Background: Despite wide application of chromium in electroplating industry, the pulmonary effects of chronic exposure to this chemical have not been extensively studied and are subject of debate and controversy. This study was, therefore, undertaken to further address this issue. Methods: The study population consisted of a group of 15 workers with a history of past and present occupational exposure to chromium mists and 15 unexposed healthy subjects (referent). Subjects were interviewed, respiratory symptom questionnaires were filled out for them, and their parameters of pulmonary function (PFT) were measured during the shift and a few days after exposure ceased. Results: Both groups were similar as to the number of smokers, their length of smoking, and demographic factors such as age, weight and height. Although the unexposed group, on average, were slightly older than their exposed counterparts, statistical analysis of the data revealed that symptoms such as productive cough, phlegm, wheezing and shortness of breath were significantly (P<0.05) more prevalent among the exposed workers. Furthermore, the parameters of pulmonary function (PFT) of the exposed workers, while at work, were significantly lower than those of referent individuals. Interestingly, PFT of the exposed subjects generally showed some improvement a few days after their exposure ceased. However, despite this relative recovery, the differences of PFT values between the exposed and referent groups, from statistical point of view, remained significant. Conclusion: Our data support the proposition that exposure to chromium mists induces abnormal respiratory symptoms as well as both acute, partially reversible and chronic irreversible lung functional impairments. |
- Agency for toxic substances and disease Rigistry case
- studies in Enviromental Medicine (CSEM) chromium
- toxicity, December 18, 2008.
- World Health Organization. Chromium (Environmental
- Health Criteria 61) International Programme on
- Chemical Safety. Geneva, Switzerland 1990.
- Dayan AD, Paine AJ. Mechanisms of chromium
- toxicity, carcinogenicity and allergenicity: review of
- the literature from 1985 to 2000. Hum Exp Toxicol
- ; 20(9): 439-51.
- International Programme on Chemical Safety (IPCS).
- Chromium. Environmental Health Criteria 61. WHO.
- Agency for toxic substances and disease Registry
- (ATSDR). Agency for toxic substances and disease
- Registry Toxicological profile for chromium. U.S.
- Department of Health and Human services, public
- Health services. September 2012.
- Zober A. Possible dangers to the respiratory tract from
- welding fumer: methods of approach in an industrial
- health care context and results. Schweissen Schneiden
- ; 34 (2): 77-81.(in German).
- Jindrichova J. chromium damage in arc welders. Z
- Gesamte Hyg 1978; 24(2): 86-8.(in German).
- Keskinen H, Kalliomaki PL, Alanko K. Occupational
- asthma due to stainless steel welding fumes. Clin
- Allerg 1980; 10: 151-9.
- Letterer E, Neidhardt K, Klett H. Chromate lung
- cancer and chromate pneumoconiosis. A clinical,
- morbid anatomical and industrial-hygiene-related
- study. Arch.Gewerbepathol. Gewerbehyg 1944; 12:
- -61. (in German).
- Sluis-Cremer GK, Du Toit RS. Pneumoconiosis in
- chromite miners in South Africa. Br J Ind Med 1968;
- (1): 63-7.
- Rastogi SK, Pandey A , Tripathi S. Occupational health
- risks among the workers employed in leather tanneries
- at Kanpur. Indian J Occup Environ Med 2008; 12(3):
- -5.
- Lindberg E, Hdenstierna G. Chrome plating: Symptoms,
- findings in upper airways, and effects on lung function.
- Arch Environ Health 1983; 38: 367-74.
- Reggiani A, Lotti M, De Rosa E, Saia B. Impairments of
- respiratory functions in subjects exposed to chromium:
- Note1. Spirographic changes. Lav Um 1973; 25(1): 23-7.
- Bovet P, Lob M, Gradjiean M. Spirometric Alteration in
- workers in chromium electroplating industry. Int Arch
- Occup Environ Health 1977; 40(1): 25-32.
- US PHS, Health of workers in chromate producing
- industry, Washington DC, US Department of Health,
- Education and Welfare, US Public Health Service 1953;
- (192): 131 pp.
- Hayden SP, Pincock AC, Hayden J, Tyler LE, Cross KW,
- Bishop HM. Respiratory symptoms and pulmonary
- function of welders in the engineering industry. Thorax
- ; 39: 442-7.
- Erkinjuntti-Pekkanen R, Slater T, Cheng S, Fishwick D,
- Bradshaw L, Kimbell-Dunn M, et al. Two year follow
- up of pulmonary function values among welders in
- New Zealand. Occup Environ Med 1999; 56: 328â33.
- Huvinen M, Utti J, Oksa p, Laippala p. Respiratory
- health effects of long-term exposure to different
- chromium species in stainless steel production. Occup
- Med 2002; (4): 203-12.
- Ferris BG. Epidemiology Standardization project. Am
- Rev Respir Dis 1978; 118: 1-120.
- American thoracic society (ATS) statement snowbird
- workshop on standardization of spirometry. Am Rev
- Respir Dis 1979; 119(5): 831-8.
- Were FH, Charles Moturi M, Kamau GN, Wafula GA.
- Respiratory Diseases Due to Occupational Exposure
- to Nickel and Chromium among Factory Workers in
- Kenya. J Community Med Health Educ 2013; 3: 7.
- Hamzah NA, Mohd Tamrin SB, Ismail NH. Metal Dust
- Exposure and Respiratory Health of Male Steel Workers
- in Terengganu, Malaysia. Iranian J Publ Health 2014;
- (3): 154-66 Original.
- Were FH, Charles Moturi M, Wafula GA. Chromium
- Exposure and Related Health Effects among Tannery
- Workers in Kenya. J Health Pollut 2014; 4(7): 25-35.
- Hsien-Wen Kuo, Jim-Shoung Lai, Tsai-In Lin. Nasal
- septum lesions and lung function in workers exposed
- to chromic acid in electroplating factories. Int Arch
- Occup Environ Health 1997; 70: 272-6.
- Osim EE, Tandayi M, Chinyanga HM, Matarira HT,
- Mudambo KK, Musabayane CT. Lung function,
- blood gases, pH and serum electrolytes of small scale
- miners exposed to chrome ore dust on the Great Dyke
- in Zimbabwe. Trop Med Int Health 1999; 4(9): 621â8 .
- Saad-Hussein A, Sharaf NE, Abdel-Shakour A,
- Hammad SA, Abd-ElGelil KS. Ventilatory Problems
- and Cytogenetic Changes in workers occupationally
- exposed to chromium. AJCR 2013; 6 (2): 50-7.
- Sobaszek A, Edme JL, Boulenguez C, Shirali P,
- Mereau M, Robin H, et al. Respiratory symptoms and
- pulmonary function among stainless steel welders. J
- Occup Environ Med 1998; 40(3): 223-9.
- Antti-Poika M, Hassi J, Pyy L. Respiratory diseases
- in arc welders. Int Arch Occup Environ Health 1977;
- (3): 225-30.
|