Document pd9eVw2jeRG5nazBEzRRaoBk

FILE NAME Power Generation POW DATE 1990 DOC POW009 DOCUMENT DESCRIPTION Abstract - Published Journal Article Industrial ibromide jon in soil B 1987 d to high American Journal of Industrial Medicine 327 3319990 ? Asbestos Pulmonary Disease in Boilermakers Raymond Y. Demers MD MPH Anne Victoria Neale PhD MPH Thomas Robins MD MPH and Sandra C. Herman a Boilermakers are skilled building tradesmen who construct repair and dismantle boil- ers The present study reports on the evaluation of members of Michigan boilermaker's union for the presence of signs and symptoms of chronic pulmonary disease Study variables included standardized evaluations of chest ray findings pulmonary function testing physical examination and respiratory symptoms An overall participation rate of 69 was achieved A participant survey identified no significant differences between participants and participants in dyspnea cough age or smoking history Among participants with greater than 20 years experience in the trade the mean FVC was 91 of predicted the FEV was 86 of predicted 25 showed at least a 1/0 profusion of interstitial markings on chest ray 30 had bilateral pleural abnormalities and 52 had audible inspiratory rales on physical examination Forced vital and forced expiratory volume at one second both decreased with in the capacity years trade Chest ray findings of interstitial fibrosis and pleural plaques were related to ten or more in the trade as were respiratory symptoms of pulmonary rales wheeze and dyspyenaeras Key words asbestosis interstitial fibrosis pleural plaques pulmonary function INTRODUCTION containing Boilermakers are members of the skilled construction trades who perform as- sembly repair and dismantlement of boilers Boilermakers work closely with other members of the skilled construction trades including insulators pipefitters sheetmetal workers and laborers Boilermakers commonly remove insulation materials in order to access boiler services for repair work Though they rarely apply containing materials directly they often work in proximity to those operations Work days of boilermakers are frequently spent in closed and ventilated environments A mortality study conducted among boilermakers in the State of identified an excess mortality from chronic lung disease but did not specWiafyshtihnatgttohne Department of Family Medicine School of Medicine Wayne State University Detroit R.Y.D. A.V.N. S.C.H. ADenpnarAtrmbeonrt To.f REn.vironmental and Industrial Health School of Public Health University of Michigan Address reprint requests to Raymond Y. Demers Department of Family Medicine 4201 St. Suite 4 Detroit MI 48201 Antoine Accepted for publication October 11 1989 '1990 Wiley Inc.