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 ORIGINAL ARTICLE
Year : 2014  |  Volume : 18  |  Issue : 2  |  Page : 57-63

Respiratory response to tobacco dust exposure among biddi binders: A follow up and bronchodilator study


Regional Occupational Health Centre (Eastern), (Indian Council of Medical Research), Block DP, Sector-V, Salt Lake City, Kolkata, India

Correspondence Address:
B P Chattopadhyay
Regional Occupational Health Centre (Eastern), (Indian Council of Medical Research), Block- DP, Sector- V, Salt Lake City, Kolkata - 700 091
India
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Source of Support: None, Conflict of Interest: None


DOI: 10.4103/0019-5278.146891

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Intorduction: The tobacco dusts get air borne during biddi making and it is inhaled by the biddi binders, which affects their health. Results: In a follow-up study, 86 biddi binders (male, 41; female, 45) were studied at a gap of 2 years. A high respiratory morbidity was observed among males than females both in the initial and follow-up study. The main complaints such as cough, sputum, and breathlessness showed high prevalence rates in the follow-up study. The high prevalence rates of weakness, giddiness, chronic diarrhea, and dyspepsia were noted in most of the cases the above complaints showed higher rates in the follow-up study. Pulmonary function test (PFT) values in the follow-up study of male and female biddi binders showed lowered compared with the initial study of same gender. In male and female biddi binders, the lung volumes SVC, FVC, FEV 1 , and the flow rates FEF 0.2-1.2 l , FEF 25%-75% , FEF 75%-85% were significantly lowered in the follow-up study compared with the initial study. Age-related decrement in PFT was observed in both the studies. In nonsmokers, smokers, and ex-smokers, the PFT values are lowered. The current smokers have the lowest values in both the studies. With the administration of the bronchodilator aerosol (salbutamol) in 63 biddi binders (male, 27; female, 36), the effect of bronchodilator aerosol on the PFT parameters showed significant changes as all PFT parameters showed positive bronchodilatation. Conclusion: The pattern of bronchodilator response on PFT values of the biddi binders suggests that the obstructions in the airways are reversible in nature.






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