Determinant Factors Causing Symptoms Of Respiratory Disorders With Exposure To Nitrogen Dioxide In Adults Around The Steel Industry

IJEP 41(5): 562-567 : Vol. 41 Issue. 5 (May 2021)

Suyud Warno Utomo1,2 and Redi Yudha Irianto3*

1. University of Indonesia, Department of Environmental Health, Faculty of Public Health, Depok – 16424, Indonesia
2. University of Indonesia, School of Environmental Sciences, Central Jakarta – 10430, Indonesia
3. Poltekkes Kementerian Kesehatan Bandung, Bandung – 40173, Indonesia

Abstract

Air pollution is a health problem that causes many deaths. The respiratory disorder is one of the causes of death due to increased air pollution in the environment. One of the gases that damage the environment is nitrogen dioxide (NO2). NO2 can be produced from the combustion process, one of which is the result of combustion in the steel industry. This study was conducted to determine the relationship of factors that influence the respiratory disorders that occur in adults around the steel industry. Variable respiratory disorders, the concentration of NO2, length of stay, BMI and a history of respiratory disease were tested using the Chi-square test with a p-value<0.05. Respiratory disorders have a significant relationship with a history of respiratory disorders having OR (95% CI) value of 3.69 (1.548-8.799). Although it turns out that the NO2 concentration variable does not have a significant relationship with respiratory disorders with OR (95% CI) value of 0.765 (0.329-1.779), other than that, the unrelated variable, is the variable length of stay having OR (95% CI) value of 1.179 (0.523 – 2.655), BMI having OR (95% CI) value of 1.739 (0.754 – 4.01). In this study, it was found that a factor that can cause the respiratory disorder is a history of respiratory disorders in adults.

Keywords

Respiratory disorder, Nitrogen dioxide, Adult population, Steel industry, Determinant factor

References

  1. Miri, M., et al. 2016. Mortality and morbidity due to exposure to outdoor air pollution in Mashhad metropolis, Iran. The AirQ model approach. Env. Res., 151:451-457. DOI: 10.1016/j.envres.2016.07. 039.
  2. Pope, C.A. 2000. Epidemiology of fine particulate air pollution and human health : Biologic mechanisms and who’s at risk? Env. Health Perspect., 108 (4): 713-723. DOI : 10.1289/ehp.108-1637 679.
  3. Golub, A. and E. Strukova. 2008. Evaluation and identification of priority air pollutants for environmental management on the basis of risk analysis in Russia. J. Toxicol. Env. Health Part A. 7(1):86-91.
  4. Carbone, U., et al. 2014. Respiratory function in power plant workers exposed to nitrogen dioxide. Occup. Med. (Chic III). 64(8):644-646.
  5. ATSDR. 2002. Nitrogen oxides (nitric oxide, nitrogen dioxide, etc.). U.S. Department of Health and Human Services, Public Health Service Agency for Toxic Substances and Disease Registry.
  6. Abdolahnejad, A., et al. 2017. Mortality and morbidity due to exposure to ambient NO2, SO2and O3 Isfahan in 2013-2014. Int. J. Prev. Med., 8(2):1-6.
  7. Chao, C. Y.H. 2001. Comparison between indoor and outdoor air contaminant levels in residential buildings from passive sampler study. Build Env., 36 (9):999-1007.
  8. Poupard, O., et al. 2005. Statistical analysis of parameters influencing the relationship between outdoor and indoor air quality in schools. Atmos. Env., 39(11):2071-2080.
  9. Dermirel, G., et al. 2014. Personal exposure of primary school children to BTEX, NO2and ozone in Eskisehir, Turkey : Relationship with indoor/outdoor concentrations and risk assessment. Sci. Total Env., 473-474(2):537-548.
  10. Peng, L., et al. 2015. Analysis of energy efficiency and carbon dioxide reduction in the Chinese pulp and paper industry. Energy Policy. 80:65-75. DOI:10.1016/j.enpal. 2015.01.028.
  11. Siregar, E. 2007. Iron and metal industry is a source of CO2gas emissions. MPI. 1(3):82-91.
  12. USEPA. 1994. Alternative control techniques document–NOx emissions from iron and steel mills (EPA-453/R-94-065). U.S. Environmental Protection Agency, Office of Air and Radiation, Office of Air Quality Planning and Standards, North Carolina.
  13. Anonymous. 1996. Health effects of outdoor air pollution. Committee of the Environmental and Occupational Health Assembly of the American Thoracic Society. American J. Respir. Crit. Care Med., 153(1):3-50.
  14. Mukono, J. 2008. Air pollution and its effects on respiratory tract disorders. Surabaya : Airlangga University Press. pp 150.
  15. Sakti, E.S. 2012. Review of ambient air quality (NO2, SO2, total suspended particulate) against ISPA incidents in Bekasi city 2001-2011. Universitas Indonesia.
  16. Brunekreaf, B. and S.T. Holgate. 2002. Air pollution and health. Lancet. 360 (9341):1233-1242.
  17. Levy, J.I., et al. 1998. Impact of residential nitrogen dioxide exposure on personal exposure : An internation study. J. Air Waste Manage. Assoc., 48(6):553-560.
  18. Sunyer, J., et al. 2004. Nitrogen dioxide is not associated with respiratory infection during the first year of life. Int. J. Epidemiol., 33(1):116-120.
  19. Gillespie-Bennett, J., et al. 2011. The respiratory health effects of nitrogen dioxide in children with asthma. European Respir. J., 38(2):303-309.
  20. Zhang, F., et al. 2011. Study on the association between ambient air pollution and daily cardiovascular and respiratory mortality in an urban district of Beijing. Int. J. Env. Res. Public Health. 8(6):2109-2123.
  21. Trigunarso, S.I., P. Yushananta and F.K. Ainin. 2018. Dust levels to vital lung capacity in the community around PT Semen Baturaja. J. Kesehat. 9(3):396.
  22. Zuskin, E., et al. 1997. Respiratory function in shoe manufacturing workers. American J. Ind. Med., 31(1):50-55.
  23. Prihartini, N. 2010. Health risk analysis of toluent exposure to ‘X’ shoe workshop workers in Pulogadung small industrial village (PIK), East Jakarta. Universitas Indonesia.
  24. Mungreiphy, N.K., S. Kapoor and R. Sinha. 2012. Relationship between nutritional status, respiratory performance and age : Study among Tangkhul Naga females of northeast India. Acta Biol. Szeged. 56(1):31-36.
  25. Baliviera, E. F., S. Pierdominici and L. Sarcinelli. 1989. Effects of the nutritional status on the respiratory system. Minerva Anestesiol., 55(11):443-450.
  26. Tolinggi, S., et al. 2014. Effect inhaling of limestone dust exposure on increased level of IL-8 serum and pulmonary function decline to workers of limestone mining industry. Int. Ref. J. Eng. Sci., 3(8):66-72.
  27. Liu, P., et al. 2017. Association between body mass index (BMI) and vital capacity of college students of Zhuang nationality in China : A crossection study. Oncotarget. 8(46):80923-80933.
  28. Esha, I., D. Afandi and V. Amrifo. 2017. Analysis of carbon monoxide exposure and its effect to lung function of parking officer in basement mall X Pekanbaru. J. Ilmu Lingkungan. 11(1):25-34.
  29. Clarissa, A.S., et al. 2010. Factors related to lung vital capacity of 24.301.118 gas station operators in Palembang. 2010. J. Ilmu Kesehatan Masyarakat. 1(3):217-224.
  30. WHO. 2007. Global surveillance. Prevention and control of chronic respiratory diseases. World Health Organization, Geneva.
  31. Dwicahyono, H.B. 2017. Analysis of NH3content, individual characteristics and respiratory scavenger complaint in landfills Benowo rubbish and not scavenger around landfills Benowo Surabaya. J. Kesehat Lingkungan. 9:135-144.