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Factors Associated with Persistent Lower Respiratory Symptoms or Asthma among Residents Exposed to a Sulphur Stockpile Fire Incident

Bibliographic Data

ID15468661
AuthorsRoslynn Baatjies (0000-0002-3772-071X, University of Cape Town), Shahieda Adams (0000-0002-3630-1855, University of Cape Town), Eugene Cairncross (Cape Peninsula University of Technology), Faieza Omar (University of Cape Town), Mohamed F Jeebhay (0000-0001-6656-9193, University of Cape Town, corresponding author)
Year2019
Volume16
Issue3
Pages438-438
Publication date2019-02-02
Peer ReviewedYes
Open AccessYes
TypeARTICLE
VenueInternational Journal of Environmental Research and Public Health (JOURNAL)
Journal identifiersISSN: 1661-7827 • E-ISSN: 1660-4601
PublisherMultidisciplinary Digital Publishing Institute (PUBLISHER • CH)
DOI10.3390/ijerph16030438
PMID30717374
OpenAlexW2912380936
LanguageEN
Citations received1
References cited43

Introduction: Residents of Macassar, South Africa, were exposed to sulphur dioxide vapours (SO2) caused by an ignited sulphur stockpile, which produced peak hourly SO2 levels of 20−200 ppm. The aim of this study was to assess the risk factors associated with persistent lower respiratory symptoms (LRS) or asthma six years after acute exposure to high SO2 levels. Methods: A case-control study of residents that presented for a health evaluation six years after the incident was conducted. Survey instruments included a questionnaire, clinical examination and medical record review by an expert panel. A "case" was defined as a resident with persistent LRS/asthma. The Industrial Source Complex Short Term Model (ISCST 3) was used to predict time-averaged hourly SO2 levels. Results: A previous history of pulmonary tuberculosis (PTB) was associated with persistent LRS/asthma (OR udj : 3.49, CI: 1.46−8.35). Cases were more likely to report chest tightness (OR udj : 9.93; CI: 5.15−19.11) at the time of the incident. Peak exposure at hour 15 was associated with persistent LRS/asthma (OR adj : 1.04; CI: 1.01−1.07). Conclusion: LRS/asthma persisted in some individuals six years after acute SO2 exposure . Aside from peak exposures, initial chest tightness and a previous history of PTB were the strong predictors of persistent LRS/asthma

Asthma · Environmental health · Stockpile · Air Quality and Health Impacts · Climate Change and Health Impacts · Injury Epidemiology and Prevention · Medicine · Internal Medicine · Pediatrics

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Unique citing works1
Citations per year0,25
Citation span2022 - 2022 (1)
Citation velocityhistorical
Highly citedNo
Citation typesNeutral: 1

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