Farm Exposures and Allergic Disease Among Children Living in a Rural Setting

OBJECTIVES

The purpose of this study was to examine the association between farm exposures and asthma and allergic disease in children while also highlighting the experiences of non-farm rural children.

METHODS

This was a cross-sectional analysis of data collected from across the province of Saskatchewan, Canada in 2014. Surveys were completed by parents of 2275 rural dwelling children (farm and non-farm) aged 0 to 17 years within 46 rural schools. Questionnaires were distributed through schools for parents to complete.

RESULTS

Asthma prevalence was 7.6%, of which 29.5% of cases were allergic. After adjustment for potential confounders, home location (farm vs non-farm) and other farm exposures were not associated with asthma and asthma phenotypes. Those who completed farm safety education were more likely to have asthma (11.7% vs. 6.7%; p = .001) compared to children without asthma. In sub-analyses among 6-12-year-old children, boys were more likely to have asthma (non-allergic) and use short-acting beta-agonists compared to girls. Doing farm work in the summer was associated with an increased risk of asthma [adjusted OR (aOR) = 1.71 (1.02-2.88); p = .041]. Doing routine chores with large animals was associated with an increased risk of asthma [aOR = 1.83 (1.07-3.15); p = .027] and allergic asthma [aOR = 2.37 (95%CI = 1.04-5.40); p = .04].

CONCLUSION

The present study showed that the prevalence of asthma and asthma phenotypes were similar between farm and non-farm rural children. There did not appear to be differential involvement in farming activities between those with and without asthma although those with asthma had more training suggesting possible attempts to mitigate harm from farm exposures.

Operator and Potential Exposure to Hydrogen Sulfide: A Study of the British Columbia Dairy Industry

Hydrogen Sulfide (H2S) is produced in manure storage facilities and released during manure agitation. Exposure to this gas presents health risks to workers at daily exposure of greater than 10 parts per million (ppm). Exposure levels on BC dairy farms are unknown. The aim of this study was to document peak H2S exposure levels to operators and bystanders during manure agitation on British Columbia dairy farms to determine if action levels were exceeded. Farms were evaluated at two time points during manure agitation. Both operator exposure and potential exposure sampling were undertaken. Peak hydrogen sulfide levels were measured and categorized as greater than or less than the ceiling level (10 ppm) and action level (5 ppm). Associations between H2S levels above the ceiling level and farm factors were assessed. Measures were recorded at 43 dairy farms with 91 total measures recorded. Action levels were exceeded in 30% of operator measures and 64% of potential exposure measures while 20% of operator and 53% of potential peak H2S measures exceeded 10 ppm. Manure storage facilities were evenly distributed between indoor and outdoor locations with under-barn (43%) and outdoor storage (47%) most common. Sawdust was the most prominent bedding type (65%). Tractor operated propeller was the most common type of agitation equipment (62%). Manure temperature remained a significant predictor in the multivariate model for operator peak exposure. Exposure to H2S above the action level commonly occurs on BC Dairy farms. Given that Worksafe BC requires exposure control plans for H2S levels above 5 ppm, and that on dairy farms, measures of operator and potential H2S exposures were recorded above these levels, best practices to reduce potential H2S exposure are necessary to reduce possible operator and bystander exposure.

Human health effects of dust exposure in animal confinement buildings

Work in swine and poultry units is associated with exposure to significant levels of organic dust and endotoxins with the highest concentrations found in poultry houses, whereas values found in dairy and in cattle farming are much lower. Corresponding to this is an excess of work-related respiratory symptoms in swine farmers. A dose-response relationship exists between symptoms and number of working hours. Longitudinal studies have demonstrated an accelerated decline of lung function in swine farmers large enough to cause clinically significant disease in some farmers. Because of the large number of people needed in swine farming and the long working hours, swine farming has emerged as the major respiratory problem in farming. Experimental studies indicate that exposure has to be lowered substantially to avoid acute effects and longitudinal studies demonstrate that loss of lung function occurs in non-smoking swine farmers without respiratory symptoms and that accelerated decline in lung function occurs below endotoxin concentrations in dust (100 ng/m3) proposed as a safe threshold.

Predictors of longitudinal changes in pulmonary function among swine confinement workers

OBJECTIVE

To determine predictors of longitudinal changes in pulmonary function in swine confinement workers.

DESIGN

Longitudinal study conducted from November 1989 to June 1991 and January 1994 to May 1995.

SETTING

Swine confinement workers in Saskatchewan.

PARTICIPANTS

Forty-two swine confinement workers who were studied in 1989/90 and studied again in 1994/95.

RESULTS

Of 98 male swine confinement workers (mean age SD 36.3 11.1 years) studied at baseline, 42 were studied again five years following. Complete information on baseline across-shift pulmonary function (preshift forced expiratory volume in 1 s [FEV1], forced vital capacity [FVC], and every 2 h FEV1 and FVC during the shift), and five-year follow-up pulmonary function (with FEV1 and FVC) were available on all 42 subjects. Mean across-shift changes (preshift measurement to last measurement of the day) at baseline were -159. 8 61.7 mL in FEV1 and -35.3 65.6 mL in FVC. Mean annual rate change between baseline and follow-up for FEV1 was -53.9 61.7 mL/year and for FVC -48.9 71.6 mL/year. After adjusting for age, height, smoking and hours spent in the barn, the baseline across-shift change in FEV1 and FVC was a significant predictor of annual rate change in FEV1 (P=0.01) and FVC (P=0.02), respectively. To determine the effects of indoor air quality on longitudinal lung function decline, indoor air environmental measurements were analysed. Complete information on respiratory health and indoor air quality was available on 34 of the 42 subjects. Assessment of indoor environment of swine barns included a summer and winter measurement for airborne dust, gases and endotoxin levels. After adjusting for age, height, smoking, ammonia and hours spent in the barn, the endotoxin level (Eu/mg)was a significant predictor of annual rate change for FEV1 but not FVC.

CONCLUSIONS

These results suggest that shift change is an important predictor of longitudinal changes in lung function in swine confinement workers and that endotoxin exposures may mediate annual decline in FEV1 in these workers.