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A field study on clinical signs and symptoms in cleaners at floor polish removal and application in a Swedish hospital

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Abstract

Aim

To study health effects in hospital cleaners (N = 21) at floor polish removal and application.

Methods

The cleaners were investigated before exposure (Monday = day 1), after polish removal work (day 2), and after application of floor polish (day 3). Ratings of symptoms, tear-film break-up-time (BUT), nasal patency and biomarkers in nasal lavage were studied.

Results

There was a significant increase both day 2 and day 3, as compared to pre-exposure, in ocular, nasal, throat symptoms, solvent smell, dyspnoea, and general symptoms such as headache and fatigue. Posterior nasal patency was decreased day 2 (p < 0.01) and day 3 (p < 0.01). No change of nasal biomarkers (ECP, MPO, lysozyme, albumin) was seen. BUT was decreased after polish removal (p < 0.01), but not after polish application. Separate test of the weekday effect in non-exposed showed slight improvements, or no change of symptoms or clinical signs from Monday to Wednesday. Air concentrations of ethylene glycol monoethyl ether, ethylene glycol monobutyl ether, diethylene glycol monoethyl ether, dipropylene glycol monomethyl ether, diethylene glycol monoethyl ether and ethylene glycol phenyl ether 103, 666, 13,650, 7,000, 67, and 27 μg/m3, respectively, at polish application. Glycol ether levels were reduced to 3% after 2 days and 0.3% after 17 days.

Conclusions

Emissions from a common water-based polish remover and floor polish system may cause ocular and airway irritation and general symptoms, and reduce tear-film stability and nasal patency. The levels of glycol ethers had a rapid decay.

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Acknowledgments

Thanks to Institution of Clinical Chemistry, Medical Faculty, Uppsala University for analysis of biomarkers in nasal lavage and Professor Per Venge, Head of the institution. This study was supported by grants from The Swedish Council for Worklife Research.

Conflict of interest statement

The authors declare that they have no conflict of interest.

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Authors and Affiliations

  1. Uppsala University, Uppsala, Sweden

    Gunilla Wieslander & Dan Norbäck

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  1. Gunilla Wieslander
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  2. Dan Norbäck
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Correspondence to Gunilla Wieslander.

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Wieslander, G., Norbäck, D. A field study on clinical signs and symptoms in cleaners at floor polish removal and application in a Swedish hospital. Int Arch Occup Environ Health 83, 585–591 (2010). https://doi.org/10.1007/s00420-010-0531-5

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  • DOI: https://doi.org/10.1007/s00420-010-0531-5

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