Occupational exposure to wood dust and risk of lung cancer: the ICARE study

Survival and disease burden analyses of occupational pneumoconiosis during 1958-2021 in Huangshi city, China: a retrospective cohort study

BACKGROUND

Pneumoconiosis, a chronic disease stemming from prolonged inhalation of dust particles, stands as a significant global burden of occupational diseases. This study aims to investigate the survival outcomes of pneumoconiosis patients in Huangshi city, China, while also evaluating the disease burden on afflicted patients.

METHODS

Data for this study were sourced from the Huangshi Center for Disease Control and Prevention. Survival analyses of pneumoconiosis patients were conducted employing life tables and the Kaplan-Meier method. The Cox proportional hazards models were deployed to identify factors influencing pneumoconiosis patients' survival duration. Competing risks models were employed to confirm the validity of the model outcomes. Additionally, in the disease burden assessment, disability-adjusted life years (DALYs) were computed for various demographic groups and time frames.

RESULTS

A total of 5,641 pneumoconiosis cases, diagnosed in Huangshi City, Hubei Province between 1958 and 2021, were incorporated into the cohort analysis. The probability of mortality and the risk ratio increased with advancing age. Notably, the median survival time of stage III pneumoconiosis patients was significantly shorter compared with those in stages I and II. The Cox proportional hazards model and competing risks analyses underscored several significant factors influencing survival time, including dust exposure duration (HR = 1.197, 95% CI: 1.104-1.298), age at first diagnosis (HR = 3.149, 95% CI: 2.961-3.349), presence of silicosis (HR = 1.378, 95% CI: 1.254-1.515), and stage II-III pneumoconiosis (HR = 1.456, 95% CI: 1.148-1.848). Cumulatively, DALYs amounted to 7,974.35 person-years, with an average of 1.41 person-years. The period between 2000 and 2019 witnessed the highest disease burden.

CONCLUSION

Our findings highlight the urgent need for improved prevention, earlier detection, and more effective management strategies for the occupational pneumoconiosis population. This study not only underscores the persistent issue of pneumoconiosis in industrial environments but also serves as a crucial call to action for policymakers and healthcare providers.

Combustible wood dust explosions and impacts on environments and health - A review

Wood dust is the major wastes from timber and wood-based panel processing, including wood sawing, sanding, chipping, flaking, etc., which easily causes fire and explosions. The fine wood dust had risks of inhaling the dust air, causing problems to the respiratory system of workers, as well as the explosive risk of the wood dust-air mixture. Wood dust explosions occur worldwide, which have caused massive damages to equipment, buildings, and environments, killed people, and threatened human health. This study was aimed at exploring the causes, affecting factors, mechanisms, models of wood dust explosions, and their environmental/health impacts through reviewing and analyzing the collected data in order to minimize wood dust explosion risks by improving of safety procedures in the wood processing industry. To better understood and prevent wood dust explosion cases in the future, this review collected the explosion reports and analyzed the accident information through the following aspects: 1) Summarization of published review articles regarding wood dust explosions in Introduction, 2) Scrutinization of wood dust explosion cases and design of testing device, 3) Exploration of effects of wood dust properties and surrounding conditions on explosion and their mechanisms, 4) Investigation of methods for reducing wood dust explosion risks, 5) Modeling and simulation of wood dust explosions, 6) Examination of environmental and health impacts of wood dust explosions. Finally, the findings in this review were summarized in Conclusions. By collecting dust explosion reports, reviewing literature, and analyzing the collected data, wood dust explosions can be better understood. The results of this study can be useful for the design of equipment and dust absorption systems, as well as further suggestion of safety improvement procedures to minimize or eliminate risks of wood dust-related fire and explosion in the wood processing industry and mitigate its impacts on environments and health.

Epidemiological characteristics and survival analysis on patients with occupational pneumoconiosis in Zhejiang Province from 1987 to 2019

Objective

To evaluate risk factors affecting survival in patients diagnosed with pneumoconiosis and propose strategies to improve the quality of life in these patients.

Methods

The basic patient information was obtained from the pneumoconiosis report card. Disease types, regions, and industry distribution of pneumoconiosis were analyzed. The Kaplan-Meier survival curves and the Cox proportional risk regression model was used for survival analysis.

Results

A total of 13,812 patients were diagnosed with pneumoconiosis in Zhejiang province from 1987 to 2019. The overall survival rate at the end of life table analysis was 83%. Kaplan-Meier analyses showed that there were significant differences between survival curves depending on the stage of first diagnosis, age at first diagnosis, type of pneumoconiosis, industry, and duration of dust exposure (P < 0.05). The results of Cox proportional hazards regression analysis showed that pneumoconiosis stage of first diagnosis, age at first diagnosis, industry, and duration of dust exposure were risk factors affecting patient survival (P < 0.05).

Conclusions

The patients with high stage of pneumoconiosis at first diagnosis, older age, and long duration of dust exposure should be followed up and monitored as key population, and the industries with high incidence of pneumoconiosis such as mining and construction should be supervised as key industries.

Case-control study about magnitude of exposure to wood smoke and risk of developing lung cancer

INTRODUCTION

Exposure to biomass combustion products, particularly firewood, has been considered as a potential carcinogen for developing lung cancer. In this regard, current evidence is widely heterogeneous; besides, in most studies, wood smoke exposure is not appropriately quantified, which further complicates the analysis of wood smoke as a potential carcinogen. The aim of the present study was to estimate the risk of developing lung cancer according to the degree of exposure to wood smoke in patients who use firewood for cooking.

MATERIAL AND METHODS

We performed a case-control study that included 482 patients with lung cancer (cases) and 592 hospital controls. Exposure to wood smoke was evaluated as a dichotomous variable (i.e. yes or no); in patients with prior wood smoke exposure, an index of exposure in hours per year was calculated (WSEI). Using bivariate and multivariate logistic regression analyses, the odds ratio (OR) between wood smoke exposure and lung cancer were calculated.

RESULTS

The ORs for developing lung cancer (raw and adjusted) for a WSEI > 100 h/year were OR 1.55 [95% confidence interval (CI), 1.06-2.26) and OR 2.26 (95% CI, 1.50-3.40), respectively; the ORs (raw and adjusted) for WSEI >300 h/year were OR 1.76 (95% CI, 1.06-2.91) and OR 3.19 (95% CI, 1.83-5.55), respectively.

CONCLUSIONS

Exposure to wood smoke is a risk factor for lung cancer; furthermore, this effect maintains a dose-response relationship which has a multiplicative effect with smoking.

Performance of Filter Bags Used in Industrial Pulse-Jet Baghouses in Wood-Based Panels Furniture Factory

The study specifies the value of the dust resistance coefficient in the process of wood dust filtration in a pilot-scale test stand. The experiments were carried out for one type of filter material—polyester with a PP film previously used in different production lines. Filter bags from the filtering installation of the processing line for narrow surfaces of furniture panels of the honeycomb structure with a chipboard frame, HDF, natural veneer cladding, and a line of CNC drilling machines, were taken into account. Before the pilot-scale tests, the bags had been in use in industrial installations from zero to nine months. All tests were performed under identical filtration conditions. The values of the dust resistance coefficient depend on the operating time and the conditions in which filtration is carried out in an industrial plant, and increased from 6507 s−1 to 10,208 s−1 for the bags from the filter of the narrow surfaces processing line and to 29,729 s−1 for the bags from the filter of the drilling line. The most important factor influencing the properties of the filter bag in the process of wood dust filtration in an industrial filter is the cleaning pulses frequency.

Granulometric Characterization of Wood Dust Emission from CNC Machining of Natural Wood and Medium Density Fiberboard

The aim of this paper was to determine the particle size composition of wood dust emission from CNC milling of natural wood and medium-density fiberboard (MDF) and evaluate the associated occupational exposure risks. The paper is focused on some of the most commonly used materials in the woodworking and furniture industry, i.e., solid wood (beech, oak, and spruce) and composite materials (MDF panels). In addition to the influence of the machined material, the effect of the technical-technological parameters, namely, feed speed and depth of cut on the particle size distribution, was also investigated. The selected values of the technical-technological parameters used in this study followed the common work practice in small wood processing companies. The particle size distribution was evaluated by using sieve analysis of samples from the total mass of collected wood dust. The results demonstrated that machining of natural wood is characterized mostly by the formation of coarse dust fractions (2 mm–1 mm sieves), whilst the processing of MDF was associated with generation of fine dust fractions with a size below 100 μm. The results obtained can be used for optimizing the technological programs of CNC milling machines, thus, reducing the occupational exposure to harmful wood dust emissions in the wood-processing industry.

Fine Dust Creation during Hardwood Machine Sanding

Wood dust generated during woodworking—particularly from hardwood species during sanding—poses a health and safety hazard to workers in the wood industry. This study aimed to determine the particle-size distribution of selected hardwood species and the content of fine particles in dust created during machine sanding, which pose the highest health and safety hazards in the woodworking industry. Six hardwood species were studied: black alder, European ash, common walnut, pedunculate oak, hornbeam, and European beech. The sieve analysis method was used to determine the particle-size distribution and article mean arithmetic particle diameter, and laser diffraction analysis was used to determine the finest particle content. Two size ranges were assumed: <2.5 μm and <10 μm. Beech dust had the smallest mean particle diameter. Dust from wood species used in the test had similar contents of fine fractions of particles. The average content of particles smaller than 2.5 µm in wood dust from the tested hardwood species did not exceed 1.9%. In terms of occupational exposure to wood dust, machine sanding conditions of hardwoods should be properly adjusted to limit the formation of large amounts of dust.