Respiratory symptoms and functions in barn workers
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Düzce University, Medical Faculty, Department of Chest Diseases, Düzce, Turkey
Düzce University, Medical Faculty, Department of Microbiology, Düzce, Turkey
Düzce University, Medical Faculty, Department of Otorhinolaryngology, Düzce, Turkey
Corresponding author
Ege Gulec Balbay   

Düzce University, Medical Faculty, Department of Chest Diseases, Düzce, Turkey
Ann Agric Environ Med. 2014;21(1):25-28
Introduction and aim:
The presented study was undertaken to investigate the respiratory health problems in family barns with one or more cows and at least one family member working in the barn.

150 workers (128 female, 22 male) from 4 villages of Yığılca district near the city of Düzce in north-west Turkey were enrolled in this study between October – December 2011. An Occupational and Environmental Chest Diseases questionnaire developed by the American Thoracic Society, pulmonary function test, physical examination and investigation for nasal eosinophil were performed in all subjects.

The mean age of workers was 47.7 ± 14.2 years. Cough was present in 24% of subjects. The rates of phlegm, wheezing, chest tightness and dyspnea were 13.3%, 6%, 6% and 27.3%, respectively. Obstructive ventilatory pattern was observed in 37 workers (24.6%). 43 workers (28.6%) showed restrictive ventilatory pattern. Nasal eosinophilia was detected in 47.3% (71/150) of the subjects. Pulmonary functions of workers with nasal eosinophilia did not differ from the other workers. There were statistically significant negative correlations between the duration of working in barns and respiratory functions.

Pulmonary functions of barn workers have been found to be decreased related to the duration of barn working. Furthermore, respiratory symptoms increased in relation with both barn working and biomass consumption. Precautions should therefore be taken to ventilate both barns and houses.

Kogevinas M, Anto JM, Sunyer J, Tobias A, Kromhout H, Burney P. Occupational asthma in Europe and other industrialised areas: A population-based study. European Community Respiratory Health Survey Study Group. Lancet 1999; 353: 1750–1754.
Radon K, Winter C. Prevalence of respiratory symptoms in sheep breeders. Occup Environ Med. 2003; 60: 770–773.
Radon K, Danuser B, Iversen M, Jörres R, Monso E, Opravil U, et al. Respiratory symptoms in European animal farmers. Eur Respir J. 2001; 17: 747–754.
Preller L, Heederik D, Boleij JS, Vogelzang PF, Tielen MJ. Lung function and chronic respiratory symptoms of pig farmers: focus on exposure to endotoxins and ammonia and use of disinfectants. Occup Environ Med. 1995; 52: 654–660.
Andersen AR. Organic dust toxic syndrome among farmers. Br J Ind Med. 1989; 46: 233–238.
Langley LR. Consequences of respiratory exposures in the farm environment. N C. Med J. 2011; 72(6): 477–480.
Iversen M, Dahl R, Korsgaard J, Hallas R, Jensen EJ. Respiratory symptoms in Danish farmers: an epidemiological study of risk factors. Thorax 1988; 43: 872–877.
Melbostad E, Eduard W, Magnus P. Determinants of asthma in a farming population. Scand J Work Environ Health. 1998; 24: 262–269.
Terho EO, Husman K, Vohlonen I. Prevalence and incidence of chronic bronchitis and farmer’s lung with respect to age, sex, atopy, and smoking. Eur J Respir Dis Suppl. 1987; 152: 19–28.
Holmstrom M, Thelin A, Kolmodin-Hedman B, Van Hage M. Nasal complaints and signs of disease in farmers-a methodological study. Acta Otolaryngol. 2008; 128(2): 193–200.
Work-related lung disease surveillance report 2007. National Institute for Occupational Safety and Health, Division of Respiratory Disease Studies. WV: US Department of Health and Human Services, Morganton 2008.
Ferris, BG. Epidemiology standardization project (American thoracic society). Am. Rev. Respir. Dis. 1978; 118: 1–120.
Standardization of Spirometry, 1994 Update. American thoracic society. Am. J. Respir. Crit. Care Med. 1995; 152: 1107–1136.
American Thoracic Society, Schenker MB. Respiratory health hazards in agriculture. Am J Respir Crit Care Med. 1998; 158: 1–76.
Stellmann SD, Boffetta P, Garfinkel L. Smoking habits of 800,000 American men and women in relation to their occupations. Am J Ind Med. 1988; 13: 43–58.
Hoppin JA, Umbach DM, London SJ, Alavanja MC, Sandler DP. Animal production and wheeze in the Agricultural Health Study: Interactions with atopy, asthma, and smoking. Occup Environ Med. 2003; 60: ….
Kimbell-Dunn MR, Fishwick RD, Bradshaw L, Erkinjuntti PR, Pearce N. Work-related respiratory symptoms in New Zealand farmers. Am J Ind Med. 2001; 39: 292–300.
Tutluoglu B, Atis S, Anakkaya AN, Altug E, Tosun GA, Yaman M. Sensitization to horse hair, symptoms and lung function in grooms. Clin Exp Allergy. 2002; 32(8): 1170–1173.
Heller RF, Hayward DM, Farebrother MTB. Lung function of farmers in England and Wales. Thorax 1986; 41: 117–121.
Dosman JA, Graham BL, Hall D, Pahwa P, McDuffie HH, Lucewicz M, et al. Respiratory symptoms and alterations in pulmonary function tests in swine producers in Saskatchewan: results of a survey of farmers. J Occup Med. 1988; 30: 715–720.
Cormiers Y, Boulet L-P, Bedard G, Tremblay G. Respiratory health of workers exposed to swine confinement buildings only or to both swine confinement buildings and dairy barns. Scand J Work Environ Health. 1991; 17: 269–275.
Omland Q. Exposure and respiratory health in farming in temperate zones-a review of the literature. Ann Agric Environ Med. 2002; 9(2): 119–136.
Iversen M, Bronk O, Dahl R. Lung function in a five-years followup study of farmers. Ann Agric Environ Med. 1994; 1: 39–43.
Iversen M, Dahl R. Working in swine-confinement buildings causes an accelerated decline in lung FEV1: a 7-yr follow-up of Danish farmers. Eur Resir J. 2000; 16: 404–408.
Mazan MR, Svatek J, Maranda L, Christiani D, Ghio A, Nadeau J, et al. Questionnaire assesment of airway disease symptoms in equine barn personel. Occup Med. 2009; 59(4): 220–225.
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