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Purpose: Excessive paper dust during paper production may harm the workers' respiratory health. We wanted to assess the inhalable paper dust levels and its determinants among paper industry workers., Methods: A study was conducted in Ethiopia to assess the level of personal inhalable paper dust exposure among four paper mills. A total of 150 samples were collected using the IOM sampler attached to Side Kick Casella pumps at a flow rate of 2 L/min. The samples were analyzed in Nemko Norlab, Norway. Linear mixed-effect models were applied to identify determinants of inhalable paper dust., Results: The geometric mean of personal inhalable paper dust was 3.3 mg/m 3 with 80% of the measurements exceeding the Swedish occupational exposure limit (OEL) of 2 mg/m 3 . The linear mixed-effects model showed that the level of dust was 28% higher when using high-speed than when using low-speed rewinding machines, while paper mills with an average of more than four machines per job group had 22% higher exposure than paper mills with a lower number of machines. Furthermore, working in packing and preparation was associated with higher dust exposure than in other areas., Conclusions: The dust exposure levels were above the Swedish OEL for 80% of the samples. This indicates that preventive measures should be established in the industry. The exposure model identified high-speed rewinding machines, a high number of machines, and work in preparation and packing as associated with high levels of paper dust exposure., Competing Interests: Declarations Ethical approval Ethical clearance was obtained from the Institutional Review Board of the College of Health Science Addis Ababa University number 079/22/SPH and from the Regional Committee for Research Ethics South East Norway, number 2022/521268. After the purpose and the importance of their participation were explained informed consent was taken from each study participant. Privacy and confidentiality of information given by each participant were kept properly and personal identifiers were removed. Conflict of interest The authors declare that they have no competing interests., (© 2024. The Author(s).)

Chronic respiratory symptoms are a health concern in the paper industry. This study evaluates the association between personal inhalable paper dust exposure and chronic respiratory symptoms among workers in this industry. In total, 270 workers from the paper industry and 267 from a water bottling factory participated. Chronic respiratory symptoms were assessed using a standardized questionnaire, modified from the American Thoracic Society. A job exposure matrix, based on cross-sectional personal measurements of inhalable paper dust, was used to estimate the exposure-response relationship between cumulative dust exposure and chronic respiratory symptoms. There was a higher prevalence of chronic coughs (27.4% vs. 7.5%), breathlessness (25.6% vs. 11%), coughs with sputum (21.1% vs. 1.1%), and wheezing (25.6% vs. 5%) among paper workers compared to those in the water bottling industry. A Poisson regression analysis revealed that the prevalence ratios for chronic coughs (APR = 3.3 and 95% CI: 2.0-5.4), breathlessness (APR = 2.2 and 95% CI: 1.4-3.4), and wheezing (APR = 4.3 and 95% CI: 2.3-7.7) were significantly higher in paper workers than in water bottling workers. Among paper workers, a significant exposure-response relationship was observed between cumulative dust exposure and chronic coughs after adjusting for age, sex, history of respiratory illnesses, work in other dusty industries, and use of biofuels. As there were only four ever-smokers, smoking was not included in the regression analysis. The results show a significant association between dust exposure and coughing, highlighting the need for control measures to prevent the development of respiratory symptoms among workers.

Workers in a print shop are exposed to photocopier toner dust and paper dust over a prolonged period of time. However, there are only rare case reports of toner and paper dust induced lung damage in humans. We reviewed our consultation files for a period of 30 years from 1987 to 2018 to look for cases with a diagnosis of giant cell interstitial pneumonia (GIP), printer toner exposure and paper dust exposure resulting in lung disease. There were two cases which met our inclusion criteria. Slides, clinical histories and imaging were reviewed. Both the patients had worked in print shops, and had no history of exposure to hard metals. Patient 1 presented with shortness of breath and cough over several months, while patient 2 was asymptomatic at presentation. Both the patients underwent surgical lung biopsies. Histopathologic examination from both the cases showed a spectrum of pathology, including features of GIP, desquamative interstitial pneumonia, chronic bronchiolitis with lymphoid hyperplasia, and particulate matter consistent with toner. Energy dispersive spectroscopy was performed on one case, and it revealed no cobalt or tungsten particles. The unusual combination of findings is very suggestive that toner particles with or without paper dust exposure were responsible for the pathologic changes in the lungs of these patients. This possibility should be explored further with additional patients who work in print shops where they are exposed to paper dust and paper toner and have signs or symptoms of diffuse lung disease., (© 2020 The Authors. American Journal of Industrial Medicine published by Wiley Periodicals LLC.)

Objectives: Occupational exposure to soft paper dust is associated with impaired lung function. Whether there is an increased risk for asthma or chronic obstructive pulmonary disease (COPD) is unclear., Methods: We studied 7870 workers from three Swedish soft paper mills, and defined high-exposed workers, as having been exposed to soft paper dust exceeding 5 mg/m 3 for at least 5 years. The remaining workers were classified as 'low exposed'. Person-years at risk were calculated and stratified according to gender, age and calendar-year. The follow-up time was from 1960 to 2013. The expected numbers of deaths were calculated using the Swedish population as reference and standardised mortality ratios (SMRs) with 95% CIs were assessed., Results: There was an increased mortality due to obstructive lung disease (asthma and COPD), among high-exposed workers, SMR 1.89, 95% CI 1.20 to 2.83, based on 23 observed cases. High-exposed workers had an increased mortality from asthma, SMR 4.13, 95% CI 1.78 to 8.14, based on eight observed cases. The increased asthma mortality was also observed among high-exposed men, SMR 4.38, 95% CI 1.42 to 10.2, based on five observed cases. The asthma mortality among low-exposed workers, both men and women, was not increased. The COPD mortality was not clearly increased among high-exposed workers (SMR 1.52, 95% CI 0.85 to 2.50)., Conclusion: High occupational exposure to soft paper dust increases the mortality due to asthma, and the results suggest that soft paper dust levels in workplaces should be below 5 mg/m 3 ., Competing Interests: Competing interests: None declared., (© Author(s) (or their employer(s)) 2020. Re-use permitted under CC BY-NC. No commercial re-use. See rights and permissions. Published by BMJ.)

Background: Total paper dust exposure has been associated with respiratory problems among workers in the soft tissue paper industry. However, a comprehensive job exposure matrix (JEM) has not been developed for application to this industry. Our study was intended to address this need and to support further studies of mortality and morbidity in a cohort of Swedish workers from this industry., Methods: We evaluated four participating soft tissue paper mills in Sweden. We combined information on process and equipment status from the mills with knowledge of the mills obtained through research efforts and paper dust measurements made at all four mills to develop a semi-quantitative JEM with seven dust exposure levels. The JEM was targeted at workers enrolled into a soft tissue paper mill cohort and working any time between 1960 and 2009., Results: The JEM includes a total of 14 421 cells, with each cell corresponding to the exposure for a job title, department, or work location for a one-year period. Exposure levels in the JEM were estimated to decline at three of the four mills from 1971 to 2009, but overexposures (ie, exceedances of the relevant occupational exposure limits) remained common at the end of the period., Conclusions: The JEM results highlight the need for ongoing exposure control efforts in the soft tissue paper industry, and will inform ongoing epidemiological studies of the health effects of exposure to paper dust in Sweden. It is freely available for use by other researchers., (© 2020 Wiley Periodicals, Inc.)

Purpose: To study respiratory effects of exposure to soft paper dust exposure, a relationship that is rarely studied., Methods: Soft tissue paper mill workers at a Swedish paper mill were investigated using a questionnaire and lung function and atopy screening. Spirometry without bronchodilation was performed with a dry wedge spirometer, and forced vital capacity (FVC) and forced expiratory volume in 1 s (FEV 1 ) were obtained and expressed as percent predicted. Exposure to soft paper dust was assessed from historical stationary and personal measurements of total dust, in addition to historical information about the work, department, and production. The impact of high exposure to soft paper dust (> 5 mg/m 3 ) vs. lower exposure ≤ 5 mg/m 3 , as well as cumulative exposure, was analyzed using multiple linear regression models. Multivariate models were adjusted for smoking, atopy, gender, and body mass index., Results: One hundred ninety-eight current workers (124 male and 74 female) were included. There were significant associations between both cumulative exposure and years of high exposure to soft paper dust and impaired lung function. Each year of high exposure to soft paper dust was associated with a 0.87% decrease in FEV 1 [95% confidence interval (CI) - 1.39 to - 0.35] and decreased FVC (- 0.54%, 95% CI - 1.00 to - 0.08) compared to the lower exposed workers., Conclusions: The present study shows that occupational exposure to soft paper dust (years exceeding 5 mg/m 3 total dust) is associated with lung function impairment and increased prevalence of obstructive lung function impairment.

Bisphenol A (BPA) is found in polycarbonate plastic and epoxy resins and is used in a variety of commercial and consumer products. The leaching of BPA can result in human exposure via inhalation, ingestion, and dermal routes. As a result, humans have been exposed in their home and work environment to BPA. Conventional methods for BPA exposure assessment rely on cumbersome laboratory instrumentation with high capital and operational expenditures which limit the number of samples that can be analyzed. We report here the design of a compact portable colorimetric paper-based biosensing device with integrated sampling/analysis units for field-based measurements of BPA in indoor dust. The system employs interchangeable low-cost paper-based enzyme sensors as a test zone for BPA detection interfaced with an air-sampling cassette as a sample collection area. The sensor response was concentration-dependent with a detection limit of 0.28 μg/g. The sensor was validated with the conventional gas chromatography method and used to detect BPA exposure in household dust. BPA concentrations ranged from 0.05 to 3.87 μg/g in 57 household dust samples when both methods were used. The potential of this method for field measurements of dust samples is discussed.

Background: The primary aim of the present study was to investigate if exposure to dust from absorbent hygiene products containing superabsorbent polymer is related to symptoms from the airways and from the eyes. The secondary aim was to estimate the current exposure to superabsorbent polymer among production and maintenance workers in a plant producing hygiene products., Methods: The cohort comprised 1043 workers of whom 689 were exposed to super absorbent polymer and 804 were exposed to paper dust (overlapping groups). There was 186 workers not exposed to either superabsorbent polymer or to paper dust They were investigated with a comprehensive questionnaire about exposure, asthma, rhinitis and symptoms from eyes and airways. The results were analyzed with logistic regression models adjusting for sex, age, atopy and smoking habits. An aerosol sampler equipped with a polytetrafluoroethylene filter with 1 μm pore size was used for personal samplings in order to measure inhalable dust and superabsorbent polymer., Results: The prevalence of nasal crusts (OR 1.4, 95% CI 1.01-2.0) and nose-bleeding (OR 1.7, 95% CI 1.2-2.4) was increased among the paper dust exposed workers (adjusted for superabsorbent polymer exposure). There were no significant effects associated with exposure to superabsorbent polymer (adjusted for paper dust exposure). The average exposure to inhalable levels of total dust (paper dust) varied between 0.40 and 1.37 mg/m³. For superabsorbent polymer dust the average exposure varied between 0.02 and 0.81 mg/m³., Conclusions: In conclusion, our study shows that workers manufacturing diapers in the hygiene industry have an increased prevalence of symptoms from the nose, especially nose-bleeding. There was no relation between exposure to superabsorbent polymer and symptoms from eyes, nose or respiratory tract, but exposure to paper dust was associated with nose-bleeding and nasal crusts. This group of workers had also a considerable exposure to superabsorbent polymer dust.

Endotoxins in grain dust, household dust, and animal bedding may induce respiratory symptoms in rodents and humans. We assayed the endotoxin, coliform, and dust levels in 20 types of rodent bedding. Endotoxin concentrations were measured by using a commercial test kit, coliform counts were determined by using conventional microbiologic procedures, and dust content was evaluated by using a rotating-tapping shaker. Paper bedding types contained significantly less endotoxin than did other bedding types; the highest levels of endotoxin were detected in hardwood and corncob beddings. The range of endotoxin content for each bedding type was: corncob bedding, 1913 to 4504 endotoxin units per gram (EU/g); hardwood bedding, 3121 to 5401 EU/g; corncob-paper mixed bedding, 1586 to 2416 EU/g; and paper bedding, less than 5 to 105 EU/g. Coliform counts varied from less than 10 to 7591 cfu/g in corncob beddings, 90 to 4010 cfu/g in corncob-paper mixed beddings, less than 10 to 137 cfu/g in hardwood beddings, and less than 10 cfu/g in paper beddings. Average dust content was less than 0.15% in all commercial bedding types. We conclude that paper bedding is the optimal bedding type for conducting LPS inhalation studies and that rodent bedding containing high levels of endotoxin may alter the results of respiratory and immunologic studies in rodents.

Purpose: To study cancer mortality among Swedish pulp and paper mill workers by main mill pulping process and department, and to present the Swedish part of an international exposure measurements database., Methods: A cohort of 18,163 male and 2,290 female workers at four sulfate and four sulfite mills, enrolled from 1939 to 1999, was followed up for mortality during 1952-2001. Standardized mortality ratios (SMRs) relative to the general Swedish population were calculated., Results: There were 1,340 malignant cases out of 5,898 deaths. Total cancer mortality was not increased in either sulfate or sulfite mill workers, or by gender. Lung cancer mortality was increased among female workers (SMR 1.70, 95% CI 1.04-2.63), especially in paper production, but not among male workers (SMR 0.91, 95% CI 0.79-1.04). Exposure to wood dust and sulfur dioxide frequently exceeded occupational exposure limits., Conclusions: Female paper production workers had an increased mortality from lung cancer.

Organic dust exposure can influence the development and symptoms of immune-related diseases such as atopy and asthma, but has rarely been examined in relation to systemic autoimmunity. The present analyses explore the association of lifetime farm and occupational organic dust exposures with systemic lupus erythematosus (SLE) in recently diagnosed patients (n = 265) compared with controls (n = 355) frequency matched by age, sex and state. Questionnaire data included childhood farm residence, childhood and adult experience with specific crops, and adult work in textiles, hog or poultry processing and paper or furniture manufacture. Adjusted odds ratios (OR) and 95% confidence intervals (CI) were estimated by logistic regression models including age, sex, state, race, education and silica exposure. Overall childhood or adult farm contact and childhood farm residence were not associated with SLE. Farm contact with livestock was inversely associated with SLE (OR = 0.55, 95% CI 0.35, 0.88). This effect was most pronounced among those with childhood farm residence and both childhood and adult livestock exposure (OR = 0.19; 95% CI 0.06, 0.63), but was difficult to separate from adult exposure to grains or corn. Other adult occupational exposures were not associated with SLE risk overall, regardless of childhood farm residence or livestock exposure, although an inverse association was seen among non-smokers (OR = 0.59; 95% CI 0.33, 1.1), particularly for textile work (OR = 0.34; 95% CI 0.19, 0.64). These exploratory findings support the development of studies to specifically investigate the effects of organic dust exposure on SLE risk, with particular attention to exposure assessment and characterization of demographics, smoking and other occupational exposures.

The technical properties of three layered cement-bonded boards (CBBs) made from wastepaper and sawdust were investigated. The CBBs were produced at three density levels of 1000, 1200 and 1300 kg/m3 and at four cement/particle ratios of 2.0:1, 2.5:1, 3.0:1 and 3.5:1 on a weight to weight basis. The technical properties evaluated were modulus of rupture (MOR), modulus of elasticity (MOE), water absorption (WA) and thickness swelling (TS). The MOR values ranged from 4.85 to 11.69 MPa and MOE values ranged from 2.80 to 5.57 GPa. The mean values of WA and TS after 24 h of water soaking of the CBBs ranged from 18.18% to 40.49% and 3.55% to 12.13%, respectively. MOR and MOE of the CBBs increased with increase in board density, but MOR decreased with the increase in cement/particle ratio. On the other hand, WA and TS decreased with increase in board density and cement/particle ratio. CBBs produced from wastepaper and sawdust at cement/particle ratios of 3.0:1 and 3.5:1 are suitable for building construction such as paneling, ceiling and partitioning.

The aliphatic and polycyclic aromatic fractions of dust collected in the vicinity of recycled paper processing operations were analyzed using gas chromatography/mass spectrometry. Total measured dust concentration (up to 8.73+/-2.02 mg/m3) fluctuated substantially in the different steps of paper manufacture. This was attributed to the type of the operation such as, the release of fibers and particles during paper cutting and the use of reactive chemicals and excessive water under high temperature and pressure during the bleaching and the water rinsing/drying step. Particulate polycyclic aromatic hydrocarbons (PAHs) (from fluorene to benzo[ghi]perylene with mean concentrations from 3.8+/-0.5 to 41.4+/-0.4 ng/m3) and the unresolved mixture of branched, cyclic and unsaturated hydrocarbons (UCM) were measured in all samples while, n-alkanes from n-C20 to n-C27, were only observed in cutting and packaging areas (from 180.6+/-18.9 to 4297.9+/-794.9 ng/m3). The profile of occupational PAHs in bleaching and treatment of contaminated recycled raw paper was comparable to that observed for anthropogenic activities. The values of molecular diagnostic ratios indicated the contribution of oil residues and emissions from worklifts and other equipment used for pulp and paper handling. Total benzo[a]pyrene-equivalent (BaP) concentrations of particulate PAHs (varied from 323 up to 1104 pg/m3), provided evidence that workers were exposed to high quantities of PAHs as compared with exposures to urban air and other indoor settings, posing long-term threat to their health.

Objectives: A cohort study of female pulp and paper workers in Norway has shown a significantly increased risk of ovarian cancer. Other than the involvement of hormonal and reproductive factors, little is known of the etiology of ovarian cancer. Asbestos and talc are two agents hypothesized to influence the development of the disease. The present study aimed to investigate the association between ovarian cancer and occupational exposure to asbestos, talc, and total dust among Norwegian pulp and paper workers., Methods: Forty-six cases of ovarian cancer, with four controls each, were included in the study. Occupational exposure was assessed by combining work histories from personnel files, questionnaire information about production processes, and exposure assessments from the mills. To obtain information about possible confounders, cases and controls were invited to participate in a personal interview., Results: The odds ratio for asbestos exposure was 2.02, 95% confidence interval 0.72-5.66. For talc exposure, the odds ratio was 1.10, and for ever exposure to total dust, it was below 1.00. The risk estimates did not essentially differ after adjustment for possible confounding variables., Conclusions: The results do not confirm an association between exposure to asbestos, talc, and total dust and ovarian cancer among Norwegian pulp and paper workers. However, the odds ratio for asbestos exposure was doubled, and control for established nonoccupational risk factors did not change the estimate. Therefore, the possibility that exposure to substances in the work environment contributes to the elevated risk cannot be rejected.

Aims: To correlate the prevalence of respiratory tract symptoms and diseases with dust and fibre exposure in the soft tissue industry in Germany., Methods: Ambient monitoring was performed for inhalable, respirable dust and fibres in seven soft tissue producing factories. In 441 workers (72 controls, 90 moderate, 279 high exposure) a standardised questionnaire on respiratory symptoms, diseases, occupational history, and smoking habits was used. Crude differences in the prevalence of respiratory symptoms and diseases were assessed. Logistic regression analysis was used to determine the relation between the respiratory symptoms/diseases and the cumulative dust and fibre exposure, respectively, while adjusting for age, gender, smoking habits, and factory. The effects of exposure intensity and duration were differentiated by categorising dust/fibre concentrations and years of exposure separately and setting up logistic regression models., Results: The mean concentrations for inhalable, respirable, and fibrous dusts were 10.3 mg/m(3), 0.22 mg/m(3), and 415,000 fibres/m(3). Adjusted odds ratios (OR) with relation to cumulative dust exposure intensity were significantly raised for blocked nose (18.2), mucosal irritation (6.5), dry nose (8.9), cough (3.5), phlegm (7.5), exercise induced dyspnoea (2.6), hoarseness (11.3), and sneezing attacks (7.9) (ORs for highest exposure categories). Cumulative dust or fibre exposure had no significant effects on the prevalence of respiratory diseases. For all symptoms with significantly raised ORs, combined effects of intensity and duration of exposure were found., Conclusions: Because of the high prevalence of respiratory symptoms a reduction of dust exposures is recommended. Chronic exposure effects could not be found in this study, however, a healthy worker effect has to be considered.

Objectives: To clarify whether occupational exposure to paper-dust is associated with an increased risk of non-infectious rhinitis., Methods: Thirty-seven workers exposed to paper-dust in a soft-paper mill were compared with 36 unexposed controls. The study was performed under normal working conditions during the non-pollen season. Medical and occupational history was taken down in a comprehensive questionnaire and nasal symptoms were scored on a visual analogue scale (VAS). Pulmonary and nasal function was assessed by spirometry, acoustic rhinometry and peak nasal inspiratory flow. Nasal lavage was analysed for interleukin-8 (IL-8) and nasal transit time was monitored with the saccharine test. Concentrations of inhalable dust for each exposed subject during the day of the clinical study were measured with personal sampling devices., Results: There was an increased prevalence of nasal blockage and crust formation among the exposed workers. However, there was no difference with regard to acoustic rhinometry, nasal transit time or nasal peak inspiratory flow. In the whole population, IL-8 in nasal lavage was higher among men than among women, 193 ng/l vs 132 ng/l, P = 0.006. There was also a positive trend (P = 0.01) with increasing nasal IL-8 going from non-smokers (122 ng/l), ex-smokers (126 ng/l) to current smokers (235 ng/l)., Conclusions: We have found that occupational exposure to paper-dust is associated with symptoms of nasal blockage and nasal crusting. We find no objective signs of nasal inflammation, even among the subgroup with the highest current exposure.

Exposure to organic dusts may cause airways inflammation in a large proportion of exposed persons. Most studies have relied on questionnaires and spirometry for diagnosis. To assess the possibility of determining the presence of inflammation using clinical diagnostic procedures, a study was undertaken among workers in a paper industry. Participants were 83 workers and 44 controls. Airborne endotoxin and (1-->3)-beta-D-glucan levels at the worksites were determined. The effects of this exposure were evaluated using a questionnaire, spirometry and measurements of airway responsiveness (methacholine) and levels of eosinophil cationic protein (ECP), myeloperoxidase (MPO), and C-reactive protein (CRP) in serum. The workers had a decreased baseline forced expiratory volume in one second (FEV1) and an increased airway responsiveness compared with controls. The concentrations of ECP and MPO were elevated compared with controls. There was a relation between exposure to endotoxin and (1-->3)-beta-D-glucan and airway responsiveness as well as ECP levels, when controlling for age, sex, smoking habits, atopy and asthma. The results suggest an increased prevalence of subjective respiratory symptoms, and an increased airway responsiveness among exposed workers. There was also a relationship between the serum concentration of eosinophil cationic protein and airway responsiveness. Taken together, the results suggest the presence of airways inflammation in the workers.

The effects of recycling paper dust extract on isolated nonsensitized guinea pig tracheal smooth muscle were studied in vitro. Dust extract was prepared as a 1:10 w/v aqueous solution. Dose related contractions of guinea pig tracheal rings were elicited with paper dust extract. Pharmacologic studies were performed with atropine (10(-6) M), indomethacine (10(-6) M), pyrilamine (10(-6) M), Ly 171883 (10(-5) M), NDGA (10(-5) M) and TMB8 (10(-5) M). The effects of extract were almost totally inhibited by the anticholinergic agent atropine, suggesting that a principal pathway mediating this response may involve the parasympathetic nervous system. The intracellular calcium blocking agent TMB8 also induced a reduction of the contractile response to paper dust extract, which is consistent with intracellular calcium's well established role in smooth muscle constriction. We suggest that paper dust extract causes dose related airway smooth muscle constriction, possibly associated with the release of cholinergic as well as other mediators. The constrictor effect does not require tissue presensitization.

The effect of paper dust collected at two different locations in a paper recycling plant (PD1 and PD2) on isolated nonsensitized guinea pig tracheal smooth muscle was studied in vitro. Dust extracts were prepared as a 1:10 w/v aqueous solution. Dose-related contractions of guinea pig tracheal rings were elicited with both PD1 and PD2. Pharmacologic studies were performed with atropine (10(-6) M), indometacin (10(-6) M), pyrilamine (10(-6) M), LY171883 (10(-5) M), nordihydroguaiaretic acid (10(-5) M), and TMB8 (10(-5) M). The possible role of endogenous neuropeptides in this constrictor process was studied by depleting neural mediators with capsaicin (5 x 10(-6) M) before challenge with dust extracts. Constrictor effects were partially inhibited by a wide variety of the mediator blocking agents. The effects of both extracts were almost totally inhibited by the anticholinergic agent atropine, suggesting that a principal pathway mediating this response may involve the parasympathetic nervous system. The intracellular calcium-blocking agent TMB8 also induced a reduction of the contractile responses to PD1 and PD2 consistent with the well established role of intracellular calcium in smooth muscle constriction. Pretreatment with capsaicin significantly increased the contractile activity of paper dust extracts but only at the higher doses of these extracts. This suggests that the effect of paper dust is not initiated by the release of mediators stored in sensory nerves but that the prerelease of these mediators may enhance the constrictor effects of these dusts. We suggest that paper dust extracts cause dose-related airway smooth muscle constriction possibly associated with the release of cholinergic as well as other mediators. The constrictor effect does not require tissue presensitization or the release of neuropeptides from sensory nerves.

The aim of the present cohort study was to investigate whether exposure to paper dust causes increased risk for respiratory symptoms or asthma. The cohort included all workers at a soft paper mill who had worked there for more than 1 year 1960-1986 (n = 1,697). Randomly selected inhabitants of the mill town (n = 781) were used as unexposed referents. Both groups were investigated using a postal questionnaire. From the paper mill cohort, workers with high cumulative exposure (n = 313), with medium cumulative exposure (n = 321), and with low cumulative exposure (n = 338) to paper dust were selected. In the 1960s and 1970s, the dust levels were between 5 and 10 mg/m3. After adjustment for smoking and gender, paper dust exposure resulted in elevated prevalence ratios for chronic cough, chronic phlegm, wheeze, and breathlessness. The prevalence ratios ranged from 1.3 to 2.5. No significantly increased risk of asthma was found among the exposed, incidence rate ratio 1.4 (95% confidence interval 0.93-1.8). Among the exposed, there was an insignificantly increasing incidence rate ratio, 1.0, 1.4, 2.1, with increasing cumulative exposure. In conclusion, an increased risk for respiratory symptoms was observed among workers exposed to paper dust, but the study does not permit any definite conclusions regarding asthma and paper dust exposure.

A complex and varied antibody response to allergens, in particular Dermatophagoides pteronyssinus, is observed in the serum of allergic patients. To examine the role of cross-reacting antigenic determinants in allergy, a strategy has been devised for isolating antibody populations that bind to individual polypeptides of an allergen source separated by sodium dodecyl sulfate-polyacrylamide electrophoresis and electroblotted to nitrocellulose. Polypeptides are identified on the blots, desorbed and coupled to CNBr-activated paper discs. The coupled discs are then used as immunoadsorbent surfaces for the binding of antibodies from allergic sera. Antibodies eluted from the polypeptide immunoadsorbents are then used to reprobe protein blots of the allergen. Results are presented which demonstrate strong cross-reaction between two major mite allergens, Der p I and Der p III, and some weaker intra-species cross-reactivities.

Lung function deterioration has been reported among workers exposed to heavy exposure to paper dust (greater than 5 mg/m3). This pilot study was undertaken in order to evaluate the health effects of low exposure to paper dust (less than or equal to 1 mg/m3) in bookbinders. The study population consisted of 20 exposed subjects and 18 local office subjects. They were studied during identical conditions by means of dynamic and static spirometry, single breath wash-out with nitrogen (N2) and carbon monoxide (CO). The 90th percentile for daily average values of total dust was 0.6 mg/m3. Non-smoking exposed subjects had on the average an increase in FEV% (forced expiratory volume in one second in percentage of vital capacity) when compared to non-smoking local control subjects. We found a weak correlation between the increase in FEV% and daily average values of total dust (probably reflecting a higher exposure in the past). The results suggest that a low exposure to paper dust in bookbinders with a time of employment more than 10 years might cause a slight lung function deterioration without a clinical relevance.

The contributors used the sensibilization threshold to establish MACs for the dust of the fodder yeast produced as a result of pulp and paper waste products' recycling. The product belongs to the group of substances with low toxicity. It does not produce local irritation and exhibits sensibilization properties in case of both epi- and intracutaneous introduction. The sensibilization threshold in repeated introductions of protein-containing dusts was registered at 4.1 mg/m3. In industrial conditions, the fodder yeast concentrations at the level of about 4 mg/m3 caused increased morbidity with temporary disability.

The characteristics of airborne dust in a soft paper production plant have been characterized by scanning and transmission electron microscopy. A combination of X-ray diffraction, electron diffraction and energy-dispersive X-ray flouresence spectroscopy (EDX) was used to determine the structure and composition of the different components. Size distribution determination and phase identification were carried out. Besides the cellulose fibres, fibres of kaolinite, wollastonite, talc and other silicates were also identified. Gravimetric analysis and fibre counting by optical phase contrast microscopy were used to determine total dust and fibre concentrations. Total dust exposure at the plant was generally below 3 mg m-3. The respirable fraction of the total dust concentrations varied from 15 to 70%. The inorganic dust was 36 +/- 15% of the total dust. The ratio of inorganic fibres to total fibre concentration at the plant varied between 10 and 15%.

High levels of lead in pavement dusts in parts of central London have been traced to newspaper printworks in the area. Concentrations exceeding 5000 micrograms g-1, the interim 'action level' adopted by the Greater London Council, extend up to 150 m from the works, with levels of greater than 200 000 micrograms g-1 encountered close to the exit of one works. By contrast, average levels alongside 14 major roads elsewhere in London ranged from 1360 to 3400 micrograms g-1. Identification of the printworks as the probable source was based on the spatial distribution of the lead-in-dust concentrations. Confirmation came from the close association between lead and tin concentrations, tin being a constituent of the lead alloy used in the printing industry. Such an association was not found in dusts contaminated by lead from petrol or paint. Tracking out on shoes and clothing, and possibly vehicles, is the most likely route by which the lead is leaving the works.

Disposable diapers are now being used in incubators, raising questions concerning the amount of dust they produce during diaper change, and the subsequent effects on premature infants. This study compares the amount of dust produced during change of disposable diapers and during change of cloth diapers. The disposable diapers tested were Pampers (premature baby size, sterilized), manufactured by the Procter & Gamble Company. Cloth diapers tested included diaper covers. Results of the study indicated that disposable diapers produce far less dust than cloth diapers. Thus, disposable diapers can be satisfactorily used in incubators for premature infants. The difference in results between the two types of diapers might stem from their different structures: cloth diapers have a monolayer structure, whereas disposable diapers have a double cover over the refined pulp they contain, which might otherwise tend to generate dust.

The prevalence of bagassosis was investigated in a Louisiana paper mill, which in the past had considerable numbers of workers with the disease. Based on negative clinical histories and the low number of positive serological reactions of the workers' serum with Thermoactinomyces sacchari antigen, it was concluded that bagassosis was no longer present. This was thought to be due to a different method of storage of bagasse, which retards microbial decay and reduces airborne organic dust, and to the increased awareness of plant management resulting in greater safety measures.

The objective of this study was to investigate if the dust in a mill producing soft paper tissue caused respiratory symptoms or impaired respiratory function. Using a questionnaire and spirometry, 355 persons were examined. They were divided into three groups according to present exposure to dust; low (less than 1 mg/m3), moderate (1-5 mg/m3) and heavy (greater than 5 mg/m3). There was a dose-dependent increase of symptoms from the upper respiratory tract. However, coughing and coughing with phlegm were not found to be more common among persons with heavy exposure compared to those with low exposure to the dust. There was no difference in FEV1 or FVC during a work shift. Persons with long-term (greater than 10 years) and heavy exposure to dust seemed to have impaired respiratory function compared to those with low and/or short-term exposure to the dust.

The aim of the present cross-sectional study was to investigate whether long-term exposure to soft paper dust causes impairment of lung function. Exposed workers (n = 287) and referents (n = 79) were investigated, using spirometry and questionnaires. Personal samplings of total dust showed that the actual mean concentrations did not exceed 3 mg/m3. The exposed subjects were divided into three categories according to historical and present exposure to paper dust; low exposure, moderate exposure and high exposure. The study did not show any lung function impairment due to exposure to paper dust. However, the exposed subjects had a significantly increased prevalence of symptoms from both the upper and lower airways as well as an increased prevalence of reported asthma. On the basis of our study, we conclude that lung function impairment does not occur among workers exposed to mean levels of soft paper dust below 5 mg/m3.

Nasal hyperreactivity occurs quite frequently while reading newspapers. This study consisted of 15 patients with vasomotor rhinitis with such problems and six asymptomatic volunteers. All subjects were exposed to printing ink and paper dust from newspapers. The effect was registered by nasal symptom score and rhinomanometry. Patients with vasomotor rhinitis reacted upon exposure to paper dust but not to printing ink. This exposure had no effect on the control group. The results indicate that paper dust is the causative agent in hyperreactivity to newspapers.

In a cross-sectional study, 13 nonsmoking men with heavy exposure to paper dust were compared with 14 unexposed men, mainly office workers, employed at the same paper mill. They were studied using questionnaires, physical examinations, pulmonary function studies, and chest radiographs. Among those exposed there was an increased lung elastic recoil pressure (Pel) compared with controls which was significant (p less than 0.05) at the maximal level of total lung capacity (100% TLC). Furthermore, among the exposed workers there was also a significantly (p less than 0.05) decreased residual volume (RV). Two of the exposed men underwent lung biopsies, one of which showed fibrotic alveolar walls. Among the exposed there was also a significant (p less than 0.05) predominance of symptoms from the lower respiratory tract. We suggest that the observed pulmonary function impairment taken together with the histological examination of the lung biopsies are signs of a nonspecific reaction to high levels of paper dust.

This study focuses on the changes in properties of cellulose-based paper, which can take place as a consequence of its contamination by dust particles. The PM1 (fine) and PM10 (coarse) fractions of the dust particles from archival repositories were collected on cellulose filters Whatman 41, polytetrafluorethylene, and quartz filters. The latter two types of samples were subsequently analyzed gravimetrically, with ion chromatography, PIXE, and the thermal–optical transmission method, giving mass, ionic, elemental carbon, and organic carbon concentrations. After artificial aging, the viscosity-average degree of polymerization of cellulose (DPv) was measured. It was confirmed that cellulose-based paper can undergo substantial changes when contaminated by dust particles and artificially aged. The decrease of the DPvof cellulose showed a negative correlation with the deposited mass of sulfate ions in the dust particles. Considering the particle size fraction, the results suggest the decisive importance of the fine (PM1) particles. The results provide better understanding of how particulate matter contributes to the chemical degradation of cellulose-based paper. Such knowledge is of importance when considering appropriate conservation measures in archives, libraries, and galleries. [ABSTRACT FROM AUTHOR]

Micro-samples of loose dust, paper and paper from areas of pages with accumulated dust were obtained from a collection that was on open display in an historic library with significant levels of particulate pollution. The present study examines the origin of these dust particles and their ingress into the library books. The samples were analysed using scanning electron microscopy with energy dispersive spectroscopy (SEM-EDS). Qualitative point SEM-EDS was used to identify the characteristics and origins of individual particles, while bulk analysis was achieved by rastering the electron beam over whole samples. The inorganic fraction of the dust comprised 30–40% calcium sulfate, 10–20% sodium chloride and around 50% silicon dioxide, aluminosilicates, iron oxides/hydroxides and calcium carbonate. The ratios of these components were variously maintained as the dust penetrated between the pages of the book, suggesting that in some books sodium chloride moved as a solid, and not in a solution. This preliminary study suggests that SEM-EDS is a useful tool, not only in the determination of the identities of dust particles and their origin, but also in estimating the relative amounts of dust species and the extent to which they have moved into the book. [ABSTRACT FROM AUTHOR]