Skip to main content
British Journal of Industrial Medicine logoLink to British Journal of Industrial Medicine
. 1989 Sep;46(9):629–635. doi: 10.1136/oem.46.9.629

Respiratory symptoms associated with low level sulphur dioxide exposure in silicon carbide production workers.

J W Osterman 1, I A Greaves 1, T J Smith 1, S K Hammond 1, J M Robins 1, G Thériault 1
PMCID: PMC1009838  PMID: 2789966

Abstract

Relations between pulmonary symptoms and exposure to respirable dust and sulphur dioxide (SO2) were evaluated for 145 silicon carbide (SiC) production workers with an average of 13.9 (range 3-41) years of experience in this industry. Eight hour time weighted average exposures to SO2 were 1.5 ppm or less with momentary peaks up to 4 ppm. Cumulative SO2 exposure averaged 1.94 (range 0.02-19.5) ppm-years. Low level respirable dust exposures also occurred (0.63 +/- 0.26 mg/m3). After adjusting for age and current smoking status in multiple logistic regression models, highly significant, positive, dose dependent relations were found between cumulative and average exposure to SO2, and symptoms of usual and chronic phlegm, usual and chronic wheeze, and mild exertional dyspnoea. Mild and moderate dyspnoea were also associated with most recent exposure to SO2. Cough was not associated with SO2. No pulmonary symptoms were associated with exposure to respirable dust nor were any symptoms attributable to an interaction between dust and SO2. Cigarette smoking was strongly associated with cough, phlegm, and wheezing, but not dyspnoea. A greater than additive (synergistic) effect between smoking and exposure to SO2 was present for most symptoms. These findings suggest that long term, variable exposure to SO2 at 1.5 ppm or less was associated with significantly raised rates of phlegm, wheezing, and mild dyspnoea in SiC production workers, and that current threshold limits for SO2 may not adequately protect workers in this industry.

Full text

PDF
633

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Archer V. E., Gillam J. D. Chronic sulfur dioxide exposure in a smelter. II. Indices of chest disease. J Occup Med. 1978 Feb;20(2):88–95. doi: 10.1097/00043764-197802000-00008. [DOI] [PubMed] [Google Scholar]
  2. Beck G. J., Schachter E. N., Maunder L. R., Schilling R. S. A prospective study of chronic lung disease in cotton textile workers. Ann Intern Med. 1982 Nov;97(5):645–651. doi: 10.7326/0003-4819-97-5-645. [DOI] [PubMed] [Google Scholar]
  3. Cotton D. J., Graham B. L., Li K. Y., Froh F., Barnett G. D., Dosman J. A. Effects of grain dust exposure and smoking on respiratory symptoms and lung function. J Occup Med. 1983 Feb;25(2):131–141. [PubMed] [Google Scholar]
  4. Dufresne A., Lesage J., Perrault G. Evaluation of occupational exposure to mixed dusts and polycyclic aromatic hydrocarbons in silicon carbide plants. Am Ind Hyg Assoc J. 1987 Feb;48(2):160–166. doi: 10.1080/15298668791384562. [DOI] [PubMed] [Google Scholar]
  5. Fabbri L., Mapp C., Furlanis D. Alterazioni respiratorie da esposizione cronica a basse concentrazioni di SO2. Med Lav. 1977 Jan-Feb;68(1):35–50. [PubMed] [Google Scholar]
  6. Ferris B. G., Jr, Burgess W. A., Worcester J. Prevalence of chronic respiratory disease in a pulp mill and a paper mill in the United States. Br J Ind Med. 1967 Jan;24(1):26–37. doi: 10.1136/oem.24.1.26. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Field G. B. The application of a quantitative estimate of cough frequency to epidemiological surveys. Int J Epidemiol. 1974 Jun;3(2):135–143. doi: 10.1093/ije/3.2.135. [DOI] [PubMed] [Google Scholar]
  8. Fox A. J., Tombleson J. B., Watt A., Wilkie A. G. A survey of respiratory disease in cotton operatives. I. Symptoms and ventilation test results. Br J Ind Med. 1973 Jan;30(1):42–47. doi: 10.1136/oem.30.1.42. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Funahashi A., Schlueter D. P., Pintar K., Siegesmund K. A., Mandel G. S., Mandel N. S. Pneumoconiosis in workers exposed to silicon carbide. Am Rev Respir Dis. 1984 Apr;129(4):635–640. [PubMed] [Google Scholar]
  10. Koenig J. Q., Pierson W. E., Horike M., Frank R. Effects of inhaled sulfur dioxide (SO2) on pulmonary function in healthy adolescents: exposure to SO2 alone or SO2 + sodium chloride droplet aerosol during rest and exercise. Arch Environ Health. 1982 Jan-Feb;37(1):5–9. doi: 10.1080/00039896.1982.10667525. [DOI] [PubMed] [Google Scholar]
  11. Lebowitz M. D., Burton A., Kaltenborn W. Pulmonary function in smelter workers. J Occup Med. 1979 Apr;21(4):255–259. [PubMed] [Google Scholar]
  12. Mehlman M. A. Current toxicological information as the basis for sulfur oxide standards. Environ Health Perspect. 1983 Oct;52:261–266. doi: 10.1289/ehp.8352261. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Mittman C., Pedersen E., Barbela T., Lewis H. Prediction and potential prevention of industrial bronchitis. An epidemiologic study of a group of coke oven workers. Am J Med. 1974 Aug;57(2):192–199. doi: 10.1016/0002-9343(74)90443-4. [DOI] [PubMed] [Google Scholar]
  14. Peters J. M., Smith T. J., Bernstein L., Wright W. E., Hammond S. K. Pulmonary effects of exposures in silicon carbide manufacturing. Br J Ind Med. 1984 Feb;41(1):109–115. doi: 10.1136/oem.41.1.109. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. SKALPE I. O. LONG-TERM EFFECTS OF SULPHUR DIOXIDE EXPOSURE IN PULP MILLS. Br J Ind Med. 1964 Jan;21:69–73. doi: 10.1136/oem.21.1.69. [DOI] [PMC free article] [PubMed] [Google Scholar]
  16. Schachter E. N., Witek T. J., Jr, Beck G. J., Hosein H. B., Colice G., Leaderer B. P., Cain W. Airway effects of low concentrations of sulfur dioxide: dose-response characteristics. Arch Environ Health. 1984 Jan-Feb;39(1):34–42. doi: 10.1080/00039896.1984.10545831. [DOI] [PubMed] [Google Scholar]
  17. Smith T. J., Hammond S. K., Laidlaw F., Fine S. Respiratory exposures associated with silicon carbide production: estimation of cumulative exposures for an epidemiological study. Br J Ind Med. 1984 Feb;41(1):100–108. doi: 10.1136/oem.41.1.100. [DOI] [PMC free article] [PubMed] [Google Scholar]
  18. Smith T. J., Peters J. M., Reading J. C., Castle C. H. Pulmonary impairment from chronic exposure to sulfur dioxide in a smelter. Am Rev Respir Dis. 1977 Jul;116(1):31–39. doi: 10.1164/arrd.1977.116.1.31. [DOI] [PubMed] [Google Scholar]
  19. Walker D. D., Archibald R. M., Attfield M. D. Bronchitis in men employed in the coke industry. Br J Ind Med. 1971 Oct;28(4):358–363. doi: 10.1136/oem.28.4.358. [DOI] [PMC free article] [PubMed] [Google Scholar]

Articles from British Journal of Industrial Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES