Abstract
Objective: To evaluate the new measures adopted to control the risks from soybean unloading operations in the Port of Barcelona, after an episode of epidemic asthma in June 1996.
Methods: After an initial cautionary suspension of all soybean unloading operations, they were subsequently resumed under restrictive criteria for time, flux, simultaneity, and meteorological conditions. Emission filtration systems based on either micro pore size filters or polytetrafluoroethylene membranes on tetratex filters showed promising results.
Results: Allergen emission underwent a very important decrease to levels 95% to 98% lower. Emissions from the two plants with unloading operations are in the same order of magnitude as the processing plant that does not unload soybean. Allergen concentration levels presented fluctuations initially, but the new filters decreased mean values; despite increased unloading, allergen levels did not increase—mean allergen levels on unloading days (67 U/m3) and on days without unloading operations (63 U/m3) are similar. A panel of patients detected a cluster of increased symptoms during unloading operations on a day with suboptimal meteorological conditions and comparatively low allergen levels (225–415 U/m3). Since the June 1996 episode, no further asthma outbreak has been detected.
Conclusions: The evaluation shows the effectiveness of the new filters in the control of soybean dust emission. With a systematic control programme, industrial soybean operations may function near urban centres without public health risks. These data may be useful in the development of future standards for allergenic agents.
Full Text
The Full Text of this article is available as a PDF (157.3 KB).
Selected References
These references are in PubMed. This may not be the complete list of references from this article.
- Aceves M., Grimalt J. O., Sunyer J., Anto J. M., Reed C. E. Identification of soybean dust as an epidemic asthma agent in urban areas by molecular marker and RAST analysis of aerosols. J Allergy Clin Immunol. 1991 Jul;88(1):124–134. doi: 10.1016/0091-6749(91)90309-c. [DOI] [PubMed] [Google Scholar]
- Antó J. M., Sunyer J., Reed C. E., Sabrià J., Martínez F., Morell F., Codina R., Rodríguez-Roisín R., Rodrigo M. J., Roca J. Preventing asthma epidemics due to soybeans by dust-control measures. N Engl J Med. 1993 Dec 9;329(24):1760–1763. doi: 10.1056/NEJM199312093292402. [DOI] [PubMed] [Google Scholar]
- Antó J. M., Sunyer J., Rodriguez-Roisin R., Suarez-Cervera M., Vazquez L. Community outbreaks of asthma associated with inhalation of soybean dust. Toxicoepidemiological Committee. N Engl J Med. 1989 Apr 27;320(17):1097–1102. doi: 10.1056/NEJM198904273201701. [DOI] [PubMed] [Google Scholar]
- Ballester F., Soriano J. B., Otero I., Rivera M. L., Sunyer J., Merelles A., Verea H., Marín J., Antó J. M. Asthma visits to emergency rooms and soybean unloading in the harbors of Valencia and A Coruña, Spain. Am J Epidemiol. 1999 Feb 15;149(4):315–322. doi: 10.1093/oxfordjournals.aje.a009815. [DOI] [PubMed] [Google Scholar]
- Codina R., Ardusso L., Lockey R. F., Crisci C., Bertoya N. Sensitization to soybean hull allergens in subjects exposed to different levels of soybean dust inhalation in Argentina. J Allergy Clin Immunol. 2000 Mar;105(3):570–576. doi: 10.1067/mai.2000.103824. [DOI] [PubMed] [Google Scholar]
- Cruz M. J., Rodrigo M. J., Antó J. M., Morell F. An amplified ELISA inhibition method for the measurement of airborne soybean allergens. Int Arch Allergy Immunol. 2000 May;122(1):42–48. doi: 10.1159/000024357. [DOI] [PubMed] [Google Scholar]
- García-Ortega P., Rovira E., Bartolomé B., Martínez A., Mora E., Richart C. Epidemia de asma alérgica a polvo de soja. Estudio clínico e inmunológico de los pacientes afectados. Med Clin (Barc) 1998 May 30;110(19):731–735. [PubMed] [Google Scholar]
- González R., Duffort O., Calabozo B., Barber D., Carreira J., Polo F. Monoclonal antibody-based method to quantify Gly m 1. Its application to assess environmental exposure to soybean dust. Allergy. 2000 Jan;55(1):59–64. doi: 10.1034/j.1398-9995.2000.00366.x. [DOI] [PubMed] [Google Scholar]
- Navarro C., Márquez M., Hernando L., Galvañ F., Zapatero L., Caravaca F. Epidemic asthma in Cartagena, Spain, and its association with soybean sensitivity. Epidemiology. 1993 Jan;4(1):76–79. doi: 10.1097/00001648-199301000-00014. [DOI] [PubMed] [Google Scholar]
- Rodrigo M. J., Morell F., Helm R. M., Swanson M., Greife A., Anto J. M., Sunyer J., Reed C. E. Identification and partial characterization of the soybean-dust allergens involved in the Barcelona asthma epidemic. J Allergy Clin Immunol. 1990 Apr;85(4):778–784. doi: 10.1016/0091-6749(90)90198-d. [DOI] [PubMed] [Google Scholar]
- Soriano J. B., Antó J. M., Plasencia A. Repeaters count: a sentinel method for asthma outbreaks. Barcelona Soybean-Asthma Group. Thorax. 1995 Oct;50(10):1101–1103. doi: 10.1136/thx.50.10.1101. [DOI] [PMC free article] [PubMed] [Google Scholar]
- Sunyer J., Antó J. M., Rodrigo M. J., Morell F. Case-control study of serum immunoglobulin-E antibodies reactive with soybean in epidemic asthma. Lancet. 1989 Jan 28;1(8631):179–182. doi: 10.1016/s0140-6736(89)91201-4. [DOI] [PubMed] [Google Scholar]
- Swanson M. C., Li J. T., Wentz-Murtha P. E., Trudeau W. L., Fernandez-Caldas E., Greife A., Rodrigo M. A., Morell F., Reed C. E. Source of the aeroallergen of soybean dust: a low molecular mass glycopeptide from the soybean tela. J Allergy Clin Immunol. 1991 Apr;87(4):783–788. doi: 10.1016/0091-6749(91)90123-6. [DOI] [PubMed] [Google Scholar]
- Ussetti P., Roca J., Agusti A. G., Montserrat J. M., Rodriguez-Roisin R., Agusti-Vidal A. Asthma outbreaks in Barcelona. Lancet. 1983 Jul 30;2(8344):280–281. doi: 10.1016/s0140-6736(83)90259-3. [DOI] [PubMed] [Google Scholar]
- White M. C., Etzel R. A., Olson D. R., Goldstein I. F. Reexamination of epidemic asthma in New Orleans, Louisiana, in relation to the presence of soy at the harbor. Am J Epidemiol. 1997 Mar 1;145(5):432–438. doi: 10.1093/oxfordjournals.aje.a009125. [DOI] [PubMed] [Google Scholar]