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Am. J. Respir. Crit. Care Med., Vol 150, No. 2, Aug 1994, 441-447.

Respiratory symptoms and dust exposure in Lancashire cotton and man- made fiber mill operatives

D Fishwick, AM Fletcher, CA Pickering, RM Niven and EB Faragher
Department of Thoracic and Occupational Medicine, Wythenshawe Hospital, Manchester, United Kingdom.

A cross-sectional study of work-related symptoms and cotton dust exposure was made in 404 man-made fiber and 1,048 cotton operatives in Lancashire spinning mills; 39 cotton-exposed operatives (3.7%) had symptoms of byssinosis. This was associated on regression analysis with cumulative lifetime cotton dust exposure (p < 0.001), total years spent carding (p < 0.001), and currently working in the carding area (p = 0.0041). Smoking habit did not differ significantly between byssinotic and nonbyssinotic workers. Other work-related symptoms were common: chronic bronchitis (CB) and persistent cough. The prevalence of CB correlated positively with dust exposure (r = 0.59). Cotton dust sampling was performed in the work area (SDPRES) and personal breathing zone (PD1). A retrospective estimate of lifetime cotton dust exposure based on SDPRES correlated best with the prevalence of byssinosis (r = 0.797), although correlations with PD1 (r = 0.709) and SDPRES (r = 0.594) were also significant.


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Copyright © 1994 American Thoracic Society