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Abstract

Diseases from poisonous gases and micro-organisms in the air near garbage dumps and poisoning by polluted underground water and soil may result in serious health problems. The object of this study was to determine the negative impact of their occupation on full-time garbage collectors and to determine the microbiologic flora of their immediate environment. This study was performed with 228 selected individuals who worked daily in 5 dif ferent garbage collection units in several districts of Istanbul. The level of exposure to microbiologic flora was studied using a Merck Air Sampler MAS 100, and total bacteria, yeast and mildew concentrations per square metre and minute (cfu/m2/min) were calculated. Respiratory functions of all individuals in the study were evaluated with a computerised spirometer (MIR spiro bank). Aspergillus and Penicillium spp. were the com monest species detected followed by Candida spp., My celia sterilia, Rhizopus spp. and Mucorspp. The study of respiratory functions showed that the FVC%, FEV₁%, PEF% and FEF_25-75% of the garbage collectors were below 80% compared to non-collectors: OR = 2.89 (95% CI 1.14-7.30) in FVC%, OR = 2.89 (95% CI 1.41-5.92) in PEF%, OR = 2.46 (95% CI 1.33-4.56) in FEF_25-75% and OR = 4.48 (95% CI 1.90-10.58) in FEV₁%. A long expirium period and ronchus symptoms were detected in 11 col lectors (31.4%) and 4 drivers (11.4%) out of 32 collectors and 35 drivers whose respiratory function tests gave low values. Clinical findings between the two groups were statistically significant (p < 0.05), OR = 4.06 (95% CI 1.13- 14.46). The exposure to airborne microbes could pro duce respiratory disorders, gastroenteritis, dermatitis and many other complaints.

Keywords

Garbage workers Solid waste Respiratory functions Household waste

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References

Mumtaz MM , George JD , Gold KV , Cibulas W. , De Rosa CT : ATSDR evaluation of health effect of chemicals. IV. Polycyclic aromatic hydrocarbons (PAHs): Understanding a complex problem. Toxicol Ind Health 1996;12:742-971.

Ivens UI , Ebbehoj N. , Polusen OM , Skov T. : Season, equipment, and job function related to gastrointestinal problems in waste collectors. Occup Environ Med 1997;54:861-867.

Poulsen OM , Breum NO , Ebbehoj H. , Hansen AM , Ivens UI , Van Lelieveld D , Malmros P. , Mattihiasen L. , Nielsen BH , Nielsen EM : Collection of domestic waste: Review of occupational health problems and their possible causes. Sci Total Environ 1995;17:1-19.

Global Initiative for Chronic Obstructive Lung Disease. NHLBI/WHO workshop report. Publication No 2701. National Institutes of Health, National Heart, Lung and Blood Institute, 2001, pp 7-8.

Beuchat LR : Mycology. Westport, Avi Publishing , 1978.

Mosjedi MR , Kozerni HC , Johnson DC : Effects of passive smoking on pulmonary function of adults. Thorax 1990;45:27-32.

Lazslo G. : European standards for lung function testing 1993 update. Thorax 1990;45:32-37.

Schwartz DA , Baker EL : Respiratory illness in the construction industry. Chest 1988;93:134-137.

Knudson RJ , John Eccp , Bloom W. , Dwyn EK : Sub-clinical effect of smoking. Chest 1996 ; 121:20-29.

10.

Hnizdo E. : Combined effect of silica dust and tobacco smoking on mortality from chronic obstructive pulmonary disease in gold miners. Br J Ind Med 1990;47:656-660.

11.

Wilkins K. : Volatile organic compounds from household waste. Chemosphere 1994;29:47-53.

12.

Nielsen BH , Wortz H. , Holst E. : Endotoxin and micro-organisms in percolate derived from compostable household waste. Am J Ind Med 1994;25:121-122.

13.

Rix BA : Exposure to endotoxins in the environment: Occurrence and health hazards. Ugeskr Laeger 1997;159:2529-2533.

14.

Hara K. , Hanaoka T. , Yamano Y. , Itani T. : Urinary 1-hydroxypyrene levels of garbage collectors with low-level exposure to polycyclic aromatic hydrocarbons. Sci Total Environ 1997; 199:159-164.

15.

Lavoie J. , Guertin S. : Evaluation of health and safety risks in municipal solid waste recycling plants. J Air Waste Manag Assoc 2001;51:352-360.

16.

Allmers H. , Huber H. , Baur X. : Two year follow-up of a garbage collector with allergic broncho-pulmonary aspergillosis (ABPA). Am J Ind Med 2000;34:438-442.

17.

Thorn J. , Beijer L. , Rylander R. : Airway inflammation and glucan exposure among household waste collectors. Am J Indust Med 1998;33: 463-470.

18.

Sigsgaard T. , Malmros P. , Nersting L. , Petersen L. : Respiratory disorders and atopy in Danish refuse workers. Am J Respir Crit Care Med 1994;149:1407-1412.

19.

Pach J. , Kamenzack A. , Panas M. : The frequency of toxic methemoglobinemias in people living in vicinity of refuse dumps in Barycz. Przegl Lek 1996:3;348-350.

20.

Rapiti E. , Sperati A. , Fano V. , Dell'orco V, Forastiere F: Mortality among workers at municipal waste incinerators in Rome: A retrospective cohort study. Am J Ind Med 1997;31:659-661.

21.

Schweisfurth H. , Schottes C. : Acute intoxication of a hydrazine like gas by 19 workers in garbage dump. Zentralbl Hyg Umweltmed 1993;195: 46-54.

22.

Deportes I, Benoit Guyod JL, Zamirou D: Hazard to man and the environment posed by the use of urban waste compost: A review. Sci Total Environ 1995; 173:197-222.

23.

Mustajbegovich J. , Zuskin E. , Kern J. , Kos B. : Respiratory function in street cleaners and garbage collectors. Arc Hig Rada Toksikol 1994; 45:241-248.

Health Problems of Garbage Collectors in Istanbul

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