Exposures and health outcomes in relation to bioaerosol emissions from composting facilities: a systematic review of occupational and community studies.
Exposures and health outcomes in relation to bioaerosol emissions from composting facilities: a systematic review of occupational and community studies.
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DOI：
10.1080/10937404.2015.1009961
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发表时间：
2015
期刊：
影响因子：
--
通讯作者：
Hansell AL
中科院分区：
文献类型：
--
作者：
Pearson C;Littlewood E;Douglas P;Robertson S;Gant TW;Hansell AL
由于努力减少被送往垃圾填埋场的垃圾比例，欧洲的堆肥场数量正在迅速增加，但关于可能对健康造成影响的证据有限。本文系统地回顾了与堆肥设施内和附近的生物气溶胶暴露以及社区和职业健康环境中相关的健康影响有关的研究。搜索了1960年1月至2014年7月期间的6个电子数据库和书目，以寻找与堆肥场相关的健康结果和/或生物气溶胶排放的研究报告。使用定制评分来评估偏倚的风险。536篇论文被确定和审查，66篇文章符合纳入标准(48篇暴露研究，9项健康研究，9项健康和暴露研究)。暴露信息有限，大多数测量是在职业环境中进行的，时间有限。在搅拌活动(翻转、粉碎和筛选)过程中，现场的生物气溶胶浓度最高。六项研究发现，在距离现场250米以上的地方，烟曲霉或细菌总数超过了英国环境局建议的阈值水平。对堆肥工人的职业研究表明，接触更高的生物气溶胶会增加患呼吸系统疾病的风险。据报道，堆肥场附近的居民呼吸道刺激增加，但这可能受到报告偏见的影响。关于堆肥设施排放的生物气溶胶对健康影响的证据基础仍然有限，尽管有足够的证据支持出于监管目的采取预防办法。虽然到目前为止的数据提示了可能的呼吸影响，但还需要进一步的研究来证实这一点，并探索其他健康后果。
The number of composting sites in Europe is rapidly increasing, due to efforts to reduce the fraction of waste destined for landfill, but evidence on possible health impacts is limited. This article systematically reviews studies related to bioaerosol exposures within and near composting facilities and associated health effects in both community and occupational health settings. Six electronic databases and bibliographies from January 1960 to July 2014 were searched for studies reporting on health outcomes and/or bioaerosol emissions related to composting sites. Risk of bias was assessed using a customized score. Five hundred and thirty-six papers were identified and reviewed, and 66 articles met the inclusion criteria (48 exposure studies, 9 health studies, 9 health and exposure studies). Exposure information was limited, with most measurements taken in occupational settings and for limited time periods. Bioaerosol concentrations were highest on-site during agitation activities (turning, shredding, and screening). Six studies detected concentrations of either Aspergillus fumigatus or total bacteria above the English Environment Agency’s recommended threshold levels beyond 250 m from the site. Occupational studies of compost workers suggested elevated risks of respiratory illnesses with higher bioaerosol exposures. Elevated airway irritation was reported in residents near composting sites, but this may have been affected by reporting bias. The evidence base on health effects of bioaerosol emissions from composting facilities is still limited, although there is sufficient evidence to support a precautionary approach for regulatory purposes. While data to date are suggestive of possible respiratory effects, further study is needed to confirm this and to explore other health outcomes.
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DOI：
10.3390/ijerph110100337
发表时间：
2013-12-24
影响因子：
--
作者：
Chang MW;Lee CR;Hung HF;Teng KS;Huang H;Chuang CY
通讯作者：
Chuang CY
影响因子：
1.7
作者：
ANDO, M;TAKASHIMA, S;MITO, T
通讯作者：
MITO, T
影响因子：
4.4
作者：
CLARK, CS;RYLANDER, R;LARSSON, L
通讯作者：
LARSSON, L
DOI：
10.1002/(sici)1097-0274(200005)37:5
发表时间：
2000-05-01
影响因子：
3.5
作者：
Douwes, J;Wouters, I;Heederik, D
通讯作者：
Heederik, D
DOI：
10.4415/ann_10_03_11
发表时间：
2010-01-01
期刊：
Annali dell'Istituto Superiore di Sanità
影响因子：
--
作者：
Coccia, Anna Maria;Gucci, Paola Margherita Bianca;Scaini, Federica
通讯作者：
Scaini, Federica