Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill
ObjectivesFishermen who had participated in clean-up activities of the Prestige oil spill showed an excess risk of respiratory symptoms 1–2 years later, but the long-term persistence of these health effects is unclear. The aim of this study was to evaluate the persistence of these respiratory sympto...
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| Veröffentlicht in: | Occupational and environmental medicine (London, England) England), 2012-07, Vol.69 (7), p.508-513 |
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| creator | Zock, Jan-Paul Rodríguez-Trigo, Gema Rodríguez-Rodríguez, Emma Espinosa, Aina Pozo-Rodríguez, Francisco Gómez, Federico Fuster, Carme Castaño-Vinyals, Gemma Antó, Josep M Barberà, Joan A |
| description | ObjectivesFishermen who had participated in clean-up activities of the Prestige oil spill showed an excess risk of respiratory symptoms 1–2 years later, but the long-term persistence of these health effects is unclear. The aim of this study was to evaluate the persistence of these respiratory symptoms 5 years after clean-up work.MethodsSubgroups of 501 fishermen who had been exposed to clean-up work and 177 non-exposed individuals were re-interviewed by telephone in 2008, including the same symptom questions as in the initial survey. Associations between participation in clean-up work and respiratory symptoms were assessed using log-binomial and multinomial regression analyses adjusting for sex, age and smoking.ResultsInformation from 466 exposed (93%) and 156 non-exposed (88%) fishermen was obtained. The prevalence of lower respiratory tract symptoms (including wheeze, shortness of breath, cough and phlegm) had slightly decreased in both groups, but remained higher among the exposed (RR 1.4, 95% CI 1.1 to 1.9). The risk of having persistent respiratory symptoms (reported both at baseline and at follow-up) increased with the degree of exposure: RR ratio 1.7 (95% CI 0.9 to 3.1) and 3.3 (95% CI 1.8 to 6.2) for moderately and highly exposed, respectively, when compared with those without any symptoms. Findings for nasal symptoms and for respiratory medication usage were similar.ConclusionsParticipation in clean-up activities of oil spills may result in respiratory symptoms that persist up to 5 years after exposure. Guidelines for preventive measures and a continued surveillance of clean-up workers of oil spills are necessary. |
| doi_str_mv | 10.1136/oemed-2011-100614 |
| format | Article |
| fullrecord | <record><control><sourceid>jstor_proqu</sourceid><recordid>TN_cdi_proquest_miscellaneous_1020047772</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>23218206</jstor_id><sourcerecordid>23218206</sourcerecordid><originalsourceid>FETCH-LOGICAL-b456t-a6522fb7b830777ba008914dc6391e3bdd1cddb9ca93f68af97fab5b2fbdfe243</originalsourceid><addsrcrecordid>eNqNkU-L1TAUxYMozjj6AVwoARFcGM1NmqRdDs-_8NABdRA3IWkT7Zu2qUmLvp0bv6ifxNS-ccCVq1w4v3s4ORehu0CfAHD5NLjeNYRRAAKUSiiuoWMoFCWqYvJ6nrkAQhXAEbqV0o5S4Iqzm-iIMcErKcQx-nTmYmrT5IYJR5fGNpopxD1O-36cQp9wO-C6c2Yg84i_hXiRcSx-_fi5dyZPxk8u4umLw2d5e2o_OxzaDmefrruNbnjTJXfn8J6gDy-ev9-8Itu3L19vTrfEFkJOxEjBmLfKlpwqpayhtKygaGrJK3DcNg3UTWOr2lTcy9L4Snljhc07jXes4Cfo0eo7xvB1zil036badZ0ZXJiTBsooLbI1y-iDf9BdmOOQ02lQJeQAUkGmYKXqGFKKzusxtr2J-2yll-L1n-L1Urxei8879w_Os120y43LpjPw8ACYVJvORzPUbbriRFXloAt3b-V2KR_iSucMSkZl1smqL0f7_lc38UJLxZXQb843mp2_k-XH7TO9BHu88rbf_cc_fgOqDbRD</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1781307671</pqid></control><display><type>article</type><title>Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill</title><source>Jstor Complete Legacy</source><source>MEDLINE</source><source>BMJ Journals - NESLi2</source><creator>Zock, Jan-Paul ; Rodríguez-Trigo, Gema ; Rodríguez-Rodríguez, Emma ; Espinosa, Aina ; Pozo-Rodríguez, Francisco ; Gómez, Federico ; Fuster, Carme ; Castaño-Vinyals, Gemma ; Antó, Josep M ; Barberà, Joan A</creator><creatorcontrib>Zock, Jan-Paul ; Rodríguez-Trigo, Gema ; Rodríguez-Rodríguez, Emma ; Espinosa, Aina ; Pozo-Rodríguez, Francisco ; Gómez, Federico ; Fuster, Carme ; Castaño-Vinyals, Gemma ; Antó, Josep M ; Barberà, Joan A</creatorcontrib><description>ObjectivesFishermen who had participated in clean-up activities of the Prestige oil spill showed an excess risk of respiratory symptoms 1–2 years later, but the long-term persistence of these health effects is unclear. The aim of this study was to evaluate the persistence of these respiratory symptoms 5 years after clean-up work.MethodsSubgroups of 501 fishermen who had been exposed to clean-up work and 177 non-exposed individuals were re-interviewed by telephone in 2008, including the same symptom questions as in the initial survey. Associations between participation in clean-up work and respiratory symptoms were assessed using log-binomial and multinomial regression analyses adjusting for sex, age and smoking.ResultsInformation from 466 exposed (93%) and 156 non-exposed (88%) fishermen was obtained. The prevalence of lower respiratory tract symptoms (including wheeze, shortness of breath, cough and phlegm) had slightly decreased in both groups, but remained higher among the exposed (RR 1.4, 95% CI 1.1 to 1.9). The risk of having persistent respiratory symptoms (reported both at baseline and at follow-up) increased with the degree of exposure: RR ratio 1.7 (95% CI 0.9 to 3.1) and 3.3 (95% CI 1.8 to 6.2) for moderately and highly exposed, respectively, when compared with those without any symptoms. Findings for nasal symptoms and for respiratory medication usage were similar.ConclusionsParticipation in clean-up activities of oil spills may result in respiratory symptoms that persist up to 5 years after exposure. Guidelines for preventive measures and a continued surveillance of clean-up workers of oil spills are necessary.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2011-100614</identifier><identifier>PMID: 22539655</identifier><language>eng</language><publisher>London: BMJ Publishing Group Ltd</publisher><subject>Adult ; air pollution ; allergy ; asthma ; Biological and medical sciences ; Case-Control Studies ; Chemical and industrial products toxicology. Toxic occupational diseases ; emergency responders ; Environment ; Environmental cleanup ; environmental disaster ; Environmental Exposure - adverse effects ; Environmental pollutants toxicology ; Environmental Restoration and Remediation - methods ; epidemiology ; exposure assessment ; exposure monitoring ; Female ; Fisheries ; Fishers ; Follow up studies ; Hazardous Substances - adverse effects ; Health benefits ; Health outcomes ; Humans ; hygiene/occupational hygiene ; Interviews ; Interviews as Topic ; longitudinal ; Longitudinal studies ; lung function ; Male ; Medical sciences ; Medications ; Middle Aged ; Nose ; occupational asthma ; Occupational exposure ; Occupational Exposure - adverse effects ; Occupations ; Oil spill ; Oil spills ; Petroleum Pollution - adverse effects ; Prestige ; Prevalence ; Questionnaires ; Regression Analysis ; Report writing ; respiratory ; Respiratory symptoms ; Respiratory tract ; Respiratory Tract Diseases - chemically induced ; Respiratory Tract Diseases - drug therapy ; Respiratory Tract Diseases - epidemiology ; Risk Factors ; smoking ; Symptoms ; Toxicology ; Various organic compounds ; Water</subject><ispartof>Occupational and environmental medicine (London, England), 2012-07, Vol.69 (7), p.508-513</ispartof><rights>2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><rights>2012 BMJ Publishing Group</rights><rights>2015 INIST-CNRS</rights><rights>Copyright: 2012 (c) 2012, Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://group.bmj.com/group/rights-licensing/permissions.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b456t-a6522fb7b830777ba008914dc6391e3bdd1cddb9ca93f68af97fab5b2fbdfe243</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://oem.bmj.com/content/69/7/508.full.pdf$$EPDF$$P50$$Gbmj$$H</linktopdf><linktohtml>$$Uhttps://oem.bmj.com/content/69/7/508.full$$EHTML$$P50$$Gbmj$$H</linktohtml><link.rule.ids>114,115,314,776,780,799,3183,23550,27901,27902,57992,58225,77343,77374</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=25991025$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/22539655$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Zock, Jan-Paul</creatorcontrib><creatorcontrib>Rodríguez-Trigo, Gema</creatorcontrib><creatorcontrib>Rodríguez-Rodríguez, Emma</creatorcontrib><creatorcontrib>Espinosa, Aina</creatorcontrib><creatorcontrib>Pozo-Rodríguez, Francisco</creatorcontrib><creatorcontrib>Gómez, Federico</creatorcontrib><creatorcontrib>Fuster, Carme</creatorcontrib><creatorcontrib>Castaño-Vinyals, Gemma</creatorcontrib><creatorcontrib>Antó, Josep M</creatorcontrib><creatorcontrib>Barberà, Joan A</creatorcontrib><title>Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectivesFishermen who had participated in clean-up activities of the Prestige oil spill showed an excess risk of respiratory symptoms 1–2 years later, but the long-term persistence of these health effects is unclear. The aim of this study was to evaluate the persistence of these respiratory symptoms 5 years after clean-up work.MethodsSubgroups of 501 fishermen who had been exposed to clean-up work and 177 non-exposed individuals were re-interviewed by telephone in 2008, including the same symptom questions as in the initial survey. Associations between participation in clean-up work and respiratory symptoms were assessed using log-binomial and multinomial regression analyses adjusting for sex, age and smoking.ResultsInformation from 466 exposed (93%) and 156 non-exposed (88%) fishermen was obtained. The prevalence of lower respiratory tract symptoms (including wheeze, shortness of breath, cough and phlegm) had slightly decreased in both groups, but remained higher among the exposed (RR 1.4, 95% CI 1.1 to 1.9). The risk of having persistent respiratory symptoms (reported both at baseline and at follow-up) increased with the degree of exposure: RR ratio 1.7 (95% CI 0.9 to 3.1) and 3.3 (95% CI 1.8 to 6.2) for moderately and highly exposed, respectively, when compared with those without any symptoms. Findings for nasal symptoms and for respiratory medication usage were similar.ConclusionsParticipation in clean-up activities of oil spills may result in respiratory symptoms that persist up to 5 years after exposure. Guidelines for preventive measures and a continued surveillance of clean-up workers of oil spills are necessary.</description><subject>Adult</subject><subject>air pollution</subject><subject>allergy</subject><subject>asthma</subject><subject>Biological and medical sciences</subject><subject>Case-Control Studies</subject><subject>Chemical and industrial products toxicology. Toxic occupational diseases</subject><subject>emergency responders</subject><subject>Environment</subject><subject>Environmental cleanup</subject><subject>environmental disaster</subject><subject>Environmental Exposure - adverse effects</subject><subject>Environmental pollutants toxicology</subject><subject>Environmental Restoration and Remediation - methods</subject><subject>epidemiology</subject><subject>exposure assessment</subject><subject>exposure monitoring</subject><subject>Female</subject><subject>Fisheries</subject><subject>Fishers</subject><subject>Follow up studies</subject><subject>Hazardous Substances - adverse effects</subject><subject>Health benefits</subject><subject>Health outcomes</subject><subject>Humans</subject><subject>hygiene/occupational hygiene</subject><subject>Interviews</subject><subject>Interviews as Topic</subject><subject>longitudinal</subject><subject>Longitudinal studies</subject><subject>lung function</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Medications</subject><subject>Middle Aged</subject><subject>Nose</subject><subject>occupational asthma</subject><subject>Occupational exposure</subject><subject>Occupational Exposure - adverse effects</subject><subject>Occupations</subject><subject>Oil spill</subject><subject>Oil spills</subject><subject>Petroleum Pollution - adverse effects</subject><subject>Prestige</subject><subject>Prevalence</subject><subject>Questionnaires</subject><subject>Regression Analysis</subject><subject>Report writing</subject><subject>respiratory</subject><subject>Respiratory symptoms</subject><subject>Respiratory tract</subject><subject>Respiratory Tract Diseases - chemically induced</subject><subject>Respiratory Tract Diseases - drug therapy</subject><subject>Respiratory Tract Diseases - epidemiology</subject><subject>Risk Factors</subject><subject>smoking</subject><subject>Symptoms</subject><subject>Toxicology</subject><subject>Various organic compounds</subject><subject>Water</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2012</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNqNkU-L1TAUxYMozjj6AVwoARFcGM1NmqRdDs-_8NABdRA3IWkT7Zu2qUmLvp0bv6ifxNS-ccCVq1w4v3s4ORehu0CfAHD5NLjeNYRRAAKUSiiuoWMoFCWqYvJ6nrkAQhXAEbqV0o5S4Iqzm-iIMcErKcQx-nTmYmrT5IYJR5fGNpopxD1O-36cQp9wO-C6c2Yg84i_hXiRcSx-_fi5dyZPxk8u4umLw2d5e2o_OxzaDmefrruNbnjTJXfn8J6gDy-ev9-8Itu3L19vTrfEFkJOxEjBmLfKlpwqpayhtKygaGrJK3DcNg3UTWOr2lTcy9L4Snljhc07jXes4Cfo0eo7xvB1zil036badZ0ZXJiTBsooLbI1y-iDf9BdmOOQ02lQJeQAUkGmYKXqGFKKzusxtr2J-2yll-L1n-L1Urxei8879w_Os120y43LpjPw8ACYVJvORzPUbbriRFXloAt3b-V2KR_iSucMSkZl1smqL0f7_lc38UJLxZXQb843mp2_k-XH7TO9BHu88rbf_cc_fgOqDbRD</recordid><startdate>20120701</startdate><enddate>20120701</enddate><creator>Zock, Jan-Paul</creator><creator>Rodríguez-Trigo, Gema</creator><creator>Rodríguez-Rodríguez, Emma</creator><creator>Espinosa, Aina</creator><creator>Pozo-Rodríguez, Francisco</creator><creator>Gómez, Federico</creator><creator>Fuster, Carme</creator><creator>Castaño-Vinyals, Gemma</creator><creator>Antó, Josep M</creator><creator>Barberà, Joan A</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group</general><general>BMJ Publishing Group LTD</general><scope>BSCLL</scope><scope>IQODW</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AEUYN</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope></search><sort><creationdate>20120701</creationdate><title>Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill</title><author>Zock, Jan-Paul ; Rodríguez-Trigo, Gema ; Rodríguez-Rodríguez, Emma ; Espinosa, Aina ; Pozo-Rodríguez, Francisco ; Gómez, Federico ; Fuster, Carme ; Castaño-Vinyals, Gemma ; Antó, Josep M ; Barberà, Joan A</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b456t-a6522fb7b830777ba008914dc6391e3bdd1cddb9ca93f68af97fab5b2fbdfe243</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2012</creationdate><topic>Adult</topic><topic>air pollution</topic><topic>allergy</topic><topic>asthma</topic><topic>Biological and medical sciences</topic><topic>Case-Control Studies</topic><topic>Chemical and industrial products toxicology. Toxic occupational diseases</topic><topic>emergency responders</topic><topic>Environment</topic><topic>Environmental cleanup</topic><topic>environmental disaster</topic><topic>Environmental Exposure - adverse effects</topic><topic>Environmental pollutants toxicology</topic><topic>Environmental Restoration and Remediation - methods</topic><topic>epidemiology</topic><topic>exposure assessment</topic><topic>exposure monitoring</topic><topic>Female</topic><topic>Fisheries</topic><topic>Fishers</topic><topic>Follow up studies</topic><topic>Hazardous Substances - adverse effects</topic><topic>Health benefits</topic><topic>Health outcomes</topic><topic>Humans</topic><topic>hygiene/occupational hygiene</topic><topic>Interviews</topic><topic>Interviews as Topic</topic><topic>longitudinal</topic><topic>Longitudinal studies</topic><topic>lung function</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Medications</topic><topic>Middle Aged</topic><topic>Nose</topic><topic>occupational asthma</topic><topic>Occupational exposure</topic><topic>Occupational Exposure - adverse effects</topic><topic>Occupations</topic><topic>Oil spill</topic><topic>Oil spills</topic><topic>Petroleum Pollution - adverse effects</topic><topic>Prestige</topic><topic>Prevalence</topic><topic>Questionnaires</topic><topic>Regression Analysis</topic><topic>Report writing</topic><topic>respiratory</topic><topic>Respiratory symptoms</topic><topic>Respiratory tract</topic><topic>Respiratory Tract Diseases - chemically induced</topic><topic>Respiratory Tract Diseases - drug therapy</topic><topic>Respiratory Tract Diseases - epidemiology</topic><topic>Risk Factors</topic><topic>smoking</topic><topic>Symptoms</topic><topic>Toxicology</topic><topic>Various organic compounds</topic><topic>Water</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Zock, Jan-Paul</creatorcontrib><creatorcontrib>Rodríguez-Trigo, Gema</creatorcontrib><creatorcontrib>Rodríguez-Rodríguez, Emma</creatorcontrib><creatorcontrib>Espinosa, Aina</creatorcontrib><creatorcontrib>Pozo-Rodríguez, Francisco</creatorcontrib><creatorcontrib>Gómez, Federico</creatorcontrib><creatorcontrib>Fuster, Carme</creatorcontrib><creatorcontrib>Castaño-Vinyals, Gemma</creatorcontrib><creatorcontrib>Antó, Josep M</creatorcontrib><creatorcontrib>Barberà, Joan A</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest One Sustainability</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Zock, Jan-Paul</au><au>Rodríguez-Trigo, Gema</au><au>Rodríguez-Rodríguez, Emma</au><au>Espinosa, Aina</au><au>Pozo-Rodríguez, Francisco</au><au>Gómez, Federico</au><au>Fuster, Carme</au><au>Castaño-Vinyals, Gemma</au><au>Antó, Josep M</au><au>Barberà, Joan A</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2012-07-01</date><risdate>2012</risdate><volume>69</volume><issue>7</issue><spage>508</spage><epage>513</epage><pages>508-513</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>ObjectivesFishermen who had participated in clean-up activities of the Prestige oil spill showed an excess risk of respiratory symptoms 1–2 years later, but the long-term persistence of these health effects is unclear. The aim of this study was to evaluate the persistence of these respiratory symptoms 5 years after clean-up work.MethodsSubgroups of 501 fishermen who had been exposed to clean-up work and 177 non-exposed individuals were re-interviewed by telephone in 2008, including the same symptom questions as in the initial survey. Associations between participation in clean-up work and respiratory symptoms were assessed using log-binomial and multinomial regression analyses adjusting for sex, age and smoking.ResultsInformation from 466 exposed (93%) and 156 non-exposed (88%) fishermen was obtained. The prevalence of lower respiratory tract symptoms (including wheeze, shortness of breath, cough and phlegm) had slightly decreased in both groups, but remained higher among the exposed (RR 1.4, 95% CI 1.1 to 1.9). The risk of having persistent respiratory symptoms (reported both at baseline and at follow-up) increased with the degree of exposure: RR ratio 1.7 (95% CI 0.9 to 3.1) and 3.3 (95% CI 1.8 to 6.2) for moderately and highly exposed, respectively, when compared with those without any symptoms. Findings for nasal symptoms and for respiratory medication usage were similar.ConclusionsParticipation in clean-up activities of oil spills may result in respiratory symptoms that persist up to 5 years after exposure. Guidelines for preventive measures and a continued surveillance of clean-up workers of oil spills are necessary.</abstract><cop>London</cop><pub>BMJ Publishing Group Ltd</pub><pmid>22539655</pmid><doi>10.1136/oemed-2011-100614</doi><tpages>6</tpages></addata></record> |
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| ispartof | Occupational and environmental medicine (London, England), 2012-07, Vol.69 (7), p.508-513 |
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| subjects | Adult air pollution allergy asthma Biological and medical sciences Case-Control Studies Chemical and industrial products toxicology. Toxic occupational diseases emergency responders Environment Environmental cleanup environmental disaster Environmental Exposure - adverse effects Environmental pollutants toxicology Environmental Restoration and Remediation - methods epidemiology exposure assessment exposure monitoring Female Fisheries Fishers Follow up studies Hazardous Substances - adverse effects Health benefits Health outcomes Humans hygiene/occupational hygiene Interviews Interviews as Topic longitudinal Longitudinal studies lung function Male Medical sciences Medications Middle Aged Nose occupational asthma Occupational exposure Occupational Exposure - adverse effects Occupations Oil spill Oil spills Petroleum Pollution - adverse effects Prestige Prevalence Questionnaires Regression Analysis Report writing respiratory Respiratory symptoms Respiratory tract Respiratory Tract Diseases - chemically induced Respiratory Tract Diseases - drug therapy Respiratory Tract Diseases - epidemiology Risk Factors smoking Symptoms Toxicology Various organic compounds Water |
| title | Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill |
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