Respiratory Morbidity and Peak Expiratory Flow Rate among Rice Mill Workers in a Rural Area of South India

Authors

  • Poonam R Naik Yenepoya Medical College, Mangaluru, Karnataka
  • Abhay S Nirgude Yenepoya Medical College, Mangaluru, Karnataka
  • Peddi Megana Osmania Medical College, Hyderabad

Keywords:

Morbidity, Respiratory, Peak Expiratory FLow Rate, PEFR, Rice mill worker, Occupation

Abstract

Introduction: Workers in rice mills may suffer from exposure to grain dust and its adverse effects on various organs have been described. Pulmonary function tests have been beneficial in the early recognition of pulmonary dysfunctions. Objectives of this research were to study the respiratory morbidity and assess peak expiratory flow rate among the rice mill workers and the various factors influencing them.

Method: A cross sectional study was conducted among 105 workers of seven rice mills in an urban field practice area after taking written informed consent. Data was collected by interview method using Respiratory questionnaire based on the Medical Research Council and modified as per the study objectives. Weight, height, chest circumference and Peak expiratory flow rate was measured.

Results: Majority i.e. 53.33% of the subjects have Peak Expiratory Flow Rate (PEFR) less than 300 l/min and the mean PEFR is 294.0 l/min. Almost 47.6% of the participants had at least one of the respiratory morbidity symptoms. Majority of the workers having symptoms of respiratory morbidity have Peak Expiratory Flow Rate of < 300 l/min and this was found to be statistically highly significant.

Conclusion: Respiratory morbidity was quite prevalent in the rice mill workers as indicated by decreased Peak Expiratory Flow Rate (PEFR) and requires application of ergonomics at the work place.

References

Oxman AD, Muir DCF, Shannon HS, Stock SR, Hnidzo E, Langi HJ. Occupational dust exposure and chronic obstruc-tive pulmonary disease. American Review of Respiratory Diseases 1993;148:38-48.

Balmes J, Becklake M, Blanc P, Henneberger P, Kreiss K, Mapp C et al . American Thoracic Society Statement: Occu-pational contribution to the burden of airway disease. Am J Respir Crit Care Med 2003;167:787–97.

Mengesha YA, Bekele. Relative chronic effects of occupa-tional dusts on respiratory indices and health of workers in three Ethiopian factories. Am J Ind Med 1998;34:373-80.

Nayak P. Problems and Prospects of Rice mill Moderniza-tion: A case study. J Assam University 1996;1:22-8.

Batsungneon K, Kulworawanichpong T. Effect of Dust Par-ticles in Local Rice Mills on Human Respiratory System. World Academy of Science, Engineering and Technology 2011;56:260-5

Dhillon SK, Bassi R, Kaur H. A Study of Lung Function Ab-normalities in Workers of Rice Mills. Indian Journal of Fun-damental and Applied Life Sciences. 2011; 1(3) : 217-220.

Tiwari RR, Sharma YK, Saiyed HN. Peak expiratory flow and respiratory morbidity: a study among silica-exposed workers in India. Arch Med Res 2005;36:171-4.

Questionnaire on Respiratory symptoms (1986). Approved by medical research council’s committee on environmental and occupational health. Available at https://www. mrc.ac.uk/documents/pdf/questionnaire-on-respiratory-symptoms-1986/

Seema Prakash, Shashikala Manjunatha, C.Shashikala. Mor-bidity patterns among rice mill workers: A cross sectional study. Indian Journal of Occupational and Environmental Medicine. 2010;14:91-3.

World Health Organization. Global database on Body mass index. BMI Classification. World Health Organization. [cit-ed 25 January 2017] Available at http://apps. who.int/bmi/index.jsp?introPage=intro_3.html

Joseph J. Cipriano. Photographic Manual of Regional Or-thopaedic and Neurological Tests, 5th ed. Philadelphia: Lippincott Williams & Wilkins; 2010. p 250.

Taytard A, Tessier JF, Vergeret J. Respiratory function in flour mill workers. European Journal of Epidemiology 1988;4:104-9.

Chen HI, Kuo CS: Relationship between respiratory mus-cle function and age, sex, and other factors. J Appl Physiol 1989;66:943-8.

Itagi V, Patel MB, Patil RS. Analysis of lung func-tions in flour mills and rice mills workers. Indian journal of applied-basic medical sciences 2010;12:12-17.

Zodpey SP, Tiwari RR. Peak expiratory flow rate in flour mill workers. Indian J Physiol Pharmacol 1998;42:521-6.

DimichWard HD, Kennedy SM, Dittrick MA, DyBuncio A, ChanYeung M. Evaluation of the respiratory health of dock workers who load grain cargoes in British Columbia. Oc-cup Environ Med 1995;52:273-8.

Lim HH, Domala Z, Joginder S , Lee SH, Lim CS, AbuBakar CM. Rice millers' syndrome: a preliminary report. British Journal of Industrial Medicine 1984;41:445-49

Tiwari RR, Zodpey SP, Deshpande SG, Vasudeo ND. Peak expiratory flow rate in handloom weavers. Indian J Physiol Pharmacol. 1998;42:266-70

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Published

2017-05-31

How to Cite

1.
Naik PR, Nirgude AS, Megana P. Respiratory Morbidity and Peak Expiratory Flow Rate among Rice Mill Workers in a Rural Area of South India. Natl J Community Med [Internet]. 2017 May 31 [cited 2024 Apr. 26];8(05):246-9. Available from: https://njcmindia.com/index.php/file/article/view/702

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Original Research Articles