Kj. Donham et al., RESPIRATORY DYSFUNCTION IN SWINE PRODUCTION FACILITY WORKERS - DOSE-RESPONSE RELATIONSHIPS OF ENVIRONMENTAL EXPOSURES AND PULMONARY-FUNCTION, American journal of industrial medicine, 27(3), 1995, pp. 405-418
Human respiratory health hazards for people working in livestock confi
nement buildings have been recognized since 1974. However, before comp
rehensive control programs can be implemented, more knowledge is neede
d of specific hazardous substances present in the air of these buildin
gs, and at what concentrations they are harmful. Therefore, a medical
epidemiological and exposure-response study was conducted on 207 swine
producers using intensive housing systems (108 farms). Dose-response
relationships between pulmonary function and exposures are reported he
re. Positive correlations were seen between change in pulmonary functi
on over a work period and exposure to total dust, respirable dust, amm
onia, respirable endotoxin, and the interactions of age-of-producer an
d dust exposure and years-of-working-in-the-facility and dust exposure
. Relationships between baseline pulmonary function and exposures were
not strong and therefore, not pursued in this study. The correlations
between exposure and response were stronger after 6 years of exposure
. Multiple regression models were used to identify total dust and ammo
nia as the two primary environmental predictors of pulmonary function
decrements over a work period. The regression models were then used to
determine exposure concentrations related to pulmonary function decre
ments suggestive of a health hazard. Total dust concentrations greater
than or equal to 22.8 mg/m(3) were predictive of a work period decrem
ent of greater than or equal to 10% in FEV(1). Ammonia concentrations
of greater than or equal to 7.5 ppm were predictive of a greater than
or equal to 3% work period decrement in FEV(1). These predictive conce
ntrations were similar to a previous dose-response study, which sugges
ted 2.5 mg/m(3) of total dust and 7 ppm of NH3 were associated with si
gnificant work period decrements. Therefore, dust greater than or equa
l to 2.8 mg/m(3) and ammonia greater than or equal to 7.5 ppm should b
e considered reasonable evidence for guidelines regarding hazardous ex
posure concentrations in this work environment. (C) 1995 Wiley-Liss, I
nc.