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RESEARCH PAPER
 
CC BY-NC-ND 3.0
 
 

Analysis of the impact of harmful factors in the workplace on functioning of the respiratory system of firefighters

Mariusz Goniewicz 2  ,  
 
1
Department of Rescue and Disaster Medicine, Poznan University of Medical Sciences, Poland
2
Medical University of Lublin, Department of Emergency Medicine, Poland
3
Medical University of Warsaw, Department of Disaster Medicine
4
Polish Air Force Academy, Faculty of National Security and Logistics
5
Department of Pathomorphology, Poznan University of Medical Sciences
Ann Agric Environ Med 2017;24(3):406–410
KEYWORDS:
ABSTRACT:
Introduction and objective:
Firefighters are considered a healthy and fit group of individuals, well-prepared for taking action in disaster situations. While working, they suffer from exposure to certain toxic agents, especially combustion products generated when a fire takes place. Among them, the most frequent and the most toxic are: carbon monoxide, hydrogen cyanide, ammonia, and those resulting from PVC combustion – hydrochloride, phosgene and chloride. Additionally, fire-extinguisher powder can be inhaled and lead to certain lesion in the airways. The aim of study was to ascertain the influence of toxic agents present at the scene of fire on the lung tissue of firefighters, and also to study this on an animal model.

Material and Methods:
The study group consisted of firefighters who had a minimum of 10 years service. After completing a questionnaire, their clinical status was ascertained based on a general examination, laboratory tests and lung function tests.

Results:
Questionnaire analysis showed a high percentage of pathological symptoms in the studied group. The incidence of the symptoms correlated with the duration of occupational exposure to toxic agents. Among other results, obstruction of flow in medium airways in about 30% of the studied individuals represented the most important finding. Experimental tests were next performed on male Wistar rats, aged 3 months. They were insufflated with the solution of powdered fire-extinguisher, after which morphology specimens of lung tissue were studied. Evidence for disseminated fibrosis was obtained, which supported the previous clinical findings in the firefighters.

Conclusions:
The above shows correlation between occupational exposure and respiratory system involvement in firefighters. This justifies covering the group of firefighters with special medical care focused on prophilaxis, early detection and therapy of pulmonary diseases.

CORRESPONDING AUTHOR:
Mariusz Goniewicz   
Medical University of Lublin, Department of Emergency Medicine, Poland
 
REFERENCES (23):
1. Krzywiecki A. Uszkodzenie tkanki płucnej wywołane oparzeniem termicznym. In: Płusa T, editor. Stany zagrożenia życia w pneumonologii i alergologii. Sanmedia, Warszawa 1993. p. 158–163.
2. Hartzell G, Packham S, et al. Toxic products from fire. Am Ind Hig Assoc. 1983; 44:248–255.
3. Enders P. Pylice i chemiczne uszkodzenia płuc. In: Enders P, editor. Pneumonologia praktyczna. Via Medica, Gdańsk 1995. p. 167–178.
4. Marek K. Choroby zawodowe układu oddechowego. In: Orłowski W, editor. Nauka o chorobach wewnętrznych. Vol. V. PZWL, Warszawa 1990. p. 281–289.
5. Horsfield K, Cooper FM, et al. Respiratory symptoms in West Sussex firemen. Brit J Ind Med. 1988; 45:251–255.
6. Wright J, Cagle P, et al. Diseases of the small airways. Am Rev Respir Dis. 1992; 146:240–264.
7. Hardy TS, Weill H. Crystalline silica: risks and policy. Environ Health Perspect. 1995; 103:152–155.
8. Pairon JC, Brochard P, et al. Silica and lung cancer: a controversial issue. Eur Resp J. 1991; 4:730–744.
9. Alberg AJ, Samet JM. Epidemiology of lung cancer. Chest Journal 2003; 123(1_suppl): 21S-49S.
10. Large AA, Owens GR, et al. The short-term effects of smoke exposure on the pulmonary function of firefighters. Chest, 1990; 97:806–809.
11. Siafakas NM, Vermeire P, et al. Optymalne postępowanie diagnostyczne i leczenie przewlekłej obturacyjnej choroby płuc. Medycyna Praktyczna, 1996; 6:7–40.
12. Śliwiński P. Przewlekła obturacyjna choroba płuc. Nowa Medycyna. 1996; 11:23–27.
13. Pierzchała W, Barczyk A. Postępowanie w przewlekłej obturacyjnej chorobie płuc. The European Respiratory Society Statement 1995 and The American Thoracic Society Statement 1995.
14. Sparrow D, Bosse R, et al. The effect of occupational exposure on pulmonary function. A longitudinal evaluation of firefighters and nonfirefighters. Am Rev Resp Dis. 1982; 125:319–322.
15. Niepsuj G, Pudelski J. Przewlekłe zapalenie oskrzeli i sprawność wentylacyjna płuc z uwzględnieniem czynności drobnych dróg oddechowych u pracowników Zakładów Koksochemicznych w Zabrzu. Pneumonol Alergol Pol. 1992; 60:61–65.
16. Pudelski J. Wpływ środowiska na układ oddechowy. Pneumonol Pol. 1984; LII:11–12.
17. Tornling G, Gustavsson P, et al. Mortality and cancer incidence in Stockholm firefighters. Am J Ind Med. 1994; 25:219–228.
18. Young I, Jackson J, et al. Chronic respiratory disease and respiratory function in a group of firefighters. Med J Aust. 1980; 1:654–658.
19. Chia K, Phoon WO, et al. Transit time analysis of the forced expiratory spirogram of firefighters. Ann Acad Med Singapore. 1997; 16:324–327.
20. Kales S, Polyhronopoulos GN, et al. Medical surveillance of hazardous materials response firefighters: a two- year prospective study. J Em Med. 1997; 39:238–247.
21. Górecka D, Śliwiński P, et al. Przewlekła obturacyjna choroba płuc. Studio sense, Warszawa 1995.
22. Cooke N, Cobley J, et al. Airflow obstruction after smoke inhalation. Anesthesia. 1982; 37:830–832.
23. Gołębiewski S. Choroby zawodowe układu oddechowego. In: Rowińska-Zakrzewska E, Niemirowska H, editors. Gruźlica i choroby płuc. PZWL, Warszawa 1985. p. 154–160.
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