, 217-226. Role of dust in the working environment in development of chronic bronchitis in British coal miners. In the course of a long-term prospective study of chronic respiratory disase in British coal miners the effects on pulmonary ventilatory function of exposure to airborne dust, of simple pneumoconiosis, and of chronic bronchitis have been examined in a group of 3581 coalface workers.The men were employed in 20 collieries throughout the British coalfields. Their cumulative exposures to coal mine dust in the respirable range (1-5 ,um) were calculated from detailed dust sampling results at their work places during a 10-year period and from estimates of earlier exposures based on records of their industrial histories.A progressive reduction in FEV1.0 with increasing cumulative exposure to airborne dust has been demonstrated. This effect was evident also in a subgroup of the men studied who reported no signs of mild bronchitic symptoms (cough and phlegm for at least three months in a year).Among men with pneumoconiosis there was no evidence of a reduction of FEV1.0 in excess of that attributable to their dust exposures, smoking habits, age, and physique.
Men engaged in breaking or reinstating road surfaces are exposed to vibration from mechanical tools. In view of the lack of epidemiological information on vibration white finger in such a population, a survey was carried out to identify the prevalence of symptoms of white finger in a sample of men using these tools in the gas industry and to compare the prevalence with that found in a control group not occupationally exposed to vibration. Altogether 905 men (97%) in the gas industry and 552 men (92%) in the control group were interviewed, using a questionnaire from which the presence or absence of white finger symptoms from all causes was noted. The prevalence of white finger was 9.6% in the group exposed to vibration at work compared with 9.5% in the control group. The prevalence in the former group when adjusted for age differences between the survey and control populations was 12.2%, but this difference did not reach statistical significance. In case the approach of comparing prevalences of white finger from all causes might have obscured any contributory effect of vibration, the prevalence of white finger was examined in relation to the number of years vibrating tools had been used, this being the only measure of exposure to vibration available. No direct association was found between the prevalence of symptoms and number of years vibrating tools had been used. In view of this and the absence of a significant excess of white finger symptoms in the group using vibratory tools, the authors conclude that vibration white finger is not a special problem in the gas industry. Nevertheless, experimental tests carried out on the different types of roadbreakers used in the industry and on different road surfaces indicate that the vibration levels exceed the standards advocated in the draft international standard DIS 5349 (1979) at the lower end of the frequency spectrum. That no particular problem has been found may be due to the relatively short exposures to vibration experienced by the operators or the fact that they are able to grip the tools lightly, or even, possibly, that the standards suggested in DIS 5349 do not accurately reflect the risk of vibration white finger when they are exceeded at the lower end of the frequency spectrum for vibrating tools such as roadbreakers.
1971). Brit. J. industr. Med., 28,[358][359][360][361][362][363] Bronchitis in men employed in the coke industry. An epidemiological survey to determine the prevalence of bronchitis in men employed at two of the National Coal Board's coking plants is described. Eight hundred and eighty-one men (91 %) of the total working population were examined.A strong association was found between bronchitis prevalence and cigarette smoking (P < 0-001). In addition, men who smoked and who were exposed to high temperatures, dust, and fumes in the environment of the coke-ovens had more bronchitis than men who worked elsewhere in the cokeworks (P < 0 02).Both the presence of bronchitis and employment in the environment of the coke-ovens had significant and independent effects on ventilatory capacity. The combination of cigarette smoking and previous employment in a dusty industry also had a significant effect on ventilatory capacity.The investigation suggests that cigarette smoking, and the combination of smoking and pollution from the coke-ovens and previous occupation, appear to be important factors in the aetiology of bronchitis and reduced ventilatory capacity in men employed in the coke manufacturing industry.
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