“…The overall prevalences of the self-reported health complaints were high among the shoe-factory workers. This could be due to exposure to highly volatile solvents and plasticizer compounds that are known to cause mucus membrane irritation [Oleru and Onyekwere, 1992] and induce neurotoxic effects [Kyrklund, 1992;Wang and Chen, 1993] as well as mental and cognitive impairment [Mikkelsen, 1997;Morrow et al, 1998]. The absence of mechanical ventilation and suitable protective equipment [Nijem et al, unpublished data] could cause persistence of these compounds at the work site for a long period of time, thus increasing the exposure time and level.…”