THE SYNERGISTIC EFFECT OF SMOKING HABIT AND LEAD EXPOSURE ON IRON AND STEEL WORKERS

Alia Abdel Shakour1 and Amal Saad2

1 National Research Center, Division of Environmental Research, Department of Air Pollution, Egypt
2 National Research Center, Division of Environmental Research, Department of Occupational Health and Industrial Medicine, Egypt1
 
Corresponding author: Dr. Amal Saad
National Research Center
Department of Industrial Medicine, Division of Environmental Research
Dokki, Egypt
Fax: (+002) 02 337 0931
E-mail: amel_h@hotmail.com


CEJOEM 1999 5(2):148-159


ABSTRACT: Iron and steelworkers are exposed to many pollutants through the different industrial processes. Lead toxicity is one of the most prominent health hazards of iron and steel industries. Many studies identify risk factors for elevated blood-lead levels in iron and steelworkers. Blood lead was also proved to be significantly higher in smokers than in non-smokers. In the current study, we measure the levels of lead in the air of the different sections of an iron and steel factory. The workers were interviewed to gather information about their age, period of occupational exposure to the industrial processes and their smoking habits. The blood lead concentrations were estimated to show the synergistic effect of smoking habit and lead exposure on the blood lead levels of the workers. It was found that the deposition rate of Pb and the suspended particulate concentrations show no significant difference between the different sections of the factory (p > 0.05). However, the highest concentration of Pb in the suspended particulate was recorded in the steel section (118.3 µg/m3), besides it had the lowest deposition velocity (0.0001 cm/s). So, the workers at this section may be exposed to large amounts of suspended fine Pb particulates for a longer period than in the other sections. It was also found that the blood Pb level is significantly higher in the smokers (44.7±18.1µg/dl) than in the non-smoking (37.1±18.1µg/dl). Moreover, there was positive correlation between the blood Pb levels and the duration of exposure (r = +0.43, p < 0.0005). There is an interaction of smoking and exposure period on the PbB levels (p < 0.05). The age of the workers was also positively correlated with the blood Pb levels (r = +0.37, p < 0.005); this could be because of the positive correlation between their age and their years of exposure (r = +0.7, p < 0.0005). The most important recommendations are starting a smoking cessation program for workers exposed to Pb; especially those working in the steel section, beside the usage of safety measures and environmental controlling programs.

KEY WORDS: Blood lead levels, smokers, smoking habit, occupational exposure, iron and steel manufacturing, iron and steelworkers


Received: 27 April 1999
Accepted: 10 September 1999

Posted: December 1999

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