Workplace health hazards: analysis of hotline calls over a six-year period

"Will my work affect my pregnancy?" Resources for anticipating and answering patients' questions

BACKGROUND

Authoritative information on occupational reproductive hazards is scarce and complex because exposure levels vary, multiple exposures may be present, and the reproductive toxicity of many agents remains unknown. For these reasons, women's health providers may find it challenging to effectively address workplace reproductive health issues with their patients who are pregnant, breast-feeding, or considering pregnancy. Reproductive epidemiologists at the Centers for Disease Control and Prevention National Institute for Occupational Safety and Health answered >200 public requests for occupational reproductive health information during 2009 through 2013. The most frequent occupations represented were health care (41%) and laboratory work (18%). The most common requests for exposure information concerned solvents (14%), anesthetic gases (10%), formaldehyde (7%), infectious agents in laboratories (7%) or health care settings (7%), and physical agents (14%), including ionizing radiation (6%). Information for developing workplace policies or guidelines was sought by 12% of the requestors. Occupational exposure effects on breast-feeding were an increasing concern among working women. Based on information developed in response to these requestors, information is provided for discussing workplace exposures with patients, assessing potential workplace reproductive hazards, and helping patients determine the best options for safe work in pregnancy. Appendices provide resources to address specific occupational exposures, employee groups, personal protective equipment, breast-feeding, and workplace regulations regarding work and pregnancy. These tools can help identify those most at risk of occupational reproductive hazards and improve workers' reproductive health. The information can also be used to inform research priorities and assist the development of workplace reproductive health policies.

The Protective Effects of Gadolinum Chloride on Pneumotoxic Effects of Styrene in Rat

Objective

The aim of the present study was to evaluate the protective effects of gadoli- num on pneumotoxic effects of styrene in rats as an experimental model.

Materials and Methods

In this experimental study a total number of 40 adult male Sprague Dawley rats that weighed 200 ± 13 g were randomly divided into five groups: i. styrene (St, N=10), ii. styrene+gadolinium chloride (GdCl₃, N=10), iii. control (N=10), iv. GdCl₃ (N=5) and v. normal saline (Nor.Sal, as a solvent of GdCl₃, N=5). Normal saline, as a sham control group, was otherwise treated identically. Rats from the experimental groups were exposed to St in an exposure chamber for 6 days/week, 4 hours/day for up to 3 weeks. At the end of the experi- ment, rats from all groups were killed by deep anesthesia. Their lungs were removed, then fixed in formalin and weighed. Tissue samples were processed routinely and sections stained by the hematoxylin and eosin (H&E) and periodic acid Schiff (PAS) methods. We measured the thicknesses of the respiratory epithelia and interalveolar septa. Obtained data were ana- lyzed by ANOVA, the Tukey test and the paired t test.

Results

Shedding of apical cytoplasm in the bronchiole was a prominent feature of the St group. PAS staining revealed histochemical changes in goblet cells in the epithelium of the St group. While there were no significant changes in lung weights and respiratory epithelial thicknesses between all studied groups, statistical analysis showed a significant alteration in the thickness of interalveolar septa in the St and St+GdCl₃ group compared to the control groups (P<0.001).

Conclusion

Styrene induced structural and histochemical changes in bronchiole, interalveolar septa and alveolar organization in the rats’ lungs. Gadolinium appeared to partially reduce the toxic effects of styrene on the lungs.

A description of an occupational reproductive health nurse consultant practice and women's occupational exposures during pregnancy

It is estimated that each year 20 million workers in the United States are potentially exposed to a variety of reproductive hazards. In 1986, Wisconsin implemented an advanced practice public health nurse role to serve as the occupational reproductive health consultant to employees, employers, health care professionals, unions, and others. This article describes this advanced practice role in public health nursing and the women who sought reproductive health consultation. Data on the types of workplace exposures that these consultees had during pregnancy are used to illustrate the occupational history and its importance for pre-conceptional and early-pregnancy counseling. The sample for analysis was limited to the 118 women, aged 19-43 years, who received consultation services between 1990 and 1993 and whose pregnancies resulted in live births. Data were abstracted from the consultant's records of telephone and written consultations and linked to birth certificate records to provide information on smoking and alcohol use during pregnancy. The findings are summarized using descriptive statistics. Implications of the findings for public health nursing are discussed.