Antioxidant enzymes status and reproductive health of adult male workers exposed to brick kiln pollutants in Pakistan

Brick kiln pollution and its impact on health: A systematic review and meta-analysis

Brick kiln emissions adversely affect air pollution and the health of workers and individuals living near the kilns; however, evidence of their impacts remains limited. We conducted a systematic review of brick kiln pollution (emissions, source contributions and personal exposures) and its effects on health. We extracted articles from electronic databases and through manual citation searching. We estimated pooled, sample-size-weighted means and standard deviations for personal exposures by job type; computed mean emission factors and pollutant concentrations by brick kiln design; and meta-analyzed differences in means or proportions for health outcomes between brick kiln workers and controls or for participants living near or far away from kilns. We identified 104 studies; 74 were conducted in South Asia. The most evaluated pollutants were particulate matter (PM; n = 48), sulfur dioxide (SO2; n = 24) and carbon monoxide (CO; n = 22), and the most evaluated health outcomes were respiratory health (n = 34) and musculoskeletal disorders (n = 9). PM and CO emissions were higher among traditional than improved brick kilns. Mean respirable silica exposures were only measured in 4 (4%) studies and were as high as 620 μg/m3, exceeding the NIOSH recommended exposure limit by a factor of over 12. Brick kiln workers had consistently worse lung function, more respiratory symptoms, more musculoskeletal complaints, and more inflammation when compared to unexposed participants across studies; however, most studies had a small sample size and did not fully describe methods used for sampling or data collection. On average, brick kiln workers had worse health outcomes when compared to unexposed controls but study quality supporting the evidence was low. Few studies reported silica concentrations or personal exposures, but the few that did suggest that exposures are high. Further research is needed to better understand the relationship between brick kiln pollution and health among workers, and to evaluate exposure mitigation strategies.

The impact of brick kilns on environment and society: a bibliometric and thematic review

Bricks have a long history of being utilized as a construction material across the globe. The production processes involved in the manufacture of bricks have a significant impact on the environment, human health, economy, and society. This study conducts a thematic and bibliometric analysis to provide an in-depth review of the effects of brick kilns on humans and the environment. The PRISMA framework was used to identify relevant articles from the Web of Science database, resulting in the selection and critical review of 348 articles. The bibliometric analysis included an evaluation of historical growth, keywords, citation and co-citation, organizations, and countries. The articles were published in 213 journals, written by 1396 authors from 670 institutions in 66 countries. Thematic analysis revealed that brick kilns have a negative impact on the environment, including soil damage, and cause health problems for kiln workers and animals. Modern slavery and societal issues also persist in developing countries. The current research is focused on finding alternative materials for brick manufacturing, improving industry energy efficiency, managing waste, and technological advancements, such as the implementation of the zigzag or Hoffmann kiln to reduce pollution. In developing countries, utilizing waste from other industries in brick production can effectively lower production costs. While developed countries have embraced advanced technologies for brick production, it is recommended that developing countries adopt awareness campaigns to encourage the upgrading of kilns to cleaner and more sustainable systems. Future research directions should aim to support brick kiln owners in adopting such systems.

Assessment and mapping of total suspended particulate and soil quality around brick kilns and occupational health issues among brick kilns workers in Pakistan

Brick kilns constitute one of the major sources of environmental degradation in Pakistan. The present study was conducted to determine the soil quality and total suspended particulates (TSPs) around the brick kilns and assess the health effects on brick kiln workers. Four brick kilns were selected, two each at Sheikhupura and Pattoki city. The soil quality was assessed by analyzing pH, electrical conductivity, moisture content, nitrogen, phosphorus, potassium content, and heavy metal concentration while TSPs were measured by hand-held Microdust Pro Real time monitor. Average TSP concentration around brick kilns at Sheikhupura and Pattoki ranged between 1100 and 1200 µg/m³ and between 550 and 600 µg/m³ respectively which exceeded the Punjab Ambient Air Standards. The soil was slightly acidic (Sheikhupura: average pH = 6.41; Pattoki: average pH = 6.6) while all other analyzed parameters, except heavy metals, were lower than the required FAO Standards for good quality agriculture soil. Heavy metal accumulation in soil samples followed the general order zinc (Zn) > chromium (Cr) > nickel (Ni) > manganese (Mn) > cadmium (Cd) > copper (Cu). For assessment of occupational health and safety issues, all 440 brick kiln workers from the study areas were interviewed. Mostly, brick kiln workers suffered from chronic back pain (84%), skin issues (80.5%), dry cough (72.9%), common cold (46.1%), and shortness of breath (17.1%). The vulnerability risk varied with the nature of the work as workers engaged in brick baking were more vulnerable to respiratory issues than were those in molding task. The study concludes that brick kilns are a source of increased TSP, deteriorated surrounding soil quality, and impaired worker health. It is necessary to regulate these activities and implement requisite health and safety measures.

Otorhinolaryngologic Evaluation of Brick Kiln Workers: ENT Findings of Brick Kiln Workers

Brick kiln workers were evaluated in the field using otorhinolaryngologic and head and neck surgery (ENT) assessments. One-hundred and twenty laborers were assessed. The subjects were divided into three categories according to the work area: before the brick kiln, in the brick kiln, and after the brick kiln. Two evaluations were made, a questionnaire and an ENT examination. If structural changes were observed during the examination, the complication was deemed structural. Seventeen laborers who completed the questionnaire did not participate in the examination. A total of 103 laborers participated in the study: 29 before the brick kiln, 63 in the brick kiln, and 11 after the brick kiln. While general otologic complications were observed in 26 (25.2%) laborers, structural otologic complications were observed in 2 (1.9%). While general nasal complications were observed in 70 (68.0%) laborers, structural nasal complications were observed in 27 (26.2%). Although the general otologic and structural nasal complication rates were higher in the brick kiln group, the general, structural otologic, and nasal complication rates did not reach statistical significance among groups (p > 0.05). Both the general and structural nasal complication rates were significantly higher in laborers who had worked for more than 10 years and did not wear a mask (p < 0.01). We detected prominent nasal pathologies in brick kiln workers in our ENT-based study. These pathologies were much more common in laborers who had worked for over 10 years and did not wear a mask.

Biochemical and reproductive biomarker analysis to study the consequences of heavy metal burden on health profile of male brick kiln workers

The present study aims to assess the effect of a heavy metal burden on general health, biochemical parameters, an antioxidant enzyme, and reproductive hormone parameters in adult male brick kiln workers from Pakistan. The study participants (n = 546) provided demographic data including general health as well as body mass index. Blood was collected to quantitatively assess hematological, biochemical, and reproductive hormone parameters as well as heavy metal concentrations using both atomic absorption spectroscopy (AAS) and particle-induced X-ray emission (PIXE). The data showed that 10% of the brick kiln workers were underweight and 10% obese (P = 0.059), with workers also reporting multiple health issues. Heavy metal concentrations utilizing AAS revealed significantly (p = 0.000) higher levels of cadmium, chromium, and nickel, while PIXE detected more than permissible levels of Si, P, S, Cl, K, Ca, Zn, Ti (p = 0.052), Mn (p = 0.017), Fe (p = 0.055), Co (p = 0.011), Ni (p = 0.045), and Cu (p = 0.003), in the blood of kiln workers. Moreover, a significant increase in platelet count (P = 0.010), a decrease in sodium dismutase levels (p = 0.006), a major increase in reactive oxygen species (p = 0.001), and a reduction in protein content (p = 0.013) were evident. A significant increase in cortisol levels (p = 0.000) among the workers group was also observed. The concentration of LH and FSH increased significantly (p = 0.000), while that of testosterone decreased (p = 0.000) in the worker group compared with controls. A significant inverse relationship was found between cortisol, LH (r =  - 0.380), and FSH (r =  - 0.946), while a positive correlation between cortisol and testosterone was also evident (r = 0.164). The study concludes that increased heavy metal burden in the blood of brick kiln workers exposes them to the development of general and reproductive health problems due to compromised antioxidant enzyme levels, increased oxidative stress conditions, and a disturbing reproductive axis.

Evaluation of respiratory function and biomarkers of exposure to mixtures of pollutants in brick-kilns workers from a marginalized urban area in Mexico

Brick-kilns are polluted environments due to the use of low-quality technologies and fuels, which generates black fumes with a large number of pollutants. The objective of this research was to analyze environmental exposure and biomarkers of exposure to polycyclic aromatic hydrocarbons, metals, and respiratory health in brickmakers to assess the baseline state of contamination in a brick-kiln area of San Luis Potosi, Mexico. Lead was quantified in soil and particulate matter of 2.5 μm (PM_2.5) and 10 μm (PM₁₀) in brick-kiln areas. In brickmakers, lead was evaluated in whole blood and 10 hydroxylated metabolites of polycyclic aromatic hydrocarbons were determined in urine. Respiratory health was assessed by spirometry, exhaled breath condensate, and a COPD-PS questionnaire. Data association was performed by Spearman correlation. Environmental concentrations and biomarkers of exposure are presented as medians, for lead, it was 60.4 mg/kg, for PM10, it was 2663.1 μg/m³, and for PM2.5, it was 166.6 μg/m³. For blood lead, it was 1.06 μg/dL, and the summed concentration of OH-PAHs in urine was 16.1 μg/L. Spirometry values were 2.8 ± 0.6 L and 2.9 ± 1.3 L/s FEV1 and FEV 25-75 respectively. The correlation results indicate that the older the age of the workers is and the extensive period they have been working, their lung function is affected the most. The health vulnerability present in these occupational activities is high, so it is necessary to make visible, address these economic activities in Mexico, and apply surveillance systems based on the health of the worker.

Evaluation of environmental effects of heavy metals on biochemical profile and oxidative stress among children at brick kiln sites

The present study was designed to study the health risks among children living at brick kiln industries. A survey was conducted, questionnaires were filled out, and demographic data was collected from Punjab, Pakistan. Heavy metals burden and BMI were calculated, hematological and enzyme analysis, comet assay and hormonal ELISA were performed. The results showed decreased BMI, RBC count and hematocrit in the exposed group. Nickel, cadmium, zinc and chromium concentrations in whole blood were detected among exposed children. Antioxidant enzymes and growth hormone concentration decreased, while reactive oxygen species and cortisol level increased in the exposed group. The comet assay findings showed decreased percentage DNA in the head and increased in the tail region among exposed group. It was concluded that children living at brick kiln sites experienced decreased BMI, altered antioxidant enzymes status and hormone levels and cellular DNA damage that pose a major threat on child health.

Study of occupational exposure to brick kiln emissions on heavy metal burden, biochemical profile, cortisol level and reproductive health risks among female workers at Rawat, Pakistan

The present study was planned to understand the heavy metal burden and its possible actions in blood of occupational females working at brick kilns at Rawat, Pakistan. A total of 232 women were included in the study, of which 114 presented control subjects. Apart from collection of demographic data, fertility indicators and body mass index (BMI), blood was collected from subjects that was later used for the determination of heavy metal concentrations using atomic absorption spectroscopy and haematological profile. Blood was centrifuged and plasma was obtained and stored at - 20° to study biochemical variables (sodium dismutase, peroxidase, reactive oxygen species, thiobarbituric acid reactive species, protein estimation), lipid profile and cortisol concentrations among the two groups. Analysis of heavy metal in blood showed elevated levels of cadmium (3.09 ± 0.01 μg/dl), chromium (4.20 ± 0.02 μg/dl) and nickel (5.59 ± 0.03 μg/dl) in worker's group as compared with control. Increased platelet count; decreased antioxidant enzyme and increased oxidants level; increased total cholesterol, low-density lipoprotein (LDL) and triglyceride (TG); decreased total protein and high-density lipoprotein (HDL); and increased cortisol levels were evident among workers as compared with the control group. The study concluded that occupational workers experience increased heavy metals burden in blood and, therefore, pose a risk to human health by causing reduction in antioxidant enzymes concentration and increase in stress conditions.

Blood lead levels and male reproductive hormones: A systematic review and meta-analysis

Present study aimed to systematically review and synthesise quantitative evidence on association between occupational Lead (Pb) exposure and male reproductive hormones (MRH) and sperm quality from the existing literature. Observational studies investigating the effects of Pb exposure on MRH, sperm-count and sperm motility are systematically searched in PubMed, Scopus and EMBASE databases since inception to May 2019. The PRISMA guidelines are adhered during the entire study procedure and details such as participant characteristics, occupational Pb exposure, MRH, sperm-count and sperm motility from individual articles are extracted to the perform meta-analysis. Sub-group analysis and sensitivity analysis are additionally explored. Further, meta-regression is executed to investigate the influence of participant's age, duration of workplace Pb exposure on the individual outcome parameters. We observed that otherwise normal (fertile) male participants from all studies were within the age range of 25-45 years. Male employees occupationally exposed to Pb exhibited significantly higher blood Pb, lower sperm-count, poor sperm motility and higher serum prolactin levels as compared to the Pb unexposed males. The testosterone, follicle stimulating hormone and luteinising hormone levels of the occupationally Pb exposed participants are comparable to that of unexposed comparators. Studies included for synthesising quantitative evidence had unacceptable levels of heterogeneity. Explorative subgroup or meta-regression analysis had no additional results to the study. Lastly, included studies were driven by publication bias (positive results) and low powered (small sample size) studies. Thus, Pb exposure at workplaces is detrimental to male reproductive function, with lower sperm-count and higher prolactin levels. However, to enumerate the precise quantity of Pb exposure detrimental on male reproductive functions, high quality longitudinal studies with large cohorts are needed.

Redox balance and DNA fragmentation in arsenic-exposed occupational workers from different industries of Pakistan

AbstractOccupational exposure accounts for a contact between workers and different toxicants. Present study was designed to measure the arsenic-induced DNA fragmentation and oxidative stress in exposed workers. Blood, hair, and nail samples were collected from welding, brick kiln, furniture, pesticide, and paint industries (n = 50/industry) of Pakistan along with 200 controls. DNA damage was calculated using DNA fragmentation assay. Antioxidant enzymes (CAT, SOD, GPx) were measured using ELISA. Results revealed that arsenic exposure induced DNA fragmentation in brick kiln, furniture, and welding industries. Enzyme activity was reduced in five industries compared to control. In exposed group, significant depletion of enzymes was observed in furniture, welding, and brick kiln workers. Based on age and time of exposure, significant difference was observed in welding and brick kiln group. Smokers of exposed group showed significantly reduced levels of enzymes compared to controls. Arsenic deposition was observed higher in the hair, nail, and blood samples of exposed group (P < 0.001) compared to control. Likewise, lead and cadmium contents were higher in the blood samples of industrial workers compared to control. This study suggests increased trend of cellular damage and oxidative stress in occupational workers profoundly in welding, furniture, and brick kiln industries. Moreover, this study recognizes the contribution of age, exposure time, and smoking status toward arsenic-induced oxidative stress and DNA fragmentation.

Gaseous pollutants from brick kiln industry decreased the growth, photosynthesis, and yield of wheat (Triticum aestivum L.)

Gaseous pollutant emissions from brick kiln industries deteriorate the current state of ambient air quality in Pakistan and worldwide. These gaseous pollutants affect the health of plants and may decrease plant growth and yield. A field experiment that was conducted to monitor the concentration of gaseous pollutants emitted mainly from brick kilns in the ambient air and associated impacts on the growth and physiological attributes of the two wheat (Triticum spp.) cultivars. Plants were grown at three sites, including control (Ayub Agriculture Research Institute, AARI), low pollution (LP) site (Small Estate Industry), and high pollution (HP) site (Sidar Bypass), of Faisalabad, Pakistan. Monitoring of ambient air pollution at experimental sites was carried out using the state-of-art ambient air analyzers. Plants were harvested after 120 days of germination and were analyzed for different growth attributes. Results showed that the hourly average concentration of gaseous air pollutants CO, NO2, SO2, and PM10 at HP site were significantly higher than the LP and control sites. Similarly, gaseous pollutants decreased plant height, straw and grain yield, photosynthesis and increased physical injury, and metal concentrations in the grains. However, wheat response toward gaseous pollutants did not differ between cultivars (Galaxy and 8173) studied. Overall, the results indicated that brick kiln emissions could reduce the performance of wheat grown in the soils around kilns and confirm the adverse impacts of pollutants on the growth, yield, and quality of the wheat.