Abstract
Pulmonary function was studied among pulp and paper workers from a production facility in New Hampshire. Subjects were first tested in the 1960s and then surveyed at regular intervals up to 1985. The current study examined results for the 339 subjects who participated in at least one of the two most recent follow up surveys in 1979 and 1985. For the 171 subjects who were tested in both surveys, the pulmonary function values were higher and the effect of pulp mill work was diminished compared with the findings for the 168 subjects who were tested in just one of the two surveys. To avoid the loss of less healthy subjects and the subsequent bias in effect estimate, the 1985 data were analysed cross sectionally with the inclusion of data from 1979 for those subjects who had not been followed up in the last survey. The subjects with work experience in the pulp mill had mean levels of forced expiratory volume in one second (FEV1) and forced vital capacity (FVC) lower than those of unexposed subjects who had never worked in the pulp or paper production areas. Based on parameter estimates from regression analysis, each year of employment in the pulp operation was associated with a -5.8 ml change in FEV1 (p = 0.08) and a -7.2 ml change in FVC (p = 0.04). Ninety one per cent of the subjects with pulp mill experience had terminated employment in that area of the company, so the association with decreased lung function appears to be a non-reversible effect that persisted after the cessation of exposure.
Full text
PDF







Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Chan-Yeung M., Wong R., MacLean L., Tan F., Dorken E., Schulzer M., Dennis R., Grzybowski S. Respiratory survey of workers in a pulp and paper mill in Powell River, British Columbia. Am Rev Respir Dis. 1980 Aug;122(2):249–257. doi: 10.1164/arrd.1980.122.2.249. [DOI] [PubMed] [Google Scholar]
- Dockery D. W., Speizer F. E., Ferris B. G., Jr, Ware J. H., Louis T. A., Spiro A., 3rd Cumulative and reversible effects of lifetime smoking on simple tests of lung function in adults. Am Rev Respir Dis. 1988 Feb;137(2):286–292. doi: 10.1164/ajrccm/137.2.286. [DOI] [PubMed] [Google Scholar]
- Eisen E. A., Dockery D. W., Speizer F. E., Fay M. E., Ferris B. G., Jr The association between health status and the performance of excessively variable spirometry tests in a population-based study in six U.S. cities. Am Rev Respir Dis. 1987 Dec;136(6):1371–1376. doi: 10.1164/ajrccm/136.6.1371. [DOI] [PubMed] [Google Scholar]
- Enarson D. A., Johnson A., Block G., Maclean L., Dybuncio A., Schragg K., Chan-Yeung M., Grzybowski S. Respiratory health at a pulpmill in British Columbia. Arch Environ Health. 1984 Sep-Oct;39(5):325–330. doi: 10.1080/00039896.1984.10545858. [DOI] [PubMed] [Google Scholar]
- FERRIS B. G., Jr, ANDERSON D. O. The prevalence of chronic respiratory disease in a New Hampshire town. Am Rev Respir Dis. 1962 Aug;86:165–177. doi: 10.1164/arrd.1962.86.2.165. [DOI] [PubMed] [Google Scholar]
- 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]
- Ferris B. G., Jr, Higgins I. T., Higgins M. W., Peters J. M., Van Ganse W. F., Goldman M. D. Chronic nonspecific respiratory disease, Berlin, New Hampshire, 1961-1967: a cross-sectional study. Am Rev Respir Dis. 1971 Aug;104(2):232–244. doi: 10.1164/arrd.1971.104.2.232. [DOI] [PubMed] [Google Scholar]
- Ferris B. G., Jr, Puleo S., Chen H. Y. Mortality and morbidity in a pulp and a paper mill in the United States: a ten-year follow-up. Br J Ind Med. 1979 May;36(2):127–134. doi: 10.1136/oem.36.2.127. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Ferris B. G., Jr, Speizer F. E., Bishop Y., Prang G., Weener J. Spirometry for an epidemiologic study: deriving optimum summary statistics for each subject. Bull Eur Physiopathol Respir. 1978 Mar-Apr;14(2):145–166. [PubMed] [Google Scholar]
- Huhti E., Ryhänen P., Vuopala U., Takkunen J. Chronic respiratory disease among pulp mill workers in an arctic area in Northern Finland. Acta Med Scand. 1970 Jun;187(6):433–444. doi: 10.1111/j.0954-6820.1970.tb02968.x. [DOI] [PubMed] [Google Scholar]
- Isawa T., Teshima T., Hirano T., Shiraishi K., Matsuda T., Konno K. Regulation of regional perfusion distribution in the lungs: effect of regional oxygen concentration. Am Rev Respir Dis. 1978 Jul;118(1):55–63. doi: 10.1164/arrd.1978.118.1.55. [DOI] [PubMed] [Google Scholar]
- Poukkula A., Huhti E., Mäkaräinen M. Chronic respiratory disease among workers in a pulp mill: a ten-year follow-up study. Chest. 1982 Mar;81(3):285–289. doi: 10.1378/chest.81.3.285. [DOI] [PubMed] [Google Scholar]
- 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]
