A study of the dynamics of digital dermatitis in 742 lactating dairy cows.

Digital dermatitis (DD) is a contagious disease of cattle affecting the skin of the claw. The disease presents with a range of severities and can be associated with lameness. Information about the disease dynamics of DD is scarce. Parity and lactation stage have been identified as risk factors for DD and studies have also indicated that not all cows are equal regarding their risk of recurrent disease and prospects for cure from DD. The aim of this study was to investigate host heterogeneity to DD and to identify disease patterns of DD and factors associated with the development and resolution of lesions. In three commercial dairy herds, 742 lactating cows were observed for DD lesions weekly for 11 or 12 weeks. The effects of parity, lactation stage and duration of preceding episode on the hazard of transitions between healthy and lesion states were analysed using a multilevel multistate discrete-time model. One or more DD lesions were observed in 460 cows and lesions were observed in 2426 out of 10,585 observations. In total, 1755 uncensored episodes with DD lesions were observed. Early lactation was associated with a reduced risk of developing lesions compared with mid and late lactation. Lesions that developed in late lactation had a greater likelihood of resolution compared with lesions that developed during early lactation. There was a reduced risk of lesions developing in parity 3 compared with parity 1 cows, but an increased risk of lesions developing in parity 2 compared with parity 1 cows. In the present study, the mean duration of uncensored DD episodes was 1.7 weeks indicating that the duration of the majority of DD lesions might be shorter than the 42 days reported previously. The transitions between disease states suggest that DD is a dynamic disease, and that the early stage lesions are more transient than expected from previous studies. We conclude that studies with shorter observation intervals than one week are needed to fully understand and describe the individual and group dynamics of DD.

Identifying risk factors for poor hind limb cleanliness in Danish loose-housed dairy cows.

The objective of this study was to identify possible risk factors for poor cow hind limb cleanliness in Danish loose-housed, lactating dairy cows. The study was conducted as a cross-sectional study of 1315 cows in 42 commercial Danish dairy herds with primarily Danish Holstein cows. The effect of four cow-level factors (parity, days in milk, daily lying time and lameness) and eight herd-level factors (herd size, milk production, milking system, floor type, access to pasture grazing, floor scraping frequency, hoof bathing frequency and hoof washing frequency) on the risk of having dirtier hind limbs were analysed using ordinal logistic regression fitting a proportional odds model. Cow hind limb cleanliness was scored using an ordinal score from 1 to 4: 1 being clean and 4 being covered in dirt. The odds ratios (ORs) estimated from the proportional odds model depict the effect of a risk factor on the odds of having a higher rather than a lower cleanliness score. First parity cows had an increased risk of being dirtier compared with third parity or older cows (OR=1.70). Compared with late lactation, early and mid lactation were associated with an increased risk of being dirtier (OR=2.07 and 1.33, respectively). Decreasing the daily time lying by 30 min was associated with an increased risk of being dirtier (OR=1.05). Furthermore, an increased risk of being dirtier was found in herds with no pasture access (OR=3.75).

Acute phase protein concentrations in serum and milk from healthy cows, cows with clinical mastitis and cows with extramammary inflammatory conditions.

The concentrations of the two acute phase proteins, serum amyloid A and haptoglobin, in serum and milk were compared in 10 cows with clinical mastitis, 11 cows with extramammary inflammatory conditions and 10 clinically healthy control cows. The concentrations of both acute phase proteins were higher in the serum and milk of the cows with mastitis than in the cows in the other two groups. Four of the cows with extramammary inflammatory conditions had serum amyloid A concentrations in serum above 100 microg/ml, but negligible concentrations in milk, indicating that a pathogen must be present in the mammary gland for serum amyloid A to accumulate in milk. The acute phase protein concentrations in milk increased significantly with increasing somatic cell count, suggesting that they may be indicators of the severity of an infection.

Experimental generation of organic dust from compostable household waste.

The objective was to assess the influence of different waste storage systems on the emission of bioaerosols and gases from compostable household waste. Batches of waste were stored for 14 days in different storage systems: ventilated containers (compostainers) with or without added structure material and closed containers with or without a preservation additive. The microbial potential of the waste was measured with a rotating drum after storage. The weight loss in the compostainers (39%) was higher than in the closed containers (9%). Hydrogen sulphide and mercaptans developed in the closed container, and the concentration of ammonia increased continuously in both systems to 140 ppm. The microbial content for the incubated waste was high for closed containers compared to compostainers, and waste in closed containers generated a liquid rich in endotoxin and bacteria. The aerosols emitted from the waste consisted mainly of fungal spores, especially Aspergillus fumigatus, and no significant differences were observed between the systems. The endotoxin potential was high for waste stored in closed containers. The use of a preservative prevented microbial growth and reduced the emission of bioaerosols and gases substantially.

Dustiness of chopped straw as affected by lignosulfonate as a dust suppressant.

Many sources add to the concentration of bioaerosols in livestock buildings, and source control is the number one priority for keeping a low concentration. Straw is a common but dusty bedding material in livestock buildings and the present study is focused on the dustiness of chopped straw (barley) as affected by lignosulfonate (LS) as a dust suppressant. A LS-solution was aerosolized in a spray chamber fitted to an existing bedding chopper to allow the chopped straw to adsorb the LS-solution. The dustiness of straw treated with LS was compared to non-treated straw. As storage conditions may affect dustiness, the study included treated straw kept for 4 weeks in sealed plastic bags. Dustiness of the chopped straw was measured in terms of the potential of the straw to emit bioaerosols in a rotating drum. The LS-treated straw proved low in dustiness compared to the non-treated straw. The dustiness with respect to the mass of dust was reduced by at least a factor of 6, and for fungi and endotoxin the factors of reduction were 4 and 3, respectively. Dustiness of LS-treated straw kept in plastic bags was reduced by a factor of 2 for mass of dust and by a factor of 4 for endotoxin, but dustiness for fungi was increased by a factor of 3. It is concluded that lignosulfonate has potential as a dust suppressant for chopped straw.

Exposure-response relationship between gastrointestinal problems among waste collectors and bioaerosol exposure.

OBJECTIVES: A high frequency of gastrointestinal problems has previously been reported for waste collectors. The present study relates the gastrointestinal problems to measurements of the bioaerosols that waste collectors are exposed to during work. METHODS: A job-exposure matrix was constructed from a combination of questionnaire data and field measurements. The questionnaire data were collected from 1747 male waste collectors and a comparison group of 1111 male municipal workers. Moreover a total of 189 full-shift personal samples was collected. The samples were used for characterizing the bioaerosol exposure described by viable fungi, total count of fungal spores, microorganisms, and endotoxins. RESULTS: In a multivariate analysis, high exposure to endotoxins was associated with nausea [prevalence proportion ratio (PPR) 1.60], and the risk of reporting nausea decreased with decreasing exposure so that workers with low exposure had the fewest reports (PPR 1.39) in the comparison with the unexposed group. High exposure to endotoxins was also associated with reports of diarrhea (PPR 5.60), and the risk of reporting diarrhea decreased with decreasing exposure so that the workers with low exposure had the fewest reports (PPR 3.02). The same pattern existed for exposure to fungi, for which high exposure resulted in the most reports (PPR = 4.59), and for diarrhea, for which low exposure resulted in the fewest reports (PPR = 3.15). CONCLUSIONS: An exposure-response relationship was found between nausea and endotoxin exposure and between diarrhea and exposure to both endotoxins and viable fungi.

Exposure assessment of airborne microorganisms by fluorescence microscopy and image processing.

The purpose of this study was to improve the exposure assessment of airborne microorganisms by means of image processing of fluorescence microscopy images. This technique reduces the analysis time and also offers the opportunity to measure the size distribution of the microorganisms. We developed and implemented an automatic focusing procedure in order to count and size evaluate the microorganisms in the sample. However, automatic focusing was not possible if there were any impurities such as larger particles present. Therefore, manual focusing of the microscope had to be applied in connection with automatic counting and size evaluation when assessing the exposure of workers handling materials containing microorganisms, for example. This is also an improvement as it is faster than the fully manual standard methods. The new methods developed in this study correlated (r2 > 0.85) with the standard method for samples of E. coli and for samples of generated airborne bioaerosols from household waste, although a correction factor is necessary. No correlation was found for samples of generated bioaerosols from composted waste. This work has established a possibility for improving exposure assessment of airborne microorganisms by means of image processing instead of manual counting.

Collection of domestic waste. Review of occupational health problems and their possible causes.

During the last decade, a growing interest in recycling of domestic waste has emerged, and action plans to increase the recycling of domestic waste have been agreed by many governments. A common feature of these plans is the implementation of new systems and equipment for the collection of domestic waste which has been separated at source. However, only limited information exists on possible occupational health problems related to such new systems. Occupational accidents are very frequent among waste collectors. Based on current knowledge, it appears that the risk factors should be considered as an integrated entity, i.e. technical factors (poor accessibility to the waste, design of equipment) may act in concert with high working rate, visual fatigue due to poor illumination and perhaps muscle fatigue due to high work load. Musculoskeletal problems are also common among waste collectors. A good deal of knowledge has accumulated on mechanical load on the spine and energetic load on the cardio-pulmonary system in relation to the handling of waste bags, bins, domestic containers and large containers. However, epidemiologic studies with exposure classification based on field measurement are needed, both to further identify high risk work conditions and to provide a detailed basis for the establishment of occupational exposure limits for mechanical and energetic load particularly in relation to pulling, pushing and tilting of containers. In 1975, an excess risk for chronic bronchitis was reported for waste collectors in Geneva (Rufèner-Press et al., 1975) and data from the Danish Registry of Occupational Accidents and Diseases also indicate an excess risk for pulmonary problems among waste collectors compared with the total work force. Surprisingly few measurements of potentially hazardous airborne exposures have been performed, and the causality of work-related pulmonary problems among waste collectors is unknown. Recent studies have indicated that implementation of some new waste collection systems may result in an increased risk of occupational health problems. High incidence rates of gastrointestinal problems, irritation of the eye and skin, and perhaps symptoms of organic dust toxic syndrome (influenza-like symptoms, cough, muscle pains, fever, fatigue, headache) have been reported among workers collecting the biodegradable fraction of domestic waste. The few data available on exposure to bio-aerosols and volatile compounds have indicated that these waste collectors may be simultaneously exposed to multiple agents such as dust containing bacteria, endotoxin, mould spores, glucans, volatile organic compounds, and diesel exhaust. Several studies have reported similar health problems as well as high incidence rates of pulmonary disease among workers at plants recycling domestic waste.(ABSTRACT TRUNCATED AT 400 WORDS)

Exposure to air contaminants in chicken catching.

A cross-sectional study of chicken catchers was carried out by personal sampling of air contaminants. The catchers used either the drawer method (DM) or truck method (TM) for loading chickens into cages. DM catchers were exposed to higher concentrations of hazardous substances than TM catchers, except for ammonia. In terms of geometric means total dust concentrations were 11.3 mg/m3 (DM catchers) and 8.1 mg/m3 (TM catchers). Full-shift dust exposure exceeded the Danish occupational exposure limit (OEL) of 3 mg/m3 for organic dust by at least a factor of 2. From paired personal sampling data the concentration of respirable dust ranged from 18% to 28% of the total dust concentration. The average exposure level to bacterial endotoxin in total dust at 82 ng/m3 for DM catchers and 42 ng/m3 for TM catchers exceeded a limit of 10 ng/m3 recommended for poultry processing industry workers in the United States. Endotoxin content of airborne dust averaged 6.5 +/- 4.9 ng/mg. Exposure to microorganisms was determined by microscopy (total count) and by culturing (viable count). The geometric means for total count (microorganisms/m3) were 7.0 x 10(8) (DM catchers) and 4.9 x 10(8) (TM catchers) and for viable count 3.2 x 10(7) cfu/m3 (DM catchers) and 1.4 x 10(7) cfu/m3 (TM catchers). The ratio of microorganisms counted by microscopy to levels of viable microorganisms ranged from 5 to 200, implying a strong underestimation of exposure levels from viable counts alone. It was concluded that Danish chicken catchers were exposed beyond recommended limits for the air contaminants evaluated.(ABSTRACT TRUNCATED AT 250 WORDS)

Sorting and recycling of domestic waste. Review of occupational health problems and their possible causes.

In order to reduce the strain on the environment from the deposition of waste in landfills and combustion at incineration plants, several governments throughout the industrialized world have planned greatly increased recycling of domestic waste by the turn of the millennium. To implement the plans, new waste recycling facilities are to be built and the number of workers involved in waste sorting and recycling will increase steadily during the next decade. Several studies have reinforced the hypothesis that exposure to airborne microorganisms and the toxic products thereof are important factors causing a multitude of health problems among workers at waste sorting and recycling plants. Workers at transfer stations, landfills and incineration plants may experience an increased risk of pulmonary disorders and gastrointestinal problems. High concentrations of total airborne dust, bacteria, faecal coliform bacteria and fungal spores have been reported. The concentrations are considered to be sufficiently high to cause adverse health effects. In addition, a high incidence of lower back injuries, probably due to heavy lifting during work, has been reported among workers at landfills and incineration plants. Workers involved in manual sorting of unseparated domestic waste, as well as workers at compost plants experience more or less frequent symptoms of organic dust toxic syndrome (ODTS) (cough, chest-tightness, dyspnoea, influenza-like symptoms such as chills, fever, muscle ache, joint pain, fatigue and headache), gastrointestinal problems such as nausea and diarrhoea, irritation of the skin, eye and mucous membranes of the nose and upper airways, etc. In addition cases of severe occupational pulmonary diseases (asthma, alveolitis, bronchitis) have been reported. Manual sorting of unseparated domestic waste may be associated with exposures to large quantities of airborne bacteria and endotoxin. Several work functions in compost plants can result in very high exposure to airborne fungal spores and thermophilic actinomycetes. At plants sorting separated domestic waste, e.g. the combustible fraction of waste composed of paper, cardboard and plastics, the workers may have an increased risk of gastrointestinal symptoms and irritation of the eyes and skin. At such plants the bioaerosol exposure levels are in general low, but at some work tasks, e.g. manual sorting and work near the balers, exposure levels may occasionally be high enough to be potentially harmful. Workers handling the source-sorted paper or cardboard fraction do not appear to have an elevated risk of occupational health problems related to bioaerosol exposure, and the bioaerosol exposure is generally low.(ABSTRACT TRUNCATED AT 400 WORDS)

Endotoxin and microorganisms in percolate derived from compostable household waste.

Health related problems among Danish garbage collectors have been reported. Separated compostable household waste was analyzed for endotoxin and microorganisms in an experimental study. Aerosols and liquid (percolate) from the waste were sampled over two 14-day periods during storage in containers.

Variations in exposures to dust and endotoxin in Danish piggeries.

Two surveys studied day-to-day variations in exposures to dust and endotoxin and those caused by different tasks and the content of fat in the feed. The exposure to "total" particulate matter (TPM) was just below and at the same level, respectively, as the Danish occupational exposure limit of 5.0 mg/m3 for organic dust. No variation with task distance from the animals was found, but the results indicated decreased exposure when fat was added to the feed. The endotoxin exposure level was lower than previously reported. High correlations were found between TPM, respirable dust, and endotoxin.

Compliance with diphtheria, tetanus, and pertussis immunisation in Bangladesh: factors identifying high risk groups.

OBJECTIVE: To evaluate factors associated with non-compliance with having second vaccination against diphtheria, tetanus, and pertussis in a treatment centre in Dhaka to determine which children were most at risk of not completing immunisation. DESIGN: Cohort study of infants given first dose of the vaccine and followed up six weeks later to ascertain compliance with having second dose. Factors associated with non-compliance were evaluated. SETTING: Dhaka treatment centre of the International Centre for Diarrhoeal Disease Research, Bangladesh. SUBJECTS: 136 unimmunised children aged 6 weeks to 23 months who lived within reach of the treatment centre. At time of the six week follow up 16 of the children could not be traced and seven had died. INTERVENTIONS: All children received their first dose of the vaccine. In each case health education workers had informed the mother about the value of immunisation, and she was given clear instructions to bring the child back after four weeks for the second dose. MAIN OUTCOME MEASURE: Rate of non-compliance with advice to return child for second vaccination. RESULTS: 46 of 113 children (41%) received the second dose of the vaccine. Factors most closely associated with mothers' failure to comply with the second dose were lack of education and low income. Children whose mothers knew most about immunisation at first interview were more likely to have their second dose. CONCLUSIONS: Preventive health care services such as immunisation are appropriately offered in treatment centres, but compliance among children varies with socioeconomic status and mother's education. Further research should be aimed at ways to make health education more effective among uneducated parents.

PIP: Factors associated with noncompliance with have a 2nd vaccination against diphtheria, tetanus, and pertussis in a treatment center in Dhaka were evaluated in order to determine which children were most at risk for not completing their immunization. This cohort study of infants was conducted at the Dhaka treatment center of the International Center for Diarrheal Disease Research, Bangladesh and included 136 unimmunized children ages 6 weeks-23 months who lived within reach of the treatment center. 1st doses of the vaccination were given and followed up 6 weeks later to ascertain compliance with having the 2nd dose. At the 6-week followup, 16 of the children could not be traced and 7 had died. All children received their 1st dose of the vaccine. In each case, health education workers had informed the mother about the value of immunization, and she was provided clear instructions concerning the return of the child after 4 weeks had passed for the 2nd dose. Rate of noncompliance with advice to return the child for 2nd vaccination was the main outcome measure. 46 of 113 children (41%) received the 2nd vaccine dose. Factors most closely associated with maternal failure to comply with 2nd dose were lack of education and low income. Children whose mothers know most about immunization at 1st interview were more likely to have their 2nd dose. Preventive health care services such as immunization are appropriately offered in treatment centers but compliance among children varies with socioeconomic status and maternal education. Further research should be aimed at ways to make health education more effective among uneducated parents.

Biosafety considerations in industries with production methods based on the use of recombinant deoxyribonucleic acid.

Since no occupational accidents or diseases have been attributed specifically to the use of constructions containing recombinant deoxyribonucleic acid (rDNA), this paper evaluates the occupational health risks in industries utilizing genetically manipulated organisms mainly on the basis of theoretical considerations. Bacteria, filamentous fungi, yeasts, and mammalian cells in culture are in use. For each of these systems the possible hazards are considered. Concerning microbial production systems, infections are regarded as the main problem, but the risk of infection is considered extremely low. As for cells in culture, only dormant viruses are regarded as problematic, but well-defined production cell lines should not contain such undetected and dangerous viruses. Overall, the additional risks posed by rDNA-modified micro-organisms are minor. Only long-term observations can, however, confirm this assumption, and consequently the highest feasible containment measures should still be used in the years to come.

Fusidic acid in tear fluid: pharmacokinetic study with fusidic acid viscous eye drops.

Fusidic acid viscous eye drops, Fucithalmic (R), is a new eye antibiotic preparation which shows sustained-release properties. The long-lasting antibiotic concentrations in tear fluid can be ascribed to the carbomer used in the vehicle. Fusidic acid viscous eye drops was found to give significantly higher tear fluid concentrations than chloramphenicol viscous eye drops, the latter based on methylcellulose when investigated in rabbit eyes and dog eyes. In volunteers the excretion half-life of fusidic acid from tears was found to be 1.9 h. From a pharmacokinetic point of view and from already available clinical data, fusidic acid viscous eye drops would seem to be effective when given only twice daily.