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ORIGINAL ARTICLE |
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Year : 2008 | Volume
: 12
| Issue : 3 | Page : 132-135 |
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Occupational health risks among the workers employed in leather tanneries at Kanpur
Subodh Kumar Rastogi1, Amit Pandey2, Sachin Tripathi3
1 Epidemiology Division, Indian Institute of Toxicology Research, Post Box No. 80, Mahatma Gandhi Marg, Uttar Pradesh, India 2 Biochemistry, Hind Medical College, Lucknow - 226 001, Uttar Pradesh, India 3 Cardiovascular Toxicology, Indian Institute of Toxicology Research, Post Box No. 80, Mahatma Gandhi Marg, Uttar Pradesh, India
Correspondence Address: Subodh Kumar Rastogi Epidemiology Division, Indian Institute of Toxicology Research, Post Box No. 80, Mahatma Gandhi Marg, Lucknow - 226 001, Uttar Pradesh India
 Source of Support: None, Conflict of Interest: None  | Check |
DOI: 10.4103/0019-5278.44695
In a cross-sectional study, a random sample of 197 male workers drawn from different sections of 10 leather tanneries in Kanpur were selected for the assessment of health risks. A control group comprising of 117 male subjects belonging to a similar age group and socioeconomic strata, who never had any occupational exposure in the leather tanneries, were also examined for the comparison purpose. The findings revealed a significantly higher prevalence of morbidity among the exposed workers in contrast to that observed in the controls (40.1% vs. 19.6%). The respiratory diseases (16.7%) were mainly responsible for a higher morbidity among the exposed workers whereas the gastrointestinal tract problems were predominant in the control group. The urinary and blood samples collected from the exposed group showed significantly higher levels of chromium, thereby reflecting the body burden of Cr in the exposed workers as a result of a high concentration of environmental Cr at the work place.
Keywords: Chromium, health risk, leather tanneries, morbidity
How to cite this article: Rastogi SK, Pandey A, Tripathi S. Occupational health risks among the workers employed in leather tanneries at Kanpur. Indian J Occup Environ Med 2008;12:132-5 |
How to cite this URL: Rastogi SK, Pandey A, Tripathi S. Occupational health risks among the workers employed in leather tanneries at Kanpur. Indian J Occup Environ Med [serial online] 2008 [cited 2022 Aug 8];12:132-5. Available from: https://www.ijoem.com/text.asp?2008/12/3/132/44695 |
Introduction | |  |
Kanpur is a major leather-processing centre in Uttar Pradesh in North India, with an estimated 20,000 tannery workers. Leather production includes many operations with different exposures, which can be harmful for the health of the workers, and particularly be carcinogenic. [1],[2],[3] Some compounds in the tanning process are considered as probably being carcinogenic to humans (some benzene-based dyes and formaldehyde). [4],[5] Besides these, scores of other chemicals and organic solvents such as chromate and bichromate salts, aniline, butyl acetate, ethanol, benzene, toluene, sulfuric acid and ammonium hydrogen sulfide are used in the tannery industry. An important health risk factor for the tannery workers is occupational exposure to chromium, mainly in the organic Cr (ω) form or in the protein bound-form (leather dust). Chromium may enter the body by inhalation, ingestion and by direct cutaneous contact. Professional exposure to Cr (ω) increases the risk of dermatitis, ulcers and perforation of the nasal septum and respiratory illnesses as well as increased lung and nasal cancers. [6],[7],[8],[9],[10],[11],[12] Cr-specific health hazards like carcinoma of the larynx and lung parenchyma and paranasal sinuses have also been reported. [13],[14],[15],[16],[17],[18]
The purpose of the study was, therefore, to investigate the adverse health effects of exposure to basic tanning pigments (both trivalent and hexavalent chromium salts), organic solvents and other chemicals used in the leather tanning industries at Kanpur.
Materials and Methods | |  |
In a cross-sectional study, a random sample of 197 male workers drawn from different sections of 10 leather tanneries in Kanpur was selected for the health survey. A reference group of 117 male subjects belonging to a similar age group and socioeconomic strata, who never had any occupational exposure in any process in the tanneries, served as a control. Most of the control subjects were self employed in petty shops and thus having no exposure to the toxicants prevailing in the tannery work environment.
The following parameters were studied:
1. Personal and occupational history
The personal history included details of personal characteristics, age, smoking history, alcohol and tobacco consumption and family history, socioeconomic status and living conditions whereas the occupational history included details of job, duration and type of exposure and details of toxicants at the work place.
2. Clinical examination
A detailed physical examination of the nervous, respiratory, cardiovascular, ocular, dermal and musculoskeletal system was conducted at a health examination camp set up at the work place in the tannery industry.
3. X-ray chest
The clinically positive respiratory cases were subjected to a chest X-ray (PA view) on a 100 MA X-ray machine to confirm the clinical findings.
4. Lung function testing
A precalibrated portable computerized spirometer (Auto spiror Model HS-1, Tuda aptics, Japan) was used to record the spirometric functions. The observed values were compared with the predicted values of Rastogi et al. [19] The peak expiratory flow rate was measured by a peak flow meter (standard model -clement clake, U.K) and the highest value was taken into account.
5. Biomonitoring of chromium in blood and urine samples
Venous blood samples were collected in heparinized tubes and spot urine samples in sterile plastic containers. The samples were transported to the laboratory under chilled conditions. Urinary and blood chromium analysis was performed by a direct dilution method. An atomic absorption spectrophotometer (Parkin Elmar model 5000, USA) was used for the estimation of chromium. [20]
6. Air monitoring of chromium at the work place
External exposure at the work place was estimated by personal air monitoring during the work shift. The airborne particulate sampling was performed on quartz microfiber filters (Whatman QM-A, diameter 37mm) in Millipore filter holders. The concentrations of the total particulate were determined by weighing the filter and calculated in milligrams per cubic meter.
Results | |  |
The details of the processes and chemicals used in the leather tanning industry are listed in [Table 1]. The physical characteristics of the exposed group and the controls are shown in [Table 2]. The mean age, height and body weight of the exposed group were found to be similar to those measured in the control group. The leather tanners had a mean exposure of 8.8 + 3.20 years in the leather tanneries. The control group showed a higher prevalence (47.8%) of smoking in contrast to 42.1% observed in the tannery workers. The prevalence of respiratory symptoms was found to be significantly higher than that reported by the control group (16.7% vs. 4.27%) (P < 0.001). Dry/productive cough and throat irritation were the cardinal respiratory symptoms recorded in the exposed workers [Table 3].
The overall prevalence of morbidity was found to be significantly higher among the tanners in contrast to that found in the controls (40.1% vs. 19.6%) (P < 0.01). In the case of the exposed group, it is the respiratory (16.7%), followed by ocular illnesses (14.7%) that afflicted the tanners, whereas gastrointestinal tract problems were predominant in the control groups (9.4%) [Table 4]. Among the leather tanners, a group of 10 subjects (5.07%) reported redness in the conjunctiva with prominent bulbar vessels, seven subjects (3.55%) reported congestion of the nasal mucosa.
Nearly 9% (n = 17) of the leather tanners reported dermatological diseases such as rashes and papules along with complaints of itching. The burning sensation was reported by 15 subjects (7.6%) in the exposed workers.
Among the respiratory morbidity in the exposed group, it was occupational asthma that showed a prevalence of 5.0% whereas chronic bronchitis, allergic bronchitis, sinu sites and pulmonary tuberculosis were other respiratory illnesses observed in the tanners. No cases of asthma and allergic bronchitis were reported by the control group [Table 5].
All lung function values were significantly reduced in the exposed workers. The reduced values indicated bronchial obstruction in the exposed group [Table 6].
The prevalence of respiratory impairment was found to be significantly higher among the leather tanners in contrast to that observed in the control group (30.9% vs. 16.2%) (P < 0.001). Bronchial obstruction followed by lung restriction was the main abnormality found in the exposed group [Table 7].
The urinary and blood concentrations of Cr were found to be significantly raised among the leather tanners (P < 0.001), thereby reflecting the body burden of Cr in the exposed workers as a result of a high concentration of environmental Cr at the work place [Table 8].
Discussion | |  |
An important health risk factor for the tannery workers is occupational exposure to chromium, which is used as a basic tanning pigment. The workers on exposure to leather dust, which contains chromium in the protein-bound form, exhibited a higher mean concentration of urinary and blood chromium than the reference values. The personal sampling conducted at different work sites exhibited higher levels of total chromium. The high morbidity (40.1%) observed in the tanners in comparison to the reference values (19.6%) could be due to high levels of chromium in the biological samples of the exposed workers and air samples collected at the worksite. The increased morbidity in the exposed workers could be attributed to high respiratory illness (16.7%) compared with 4.27 % in the control group. The higher biological values of chromium among the tanners could be explained by atmospheric pollution caused by the liberated leather dust at the work place. The increased pulmonary morbidity is also associated with certain characteristic symptoms such as dry cough (5.6%), throat irritation (3.6%) and lung congestion in 3.0% of the workers. Among the respiratory morbidity in the exposed group, the cases of occupational asthma (5.0%) were more prominent than other respiratory illnesses. It has been reported in the literature that it is the metabolism distribution and transport of the chromium in the blood that is a causal factor for increased respiratory morbidity. [21],[22] The hexavalent chromium is rapidly absorbed by the lungs into the blood and easily penetrates the cellular membranes and binds to the hemoglobin in the red blood cells thereby affecting the oxygen carrying capacity and impairing the lung function status. [23],[24],[25]
Our study confirms the previous findings of increased pulmonary impairment among the chrome platers (30.9%) as against 16.2% in the controls. [26] In an earlier study on chrome platers, we demonstrated cases of nasal ulcer and nasal septum perforation. [27] However, in the present study, we did not find any case of nasal ulcer and perforation. Our study confirms the earlier reports that the biological levels of chromium (in urine and blood) are good indicators of the exposure level of chromium at the work place. [28],[29],[30] Thus, air and biological monitoring can effectively be used for assessing the external and internal exposure to chromium and associated health risks among the exposed human population in epidemiological health surveys. [20]
Conclusion | |  |
The high morbidity among the tannery workers may be due to elevated levels of urinary and blood chromium levels resulting from increased air levels of chromium at the work place. The study recommends that the biomonitoring of the chromium levels in the biological fluids can serve as a useful tool for mitigating the health hazards and risk factors in the exposed workers.
References | |  |
1. | Stern FB. Mortality among chrome leather tannery workers: An update. Am J Ind Med 2003;44:197-206. [PUBMED] [FULLTEXT] |
2. | Issever H, Ozdilli K, Ozyildirim BA, Hapcioglu B, Ince N, Ince H, et al. Respiratory problems in tannery workers in Istanbul. Indoor Built Environ 2007;16:177-83. |
3. | Kornhauser C, Katarzyna W, Kazimierz W, Malacara JM, Laura EN, Gomez L, et al. Possible adverse effect of chromium in occupational exposure of tannery workers. Industrial Health 2002;40:207-13. |
4. | International Agency for Research on Cancer (IARC). Overall evaluation of carcinogenicity: An updating of IARC Monograph. IARC Monograph on the evaluation on the carcinogenicity risk of chemicals to human. Vol.1-42, Suppl 17, Lyon: IARC; 1987. |
5. | Budhwar R, Das M, Bihari V, Kumar S. Exposure estimates of chrome platters in India:an exploratory study. Biomarkers 2005;10:252-7. [PUBMED] [FULLTEXT] |
6. | Stern RM, Berlin A, Fletcher A. International conference on health hazards and biological effects of welding fumes and gases: Copenhagen 18-21, February, 1985. Int Arch Occup Environ Health 1986;57:237-46. |
7. | Angerer J, Amin W, Heinnrich-Ramm R. Occupational chronic exposure to metals. Arch Occupational Environ Health 1987;59:503-12. |
8. | Lin SC, Tai CC. Nasal septum lesion caused by chromium among chromium electroplating workers. Am J Ind Med1994;26:221-8. |
9. | Stern AH, Bragt PC. Risk assessment of the allergic dermatitis: Potential of environmental exposure to hexavalent chromium. J Toxicol Environ Health 1993;40:613-41. |
10. | Mikoczy Z, Hagmar L. Cancer incidence in the Swedish leather tanning industry: Updated findings 1958-99. Occup Environ Med 2005;62:461-4. [PUBMED] [FULLTEXT] |
11. | Veyalkin LV, Milyutin AA. Proportionate cancer mortality among workers in the Belarussian tanning industry. Am J Ind Med 2003;44:637-42. |
12. | Basketter D, Horev L, Slodovnik D, Merimes S, Trattner A, Ingber A. Investigation of the threshold for allergic reactivity to chromium. Contact Dermatitis 2001;44:70-4. [PUBMED] [FULLTEXT] |
13. | Walsh EN. Chromate hazards in industry. J Am Med Assoc 1953;153:1305-8. [PUBMED] |
14. | Browning E. Toxicity of industrial metals. 2nd ed. London: Butterworth; 1975. p. 119-31, 249-60. |
15. | Royale H. Toxicity of chromic acid in chromium plating industry. Environ Res 1975;10:39-53. |
16. | Langardt S. One hundred years of chromium and cancer: A review of epidemiological evidence and selected case reports. Am J Ind Med 1990;17:189-215. |
17. | Mikoczy Z, Hagmar L. Cancer incidence in the Swedish leather tanning industry: Updated findings. Occup Environ Med 2005;62:461-4,1958-99. [PUBMED] [FULLTEXT] |
18. | Rastogi SK, Kesavchandran C, Mahdi F, Panday A. Occupational cancers in leather tanning industries: A short review. Indian J Occup Environ Med 2007;11:3-5.  |
19. | Rastogi SK, Mathur N, Clerk SH. Ventilatory norms in healthy industrial workers. Ind J Chest Allied Sci 1983;12:23-9. |
20. | Schermaier AJ, O'Conner LH, Pearson KH. Semi automated determination of chromium in whole blood in serum by Zeeman electro thermal atomic absorption spectrophotometery. Clin Chim Acta 1985;152:123-34. |
21. | Langardt S. Absorption, transport and excretion of chromium in man and animals. In: Langardt S, editor. Biological and environmental aspects of chromium. Amsterdam: Elsevier Biomedical Press; 1982. p. 111-32. |
22. | Agency for Toxic Substances and Disease Registry. Toxicological Profilefor Chromium. Available from: http://www.atsdr.cdc.gov/toxprofiles/tp7.html. [cited on 2000]. |
23. | Mutti A, Cavatorta A, Pedroni C, Borghi A, Giaroli C, Franchini I. The role of chromium accumulation in the relationship between airborne and urinary chromium in welders. Int Arch Occup Environ Health 1989;43:85-91. |
24. | Morris BW, Griffiths H, Hardisty CA, Kemp GJ. Increased concentrations of chromium in plasma, urine and red blood cells in a group of stainless steel workers. Atom Spectrosc 1989;10:1-3. |
25. | Benova D, Hadjidekova V, Hristova R, Nikolova T, Boulanova M, Georgieva I, et al. Cytogenetic effects of hexavalent chromium in Bulgarian chromium platers. Mutat Res 2002;514:29-38. [PUBMED] [FULLTEXT] |
26. | Das M, Kumar P, Kumar A. Lung function studies among chrome platers. Indian J Occup Health 1989;10:21-6. |
27. | Rastogi SK, Epidemiological health survey of workers engaged in Lock manufacturing industry in Aligarh. Lucknow, India: ITRC Publication; 1992. |
28. | Sjogren B, Hedstrom L, Ulfvarson U. Urine chromium as an estimator of air exposure to stainless steel welding fumes. Int Arch Occup Environ Health 1983;51:347-54. |
29. | Tola S, Kilpio J, Virtzmo M, Happa K. Urinary chromium aqs an indicator of the exposure of welders to chromium. Scand J Work Environ Health 1977;3:192-202. |
30. | Rahkonen E, Junttila ML, Kalliomδki PL, Olkinouora M, Koponen M, Kalliomδki K. Evaluation of biological monitoring among stainless steel workers. Int Arch Occup Environ Health 1983;52:243-55. |
[Table 1], [Table 2], [Table 3], [Table 4], [Table 5], [Table 6], [Table 7], [Table 8]
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