• Logo
  • SBMUJournals

Status of the Acute Respiratory Symptoms, Pulmonary Function Test, and Chest Radiograph Among Professional Firefighters of the Plasco Trade Center Disaster in Active Firefighting of Tehran, Iran in 2016

Khosrow Agin, Ali Mohammad Baigi, Bita Dadpour, Maryam Vahabzadeh, Babak Mostafazadeh
77

Views

PDF

Abstract

Background: Firefighting is a high-risk occupation. The firefighters can be involved in acute and chronic diseases. The study was conducted to investigate the acute symptoms of pulmonary problems, chest radiography, and pulmonary function testing among the professional firefighters of Tehran Firefighting Stations in active firefighting of the Plasco trade center disaster.
Methods: A call was announced by the national Fars news agency to examine the firefighters in the Plasco trade center disaster.
Results: A total of 56 firefighters completed the study design. They were male, commonly at a young age, and less than their 3rd decade. Upper respiratory tract symptoms were at a higher frequency than a lower airway tract; 98% of the subjects complained of respiratory symptoms. Chest abnormality was 24% and normal acute short-term spirometry was 87%. Acute occupational bronchitis was a prominent respiratory disease.
Conclusion: Acute toxic inhalation respiratory diseases, including acute bronchitis, asthma-like disease, and laryngitis were found in our study. Medical monitoring is necessary for the detection of adverse health effects in the exposure, post-exposure, and long lifetime.


Keywords

Firefighter, Respiratory symptoms, Pulmonary function test, Chest radiography

References

‎1.‎ Hsiao H, Whitestone J, Kau TY, Whisler R, Routley JG, Wilbur M. Sizing firefighters: Method and implications. ‎Human Factors. 2014; 56(5):873-910. [DOI:10.1177/0018720813516359] [PMID] [PMCID]‎

‎2.‎ Ibrayeva A, Turdalieva B, Aimbetova G, Pleva L. General health status among firefighters and rescue operations ‎workers. Georgian Medical News. 2017; (270):130-5.‎

‎3.‎ Yoo S, Komura K, Matsui Y, Maruyama S. [The stress symptoms and posttraumatic growth of dispatched ‎firefighters following the great East Japan earthquake (Japanese)]. The Japanese Journal of Psychology. 2017; ‎‎87(6):644-50. [DOI:10.4992/jjpsy.87.15309] [PMID]‎

‎4.‎ Stanley IH, Hom MA, Gai AR, Joiner TE. Wildland firefighters and suicide risk: Examining the role of social ‎disconnectedness. Psychiatry Research. 2018; 266:269-74. [DOI:10.1016/j.psychres.2018.03.017] [PMID]‎

‎5.‎ Tsai RJ, Luckhaupt SE, Schumacher P, Cress RD, Deapen DM, Calvert GM. Risk of cancer among firefighters in ‎California, 1988-2007. American Journal of Industrial Medicine. 2015; 58(7):715-29. [DOI:10.1002/ajim.22466] ‎‎[PMID] [PMCID]‎

‎6.‎ Gendron P, Lajoie C, Laurencelle L, Trudeau F. Cardiovascular disease risk factors in Québec male firefighters. ‎Journal of Occupational and Environmental Medicine. 2018; 60(6):e300-6. [DOI:10.1097/JOM.0000000000001309] ‎‎[PMID]‎

‎7.‎ Su Y, Yang J, Song G, Li R, Xiang C, Li J. Development of a numerical model to predict the physiological strain of ‎firefighter in a fire hazard. Scientific Reports. 2018; 8(3628):1-8. [DOI:10.1038/s41598-018-22072-8] [PMID] ‎‎[PMCID]‎

‎8.‎ Witt M, Goniewicz M, Pawłowski W, Goniewicz K, Biczysko W. Analysis of the impact of harmful factors in the ‎workplace on the functioning of the respiratory system of firefighters. Annals of Agricultural and Environmental ‎Medicine. 2017; 24(3):406-10. [DOI:10.5604/12321966.1233561] [PMID]‎

‎9.‎ Aldrich TK, Weakley J, Dhar S, Hall CB, Crosse T, Banauch GI, et al. Bronchial reactivity and lung function after ‎World Trade Center exposure. Chest. 2016; 150(6):1333-40. [DOI:10.1016/j.chest.2016.07.005] [PMID] [PMCID]‎

‎10.‎ Bigert C, Gustavsson P, Straif K, Taeger D, Pesch B, Kendzia B, et al. Lung cancer among firefighters: Smoking-‎adjusted risk estimates in a pooled analysis of case-control studies. Journal of Occupational and Environmental ‎Medicine. 2016; 58(11):1137-43. [DOI:10.1097/JOM.0000000000000878] [PMID]‎

‎11.‎ Choi JH, Shin JH, Lee MY, Chung IS. Pulmonary function decline in firefighters and non-firefighters in South Korea. ‎Annals of Occupational and Environmental Medicine. 2014; 26(1):9. [DOI:10.1186/2052-4374-26-9] [PMID] ‎‎[PMCID]‎

‎12.‎ Greven FE, Rooyackers JM, Kerstjens HA, Heederik DJ. Respiratory symptoms in firefighters. American Journal of ‎Industrial Medicine. 2011; 54(5):350-5. [DOI:10.1002/ajim.20929] [PMID]‎

‎13.‎ Webber MP, Glaser MS, Weakley J, Soo J, Ye F, Zeig‐Owens R, et al. Physician‐diagnosed respiratory conditions and ‎mental health symptoms 7-9 years following the World Trade Center disaster. American Journal of Industrial ‎Medicine. 2011; 54(9):661-71. [DOI:10.1002/ajim.20993] [PMID] [PMCID]‎

‎14.‎ Gaughan DM, Cox-Ganser JM, Enright PL, Castellan RM, Wagner GR, Hobbs GR, et al. Acute upper and lower ‎respiratory effects in wildland firefighters. Journal of Occupational and Environmental Medicine. 2008; 50(9):1019-‎‎28. [DOI:10.1097/JOM.0b013e3181754161] [PMID]‎

‎15.‎ Weakley J, Webber MP, Gustave J, Kelly K, Cohen HW, Hall CB, et al. Trends in respiratory diagnoses and ‎symptoms of firefighters exposed to the World Trade Center disaster: 2005-2010. Preventive Medicine. 2011; ‎‎53(6):364-9. [DOI:10.1016/j.ypmed.2011.09.001] [PMID]‎

‎16.‎ Ribeiro M, de Paula Santos U, Bussacos MA, Terra‐Filho M. Prevalence and risk of asthma symptoms among ‎firefighters in São Paulo, Brazil: A population‐based study. American Journal of Industrial Medicine. 2009; ‎‎52(3):261-9. [DOI:10.1002/ajim.20669] [PMID]‎

‎17.‎ Prezant DJ, Weiden M, Banauch GI, McGuinness G, Rom WN, Aldrich TK, et al. Cough and bronchial responsiveness ‎in firefighters at the World Trade Center site. New England Journal of Medicine. 2002; 347(11):806-15. ‎‎[DOI:10.1056/NEJMoa021300] [PMID]‎

‎18.‎ Schermer T, Malbon W, Newbury W, Holton C, Smith M, Morgan M, et al. Spirometry and Impulse Oscillometry ‎‎(IOS) for detection of respiratory abnormalities in metropolitan firefighters. Respirology. 2010; 15(6):975-85. ‎‎[DOI:10.1111/j.1440-1843.2010.01809.x] [PMID]‎

‎19.‎ Rom WN, Reibman J, Rogers L, Weiden MD, Oppenheimer B, Berger K, et al. Emerging exposures and respiratory ‎health: World Trade Center dust. Proceedings of the American Thoracic Society. 2010; 7(2):142-5. ‎‎[DOI:10.1513/pats.200908-092RM] [PMID] [PMCID]‎

‎20.‎ Feldman DM, Baron SL, Bernard BP, Lushniak BD, Banauch G, Arcentales N, et al. Symptoms, respirator use, and ‎pulmonary function changes among New York City firefighters responding to the World Trade Center disaster. ‎Chest. 2004; 125(4):1256-64. [DOI:10.1378/chest.125.4.1256] [PMID]‎

‎21.‎ Weakley J, Webber MP, Ye F, Zeig-Owens R, Cohen HW, Hall CB, et al. Agreement between obstructive airways ‎disease diagnoses from self-report questionnaires and medical records. Preventive Medicine. 2013; 57(1):38-42. ‎‎[DOI:10.1016/j.ypmed.2013.04.001] [PMID]‎

‎22.‎ Miedinger D, Chhajed P, Stolz D, Gysin C, Wanzenried A, Schindler C, et al. Respiratory symptoms, atopy, and ‎bronchial hyperreactivity in professional firefighters. European Respiratory Journal. 2007; 30(3):538-44. ‎‎[DOI:10.1183/09031936.00015307] [PMID]‎




DOI: https://doi.org/10.32598/ijmtfm.v9i4.25105