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HHE Search Results
1062 HHE reports were found based on your search terms. Reports are listed in order of year published with the most recently published reports listed first.
Year Published and Title
(2021) Coccidioides exposure and coccidioidomycosis infections among warehouse and distribution employees. (Click to open report) The Health Hazard Evaluation Program received a request from management of a warehouse and distribution facility concerned about the potential for work-related coccidioidomycosis, also known as Valley fever or "cocci." Several employees developed coccidioidomycosis in recent years. The warehouse and distribution facility consisted of multiple buildings on several hundred acres mostly surrounded by farmland. We interviewed employees about work characteristics, time spent outdoors at and outside o... (Click to show more)The Health Hazard Evaluation Program received a request from management of a warehouse and distribution facility concerned about the potential for work-related coccidioidomycosis, also known as Valley fever or "cocci." Several employees developed coccidioidomycosis in recent years. The warehouse and distribution facility consisted of multiple buildings on several hundred acres mostly surrounded by farmland. We interviewed employees about work characteristics, time spent outdoors at and outside of work, residence in areas where Coccidioides has been found, and personal health; observed work practices and conditions; assessed the ventilation systems; reviewed policies and procedures; and identified cases of coccidioidomycosis among employees. We found that employees could possibly breathe in dust during indoor and outdoor work. We identified at least 10 cases of coccidioidomycosis among facilities during January 2014-April 2019. However, it was not possible to determine whether this represented an excess risk of coccidioidomycosis at this workplace or whether exposure to Coccidioides occurred at work or outside of work. Most employees reported performing job activities outdoors or handling materials that were dusty from being outdoors. Housekeeping practices varied in the buildings we visited. Some areas used dry sweeping, which can generate dust. While the facility's respiratory protection plan outlined that an exposure assessment was to be performed to determine required or voluntary respirator use, an exposure assessment for airborne dust was not documented in the respiratory protection plan we reviewed. Although management reported that respirator use for dust was voluntary, communications to employees were unclear on whether respirator use was voluntary or required during excessive wind conditions. We recommended reducing airborne dust exposure by keeping warehouse bays, doors, and windows closed; using a wet sweeping method or a filtered vacuum to capture dust; choosing machinery with closed cabs and increased filtration when replacing equipment; and cleaning and maintaining window air-conditioning units in warehouse breakrooms. We also recommended conducting exposure assessment(s) to determine whether respirator use to prevent dust exposure should be required or voluntary, instructing employees voluntarily wearing N95 filtering facepiece respirators on how to wear them properly, and improving communication with employees about Coccidioides exposure and coccidioidomycosis.
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(2021) Exposure to lead during residential water line replacement activities. (Click to open report) The Health Hazard Evaluation (HHE) Program received a request from the employer of a city water department concerning lead exposure among crews replacing lead water lines servicing residential homes. This occurred after two employees received blood tests indicating elevated lead levels. In response to these findings, the employer implemented some measures to minimize lead exposures among employees and submitted an HHE request. In response to this request, we conducted confidential medical interv... (Click to show more)The Health Hazard Evaluation (HHE) Program received a request from the employer of a city water department concerning lead exposure among crews replacing lead water lines servicing residential homes. This occurred after two employees received blood tests indicating elevated lead levels. In response to these findings, the employer implemented some measures to minimize lead exposures among employees and submitted an HHE request. In response to this request, we conducted confidential medical interviews; collected personal air samples for lead; conducted colorimetric wipe sampling for lead on the hands of employees; collected wipe samples inside the surfaces of work gloves, work trucks, and areas at the main pump station; and determined whether lead particulate was expelled from the old lead pipe during a removal process. All air samples were below the occupational exposure limit for lead; however, we found lead on various surfaces and on the hands of some employees. Specific job titles such as crew leader and maintenance worker appear to have a higher potential for exposure via all routes than other job titles. We detected lead on the hands of employees who handled the lead pipe during removal activities, and lead on the inside of some work gloves after the job was completed. The task of using compressed air to blow a string through the lead piping produced a large amount of lead aerosol being ejected from the pipe. We observed incorrect respirator usage and some cases where nitrile gloves were not worn underneath work gloves when handling lead pipe. The company had a written lead monitoring and control program, a hazard communication program, and a job-hazard analysis for tasks associated with lead line replacement. While the employer had implemented multiple measures to minimize lead exposures to employees, there appears to be opportunities for potential lead exposure among employees during residential water line replacement activities. We recommended improving (1) lead surveillance, training, and work practices; (2) personal protective equipment use and training; (3) procedures for employees to keep their hands clean and free of lead during different tasks; and (4) cleaning procedures to reduce lead exposure.
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(2021) Exposures to metals and a perceived excess of cancer cases in a train maintenance facility. (Click to open report) The Health Hazard Evaluation Program received a request from a union at a train maintenance facility concerning employee exposure to metals and a perceived excess of cancer. We visited the facility twice and focused our evaluation on first shift employees working in six shops (truck, wheel, motor, electronics, contactor, and tin) that worked on different maintenance and repair tasks. We observed work processes, work practices, and conditions; spoke informally to employees in each shop about heal... (Click to show more)The Health Hazard Evaluation Program received a request from a union at a train maintenance facility concerning employee exposure to metals and a perceived excess of cancer. We visited the facility twice and focused our evaluation on first shift employees working in six shops (truck, wheel, motor, electronics, contactor, and tin) that worked on different maintenance and repair tasks. We observed work processes, work practices, and conditions; spoke informally to employees in each shop about health and safety concerns; measured employee exposures to metals in air; administered medical surveys; and measured blood lead levels of employees in the electronics shop. Our air sampling showed that there were no exposures to metals above relevant occupational exposure limits; however, employees remained concerned about potential exposures to metals and dust. Blood lead levels were all below the CDC reference level of 5 micrograms per deciliter. We found that training and hazard communication could be improved. For example, employees expressed concern about potential exposures to varnish chemicals and cadmium. However, management ceased the vacuum pressure impregnation process for applying varnish and enclosed the cadmium-containing contactors. Employees were also concerned about their health, specifically their respiratory health and a perceived excess risk of cancer. The results from our evaluation were not consistent with the reported cancers being caused by a work-related exposure. We recommended providing periodic training and communication around concerns about chemical exposures, visible dust in the facility, cadmium in the contactor shop, personal protective equipment requirements, and the perceived excess of cancer cases. We recommended reinforcing the importance of daily and weekly cleaning of commonly used areas of all workstations and break areas. We also recommended using wet methods or high efficiency particulate air filter vacuums to clean metal dust; ways to improve the spray-painting process; removing latex gloves from the facility; and consuming food and beverages away from production areas.
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(2020) Exposures and health concerns in a dental clinic. (Click to open report) Request: We received a management request for a health hazard evaluation at a dental clinic. The request stated concerns about possible exposure to mercury vapors from amalgam, a metal alloy used for dental fillings. Workplace: The dental clinic provides dental care services to patients. Services include general dentistry, family dentistry, cosmetic dentistry, restorative dentistry, full-mouth reconstruction, and oral surgery services. At the time of our survey, the clinic employed 17 staff, inc... (Click to show more)Request: We received a management request for a health hazard evaluation at a dental clinic. The request stated concerns about possible exposure to mercury vapors from amalgam, a metal alloy used for dental fillings. Workplace: The dental clinic provides dental care services to patients. Services include general dentistry, family dentistry, cosmetic dentistry, restorative dentistry, full-mouth reconstruction, and oral surgery services. At the time of our survey, the clinic employed 17 staff, including three dentists, dental hygienists, dental assistants, administrative staff, and a business administrator. In June 2019, we conducted a site visit to assess possible exposures during routine dental care, assess the ventilation systems in use, and informally interview clinic staff. During our survey in June 2019, we 1) Collected full-shift time-weighted average (TWA) samples on dental clinic employees while they performed their regular job duties and analyzed for elemental mercury content. 2) Collected full-shift TWA area samples in multiple locations in the dental clinic and analyzed for respirable dust, respirable silica, respirable metals, and volatile organic compound (VOC) concentrations. Full-shift TWA areas samples for VOCs were collected with two different samplers, placed side-by-side. 3) Collected instantaneous task-based and area air samples for VOCs during various tasks and procedures. 4) Assessed the heating, ventilation, and air-conditioning (HVAC) systems in use. 5) Informally interviewed clinic staff to learn about any health concerns potentially related to exposures at work. Our Key Findings: 1) All personal air samples for elemental mercury were below the NIOSH recommended exposure limit (REL) of 50 micrograms per cubic meter of air (ug/m3). 2) All area air samples for respirable dust, respirable silica, and respirable metals were low. 3) Some VOCs were higher in some locations or during specific tasks or procedures. 4) The laboratory area was under positive pressure relative to adjacent areas and could serve as a source of air contaminants. 5) Some employees reported eye and nose symptoms that were better when away from work. Our Recommendations: Recommendation 1: Reduce risk of entrainment of air from the laboratory into adjacent spaces. Recommendation 2: Encourage employees to minimize walking through the laboratory area while grinding or sandblasting tasks are being performed. Recommendation 3: Make N95 filtering-face piece respirators available for voluntary use and train employees on proper use of respiratory protection. Recommendation 4: Encourage employees to report any new, persistent, or worsening respiratory symptoms, particularly those with a work-related pattern, to their healthcare providers and, as instructed by their employer, to a designated individual at their workplace.
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(2020) Exposures and respiratory health at a coffee roasting, flavoring, and packaging facility. (Click to open report) Physicians at a university medical center diagnosed obliterative bronchiolitis, a serious, often disabling lung disease, in five former employees of the coffee roasting, flavoring, and packaging facility. In April 2012, the National Institute for Occupational Safety and Health's Health Hazard Evaluation Program received a confidential employee request from a coffee roasting, flavoring, and packaging facility with approximately 85 employees. The requestors had concerns about respiratory symptoms,... (Click to show more)Physicians at a university medical center diagnosed obliterative bronchiolitis, a serious, often disabling lung disease, in five former employees of the coffee roasting, flavoring, and packaging facility. In April 2012, the National Institute for Occupational Safety and Health's Health Hazard Evaluation Program received a confidential employee request from a coffee roasting, flavoring, and packaging facility with approximately 85 employees. The requestors had concerns about respiratory symptoms, lung disease, and eye irritation related to the manufacturing of coffee products, including ingredients used in the flavoring process. In July/August 2012, we conducted an initial walk-through site visit at the facility. In September 2012, we conducted a medical survey; we administered a questionnaire, performed breathing tests, and measured antibodies in blood. In November 2012, we conducted an industrial hygiene survey and ventilation assessment at the facility. The industrial hygiene survey consisted of collecting personal breathing zone and area air samples for alpha-diketones (i.e., diacetyl and 2,3-pentanedione) and dust. Bulk samples of whole bean green and roasted coffee, ground roasted coffee, and liquid flavorings were collected to evaluate the potential for emission of diacetyl and 2,3-pentanedione. We used continuous monitoring instruments to measure total volatile organic compounds, carbon monoxide, carbon dioxide, temperature, and relative humidity in specific areas and during tasks. We evaluated respiratory health and airborne exposures to alpha-diketones (diacetyl, 2,3-pentanedione, and 2,3-hexanedione), dust, other volatile organic compounds, carbon monoxide, and carbon dioxide during coffee roasting, grinding, flavoring, and packaging. Diacetyl and 2,3-pentanedione were detected in a majority of full-shift personal breathing zone air samples. During the November 2012 visit, the maximum concentration of diacetyl was 166.0 parts per billion in a personal sample from a packaging employee while the maximum 2,3-pentanedione concentration was 199.0 parts per billion from a personal sample collected on an employee in the flavoring room. In April 2017, personal samples from employees in the flavoring room gave maximum concentrations of 163.8 parts per billion diacetyl and 899.6 parts per billion 2,3-pentanedione. In November 2012, 58 of 59 full-shift personal samples exceeded the NIOSH recommended exposure limit for diacetyl of 5 parts per billion and 42 of 59 samples exceeded the NIOSH recommended exposure limit for 2,3-pentanedione of 9.3 parts per billion. In April 2017, 28 of 29 full-shift personal samples exceeded the NIOSH recommended exposure limits for diacetyl and 2,3-pentanedione. The production volume in April 2017 was approximately 70% higher than our first visit which likely contributed to the higher concentrations measured in some areas. During the medical survey, eye and nose symptoms were the most commonly reported symptoms; 1.6-fold excess of employees reported shortness of breath compared to the U.S. population with a similar demographic distribution, and 2.7 times as many employees as expected had spirometric obstruction than in the U.S. population. We recommend installing local exhaust and dilution ventilation and implementing administrative controls such as modification of work practices. Until engineering and administrative controls are in place, we recommend respiratory protection to reduce exposures to alpha-diketones. The choice of respirator should be guided by personal exposure sampling for diacetyl and 2,3-pentanedione and be made only by qualified personnel. We also recommended continuing the medical surveillance program.
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(2020) Exposures at a coffee roasting, flavoring, and packaging facility. (Click to open report) The Health Hazard Evaluation Program of the National Institute for Occupational Safety and Health received a request from management at a coffee roasting, flavoring, and packaging facility regarding concerns about potential health effects from exposure to diacetyl, 2,3-pentanedione, and other alpha-diketones during coffee roasting, grinding, and flavoring of coffee. In April 2019, we conducted an industrial hygiene survey at the facility. The industrial hygiene survey consisted of the collection... (Click to show more)The Health Hazard Evaluation Program of the National Institute for Occupational Safety and Health received a request from management at a coffee roasting, flavoring, and packaging facility regarding concerns about potential health effects from exposure to diacetyl, 2,3-pentanedione, and other alpha-diketones during coffee roasting, grinding, and flavoring of coffee. In April 2019, we conducted an industrial hygiene survey at the facility. The industrial hygiene survey consisted of the collection of air samples for the analysis of diacetyl, 2,3-pentanedione, and 2,3-hexanedione. We used continuous monitoring instruments to monitor total volatile organic compounds, carbon monoxide, and carbon dioxide in specific areas and during tasks. All full-shift personal samples collected during the industrial hygiene survey exceeded the recommended exposure limits of 5 parts per billion for diacetyl or 9.3 parts per billion for 2,3-pentanedione in 13 of 13 samples. Grinding roasted coffee beans, flavoring roasted beans, and packaging roasted coffee beans resulted in relatively higher air concentrations of diacetyl and 2,3-pentanedione than other tasks. We observed high instantaneous levels of diacetyl and 2,3-pentanedione during grinding of unflavored coffee. Continuous air sampling for carbon monoxide identified peak exposures during grinding of roasted coffee. Area carbon monoxide measurements were higher near the main grinder and in the roasted bean storage/off-gassing and staging area compared with other work areas. Carbon dioxide levels were below occupational exposure limits throughout the facility. We recommend implementing local exhaust ventilation on the grinders, and training employees about workplace hazards. We also recommend providing respiratory protection for diacetyl and 2,3-pentanedione to reduce exposures to alpha-diketones until engineering and administrative controls are in place.
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(2020) Silica exposures during dowel drilling. (Click to open report) Management from a dowel drilling company requested a NIOSH health hazard evaluation (HHE) concerning employee exposure to respirable crystalline silica during dowel drilling activities. Dowel drilling is one step in the process of repairing a road. The work on this HHE took place on a state road construction site. During our visit, we observed work processes and work practices, estimated the amount of water used to control dust, collected air samples for respirable crystalline silica and respira... (Click to show more)Management from a dowel drilling company requested a NIOSH health hazard evaluation (HHE) concerning employee exposure to respirable crystalline silica during dowel drilling activities. Dowel drilling is one step in the process of repairing a road. The work on this HHE took place on a state road construction site. During our visit, we observed work processes and work practices, estimated the amount of water used to control dust, collected air samples for respirable crystalline silica and respirable dust, and collected bulk samples of the slurry produced from drilling to determine its silica content. Our air sampling showed that the drill rig operation led to concentrations of respirable crystalline silica above relevant occupational exposure limits; however, the drill rig operator was wearing appropriate respiratory protection. Concentrations of respirable dust were below relevant occupational exposure limits for all samples. The slurry bulk samples contained 10%-13% quartz. The drill rig operator was required to wear a respirator, but there was no written respiratory protection program, medical clearance, or annual respiratory training. However, the respirator was put on and taken off correctly, cleaned after each shift, and stored appropriately. Other health and safety issues we identified during our evaluation included leaving the slurry and dust on the drill rig to dry overnight, high visibility vests not being used consistently, stepping into the live traffic lane while filling and covering patches, and not having enough vehicle spacing in between crews. We recommended developing a written respiratory protection program, sending drill rig operators for medical respirator clearance, and providing employees training about respirator use and maintenance. We also made recommendations to address other health and safety issues we identified during our evaluation.
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(2019) Ergonomics, dust, and unanticipated hazards at a donation and retail store. (Click to open report) The Health Hazard Evaluation Program received a request from employees of a donation and retail store. They were concerned about ergonomics and exposures to dust and unanticipated hazards, such as needles, other sharp items, and feces- or urine-soiled items. Our evaluation included reviewing documents on new employee health and safety training, injury reports, and health and safety meeting topics; observing work processes, practices, and conditions; reviewing personal protective equipment (PPE) ... (Click to show more)The Health Hazard Evaluation Program received a request from employees of a donation and retail store. They were concerned about ergonomics and exposures to dust and unanticipated hazards, such as needles, other sharp items, and feces- or urine-soiled items. Our evaluation included reviewing documents on new employee health and safety training, injury reports, and health and safety meeting topics; observing work processes, practices, and conditions; reviewing personal protective equipment (PPE) availability, use, and storage; measuring workstation dimensions; confidentially interviewing employees; and speaking with management about work practices, health and safety concerns, and our preliminary observations and recommendations. We found communication gaps between employees and management. Employees reported health problems they believed were work-related, and they were concerned about stress, sharp objects, and dust in the workplace. Employees reported the potential for being cut or stabbed with sharp objects when stepping into a large box of donations to sort its contents. We did not observe noticeable clouds of dust in the air, and the store did not have any processes that created dust. We observed that required PPE (such as cut-resistant gloves) was not available to some employees. We recommended methods for better cleaning practices, and for improving the training around potential hazards, Employee Assistance Program (EAP) access, and the sorting of donations. We also made recommendations on PPE, workplace lighting, anti-fatigue mats, pallet jack warning devices, and ways to improve communication between employees and management.
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(2019) Exposures and respiratory health at a coffee roasting and packaging facility and two off-site retail cafés. (Click to open report) In March 2016, the National Institute for Occupational Safety and Health's Health Hazard Evaluation Program received a request from the owner of a coffee roasting and packaging facility and off-site retail cafés with 15 employees regarding concerns about exposures to and health effects from diacetyl and 2,3-pentanedione during coffee roasting, coffee grinding, and café tasks. In May 2017, we conducted the medical survey, industrial hygiene survey, and ventilation assessment at the roastery produ... (Click to show more)In March 2016, the National Institute for Occupational Safety and Health's Health Hazard Evaluation Program received a request from the owner of a coffee roasting and packaging facility and off-site retail cafés with 15 employees regarding concerns about exposures to and health effects from diacetyl and 2,3-pentanedione during coffee roasting, coffee grinding, and café tasks. In May 2017, we conducted the medical survey, industrial hygiene survey, and ventilation assessment at the roastery production space and two off-site retail cafés. The industrial hygiene survey consisted of collecting personal breathing zone and area air samples for alpha-diketones (i.e., diacetyl, 2,3-pentanedione, and 2,3-hexanedione). We used continuous monitoring instruments to measure total volatile organic compounds, carbon monoxide, carbon dioxide, temperature, and relative humidity in specific areas and during tasks. We also conducted a ventilation assessment in both cafés and the roastery production space location. The medical survey consisted of a health questionnaire and breathing tests. An interim letter reporting industrial hygiene results and recommendations was sent to the company following our visit. Most time-weighted average air concentrations of diacetyl and 2,3-pentanedione were below the NIOSH recommended exposure limits. Five of the 13 full-shift samples collected during the survey exceeded the NIOSH recommended exposure limit for diacetyl of 5 parts per billion, with a maximum concentration of 13.9 parts per billion. We identified jobs where some work tasks resulted in relatively higher air concentrations of diacetyl than other tasks. Specifically, grinding roasted coffee beans was associated with higher diacetyl levels. Overall, the most commonly reported symptoms were associated with mucous membranes, specifically the nose, eyes, and sinuses. Most employees reported that they did not feel that their symptoms were caused or aggravated by work-related exposures. Wheezing or whistling in the chest was the most commonly reported lower respiratory symptom, 33% of employees reported experiencing this symptom in the last 12 months. All administered spirometry tests (n=9) were normal. One of nine participants had high exhaled nitric oxide, a marker of allergic airways inflammation, and three of nine participants had airway obstructions. We recommend moving the cold brew grinders in the basement of the downtown café closer to an outside wall and installing an exhaust fan or ducted local exhaust ventilation system to exhaust contaminants generated during grinding directly outdoors. We also recommend introducing prescribed amounts of fresh, outdoor air to the café spaces to help further reduce airborne concentrations. Further, we recommended operating the ventilation system in the roastery production space continuously during roastery operating hours, training employees about workplace hazards, and establishing a medical monitoring program to identify any employees who may be developing work-related lung disease (e.g., asthma, obliterative bronchiolitis) and to help management prioritize interventions to prevent occupational lung disease.
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(2019) Exposures and respiratory health at a coffee roasting and packaging facility. (Click to open report) In May 2016, the National Institute for Occupational Safety and Health's (NIOSH) Health Hazard Evaluation Program received a request from management of a coffee roasting and packaging facility regarding concerns about exposures to and health effects from diacetyl and 2,3-pentanedione during coffee roasting, grinding, and flavoring. In July 2016, we conducted an industrial hygiene survey and ventilation assessment at the facility. The industrial hygiene survey consisted of collection of air sampl... (Click to show more)In May 2016, the National Institute for Occupational Safety and Health's (NIOSH) Health Hazard Evaluation Program received a request from management of a coffee roasting and packaging facility regarding concerns about exposures to and health effects from diacetyl and 2,3-pentanedione during coffee roasting, grinding, and flavoring. In July 2016, we conducted an industrial hygiene survey and ventilation assessment at the facility. The industrial hygiene survey consisted of collection of air samples and bulk samples of coffee for analysis of diacetyl, 2,3-pentanedione, and 2,3-hexanedione. Continuous monitoring instruments were used to monitor total volatile organic compounds, carbon monoxide, carbon dioxide, temperature, and relative humidity in specific areas and during tasks. We also measured levels of carbon monoxide in employees' exhaled breath and conducted a ventilation assessment. In August 2016, we conducted a medical evaluation of employees that consisted of a health questionnaire and breathing tests. In February 2017, we returned to conduct an industrial hygiene survey of the finished goods warehouse All personal full-shift samples collected during the industrial hygiene survey exceeded the NIOSH recommended exposure limit for diacetyl of 5.0 parts per billion, with a maximum concentration of 420.9 parts per billion. Thirty-six of the 37 full-shift samples exceeded the NIOSH recommended exposure limit for 2,3-pentanedione of 9.3 ppb, with a maximum of 275.9 parts per billion. We identified work tasks that resulted in higher air concentrations of diacetyl and 2,3-pentanedione than other tasks. Specifically, flavoring coffee, grinding roasted coffee beans, roasting coffee beans, packaging roasted coffee, and cleaning equipment were associated with higher diacetyl levels. We observed high instantaneous levels of diacetyl and 2,3-pentanedione during flavoring, grinding, and packaging. Air levels of carbon monoxide collected on employees with duties that included flavoring and grinding coffee exceeded the NIOSH ceiling limit of 200 parts per million. Carbon dioxide levels were low throughout most of the facility. The most commonly reported symptoms were nose and eye symptoms. Some employees reported these nose and eye symptoms were caused or aggravated by green bean coffee burlap bags, green bean and roasted coffee dust, smoke, flavorings, or roasting coffee Wheezing or whistling in the chest was the most commonly reported lower respiratory symptom. Some employees reported their lower respiratory symptoms were caused or aggravated by grinding and flavoring, heat, or stress. Six (6%) of 99 participants had abnormal spirometry. Eight (8%) participants had high exhaled nitric oxide, a marker of allergic airways inflammation. Employees who reported grinding or flavoring had higher odds of waking up with chest tightness and episodes of flu-like achiness or achy joints in the last 12 months, and had lower lung function parameters, although these were not statistically significant. One participant with abnormal spirometry and work-related respiratory symptoms was referred to a pulmonologist and subsequently received a clinical diagnosis of obliterative bronchiolitis associated with occupational exposure to flavorings In response to our evaluation, the company implemented engineering controls and made administrative changes to reduce employees' exposure to diacetyl and 2,3-pentanedione. The company installed additional general exhaust ventilation in administrative and production areas, local exhaust ventilation in production areas where sources of high exposures to diacetyl and 2,3-pentanedione were documented, and equipment to monitor pressure differentials between production and administrative spaces. The company also enclosed the grinding area. Personal protective equipment requirements were implemented and included powered air-purifying respirators for employees in the flavoring room and grinding area, and half-face respirators for employees in other areas of the facility until exposures could be reduced and verified by additional air sampling. The company also instituted a medical surveillance program that included repeating spirometry every six months to identify employees who might be developing work-related lung disease (e.g., asthma, flavoring related lung disease). Of 53 employees who underwent spirometry testing conducted by NIOSH in 2016 and the coffee facility s occupational health provider in 2017, six (11%) had 15% or more decrease in lung function between tests, which is more than expected because of aging. One employee had 15% or more decrease between two occupational health provider spirometry tests conducted in 2017. We recommend follow-up air sampling to confirm the effectiveness of engineering controls and consulting with a ventilation engineer to install additional engineering controls near point sources. Additional engineering controls might be designed to capture diacetyl and 2,3-pentanedione in specific locations at sources where elevated levels of diacetyl and 2,3-pentanedione were measured. We recommend the company continue to train employees about potential workplace hazards, and continue to administer the medical surveillance program.
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