Journal of Health and Safety at Work

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Introduction: Existing literatures indicate that occupational exposure to formaldehyde may decrease blood platelets. In this study, the influences of occupational exposure to formaldehyde on the number of blood plateletsand clinical symptoms were studied while determining the occupational exposure of employees of a wood industry to formaldehyde.

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Material and Method: In a case study, the occupational exposure to formaldehyde was determined among 30 workers from production line and 30 administrative staffs of a wood company using US-NIOSH method No 2541. The number of blood platelets was determined using the normal blood count method and related indices. Demographic data as well as the clinical symptoms of exposure to formaldehyde were collected using a standard questionnaire. The smokers and those using drugs interacting with similar symptoms and blood characteristics were excluded from the study. Ethical principles for medical research involving human subjects announced in Helsinki declaration were considered. The research proposal had been approved by the university committee of ethics prior to its execution. Details of tests were explained for all subjects and a written consent was signed by each subject.

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Result: Occupational exposure of workers in various parts of particle board production line ranged from 0.5 ppm to 1.52 ppm which was higher than the ceiling level (0.3 ppm) recommended by US-ACGIH. The prevalence of all studied symptoms from formaldehyde exposure in workers was significantly higher than the administrative staffs. In case group, tearing rate was the highest average 8.98 while the chest pain with an average rate of 3.20 was the lowest. In control group, the prevalence of coughing with an average rate of 6.62 was the highest and the chest pain with an average rate of 5.53 was the lowest. The average number and standard deviation of blood platelets of workers in production line and staffs were statistically different with the range 207.33±41.79 and 254.60±71.05, respectively. The statistical tests showed no relationship between the level of occupational exposure to formaldehyde and the number of blood platelets (p>0.05). This means that, increasing the exposure level would not lead to a further reduction in the number of platelets.

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Conclusion: Occupational exposure to formaldehyde significantly changed the number of blood platelets.

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Introduction: Occupational exposure to manganese can cause neurobehavioral symptoms. The aim of present study was to survey neurobehavioral symptoms of welders exposed to manganese- containing welding fumes and compare the frequency of these symptoms with unexposed group.

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Material and Method: Twenty seven of welders as exposed group, and 30 administrative workers as unexposed controls, were participated in this study. Neurobehavioral symptoms data were gathered using Q16 questionnaire. Manganese concentrations were determined according to the NIOSH 7300 method. After preparing of blood samples using microwave assisted acid digestion method, all samples were analyzed to determine manganese by graphite furnace- atomic absorption spectroscopy (GF-AAS).

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Result: The mean exposure to air manganese was 0.023± 0.012 mg/m3. Manganese concentrations in blood samples of welders (15.88± 7.11 µg/l) were significantly higher than unexposed workers (9.37± 8.70 µg/l), (P-V<0.05). The frequency of neurobehavioral symptoms of welders was significantly higher compared to unexposed workers (P-V<0.05). The correlation between neurobehavioral symptoms and blood manganese was significant for welders (P-V<0.05).

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Conclusion: Welders’ exposure to manganese and its potential health effects should be evaluated periodically and effective control measures should be applied in order to to prevent neurobehavioral symptoms.

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Introduction: Nearly a third of people work in jobs that use voice to be part of their work. Teachers as the largest group of professional vocal users, are at risk of vocal disorders. The aim of this study was to investigate the effect of different risk factors on vocal disorders in teachers.  
Material and Methods: This is a cross-sectional and descriptive-analytic study that was conducted on 73 primary and secondary male and female school teachers in Saveh in 2017 by random sampling. The researcher-made questionnaire on risk factors affecting verbal disorders with the aim of identifying risk factors and a Voice Handicap Index (VHI) questionnaire (30 items) aimed at evaluating verbal disorders and symptom questionnaire were used in this study. All of them have been shown to be valid and reliable in previous studies. Data were analyzed using t-test and chi square statistical tests by SPSS ver.24.
Results: The reliability of the researcher-made questionnaire on the risk factors affecting vocal disorders was confirmed by Cronbach’s alpha (0.736) and its validity was confirmed by the experts regarding the adequacy of the number of questions, the lack of ambiguity and the assessment of content fitness. According to our gathered data, vocal disorders were observed in 55% of the teachers. Also the results showed the rate of vocal disorders in female teachers is far higher than male teachers. Functional disturbance of vocal cords and allergy as general risk factors, teaching tools and poor air quality as environmental risk factors and inadequate vocal rest and job stress as occupational risk factors contributed to increasing vocal disorders in teachers. Among the symptom associated with verbal disorders in teachers, vocal fatigue and hoarseness were more common in comparison with other symptoms.
Conclusion: Due to the prevalence of vocal disorders in half of the teachers and the impact of general, environmental and occupational risk factors, it is necessary to identify and control the risk factors of vocal disorders in teachers. It can also be concluded that teachers can enjoy a healthy voice by considering the principles of ergonomics and occupational health.