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The aim of this study was to assess the cytokine response after nasal exposure to organic dusts.In a double blinded, crossover study five garbage workers with occupational airway symptoms and five healthy garbage workers were intranasally exposed to endotoxin (lipopolysaccharide LPS), b-1,3-D-glucan (GLU), Aspergillus sp., compost or the saline dilute for 15 min. Nasal cavity volume and nasal lavage (NAL) were performed at baseline and 3, 6, 11 h postexposure. NAL was analysed with differential cell counts, cysteinyl-leukotrienes, tumour necrosis factor a, interleukin (IL)-1b, IL-6 and IL-8. A whole blood assay on cytokine-release was performed with LPS and GLU.NAL cytokines neutrophils, lymphocytes and albumin increased significantly at 6 h after LPS exposure. GLU induced an increase in albumin and a slight increase in IL1b 6±11 h post exposure. In the WBA a significant increase in all cytokines after exposure to LPS as well as GLU was found. Significantly more cells were seen in NAL of the control group 6 h post LPS exposure.In conclusion lipopolysaccharide is the most potent inducer of inflammation in the nasal mucosa whereas compost and b-1,3-D-glucan only induce minor changes. This reaction to lipopolysaccharide is attenuated in workers with occupational airway symptoms. In whole blood assay, however, b-1,3-D-glucan also induces cytokine release, indicating a different protective effect of the nasal mucosa towards lipopolysaccharide and b-1,3-D-glucan. Eur Respir J 2000; 16: 140±145.

The presence of Volatile Organic Compounds (VOC) in indoor air has in past decades often been associated with adverse health effects such as sensory irritation, odour and the more complex set of symptoms called the Sick Building Syndrome (SBS). More recently, a possible link between the increase in the prevalence of allergies throughout the industrialized areas of the world and exposure to elevated concentrations of VOCs has been suggested. In many cases, the total VOC (TVOC) is used as a measure of the concentration of air pollution and, by extension, as a measure of the health risk in non‐industrial buildings. However, the TVOC concept has been questioned for a number of reasons, including the facts that it is an ambiguous concept, that individual VOCs making up the whole can be expected to give rise to different effects in people and that researchers have been using different definitions and interpretations of TVOC. This means that simple addition of the quantities of individual VOCs may not be relevant from a health point of view. Twelve researchers from the Nordic countries have reviewed the literature on VOC/TVOC and health. A search of the literature resulted in the identification of about 1100 articles, of which 120 were selected for further examination. A final review of the articles reduced their number to 67 that contained data on both exposure and health effects. The group concluded that indoor air pollution including VOC is most likely a cause of health effects and comfort problems in indoor environments in non‐industrial buildings. However, the scientific literature is inconclusive with respect to TVOC as a risk index for health and comfort effects in buildings. Consequently, there is at present an inadequate scientific basis on which to establish limit values/guidelines for TVOC, both for air concentrations, and for emissions from building materials. The group concluded that continued research is required to establish a risk index for health and comfort effects for VOC in non‐industrial buildings.

To test sensory irritation symptoms and physiological effects on humans caused by airborne office dust, ten subjects were exposed to both clean air and airborne non-industrial office dust for 3 h in a climate chamber. The average dust concentration in exposure sessions was 394 micrograms/m3 total suspended dust (TSD). Tear film break-up time, foam formation in the eye canthus, conjunctival epithelial damage, nasal volume, and nasal minimal cross-sectional area were assessed. Tear film break-up time decreased significantly after dust exposure and nasal volume showed a tendency to decrease. In a questionnaire investigation, significant effects were found from the questions: "facial skin humidity", "throat irritation", "feeling needs of coughing", "dry nose", "concentration difficulty", and "headache". Additionally, the intensity of the questions "facial skin humidity", "dry nose", "body skin temperature", "sluggishness", and "sleepiness" worsened over time. A correlation analysis showed that perceived "air quality" was significantly correlated with "dry eyes", "eye irritation", "facial skin irritation", "nose irritation", and "feeling stressed by chamber occupancy" for subacute responses, and with "odor intensity" for acute responses. This supports that the perceived air quality may be a function of odor and irritation symptoms. A number of localized symptoms of irritation (e.g. dry nose, throat irritation, coughing) and of general symptoms (e.g. sluggishness, sleepiness, headache, ability to concentration) were mutually correlated acutely and subacutely. These results indicate that non-industrial office dust may cause physiological changes and sensory symptoms in eyes and nose and that these effects have different time courses.