2014; 82: 169-75.
  • [4] Association Advancing Occupational and Environmental Health (ACGIH). Threshold limit values for chemical substances and physical agents and biological exposure indices. Cincinati: Signature Publication; 1995.
  • [5] National Institute for Occupational Safety and Health (NIOSH). Health Effects of Occupational Exposure to Respirable Crystalline Silica. Cincinati; 2002.
  • [6] Occupational Safety and Health Administration (OSHA). Occupational Exposure to Respirable Crystalline Silica–Review of Health Effects Literature and Preliminary Quantitative Risk Assessment. 2013.
  • [7] Rosenman KD, Reilly MJ, Henneberger PK. Estimating the total number of newly-recognized silicosis cases in the United States. Am J Ind Med 2003; 44: 141-7.
  • [8] 2014 Statistical Yearbook of Ministry of Labour and Security of Turkey.
  • [9] International Agency for Research on Cancer (IARC). IARC monographs on the evaluation of carcinogenic risks to humans. Arsenic, Metals, Fibres and Dust, Lyon; IARC; 2012.
  • [10] International Agency for Research on Cancer (IARC). IARC monographs on the evaluation of carcinogenic risks to humans. Mercury and Mercury Compounds.
  • [11] turkishceramics.com [Internet] [cited 2017 July 10]. Available from: http://www.turkishceramics.com/About.
  • [12] International Classification of Radiographs of Pneumoconioses (ILO). Classification of Radiographs of Pneumoconiosis. Genova: 2000.
  • [13] Miller M, Hankinson, J., Brusasco, V., Burgos, F., Casaburi, R.,. Standardization of spirometry-2005 update. Eur Respir J Supplement 2005; 26: 319-38.
  • [14] Bateman ED, Hurd SS, Barnes PJ, Bousquet J, Drazen JM, FitzGerald M, et al. Global strategy for asthma management and prevention: GINA executive summary. Eur Respir J 2008; 31: 143-78.
  • [15] Aziz HM, Ahmed SB, Saleh IA. Respiratory hazards among egyptian ceramics workers. Researcher 2010; 2: 65-73.
  • [16] Toraason M, Albertini R, Bayard S, Bigbee W, Blair A, Boffetta P, et al. Applying new biotechnologies to the study of occupational cancer—a workshop summary. Environ. Health Perspect 2004; 112: 413-6.
  • [17] Jude AC, Sasikala K, Kumar RA, Sudha S, Raichel J. Haematological and cytogenetic studies in workers occupationally exposed to cement dust. Int J Hum Genet 2002; 2: 95-9.
  • [18] Kuempel ED, Attfield MD, Vallyathan V, Lapp NL, Hale JM, Smith RJ, et al. Pulmonary inflammation and crystalline silica in respirable coal mine dust: dose-response. J Biosci 2003; 28: 61-9.
  • [19] Sevinc C, Cimrin AH, Manisali M, Yalcin E, Alkan Y. Sandblasting under uncontrolled and primitive conditions in Turkey. J Occup Health 2003; 45: 66-9.
  • [20] Polatlı M, Türkan H, Akdilli A, Çildağ O. Kuvars İşçilerinde Silikozis Riski. Solunum Hastalıkları 2001;12: 90-5.
  • [21] Şakar A, Kaya E, Çelik P, Gencer N, Temel O, Yaman N, et al. Seramik fabrikası işçilerinde silikozis. Tüberküloz ve Toraks 2005; 53:148-55.
  • [22] Hofmann R, Benz E, Silberstein L, Heslop H, Weitz J, Anastasi J. Hematology: Basic Principles and Practice. 6th ed. Canada; Elsevier: 2013.
  • [23] Ogunbileje J, Akinosun O, Anetor J, Akinduti P, Ejilude O, Nwobi N, et al. Effects of different cement factory sections products on Immunoglobulin levels and some biochemical parameters in Nigeria cement factory workers. New York Sci J 2010; 3: 102-6.
  • [24] Dongre NN, Suryakar A, Patil AJ, Rathi D. Occupational lead exposure in automobile workers in North Karnataka (India): effect on liver and kidney functions. Al Ameen J Med Sci 2010; 3: 284-92.
  • [25] Ogunbileje J, Akinosun O. Biochemical and haematological profile in Nigerian cement factory workers. RJET 2011; 5: 133-40.
  • [26] Rapiti E, Sperati A, Miceli M, Forastiere F, Di Lallo D, Cavariani F, et al. End stage renal disease among ceramic workers exposed to silica. Int J Occup Environ Med 1999; 56: 559-61.
  • [27] Steenland K, Rosenman K, Socie E, Valiante D. Silicosis and endstage renal disease. Scand. J. Work Environ 2002; 28: 439-42.
  • [28] Tajudeen Y, Okpuzor J, Fausat AT. Investigation of general effects of cement dust to clear the controversy surrounding its toxicity. Asian J Sci Res 2011; 4: 315-25.
  • [29] Schwartz J, Weiss ST. Host and environmental factors influencing the peripheral blood leukocyte count. Am J Epidemiol 1991; 134: 1402-9.
  • [30] Mandal A, Suva P. Haematological changes among construction workers exposed to cement dust in West Bengal, India. Prog Health Sci 2014; 4: 88-94.
  • [31] Jude AC, Sasikala K, Kumar RA, Sudha S, Raichel J. Haematological and cytogenetic studies in workers occupationally exposed to cement dust. Int J Hum Genet 2002; 2: 95-9.
  • [32] Kumar P, Gupta Y, Tiwari V, Tiwari S, Singh A. Haematological and biochemical abnormalities in Cirrhinus mrigala (Ham.) induced by lead. J. Ecophysiol. Occup. Health 2005; 5: 213-6.
APA ANLAR H, BACANLI M, GÜNDÜZÖZ M, İRİTAŞ S, TUTKUN E, YILMAZ Ö, BAŞARAN N (2018). Evaluation of Health Status of Turkish Ceramic Workers. Clinical and Experimental Health Sciences, 8(3), 202 - 206. 10.5152/clinexphealthsci.2017.664
Chicago ANLAR HATİCE GÜL,BACANLI MERVE,GÜNDÜZÖZ Meside,İRİTAŞ Servet Birgin,TUTKUN Engin,YILMAZ Ömer Hınç,BAŞARAN Nurşen Evaluation of Health Status of Turkish Ceramic Workers. Clinical and Experimental Health Sciences 8, no.3 (2018): 202 - 206. 10.5152/clinexphealthsci.2017.664
MLA ANLAR HATİCE GÜL,BACANLI MERVE,GÜNDÜZÖZ Meside,İRİTAŞ Servet Birgin,TUTKUN Engin,YILMAZ Ömer Hınç,BAŞARAN Nurşen Evaluation of Health Status of Turkish Ceramic Workers. Clinical and Experimental Health Sciences, vol.8, no.3, 2018, ss.202 - 206. 10.5152/clinexphealthsci.2017.664
AMA ANLAR H,BACANLI M,GÜNDÜZÖZ M,İRİTAŞ S,TUTKUN E,YILMAZ Ö,BAŞARAN N Evaluation of Health Status of Turkish Ceramic Workers. Clinical and Experimental Health Sciences. 2018; 8(3): 202 - 206. 10.5152/clinexphealthsci.2017.664
Vancouver ANLAR H,BACANLI M,GÜNDÜZÖZ M,İRİTAŞ S,TUTKUN E,YILMAZ Ö,BAŞARAN N Evaluation of Health Status of Turkish Ceramic Workers. Clinical and Experimental Health Sciences. 2018; 8(3): 202 - 206. 10.5152/clinexphealthsci.2017.664
IEEE ANLAR H,BACANLI M,GÜNDÜZÖZ M,İRİTAŞ S,TUTKUN E,YILMAZ Ö,BAŞARAN N "Evaluation of Health Status of Turkish Ceramic Workers." Clinical and Experimental Health Sciences, 8, ss.202 - 206, 2018. 10.5152/clinexphealthsci.2017.664