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首页> 外文期刊>Occupational and environmental medicine >Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill
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Persistent respiratory symptoms in clean-up workers 5 years after the Prestige oil spill

机译：Prestige漏油后5年清洁工人的持续呼吸道症状

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Objectives: Fishermen who had participated in clean-up activities of the Prestige oil spill showed an excess risk of respiratory symptoms 1-2 years later, but the long-term persistence of these health effects is unclear. The aim of this study was to evaluate the persistence of these respiratory symptoms 5 years after clean-up work. Methods: Subgroups of 501 fishermen who had been exposed to clean-up work and 177 non-exposed individuals were re-interviewed by telephone in 2008, including the same symptom questions as in the initial survey. Associations between participation in clean-up work and respiratory symptoms were assessed using log-binomial and multinomial regression analyses adjusting for sex, age and smoking. Results: Information from 466 exposed (93%) and 156 non-exposed (88%) fishermen was obtained. The prevalence of lower respiratory tract symptoms (including wheeze, shortness of breath, cough and phlegm) had slightly decreased in both groups, but remained higher among the exposed (RR 1.4, 95% CI 1.1 to 1.9). The risk of having persistent respiratory symptoms (reported both at baseline and at follow-up) increased with the degree of exposure: RR ratio 1.7 (95% CI 0.9 to 3.1) and 3.3 (95% CI 1.8 to 6.2) for moderately and highly exposed, respectively, when compared with those without any symptoms. Findings for nasal symptoms and for respiratory medication usage were similar. Conclusions: Participation in clean-up activities of oil spills may result in respiratory symptoms that persist up to 5 years after exposure. Guidelines for preventive measures and a continued surveillance of clean-up workers of oil spills are necessary.
机译：目标：参加Prestige溢油清理活动的渔民在1-2年后显示出呼吸道症状的过度风险，但这些健康影响的长期持续性尚不清楚。这项研究的目的是评估清理工作5年后这些呼吸道症状的持续性。方法：2008年，对接受过清理工作的501名渔民和177名未接触个人的亚组进行了电话采访，包括与初次调查相同的症状问题。使用对数二项式和多项式回归分析，根据性别，年龄和吸烟情况，评估参与清洁工作与呼吸道症状之间的关联。结果：从466位暴露者（93％）和156位未暴露者（88％）的渔民那里获得了信息。两组的下呼吸道症状（包括喘息，呼吸急促，咳嗽和痰）的患病率均略有下降，但在暴露人群中仍较高（RR 1.4，95％CI 1.1至1.9）。持续呼吸症状的风险（在基线和随访时均报告）随着暴露程度的增加而增加：中度和高度的RR比1.7（95％CI 0.9至3.1）和3.3（95％CI 1.8至6.2）与没有任何症状的人相比，它们分别暴露在外。鼻部症状和呼吸道用药的发现相似。结论：参与溢油清理活动可能导致呼吸道症状持续至暴露后5年。必须采取预防措施和对漏油清理工人进行持续监视的准则。

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