A cross-sectional study was conducted in order to determine the preval
ence of respiratory symptoms and the effect on ventilatory capacity in
workers exposed to tea dust for at least live years during the siftin
g process of tea manufacture compared to a control group oi field work
ers who were not exposed to tea dust previously. Fifty-three subjects
each in the study and control groups were matched for age, sex, ethnic
group and height. Prevalence oi chronic respiratory symptoms was obta
ined by questionnaire. Spirometric measurements included forced vital
capacity (NC), forced expiratory volume in the first second (FEV(1.0))
and forced mid-expiratory Row rate (FEF(25-75%)). The study group had
a chest radiograph. The odds ratio for any chronic respiratory sympto
m was 11.6 (95% confidence interval [CI] = 3.7-39.4) in the study grou
p. Mean values for the spirometric tests were lower in the study group
; the differences in FEV(1.0) and FEF(25-75%) were significant. Tuberc
ulosis was not found in the study group, while one subject (2.4%) had
radiological evidence of bronchiectasis. It may therefore be concluded
that chronic tea dust exposure causes increased prevalence of respira
tory symptoms and a significant degree of small airways obstruction.