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Arc welding and airway disease

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Abstract

Fume from arc welding has long been suspected to cause various lung diseases. This paper, developed by Commission VIII of the International Institute of Welding (Health Safety and Environment), summarises the epidemiological evidence for fume and airway disease including asthma, chronic obstructive airway disease and accelerated loss of lung function. Whilst the epidemiological evidence for the link between these conditions remains limited, a precautionary approach is recommended by Commission VIII and clear guidelines regarding control of fume are given.

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References

  1. Antonini JM, Lewis AB, Roberts JR, Whaley DA (2003) Pulmonary effects of welding fumes: review of worker and experimental animal studies. Am J Ind Med 43(4):350–360

    Article  Google Scholar 

  2. Antonini JM (2003) Health effects of welding. Crit Rev Toxicol 33(1):61–103

    Article  Google Scholar 

  3. Antonini JM, Taylor MD, Zimmer AT, Roberts JR (2004) Pulmonary responses to welding fumes: role of metal constituents. J Toxicol Environ Health A 67(3):233–249

    Article  Google Scholar 

  4. Goller JW, Paik NW (1985) A comparison of iron oxide fume inside and outside of welding helmets. Am Ind Hyg Assoc J 46(2):89–93

    Article  Google Scholar 

  5. Liu D, Wong H, Quinlan P, Blanc PD (1995) Welding helmet airborne fume concentrations compared to personal breathing zone sampling. Am Ind Hyg Assoc J 56(3):280–283

    Article  Google Scholar 

  6. Ware JH, Dockery DW, Louis TA, Xu XP, Ferris BG Jr, Speizer FE (1990) Longitudinal and cross-sectional estimates of pulmonary function decline in never-smoking adults. Am J Epidemiol 132(4):685–700

    Google Scholar 

  7. Borsboom GJ, van Pelt W, van Houwelingen HC, van Vianen BG, Schouten JP, Quanjer PH (1999) Diurnal variation in lung function in subgroups from two Dutch populations: consequences for longitudinal analysis. Am J Respir Crit Care Med 159(4 Pt 1):1163–1171

    Article  Google Scholar 

  8. Howard P (1990) Natural history of obstructive airways disease and hypoxia: implications for therapy. Lung 168(Suppl):743–750

    Article  Google Scholar 

  9. Frette C, Barrett-Connor E, Clausen JL (1996) Effect of active and passive smoking on ventilatory function in elderly men and women. Am J Epidemiol 143(8):757–765

    Article  Google Scholar 

  10. Francis TJ (1982) A study of the immediate effects of welding fume on pulmonary function. J R Nav Med Serv 68(3):136–144

    Google Scholar 

  11. Kilburn KH, Warshaw R, Boylen CT, Thornton JC, Hopfer SM, Sunderman FW Jr, Finklea J (1990) Cross-shift and chronic effects of stainless-steel welding related to internal dosimetry of chromium and nickel. Am J Ind Med 17(5):607–615

    Article  Google Scholar 

  12. Akbarkhanzadeh F (1993) Short-term respiratory function changes in relation to workshift welding fume exposures. Int Arch Occup Environ Health 64(6):393–397

    Article  Google Scholar 

  13. Donoghue AM, Glass WI, Herbison GP (1994) Transient changes in the pulmonary function of welders: a cross sectional study of Monday peak expiratory flow. Occup Environ Med 51(8):553–556

    Article  Google Scholar 

  14. Fishwick D, Bradshaw LM, Slater T, Pearce N (1997) Respiratory symptoms, across-shift lung function changes and lifetime exposures of welders in New Zealand. Scand J Work Environ Health 23(5):351–358

    Article  Google Scholar 

  15. El-Zein M, Malo JL, Infante-Rivard C, Gautrin D (2003) Incidence of probable occupational asthma and changes in airway calibre and responsiveness in apprentice welders. Eur Respir J 22(3):513–518

    Article  Google Scholar 

  16. El-Zein M, Malo JL, Infante-Rivard C, Gautrin D (2003) Prevalence and association of welding related systemic and respiratory symptoms in welders. Occup Environ Med 60(9):655–661

    Article  Google Scholar 

  17. Beach JR, Dennis JH, Avery AJ, Bromly CL, Ward RJ, Walters EH, Stenton SC, Hendrick DJ (1996) An epidemiologic investigation of asthma in welders. Am J Respir Crit Care Med 154(5):1394–1400

    Article  Google Scholar 

  18. Bakerly ND, Moore VC, Vellore AD, Jaakkola MS, Robertson AS, Burge PS (2008) Fifteen-year trends in occupational asthma: data from the Shield surveillance scheme. Occup Med (Lond) 58(3):169–174

    Article  Google Scholar 

  19. Wang ZP, Larsson K, Malmberg P, Sjogren B, Hallberg BO, Wrangskog K (1994) Asthma, lung function, and bronchial responsiveness in welders. Am J Ind Med 26(6):741–754

    Article  Google Scholar 

  20. Health and Safety Executive. Asthmagen? Critical assessments of the evidence for agents implicated in occupational asthma. HSE books; 1997

  21. Hannu T, Piipari R, Kasurinen H, Keskinen H, Tuppurainen M, Tuomi T (2005) Occupational asthma due to manual metal-arc welding of special stainless steels. Eur Respir J 26(4):736–739

    Article  Google Scholar 

  22. Vandenplas O, Dargent F, Auverdin JJ, Boulanger J, Bossiroy JM, Roosels D, Vande WR (1995) Occupational asthma due to gas metal arc welding on mild steel. Thorax 50(5):587–588

    Article  Google Scholar 

  23. Vandenplas O, Delwiche JP, Vanbilsen ML, Joly J, Roosels D (1998) Occupational asthma caused by aluminium welding. Eur Respir J 11(5):1182–1184

    Article  Google Scholar 

  24. Park HS, Yu HJ, Jung KS (1994) Occupational asthma caused by chromium. Clin Exp Allergy 24(7):676–681

    Article  Google Scholar 

  25. Bright P, Burge PS, O'Hickey SP, Gannon PF, Robertson AS, Boran A (1997) Occupational asthma due to chrome and nickel electroplating. Thorax 52(1):28–32

    Article  Google Scholar 

  26. Walters GI, Moore VC, Robertson AS, Burge CB, Vellore AD, Burge PS (2012) An outbreak of occupational asthma due to chromium and cobalt. Occup Med (Lond) 62(7):533–540

    Article  Google Scholar 

  27. Hannu T, Piipari R, Tuppurainen M, Tuomi T (2007) Occupational asthma due to welding fumes from stellite. J Occup Environ Med 49(5):473–474

    Article  Google Scholar 

  28. Hannu T, Piipari R, Tuppurainen M, Nordman H, Tuomi T (2007) Occupational asthma caused by stainless steel welding fumes: a clinical study. Eur Respir J 29(1):85–90

    Article  Google Scholar 

  29. Lee HS, Chia SE, Yap JC, Wang YT, Lee CS (1990) Occupational asthma due to spot-welding. Singap Med J 31(5):506–508

    Google Scholar 

  30. Contreras GR, Chan-Yeung M (1997) Bronchial reactions to exposure to welding fumes. Occup Environ Med 54(11):836–839

    Article  Google Scholar 

  31. Keskinen H, Kalliomaki PL, Alanko K (1980) Occupational asthma due to stainless steel welding fumes. Clin Allergy 10(2):151–159

    Article  Google Scholar 

  32. Cirla AM, Aruffini A, Isati G, Edda S (1982) Manifestazioni respiratorie allergiche da inalazione di fumi di saldatura di acciaio inossidabile. Lav Um 30:17–20

    Google Scholar 

  33. Wittczak T, Dudek W, Walusiak-Skorupa J, Swierczynska-Machura D, Cader W, Kowalczyk M, Palczynski C (2012) Metal-induced asthma and chest X-ray changes in welders. Int J Occup Med Environ Health 25(3):242–250

    Article  Google Scholar 

  34. Munoz X, Cruz MJ, Freixa A, Guardino X, Morell F (2009) Occupational asthma caused by metal arc welding of iron. Respiration 78(4):455–459

    Article  Google Scholar 

  35. Tarlo SM (2003) Workplace irritant exposures: do they produce true occupational asthma? Ann Allergy Asthma Immunol 90(5 Suppl 2):19–23

    Article  Google Scholar 

  36. Vandenplas O, Malo JL (2003) Definitions and types of work-related asthma: a nosological approach. Eur Respir J 21(4):706–712

    Article  Google Scholar 

  37. Francis HC, Prys-Picard CO, Fishwick D, Stenton C, Burge PS, Bradshaw LM, Ayres JG, Campbell SM, Niven RM (2007) Defining and investigating occupational asthma: a consensus approach. Occup Environ Med 64(6):361–365

    Article  Google Scholar 

  38. Lillienberg L, Zock JP, Kromhout H, Plana E, Jarvis D, Toren K, Kogevinas M (2008) A population-based study on welding exposures at work and respiratory symptoms. Ann Occup Hyg 52(2):107–115

    Article  Google Scholar 

  39. Langley RL (1991) Fume fever and reactive airways dysfunction syndrome in a welder. South Med J 84(8):1034–1036

    Article  Google Scholar 

  40. Brooks SM, Weiss MA, Bernstein IL (1985) Reactive airways dysfunction syndrome. Case reports of persistent airways hyperreactivity following high-level irritant exposures. J Occup Med 27(7):473–476

    Google Scholar 

  41. Shakeri MS, Dick FD, Ayres JG (2008) Which agents cause reactive airways dysfunction syndrome (RADS)? A systematic review. Occup Med (Lond) 58(3):205–211

    Article  Google Scholar 

  42. Hunnicutt TNJ, Cracovaner DJ, Myles JT (1964) Spirometric measurements in welders. Arch Environ Health 8:661–669

    Article  Google Scholar 

  43. Oxhoj H, Bake B, Wedel H, Wilhelmsen L (1979) Effects of electric arc welding on ventilatory lung function. Arch Environ Health 34(4):211–217

    Article  Google Scholar 

  44. Akbarkhanzadeh F (1980) Long-term effects of welding fumes upon respiratory symptoms and pulmonary function. J Occup Med 22(5):337–341

    Article  Google Scholar 

  45. Kalliomaki PL, Kalliomaki K, Korhonen O, Nordman H, Rahkonen E, Vaaranen V (1982) Respiratory status of stainless steel and mild steel welders. Scand J Work Environ Health 8(Suppl 1):117–121

    Google Scholar 

  46. Zober A, Weltle D (1985) Cross-sectional study of respiratory effects of arc welding. J Soc Occup Med 35(3):79–84

    Article  Google Scholar 

  47. Kilburn KH, Warshaw RH (1989) Pulmonary functional impairment from years of arc welding. Am J Med 87(1):62–69

    Article  Google Scholar 

  48. Rastogi SK, Gupta BN, Husain T, Mathur N, Srivastava S (1991) Spirometric abnormalities among welders. Environ Res 56(1):15–24

    Article  Google Scholar 

  49. Ozdemir O, Numanoglu N, Gonullu U, Savas I, Alper D, Gurses H (1995) Chronic effects of welding exposure on pulmonary function tests and respiratory symptoms. Occup Environ Med 52(12):800–803

    Article  Google Scholar 

  50. Erhabor GE, Fatusi S, Obembe OB (2001) Pulmonary functions in ARC-welders in Ile-Ife. Niger East Afr Med J 78(9):461–464

    Google Scholar 

  51. Meo SA (2003) Spirometric evaluation of lung function (maximal voluntary ventilation) in welding workers. Saudi Med J 24(6):656–659

    Google Scholar 

  52. Stepnewski M, Kolarzyk E, Pietrzycka A, Kitlinski M, Helbin J, Brzyszczan K (2003) Antioxidant enzymes and pulmonary function in steel mill welders. Int J Occup Med Environ Health 16(1):41–47

    Google Scholar 

  53. Meo SA, Azeem MA, Subhan MM (2003) Lung function in Pakistani welding workers. J Occup Environ Med 45(10):1068–1073

    Article  Google Scholar 

  54. Sharifian SA, Loukzadeh Z, Shojaoddiny-Ardekani A, Aminian O (2011) Pulmonary adverse effects of welding fume in automobile assembly welders. Acta Med Iran 49(2):98–102

    Google Scholar 

  55. Fogh A, Frost J, Georg J (1969) Respiratory symptoms and pulmonary function in welders. Ann Occup Hyg 12(4):213–218

    Article  Google Scholar 

  56. Peters JM, Murphy RL, Ferris BG, Burgess WA, Ranadive MV, Perdergrass HP (1973) Pulmonary function in shipyard welders: an epidemiologic study. Arch Environ Health 26(1):28–31

    Article  Google Scholar 

  57. Keimig DG, Pomrehn PR, Burmeister LF (1983) Respiratory symptoms and pulmonary function in welders of mild steel: a cross-sectional study. Am J Ind Med 4(4):489–499

    Article  Google Scholar 

  58. McMillan GH, Pethybridge RJ (1984) A clinical, radiological and pulmonary function case–control study of 135 Dockyard welders aged 45 years and over. J Soc Occup Med 34(1):3–23

    Article  Google Scholar 

  59. Hayden SP, Pincock AC, Hayden J, Tyler LE, Cross KW, Bishop JM (1984) Respiratory symptoms and pulmonary function of welders in the engineering industry. Thorax 39(6):442–447

    Article  Google Scholar 

  60. Sjogren B, Ulfvarson U (1985) Respiratory symptoms and pulmonary function among welders working with aluminum, stainless steel and railroad tracks. Scand J Work Environ Health 11(1):27–32

    Article  Google Scholar 

  61. Mur JM, Teculescu D, Pham QT, Gaertner M, Massin N, Meyer-Bisch C, Moulin JJ, Diebold F, Pierre F, Meurou-Poncelet B (1985) Lung function and clinical findings in a cross-sectional study of arc welders. An epidemiological study. Int Arch Occup Environ Health 57(1):1–17

    Article  Google Scholar 

  62. Marquart H, Smid T, Heederik D, Visschers M (1989) Lung function of welders of zinc-coated mild steel: cross-sectional analysis and changes over five consecutive work shifts. Am J Ind Med 16(3):289–296

    Article  Google Scholar 

  63. Ganguli AK (1991) Pulmonary functions in relation to welding processes and materials. Symposium on Joining of Materials. p. 647–52.

  64. Sobaszek A, Edme JL, Boulenguez C, Shirali P, Mereau M, Robin H, Haguenoer JM (1998) Respiratory symptoms and pulmonary function among stainless steel welders. J Occup Environ Med 40(3):223–229

    Article  Google Scholar 

  65. Jayawardana P, Abeysena C (2009) Respiratory health of welders in a container yard, Sri Lanka. Occup Med (Lond) 59(4):226–229

    Article  Google Scholar 

  66. Lyngenbo O, Groth S, Groth M, Olsen O, Rossing N (1989) Occupational lung function impairment in never-smoking Danish welders. Scand J Soc Med 17(2):157–164

    Google Scholar 

  67. Hjortsberg U, Orbaek P, Arborelius M Jr (1992) Small airways dysfunction among non-smoking shipyard arc welders. Br J Ind Med 49(6):441–444

    Google Scholar 

  68. El-Zein M, Infante-Rivard C, Malo JL, Gautrin D (2005) Is metal fume fever a determinant of welding related respiratory symptoms and/or increased bronchial responsiveness? A longitudinal study. Occup Environ Med 62(10):688–694

    Article  Google Scholar 

  69. Mur JM, Pham QT, Teculescu D, Massin N, Meyer-Bisch C, Moulin JJ, Wild P, Leonard M, Henquel JC, Baudin V (1989) Arc welders’ respiratory health evolution over five years. Int Arch Occup Environ Health 61(5):321–327

    Article  Google Scholar 

  70. Chinn DJ, Stevenson IC, Cotes JE (1990) Longitudinal respiratory survey of shipyard workers: effects of trade and atopic status. Br J Ind Med 47(2):83–90

    Google Scholar 

  71. Chinn DJ, Cotes JE, el Gamal FM, Wollaston JF (1995) Respiratory health of young shipyard welders and other tradesmen studied cross sectionally and longitudinally. Occup Environ Med 52(1):33–42

    Article  Google Scholar 

  72. Rossignol M, Seguin P, DeGuire L (1996) Evaluation of the utility of spirometry in a regional public health screening program for workers exposed to welding fumes. J Occup Environ Med 38(12):1259–1263

    Article  Google Scholar 

  73. Beckett WS, Pace PE, Sferlazza SJ, Perlman GD, Chen AH, Xu XP (1996) Airway reactivity in welders: a controlled prospective cohort study. J Occup Environ Med 38(12):1229–1238

    Article  Google Scholar 

  74. Erkinjuntti-Pekkanen R, Slater T, Cheng S, Fishwick D, Bradshaw L, Kimbell-Dunn M, Dronfield L, Pearce N (1999) Two year follow up of pulmonary function values among welders in New Zealand. Occup Environ Med 56(5):328–333

    Article  Google Scholar 

  75. Christensen SW, Bonde JP, Omland O (2008) A prospective study of decline in lung function in relation to welding emissions. J Occup Med Toxicol 3:6

    Article  Google Scholar 

  76. Thaon I, Demange V, Herin F, Touranchet A, Paris C (2012) Increased lung function decline in blue-collar workers exposed to welding fumes. Chest Jan 26.

  77. Haluza D, Moshammer H, Hochgatterer K (2014) Dust is in the air. Part II: effects of occupational exposure to welding fumes on lung function in a 9-year study. Lung 192(1):111–117

    Article  Google Scholar 

  78. Szram J, Schofield SJ, Cosgrove MP, Cullinan P (2013) Welding, longitudinal lung function decline and chronic respiratory symptoms: a systematic review of cohort studies. Eur Respir J 42:1186–1193

    Article  Google Scholar 

  79. McMillan GH, Heath J (1979) The health of welders in naval dockyards: acute changes in respiratory function during standardized welding. Ann Occup Hyg 22(1):19–32

    Article  Google Scholar 

  80. Nielsen J, Dahlqvist M, Welinder H, Thomassen Y, Alexandersson R, Skerfving S (1993) Small airways function in aluminium and stainless steel welders. Int Arch Occup Environ Health 65(2):101–105

    Article  Google Scholar 

  81. Wolf C, Pirich C, Valic E, Waldhoer T (1997) Pulmonary function and symptoms of welders. Int Arch Occup Environ Health 69(5):350–353

    Article  Google Scholar 

  82. Kolarzyk E, Stepniewski M, Mendyk A, Kitlinski M, Pietrzycka A (2006) The usefulness of artificial neural networks in the evaluation of pulmonary efficiency and antioxidant capacity of welders. Int J Hyg Environ Health 209(4):385–392

    Article  Google Scholar 

  83. Cotes JE, Feinmann EL, Male VJ, Rennie FS, Wickham CA (1989) Respiratory symptoms and impairment in shipyard welders and caulker/burners. Br J Ind Med 46(5):292–301

    Google Scholar 

  84. Buerke U, Schneider J, Rosler J, Woitowitz HJ (2002) Interstitial pulmonary fibrosis after severe exposure to welding fumes. Am J Ind Med 41(4):259–268

    Article  Google Scholar 

  85. Muller KM, Verhoff MA (2000) Graduierung von Sideropneumokoniosen [Gradation of sideropneumoconiosis]. Pneumologie 54(8):315–317

    Article  Google Scholar 

  86. Abraham JL, Hertzberg MA (1981) Inorganic particulates associated with desquamative interstitial pneumonia. Chest 80(1 Suppl):67–70

    Article  Google Scholar 

  87. Stern RM, Pigott GH, Abraham JL (1983) Fibrogenic potential of welding fumes. J Appl Toxicol 3(1):18–30

    Article  Google Scholar 

  88. Godbert B, Wissler MP, Vignaud JM (2013) Desquamative interstitial pneumonia: an analytic review with an emphasis on aetiology. Eur Respir Rev 22(128):117–123

    Article  Google Scholar 

  89. Palmer KT, Poole J, Ayres JG, Mann J, Burge PS, Coggon D (2003) Exposure to metal fume and infectious pneumonia. Am J Epidemiol 157(3):227–233

    Article  Google Scholar 

  90. Palmer KT, Cullinan P, Rice S, Brown T, Coggon D (2009) Mortality from infectious pneumonia in metal workers: a comparison with deaths from asthma in occupations exposed to respiratory sensitisers. Thorax 64(11):983–986

    Article  Google Scholar 

  91. Coggon D, Inskip H, Winter P, Pannett B (1994) Lobar pneumonia: an occupational disease in welders. Lancet 344(8914):41–43

    Article  Google Scholar 

  92. Palmer KT, Cosgrove MP (2012) Vaccinating welders against pneumonia. Occup Med (Lond) 62(5):325–330

    Article  Google Scholar 

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Acknowledgments

The author would like to thank all the members of Commission VIII of the International Institute of Welding for their tremendous support, advice and cooperation in developing and writing this document.

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Correspondence to Martin Cosgrove.

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Doc. IIW-2487, recommended for publication by Commission VIII “Health, Safety and Environment”

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Cosgrove, M. Arc welding and airway disease. Weld World 59, 1–7 (2015). https://doi.org/10.1007/s40194-014-0172-5

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