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2010, Number 4

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Rev Med Inst Mex Seguro Soc 2010; 48 (4)

Laboral talc pneumoconiosis as low frequent disease

Méndez-Vargas MM, Zamudio-Martínez P, Aguilar-Loya M, Marín-Cotoñieto IA, Salinas-Tovar S, López-Rojas P, Zamudio-Lara JO

Language: Spanish
References: 23
Page: 431-438
PDF size: 45.74 Kb.


ABSTRACT

Objective: to identify the association between exposition to talcum powder and talcosilicosis in a cosmetic factory.
Methods: a descriptive and prospective survey including 24 workers from the bottling and grinding areas was performed. All patients had a chest roentgenography. They were separated into two groups: the first patients exposed up to a period of five years and the second with more than five years. Environmental monitoring of high flow polyvinyl chloride filters and galvimetric analysis was performed. The dust analysis was performed in 12 inhaling powders, eight environmental and four in workers. A Fisher exact test was applied.
Results: whole of the exposed workers displayed radiographic findings compatible with talcosis; 18 (75 %) patients had light talcosis and 6 (25 %) moderate. The Fisher test was 13.7 with a p value of 0.004. Dust analysis showed: five were reported over the maximum allowed levels corresponding to the areas of compact cosmetics grinders, powder grinders, powder dispensers and the talcum final line. The analyzed talcum powder contained more than 95 % of free silica.
Conclusions: the association was confirmed between the exposure and the presence of talcosis.


REFERENCES

  1. Martínez CF. La salud en el trabajo. México: Novum; 1988. p. 53-55.

  2. Desoille H. Medicina del trabajo. Segunda edición. España: Masson; 1994. p. 7-12.

  3. Hanspeter R, Witschi A, Jerold A. Last toxic responses of the respiratory system. En: Casarett LJ, Doull J, Klaassen CD, editors. Casarett and Doull’s Toxicology. The basic science of poisons. Fifht edition. New York: McGraw-Hill; 1996.

  4. Encyclopedia of Occupational Health and Safety. Fourth edition. Geneva: International Labour Office; 1998; volume 3, pp. 77.1-77.38.

  5. Ley Federal del Trabajo. Sexta edición. México: Ediciones Fiscales ISEF; 2000. p. 109-238.

  6. Instituto Mexicano del Seguro Social. Memoria estadística de salud en el trabajo. México: IMSS, Coordinación de Salud en el Trabajo; 2004. p. 1- 38.

  7. Martínez GC, Rego FG. Enfermedades respiratorias de origen ocupacional. Arch Bronconeumol 2000:36(11):631-644.

  8. Ladou J. Medicina laboral y ambiental. México: El Manual Moderno; 1999. p. 3-7.

  9. Maldonado TL, Méndez VMM. Enfermedades broncopulmonares de trabajo. México: Auroch; 1999. p. 1-115.

  10. Zenz C, Dickerson OB, Horvath EP, editors. Occupational Medicine. Third edition. St. Louis: Mosby; 1994. p. 167.

  11. Secretaría del Trabajo y Previsión Social. Norma oficial mexicana NOM.010-STPS-1999, condiciones de seguridad e higiene en los centros de trabajo donde se produzcan, almacenen o manejen sustancias químicas capaces de generar contaminación en el medio ambiente laboral. Diario Oficial de la Federación del 13 de marzo de 2000.

  12. Wells IP, Dubbins PA, Whimster WF. Pulmonary disease caused by the inhalation of cosmetic talcum powder. Br J Radiol 1979;52(619):586-588.

  13. Kleinfeld M, Messite J, Zaki, MH. Mortality experiences among talc workers: a follow-up study. J Occup Med 1974;16(5):345-349.

  14. Secretaría de Salud. Farmacopea de los Estados Unidos Mexicanos. Séptima edición. México: SSa; 2000, tomo I, p. 463, 605, 606.

  15. Vallyathan NV, Craighead JE. Pulmonary pathology in workers exposed to nonasbestiform talc. Hum Pathol 1981;12(1):28-35.

  16. Scancarello G, Romeo R, Sartorelli E. Respiratory disease as a result of talc inhalation. JOEM 1996;38(6):610-614.

  17. Nam K, Gracey DR. Pulmonary talcosis from cosmetic talcum powder. JAMA 1972;221(5):492-493.

  18. Gould SR, Barnardo DE. Respiratory distress after talc inhalation. Br J Dis Chest 1972;66(3):230-233.

  19. Gamble JF, Fellner W, Dimeo MJ. An Epidemiologic study of a group of talc workers. Am Rev Respir Dis 1979;119(5):741-752.

  20. Kleinfeld M, Messite J, Zaki MH. Mortality experiences among talc workers: a follow up study. J Occup Med 1974;16(5):345-349.

  21. Anónimo. Guidelines for the use of ILO international classification of radiographs of pneumoconiosis. Revised edition. Geneva: International Labour Office; 1980.

  22. Maldonado-Torres L, González-Zepeda A, Méndez- Vargas MM. Valoración de las enfermedades broncopulmonares de trabajo y su repercusión social. Rev Med IMSS 1987;25(5): 379-385.

  23. Jacobsen M. The International Labour Office classification; use and misuse. Ann N Y Acad Sci 1991;643:100-107.




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