Skip to main content
Top
Published in: International Archives of Occupational and Environmental Health 8/2015

Open Access 01-11-2015 | Original Article

The ordinary work environment increases symptoms from eyes and airways in mild steel welders

Authors: Lena S. Jönsson, Håkan Tinnerberg, Helene Jacobsson, Ulla Andersson, Anna Axmon, Jørn Nielsen

Published in: International Archives of Occupational and Environmental Health | Issue 8/2015

Login to get access

Abstract

Purpose

We aimed to follow diary-registered symptoms from eyes and airways in mild steel welders and relate them to different exposure measures. Furthermore, we would clarify the influence of possible effect modifiers.

Methods

Non-smoking welders with (N = 74) and without (N = 32) work-related symptoms the last month were enroled. Symptoms and work tasks each day for three two-week periods during 1 year were obtained. Respirable dust (RD) was measured 1 day each period for each worker. The personal daily exposure was assessed as: (1) days at work, (2) welding time and (3) estimates of RD from welding and grinding, calculated from diary entries and measurements.

Results

Only 9.2 % of the particle measurements exceed the Swedish occupational exposure limit (OEL; 5 mg/m3). Days at work increased the risk of symptoms studied: eyes: 1.79 (1.46–2.19), nasal: 2.16 (1.81–2.58), dry cough: 1.50 (1.23–1.82) and wheezing and/or dyspnoea: 1.27 (1.03–1.56; odds ratio, 95 % confidence interval). No clear dose–response relationships were found for the other exposure estimates. Eye symptoms increased by number of years welding. Nasal symptoms and dry cough increased having forced expiratory volume in first second below median at baseline. Wheezing and/or dyspnoea increased in winter, by number of years welding, having a negative standard skin-prick test and having a vital capacity above median at baseline.

Conclusion

The current Swedish OEL may not protect welders against eye and airway symptoms. The results add to the evidence that welders should be offered regular medical surveillance from early in the career.
Literature
go back to reference Antonini JM, Taylor MD, Zimmer AT, Roberts JR (2003) Pulmonary Responses to welding fumes: role of metal constituents. J Toxicol Environ Health 67:233–249CrossRef Antonini JM, Taylor MD, Zimmer AT, Roberts JR (2003) Pulmonary Responses to welding fumes: role of metal constituents. J Toxicol Environ Health 67:233–249CrossRef
go back to reference Berglund E, Birath G, Bjure J, Grimby G, Kjellmer I, Sandquist L, Söderholm B (1963) Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age. Acta Med Scand 173:185–192CrossRef Berglund E, Birath G, Bjure J, Grimby G, Kjellmer I, Sandquist L, Söderholm B (1963) Spirometric studies in normal subjects. I. Forced expirograms in subjects between 7 and 70 years of age. Acta Med Scand 173:185–192CrossRef
go back to reference Brand P, Gube M, Gerards K, Bertram J, Kaminski H, John AC, Kuhlbusch T, Wiemann M, Eisenbeis C, Winkler R, Kraus T (2010) Internal exposure, effect monitoring, and lung function in welders after acute short-term exposure to welding fumes from different welding processes. J Occup Environ Med 52:887–892CrossRef Brand P, Gube M, Gerards K, Bertram J, Kaminski H, John AC, Kuhlbusch T, Wiemann M, Eisenbeis C, Winkler R, Kraus T (2010) Internal exposure, effect monitoring, and lung function in welders after acute short-term exposure to welding fumes from different welding processes. J Occup Environ Med 52:887–892CrossRef
go back to reference Cotes JE, Feinmann EL, Male VJ, Rennie FS, Wickham CAC (1989) Respiratory symptoms and impairment in shipyard welders and caulker/burners. Br J Ind Med 46:292–301 Cotes JE, Feinmann EL, Male VJ, Rennie FS, Wickham CAC (1989) Respiratory symptoms and impairment in shipyard welders and caulker/burners. Br J Ind Med 46:292–301
go back to reference Ferris BG (1978) Epidemiology Standardization Project (American Thoracic Society). Am Rev Respir Dis 118:1–120 Ferris BG (1978) Epidemiology Standardization Project (American Thoracic Society). Am Rev Respir Dis 118:1–120
go back to reference Francis HC, Prys-Picard CO, Fishwick D, Stenton C, Burge PS, Bradshaw LM, Ayres JG, Campbell SM, Niven RM (2007) Defining and investigating occupational asthma: a consensus approach. Occup Environ Med 64:361–365CrossRef Francis HC, Prys-Picard CO, Fishwick D, Stenton C, Burge PS, Bradshaw LM, Ayres JG, Campbell SM, Niven RM (2007) Defining and investigating occupational asthma: a consensus approach. Occup Environ Med 64:361–365CrossRef
go back to reference Hedmer M, Karlsson J-E, Andersson U, Jacobsson H, Nielsen J, Tinnerberg H (2014) Exposure to respirable dust and manganese and prevalence of airways symptoms, among Swedish mild steel welders in the manufacturing industry. Int Arch Occup Environ Health 87:623–634CrossRef Hedmer M, Karlsson J-E, Andersson U, Jacobsson H, Nielsen J, Tinnerberg H (2014) Exposure to respirable dust and manganese and prevalence of airways symptoms, among Swedish mild steel welders in the manufacturing industry. Int Arch Occup Environ Health 87:623–634CrossRef
go back to reference Hoffmeyer F, Raulf-Heimsoth M, Lehnert M, Kendzia B, Bernard S, Berresheim H, Düser M, Henry J, Weiss T, Koch HM, Pesch B, Brüning T, Weldox Group (2012) Impact of different welding techniques on biological effect markers in exhaled breath condensate of 58 mild steel welders. J Toxicol Environ Health A 75:525–532CrossRef Hoffmeyer F, Raulf-Heimsoth M, Lehnert M, Kendzia B, Bernard S, Berresheim H, Düser M, Henry J, Weiss T, Koch HM, Pesch B, Brüning T, Weldox Group (2012) Impact of different welding techniques on biological effect markers in exhaled breath condensate of 58 mild steel welders. J Toxicol Environ Health A 75:525–532CrossRef
go back to reference Jönsson LS, Nielsen J, Broberg K (2011) Gene expression analysis in induced sputum from welders with and without airway-related symptoms. Int Arch Occup Environ Health 84:105–113CrossRef Jönsson LS, Nielsen J, Broberg K (2011) Gene expression analysis in induced sputum from welders with and without airway-related symptoms. Int Arch Occup Environ Health 84:105–113CrossRef
go back to reference Kalhan R, Arynchyn A, Colangelo LA, Dransfield MT, Gerald LB, Smith LJ (2010) Lung function in young adults predicts airflow obstruction 20 years later. Am J Med 123:468CrossRef Kalhan R, Arynchyn A, Colangelo LA, Dransfield MT, Gerald LB, Smith LJ (2010) Lung function in young adults predicts airflow obstruction 20 years later. Am J Med 123:468CrossRef
go back to reference Larsson B, Karlsson J-E, Nielsen J (2007) Respiratory and ocular symptoms in workers exposed to potassium aluminium-tetrafluoride soldering flux. Int Arch Occup Environ Health 80:627–633CrossRef Larsson B, Karlsson J-E, Nielsen J (2007) Respiratory and ocular symptoms in workers exposed to potassium aluminium-tetrafluoride soldering flux. Int Arch Occup Environ Health 80:627–633CrossRef
go back to reference Leonard SS, Chen BT, Stone SG, Schwegler-Berry D, Kenyon AJ, Frazer D, Antonini JM (2010) Comparison of stainless and mild steel welding fumes in generation of reactive oxygen species. Part Fibre Toxicol 7:32CrossRef Leonard SS, Chen BT, Stone SG, Schwegler-Berry D, Kenyon AJ, Frazer D, Antonini JM (2010) Comparison of stainless and mild steel welding fumes in generation of reactive oxygen species. Part Fibre Toxicol 7:32CrossRef
go back to reference Li GJ, Zhang LL, Lu L, Wu P, Zheng W (2004) Occupational exposure to welding fume among welders: alterations of manganese, iron, zinc, copper, and lead in body fluids and the oxidative stress status. J Occup Environ Med 46:241–248CrossRef Li GJ, Zhang LL, Lu L, Wu P, Zheng W (2004) Occupational exposure to welding fume among welders: alterations of manganese, iron, zinc, copper, and lead in body fluids and the oxidative stress status. J Occup Environ Med 46:241–248CrossRef
go back to reference Lillienberg L, Zock JP, Kromhout H, Plana E, Jarvis D, Torén K, Kogevinas M (2008) A population-based study on welding exposures at work and respiratory symptoms. Ann Occup Hyg 52:107–115CrossRef Lillienberg L, Zock JP, Kromhout H, Plana E, Jarvis D, Torén K, Kogevinas M (2008) A population-based study on welding exposures at work and respiratory symptoms. Ann Occup Hyg 52:107–115CrossRef
go back to reference Lillienberg L, Andersson E, Janson C, Dahlman-Höglund A, Forsberg B, Holm M, Glslason T, Jögi R, Omenaas E, Schlünssen V, Sigsgaard T, Svanes C, Torén K (2012) Occupational exposure and new-onset asthma in a population-based study in Northern Europe (RHINE). Ann Occup Hyg 57:482–492CrossRef Lillienberg L, Andersson E, Janson C, Dahlman-Höglund A, Forsberg B, Holm M, Glslason T, Jögi R, Omenaas E, Schlünssen V, Sigsgaard T, Svanes C, Torén K (2012) Occupational exposure and new-onset asthma in a population-based study in Northern Europe (RHINE). Ann Occup Hyg 57:482–492CrossRef
go back to reference Littorin M, Rylander L, Skarping G, Dalene M, Welinder H, Strömberg U, Skerfving S (2000) Exposure biomarkers and risk from gluing and heating of polyurethane: a cross sectional study of respiratory symptoms. Occup Environ Med 57:396–405CrossRef Littorin M, Rylander L, Skarping G, Dalene M, Welinder H, Strömberg U, Skerfving S (2000) Exposure biomarkers and risk from gluing and heating of polyurethane: a cross sectional study of respiratory symptoms. Occup Environ Med 57:396–405CrossRef
go back to reference Medical Research Council Committee on Aetiology of Chronic Bronchitis (1965) Definition and classification of chronic bronchitis for clinical and epidemiological purposes Lancet 1:775–779 Medical Research Council Committee on Aetiology of Chronic Bronchitis (1965) Definition and classification of chronic bronchitis for clinical and epidemiological purposes Lancet 1:775–779
go back to reference Mur JM, Teculescu D, Pham QT, Gaertner M, Massin N, Meyer-Bisch C, Moulin J, Diebold F, Pierre F, Meurou-Poncelet B, Muller J, Henquel JC, Baudin V, Betz M, Toamain JP (1985) Lung function and clinical findings in a cross-sectional study of arc welders. An epidemiological study. Int Arch Occup Environ Health 57:1–17CrossRef Mur JM, Teculescu D, Pham QT, Gaertner M, Massin N, Meyer-Bisch C, Moulin J, Diebold F, Pierre F, Meurou-Poncelet B, Muller J, Henquel JC, Baudin V, Betz M, Toamain JP (1985) Lung function and clinical findings in a cross-sectional study of arc welders. An epidemiological study. Int Arch Occup Environ Health 57:1–17CrossRef
go back to reference Nielsen J, Dahlqvist M, Welinder H, Thomassen Y, Alexandersson R, Skerfving S (1993) Small airways function in aluminium and stainless steel welders. Int Arch Occup Environ Health 65:101–105CrossRef Nielsen J, Dahlqvist M, Welinder H, Thomassen Y, Alexandersson R, Skerfving S (1993) Small airways function in aluminium and stainless steel welders. Int Arch Occup Environ Health 65:101–105CrossRef
go back to reference Oberdörster G, Oberdörster E, Oberdörster J (2005) Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect 113:823–839CrossRef Oberdörster G, Oberdörster E, Oberdörster J (2005) Nanotoxicology: an emerging discipline evolving from studies of ultrafine particles. Environ Health Perspect 113:823–839CrossRef
go back to reference Oh JH, Yang MJ, Yang YS, Park HJ, Heo SH, Lee EH, Song CW, Yoon S (2009) Microarray-based analysis of the lung recovery process after stainless-steel welding fume exposure in Sprague-Dawley rats. Inhal Toxicol 21:347–373CrossRef Oh JH, Yang MJ, Yang YS, Park HJ, Heo SH, Lee EH, Song CW, Yoon S (2009) Microarray-based analysis of the lung recovery process after stainless-steel welding fume exposure in Sprague-Dawley rats. Inhal Toxicol 21:347–373CrossRef
go back to reference OSHA (2008) Ozone in the workplace atmosphere. Method ID-214 OSHA (2008) Ozone in the workplace atmosphere. Method ID-214
go back to reference Puolijoki H, Impivaara O, Liippo K, Tala E (1992) Later development of asthma in patients with a negative methacholine inhalation challenge examined for suspected asthma. Lung 170:235–241CrossRef Puolijoki H, Impivaara O, Liippo K, Tala E (1992) Later development of asthma in patients with a negative methacholine inhalation challenge examined for suspected asthma. Lung 170:235–241CrossRef
go back to reference Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC (1993) Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Respir J Suppl 16:5–40CrossRef Quanjer PH, Tammeling GJ, Cotes JE, Pedersen OF, Peslin R, Yernault JC (1993) Lung volumes and forced ventilatory flows. Report Working Party Standardization of Lung Function Tests, European Community for Steel and Coal. Official Statement of the European Respiratory Society. Eur Respir J Suppl 16:5–40CrossRef
go back to reference Rosenhagen A, Vogt L, Thiel C, Bernhörster M, Banzer W (2012) Recurrent childhood wheezing and exercise induced asthma in later life. J Sports Med Phys Fitness 52:661–664 Rosenhagen A, Vogt L, Thiel C, Bernhörster M, Banzer W (2012) Recurrent childhood wheezing and exercise induced asthma in later life. J Sports Med Phys Fitness 52:661–664
go back to reference Schoonover T, Conroy L, Lacey S, Plavka J (2011) Personal exposure to metal fume, NO2, and O3 among production welders and non-welders. Ind Health 49:63–72CrossRef Schoonover T, Conroy L, Lacey S, Plavka J (2011) Personal exposure to metal fume, NO2, and O3 among production welders and non-welders. Ind Health 49:63–72CrossRef
go back to reference Shaaban R, Zureik M, Soussan D, Neukirch C, Heinrich J, Sunyer J, Wjst M, Cerveri I, Pin I, Bousquet J, Jarvis D, Burney PG, Neukirch F, Leynaert B (2008) Rhinitis and onset of asthma: a longitudinal population-based study. Lancet 372(9643):1049–1057CrossRef Shaaban R, Zureik M, Soussan D, Neukirch C, Heinrich J, Sunyer J, Wjst M, Cerveri I, Pin I, Bousquet J, Jarvis D, Burney PG, Neukirch F, Leynaert B (2008) Rhinitis and onset of asthma: a longitudinal population-based study. Lancet 372(9643):1049–1057CrossRef
go back to reference Sturm R (2010) Theoretical models for dynamic shape factors and lung deposition of small particle aggregates originating from combustion processes. Z Med Phys 20:226–234CrossRef Sturm R (2010) Theoretical models for dynamic shape factors and lung deposition of small particle aggregates originating from combustion processes. Z Med Phys 20:226–234CrossRef
go back to reference Swedish Work Environment Authority (2011) Occupational exposure limits and proceedings against air pollution AFS 2011:18. Stockholm, Sweden Swedish Work Environment Authority (2011) Occupational exposure limits and proceedings against air pollution AFS 2011:18. Stockholm, Sweden
go back to reference Torén K, Järvholm B, Brisman J, Hagberg S, Hermansson B-A, Lillienberg L (1999) Adult-onset asthma and occupational exposures. Scand J Work Environ Health 25:430–435CrossRef Torén K, Järvholm B, Brisman J, Hagberg S, Hermansson B-A, Lillienberg L (1999) Adult-onset asthma and occupational exposures. Scand J Work Environ Health 25:430–435CrossRef
go back to reference Wameling A, Schäper M, Kunert J, Blaszkewicz M, van Thriel C, Zupanic M, Seeber A (2000) Individual toluene exposure in rotary printing: increasing accuracy of estimation by linear models based on protocols of daily activity and other measures. Biometrics 56:1218–1221CrossRef Wameling A, Schäper M, Kunert J, Blaszkewicz M, van Thriel C, Zupanic M, Seeber A (2000) Individual toluene exposure in rotary printing: increasing accuracy of estimation by linear models based on protocols of daily activity and other measures. Biometrics 56:1218–1221CrossRef
go back to reference Zimmer AT, Biswas P (2001) Characterization of the aerosols resulting from arc welding processes. J aerosol Science 32:993–1008CrossRef Zimmer AT, Biswas P (2001) Characterization of the aerosols resulting from arc welding processes. J aerosol Science 32:993–1008CrossRef
go back to reference Zimmer AT, Maynard AD (2002) Investigation of the aerosols produced by a high-speed, hand-held grinder using various substrates. Ann Occup Hyg 46:663–672CrossRef Zimmer AT, Maynard AD (2002) Investigation of the aerosols produced by a high-speed, hand-held grinder using various substrates. Ann Occup Hyg 46:663–672CrossRef
Metadata
Title
The ordinary work environment increases symptoms from eyes and airways in mild steel welders
Authors
Lena S. Jönsson
Håkan Tinnerberg
Helene Jacobsson
Ulla Andersson
Anna Axmon
Jørn Nielsen
Publication date
01-11-2015
Publisher
Springer Berlin Heidelberg
Published in
International Archives of Occupational and Environmental Health / Issue 8/2015
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-015-1041-2

Other articles of this Issue 8/2015

International Archives of Occupational and Environmental Health 8/2015 Go to the issue