Subacute cadmium intoxication in jewelry workers: an evaluation of diagnostic procedures

Assessment of hematological parameters of petrol filling workers at petrol stations in Gondar town, Northwest Ethiopia: a comparative cross-sectional study

Background

Petrol is the non-specific term for petroleum which is used for inside combustion of engines. Petrol filling workers are highly vulnerable to occupational exposure to these harmful substances which lead to hemato-toxicity and blood disorders such as leukemia, aplastic anemia, and dysplastic bone marrow. Thus, this study was aimed to assess hematological parameters of petrol filling workers in Gondar town, Northwest Ethiopia.

Methods

A comparative cross-sectional study was conducted from January to March 2019 in Gondar town, Northwest Ethiopia. A total of 110 study participants comprising 55 study groups and 55 controls group were recruited by a convenient sampling technique. Socio-demographic data were collected using a structured questionnaire, and 3 ml of venous blood was collected for the determination of hematological parameters. The data were entered into Epi info 7.2.0.1 and analyzed by SPSS version of 20. Mean, standard deviation, median, and interquartile ranges were used to present the data. Independent t test and Mann-Whitney U test were used to compare the mean or median difference between parametric and non-parametric hematological parameters, respectively. Moreover, Pearson product-moment and Spearman’s rank-order bivariable correlations analyses were used to describe the correlation between hematological parameters and duration of exposure to petrol. A P value of ≤ 0.05 was considered statistically significant.

Results

The study revealed that mean red blood cell count and hemoglobin level as well as the median hematocrit, mean cell hemoglobin concentration, platelet count, absolute lymphocytes count, and red cell distribution width values of petrol filling workers showed a significant increment compared with the control group. On the other hand, the mean cell hemoglobin value of petrol filling workers showed a significant decrement compared with healthy controls. Moreover, the duration of exposure to petrol showed a significant positive correlation with red blood cell count and mean cell hemoglobin concentration; however, a significant negative correlation was observed with mean cell volume.

Conclusion

This study showed that the majority of hematological parameters of petrol filling workers showed an increment compared with healthy controls which might be associated with exposure to petrol chemicals. However, further longitudinal study with a larger sample size should be conducted to explore the impact of petrol exposure on hematopoiesis.

Impact of occupational cadmium exposure on spirometry, sputum leukocyte count, and lung cell DNA damage among Indian goldsmiths

BACKGROUND

Cadmium is frequently used in manual jewelry industries. Although its toxicity on lung function is well-known, the mechanism is not well-understood.

METHODS

Among 26 goldsmiths exposed to cadmium (mean age 35.9 ± 5.0 years) and 17 referent workers without direct exposure (36.6 ± 6.6 years), we measured blood and urinary cadmium concentration and performed spirometry and quantified leukocytes and comet formation in the cells from spontaneously expectorated sputum samples.

RESULTS

The goldsmiths had higher cadmium concentration in urine (mean 6.14 ± 1.63 vs. 0.47 ± 0.17 μg/dl) and blood (0.90 ± 0.23 vs. 0.02 ± 0.007 μg/dl) than the referents, which were inversely associated with FEV1 /FVC. Cadmium exposure also resulted in higher neutrophils (%) and lower macrophage (%) prevalence in the sputum and also caused substantial DNA damage in the lung cells among the goldsmiths than the referents (69 vs. 14%).

CONCLUSION

Altered lung function among cadmium-exposed goldsmiths was associated with enhanced inflammatory response and increased cellular DNA damage in the lungs.

Occupational cadmium exposure-associated oxidative stress and erythrocyte fragility among jewelry workers in India

BACKGROUND

Cadmium-induced pulmonary and renal target organ effects are well-established although its association with oxidative stress and associated hematological effects for human toxicity remain understudied.

METHODS

In a population of cadmium-exposed male jewelry manufacturing workers (n = 32) and referents without direct exposure (n = 21), all with urinary cadmium quantification, we measured plasma antioxidant enzymes (catalase, superoxide dismutase), lipid peroxidation (malondialdehyde), erythrocyte fragility, and surface irregularity of the erythrocyte membrane.

RESULTS

Compared to referents, exposed workers manifested significantly lower plasma antioxidant enzymes, and increased malondialdehyde and erythrocyte fragility (for all, P < 0.01). Consistent with the exposure subcategories, activities of superoxide dismutase and catalase were reduced and lipid peroxidation and erythrocyte fragility were enhanced (P < 0.01 for all) in terms of Cd-effect indicating a strong impact on hematological system and oxidative stress.

CONCLUSION

Cd exposure contributes to oxidative stress and related erythrocyte effects thus making the hematological system another end-organ target for chronic Cd toxicity.

Environmental- and injury-related epidemic-assistance investigations, 1946-2005

This paper summarizes environmental investigations (n = 458) conducted during the first 60 years of the epidemic-assistance investigation program at the Centers for Disease Control and Prevention. These investigations were grouped into 10 categories: toxic chemicals (n = 102), indoor air quality and outdoor air toxics (n = 21), new or rare epidemic diseases and unexplained syndromes (n = 29), natural disasters (n = 81), terrorism and unintentional human-made disasters (n = 9), substance use and abuse (n = 13), environmental aspects of infectious disease (n = 132), those affecting neonates and infants (n = 11), violence and injuries (n = 51), and miscellaneous (n = 9). Among the most important or prominent were studies of lead and arsenic toxicity at smelters, mercury in paint and beauty creams, dioxin in waste oil in Missouri, polychlorinated biphenyls and multiple other toxic chemicals, global pesticide poisoning outbreaks, hepatic angiosarcoma among vinyl chloride workers, toxic oil syndrome in Spain, eosinophilia-myalgia syndrome from contaminated L-tryptophan, diethylene glycol poisoning in Haiti, aflatoxicosis in Kenya, Gulf War illness among veterans, impact and needs assessments during natural disasters (e.g., Hurricane Katrina (2005) and the Mount St. Helens volcano eruptions (1980)), risk factors for heat-related mortality, domestic and international terrorist attacks, Parkinsonism related to 1-methyl-4-phenyl-1,2,3,6-tetrahydropyridine in California, and unintentional injury- and violence-related events.

Fractionation of Stable Carbon Isotopes during Chemoautotrophic Growth of Sulfur-Oxidizing Bacteria

Laboratory-grown strains of chemoautotrophic Thiomicrospira sp. strain L-12 and Thiobacillus neapolitanus produced cell carbon that was 24.6 to 25.1 ppt (24.6 to 25.1 mg/g) lower in C isotope abundance than the ambient source of carbon dioxide and bicarbonate. This degree of C isotope depletion was comparable to that found in organic material produced in deep-sea hydrothermal-vent communities.

Blood cadmium concentration in the population of the Rabat area, Morocco

Blood cadmium concentrations were determined in 377 adults, 297 men and 80 women, randomly selected from the Rabat Transfusion Center, Morocco. The mean blood cadmium level was 1.1+/-0.7 microg/l, which was higher than in French subjects, with an average of 0.7+/-0.6 microg/l. In Moroccan people, the mean blood cadmium concentration of men, 1.1+/-0.8 microg/l, was significantly higher than that of women, 0.8+/-0.4 microg/l, whereas in the French people tested, there was no statistically significant difference between men and women. In Morocco, employment of men and the smoking habits of men and women were linked to an increase of blood cadmium levels. The significantly higher level observed in men could be due to a higher percentage of men who were smokers and to professional activity leading to increased exposure to cadmium.

Cancer mortality among jewelry workers

Mortality was investigated for the years 1950-1980 for 1,009 male members of a New York jewelry workers union, and for the years 1984-1989 among 919 men and 605 women identified as jewelry workers on death certificates from 24 states. Malignant neoplasms were excessive for male union members (proportional mortality ratio [PMR] = 1.17; 95% confidence interval [CI]: 1.02-1.33) and female jeweler deaths from the 24 states (PMR = 1.24; 95% CI: 1.07-1.42). Deaths due to nonmalignant causes were not unusual, except for excesses, in union males, of the circulatory system (PMR = 1.10; 95% CI: 1.02-1.19), including arteriosclerotic heart disease (PMR = 1.25; 95% CI: 1.14-1.37) and rheumatic heart disease (PMR = 3.02; 95% CI: 1.94-4.50). Cancers of the digestive tract were proportionally elevated among union males (proportional cancer mortality rate [PMR] = 1.13; 95% CI: 0.89-1.41) and among deaths from the 24 states (PCMR = 1.22; 95% CI: 1.01-1.47). For the 24 states, excesses for digestive cancer were found for both males (PCMR = 1.19; 95% CI: 0.90-1.54) and females (PCMR = 1.26; 95% CI: 0.96-1.62). Regarding specific sites in the digestive tract, colon cancer excesses were found in union males (PCMR = 1.53: 95% CI: 1.05-2.15), and for men (PCMR = 1.27; 95% CI: 0.82-1.88) and women (PCMR = 1.36; 95% CI: 0.92-3.27) in 24 states.(ABSTRACT TRUNCATED AT 250 WORDS)

Assessment of occupational exposure to cadmium in The Netherlands, 1980-1989

One thousand five hundred fifty urine samples and 1,295 blood samples, collected from 919 workers, were analyzed for cadmium (Cd). The workers were employed at 16 different types of workplaces. In about 7.5% of the samples, the concentration of Cd exceeded the biological limit values proposed by the Dutch Expert Committee for Occupational Standards. Levels higher than these values were measured in both urine samples and blood samples of workers involved in electrochemical plating, in production of Cd-stabilizers and enamels, and in soldering with silver-cadmium solder. Significantly higher concentrations of beta 2-microglobulin (MG) were found in urine samples with CdU greater than 10 micrograms/g creatinine. Cd levels in urine increased with age.

Assessment of a scheme for prioritizing inorganic toxicants by using signs-and-symptoms analysis

In cases of exposure to unknown substances, analyzing environmental or biological samples for elevated levels of toxicants can be extremely complex. We assessed a method for prioritizing toxic substances according to the agreement between toxic-specific and incident-reported signs and symptoms by analyzing 25 reported case histories of exposure to inorganic toxicants. In all but one case, this analysis scheme successfully prioritized toxicants for subsequent analysis. Despite its limitations, the scheme is a substantial improvement over other available methods.

Biological indicators of cadmium exposure and toxicity

The increasing environmental and occupational exposure of populations to cadmium creates the need for biological indicators of cadmium exposure and toxicity. The advantages and disadvantages of monitoring blood cadmium, urinary, fecal, hair, and tissue cadmium, serum creatinine, beta 2-microglobulin, alpha 1-antitrypsin and other proteins, and urinary amino acids, enzymes, total proteins, glucose, beta 2-microglobulin, retinol-binding protein, lysozyme, and metallothionein are discussed. It is concluded that urinary cadmium, metallothionein and beta 2-microglobulin may be used together to assess cadmium exposure and toxicity.

Cadmium in blood and urine among smokers and non-smokers with high cadmium intake via food

In New Zealand a species of oyster (Ostrea lutaria) consumed widely contains on an average 5 micrograms Cd/g wet weight. In this study we have investigated the cadmium intake, and blood and urinary cadmium levels in a group of 78 people with a known high oyster consumption. A second group of 17 non-smoking men and women who did not eat oysters were used as a control group. Each subject was interviewed and information on smoking habits, diet, medical and occupational history was obtained. The results show that in spite of a very high intake of cadmium via oysters the concentration of the toxic metal in whole blood and urine was not elevated greatly in proportion to the intake. It is clearly demonstrated that cigarette smoking had a more pronounced and significant effect on whole blood cadmium levels than the intake of cadmium via oysters.

Tolerance to cadmium in the abdominal stretch response: a comparative study of cadmium and acetic acid

The intraperitoneal injection of cadmium (Cd) in mice produces a characteristic abdominal stretch response similar to that observed with acetic acid. Morphine, clonidine, and tripelennamine ED50 values were the same for inhibition of the response to Cd and to acetic acid. The ED50 values for aspirin and indomethacin were lower against the Cd than the acetic acid response. On repeated injections, Cd did but acetic acid did not produce tolerance to itself. Furthermore, the mice made tolerant to Cd were not cross-tolerant to acetic acid, but the acetic-acid-treated mice were cross-tolerant to Cd. These results suggest that Cd and acetic acid may produce the stretch response through different mechanisms, and the Cd-induced response might serve as a screening test for aspirin-like agents.

Lead exposure in stained glass workers

To evaluate lead exposure in stained glass workers, we measured blood lead levels in 12 professional glass workers, in 5 hobbyists, and in 4 workers' family members. Professional workers lead levels (mean 20.7 micrograms/dl) were higher than hobbyists' (11.6 micrograms/dl) (P = 0.02) or family members' (11.3 micrograms/dl). Levels increased with years worked, hours worked per week, and percentage of work involving lead. The mean lead concentration in settled dust samples from a stained glass workshop was 11,000 parts per million. Stained glass workers are at increased risk of lead exposure.