Vol 70, No 4 (2019)
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Published online: 2019-12-24

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Exposure to fumigants in containers: a questionnaire assessment on 125 French dockers

David Lucas1, Lygia T. Budnik2, Xaver Baur3
Pubmed: 31891171
Int Marit Health 2019;70(4):195-201.

Abstract

Background: Cases of intoxications to gas from container’s atmosphere have been described. For diagnosis, Fum Ex 2 questionnaire has been developed by the European Society for Environmental and Occupational Medicine. The aim of this study was to enhance knowledge on health effects of toxic substances in containers and to validate this questionnaire in medical follow-up and diagnosis.

Materials and methods: In 2014, 125 French dockers answered the questionnaire in a face-to-face interview. Results: 83.5% declared no exposure to fumigants or pesticides. Most frequently declared symptoms were fatigue and neurological disorders for dockers and respiratory irritation for refrigeration technicians. Only 28 workers wore regularly individual protection equipment.

Conclusions: A “healthy worker” effect could explain low level of symptoms. Fum Ex 2 questionnaire is relevant for diagnosis. Workers in all steps of the logistic transport chain and consumers are exposed to containers’ atmosphere.

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References

  1. The United Nations Conference on Trade and Development. Http: // unctad.org/fr/PublicationsLibrary/rmt2014_fr.pdf. Published September 2015 (Accessed March 3, 2019).
  2. Food and Agriculture Organization of the United Nations. Http: // www.fao.org / docrep / x5042e / x5042e04.htm. Published 1980 (Accessed March 3, 2019).
  3. Baur X, Budnik LT, Zhao Z, et al. Health risks in international container and bulk cargo transport due to volatile toxic compounds. J Occup Med Toxicol. 2015; 10: 19.
  4. Budnik LT, Kloth S, Baur X, et al. Circulating mitochondrial DNA as biomarker linking environmental chemical exposure to early preclinical lesions elevation of mtDNA in human serum after exposure to carcinogenic halo-alkane-based pesticides. PLoS One. 2013; 8(5): e64413.
  5. Svedberg U, Johanson G. Work inside ocean freight containers--personal exposure to off-gassing chemicals. Ann Occup Hyg. 2013; 57(9): 1128–1137.
  6. Baur X, Horneland AM, Fischer A, et al. How to handle import containers safely. Int Marit Health. 2014; 65(3): 142–157.
  7. Budnik LT, Kloth S, Velasco-Garrido M, et al. Prostate cancer and toxicity from critical use exemptions of methyl bromide: environmental protection helps protect against human health risks. Environ Health. 2012; 11: 5.
  8. The European Society for Environmental and Occupational Medicine (EOM). https://eomsociety my.sharepoint.com/personal/baur_eomsociety_org/_layouts/15/onedrive.aspx?id=%2Fpersonal%2Fbaur%5Feomsociety%5Forg%2FDocuments%2FWebsite%2FQUESTIONNAIRE%5FFUM%2DEX2%5FEOM%5F%20ENGLISHVERSION23%2D4%2Epdf&parent=%2Fpersonal%2Fbaur%5Feomsociety%5Forg%2FDocuments%2FWebsite&slrid=ceb3579e%2D5067%2D5000%2D2a08%2De69e5207c5ed. Published september 2013 (Accessed March 3,2019).
  9. Knol-de Vos T. Measuring the amount of gas in import containers. Report No. 609021025/2003. Rijksinstituut voor Volksgezondheid en Milieu (RIVM). 2002. http://rivm.openrepository.com/rivm/bitstream/10029/9020/1/609021025.pdf (Published October 2002. Accessed March 3, 2019).
  10. Baur X, Poschadel B, Budnik LT. High frequency of fumigants and other toxic gases in imported freight containers--an underestimated occupational and community health risk. Occup Environ Med. 2010; 67(3): 207–212.
  11. Safe Work Australia. Hazard surveillance: residual chemicals in shipping containers. Canberra, Australia: Safe Work Australia. 2012. http://www.safeworkaustralia.gov. au/sites/SWA/about/Publications/Documents/750/Hazard-Surveillance-Residual-Chemicals-Shipping-Containers.pdf (Published December 2012. Accessed March 3,2019).
  12. Bråtveit M, Djurhuus R, Kirkeleit J, Hollund BE. Health risks and prevention practices during handling of fumigated containers in ports. EU-OSHA reports. 2018. https://osha.europa.eu/sites/default/files/publications/documents/OSH%20on%20fumigated%20containers%20in%20ports.pdf.
  13. Svedberg U, Johanson G. Occurrence of fumigants and hazardous off-gassing chemicals in shipping containers arriving in sweden. Ann Work Expo Health. 2017; 61(2): 195–206.
  14. Postel A. Le risque toxique des salariés exposés aux gaz de fumigation issus des containers. Mémoire de DES Faculté de médecine-Université de Rouen Avril 2017.
  15. Preisser AM, Budnik LT, Hampel E, et al. Surprises perilous: toxic health hazards for employees unloading fumigated shipping containers. Sci Total Environ. 2011; 409(17): 3106–3113.
  16. Kloth S, Baur X, Göen T, et al. Accidental exposure to gas emissions from transit goods treated for pest control. Environ Health. 2014; 13: 110.
  17. Loddé B, Lucas D, Letort JM, et al. Acute phosphine poisoning on board a bulk carrier: analysis of factors leading to a fatal case. J Occup Med Toxicol. 2015; 10: 10.
  18. Keller FX, Lucas D. Chemical risks and container transport. Risques chimiques à l’ouverture des conteneurs maritimes. RST. 2014; 139: 7–9.
  19. Pedersen R, Jepsen J, Ádám B. Regulation and practice of workers’ protection from chemical exposures during container handling. J Occup Med Toxicol. 2014; 9(1).
  20. Budnik LT, Adam B, Albin M, et al. Diagnosis, monitoring and prevention of exposure-related non-communicable diseases in the living and working environment: DiMoPEx-project is designed to determine the impacts of environmental exposure on human health. J Occup Med Toxicol. 2018; 13: 6.
  21. Budnik LT, Austel N, Gadau S, et al. Experimental outgassing of toxic chemicals to simulate the characteristics of hazards tainting globally shipped products. PLoS One. 2017; 12(5): e0177363.