Asbestos-Related Radiographic Findings Among Household Contacts of Workers Exposed to Libby Vermiculite: Impact of Workers’ Personal Hygiene Practices

OBJECTIVE:To explore the potential impact of worker hygiene by determining the prevalence of radiographic changes consistent with asbestos exposure among household contacts of workers exposed to Libby vermiculite that contained amphibole fibers. METHODS:Workers and household contacts had chest radio...

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Veröffentlicht in:Journal of occupational and environmental medicine 2013-11, Vol.55 (11), p.1300-1304
Hauptverfasser: Hilbert, Timothy J., Franzblau, Alfred, Dunning, Kari K., Borton, Eric K., Rohs, Amy M., Lockey, James E.
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container_end_page 1304
container_issue 11
container_start_page 1300
container_title Journal of occupational and environmental medicine
container_volume 55
creator Hilbert, Timothy J.
Franzblau, Alfred
Dunning, Kari K.
Borton, Eric K.
Rohs, Amy M.
Lockey, James E.
description OBJECTIVE:To explore the potential impact of worker hygiene by determining the prevalence of radiographic changes consistent with asbestos exposure among household contacts of workers exposed to Libby vermiculite that contained amphibole fibers. METHODS:Workers and household contacts had chest radiographs and completed questionnaires regarding hygiene and potential exposure pathways. RESULTS:Participants included 191 household contacts of 118 workers. One household contact (0.5%) had localized pleural thickening, and three (1.6%) had irregular opacities at profusion category 1/0 or greater. Worker radiographs demonstrated pleural changes in 45% and irregular opacities at profusion category 1/0 or greater in 8%. CONCLUSIONS:Libby vermiculite-exposed workers demonstrated an elevated prevalence of pleural and interstitial chest radiographic changes. There was, however, no increased prevalence of similar changes among household contacts, likely because of personal hygiene measures taken by the majority of workers.
doi_str_mv 10.1097/JOM.0b013e31829fcf1a
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METHODS:Workers and household contacts had chest radiographs and completed questionnaires regarding hygiene and potential exposure pathways. RESULTS:Participants included 191 household contacts of 118 workers. One household contact (0.5%) had localized pleural thickening, and three (1.6%) had irregular opacities at profusion category 1/0 or greater. Worker radiographs demonstrated pleural changes in 45% and irregular opacities at profusion category 1/0 or greater in 8%. CONCLUSIONS:Libby vermiculite-exposed workers demonstrated an elevated prevalence of pleural and interstitial chest radiographic changes. There was, however, no increased prevalence of similar changes among household contacts, likely because of personal hygiene measures taken by the majority of workers.</description><identifier>ISSN: 1076-2752</identifier><identifier>EISSN: 1536-5948</identifier><identifier>DOI: 10.1097/JOM.0b013e31829fcf1a</identifier><identifier>PMID: 24164758</identifier><identifier>CODEN: JOEMFM</identifier><language>eng</language><publisher>Hagerstown, MD: Lippincott Williams &amp; Wilkins, a business of Wolters Kluwer Health</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Aluminum Silicates - toxicity ; Asbestos ; Asbestos, Amphibole - toxicity ; Biological and medical sciences ; Environmental Exposure ; Epidemiology. Vaccinations ; Families &amp; family life ; Family Health ; Female ; General aspects ; Human exposure ; Humans ; Hygiene ; Infectious diseases ; Laundering ; Lung - diagnostic imaging ; Male ; Medical sciences ; Middle Aged ; Occupational Exposure ; Occupational medicine ; Occupational safety ; Original Article ; Pleura - diagnostic imaging ; Public health. 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METHODS:Workers and household contacts had chest radiographs and completed questionnaires regarding hygiene and potential exposure pathways. RESULTS:Participants included 191 household contacts of 118 workers. One household contact (0.5%) had localized pleural thickening, and three (1.6%) had irregular opacities at profusion category 1/0 or greater. Worker radiographs demonstrated pleural changes in 45% and irregular opacities at profusion category 1/0 or greater in 8%. CONCLUSIONS:Libby vermiculite-exposed workers demonstrated an elevated prevalence of pleural and interstitial chest radiographic changes. 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Vaccinations</subject><subject>Families &amp; family life</subject><subject>Family Health</subject><subject>Female</subject><subject>General aspects</subject><subject>Human exposure</subject><subject>Humans</subject><subject>Hygiene</subject><subject>Infectious diseases</subject><subject>Laundering</subject><subject>Lung - diagnostic imaging</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Middle Aged</subject><subject>Occupational Exposure</subject><subject>Occupational medicine</subject><subject>Occupational safety</subject><subject>Original Article</subject><subject>Pleura - diagnostic imaging</subject><subject>Public health. 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Vaccinations</topic><topic>Families &amp; family life</topic><topic>Family Health</topic><topic>Female</topic><topic>General aspects</topic><topic>Human exposure</topic><topic>Humans</topic><topic>Hygiene</topic><topic>Infectious diseases</topic><topic>Laundering</topic><topic>Lung - diagnostic imaging</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Middle Aged</topic><topic>Occupational Exposure</topic><topic>Occupational medicine</topic><topic>Occupational safety</topic><topic>Original Article</topic><topic>Pleura - diagnostic imaging</topic><topic>Public health. 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source MEDLINE; Journals@Ovid Complete; Jstor Complete Legacy
subjects Adult
Aged
Aged, 80 and over
Aluminum Silicates - toxicity
Asbestos
Asbestos, Amphibole - toxicity
Biological and medical sciences
Environmental Exposure
Epidemiology. Vaccinations
Families & family life
Family Health
Female
General aspects
Human exposure
Humans
Hygiene
Infectious diseases
Laundering
Lung - diagnostic imaging
Male
Medical sciences
Middle Aged
Occupational Exposure
Occupational medicine
Occupational safety
Original Article
Pleura - diagnostic imaging
Public health. Hygiene-occupational medicine
Radiography
Surveys and Questionnaires
title Asbestos-Related Radiographic Findings Among Household Contacts of Workers Exposed to Libby Vermiculite: Impact of Workers’ Personal Hygiene Practices
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