Last data update: Sep 16, 2024. (Total: 47680 publications since 2009)
Records 1-4 (of 4 Records) |
Query Trace: Iossifova Y [original query] |
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What do we know of childhood exposures to metals (arsenic, cadmium, lead, and mercury) in Emerging Market countries?
Horton LM , Mortensen ME , Iossifova Y , Wald MM , Burgess P . Int J Pediatr 2013 2013 872596 Arsenic, cadmium, lead, and mercury present potential health risks to children who are exposed through inhalation or ingestion. Emerging Market countries experience rapid industrial development that may coincide with the increased release of these metals into the environment. A literature review was conducted for English language articles from the 21st century on pediatric exposures to arsenic, cadmium, lead, and mercury in the International Monetary Fund's (IMF) top 10 Emerging Market countries: Brazil, China, India, Indonesia, Mexico, Poland, Russia, South Korea, Taiwan, and Turkey. Seventy-six peer-reviewed, published studies on pediatric exposure to metals met the inclusion criteria. The reported concentrations of metals in blood and urine from these studies were generally higher than US reference values, and many studies identified adverse health effects associated with metals exposure. Evidence of exposure to metals in the pediatric population of these Emerging Market countries demonstrates a need for interventions to reduce exposure and efforts to establish country-specific reference values through surveillance or biomonitoring. The findings from review of these 10 countries also suggest the need for country-specific public health policies and clinician education in Emerging Markets. |
Occupational coccidioidomycosis in California: outbreak investigation, respirator recommendations, and surveillance findings
Das R , McNary J , Fitzsimmons K , Dobraca D , Cummings K , Mohle-Boetani J , Wheeler C , McDowell A , Iossifova Y , Bailey R , Kreiss K , Materna B . J Occup Environ Med 2012 54 (5) 564-71 OBJECTIVE: To describe the investigation of a 2007 occupational coccidioidomycosis outbreak in California, recommend prevention measures, and assess statewide disease burden. METHODS: We evaluated the worksite, observed work practices, interviewed the workers and employer, reviewed medical records, provided prevention recommendations including risk-based respirator selection, and analyzed statewide workers' compensation claims. RESULTS: Ten of 12 workers developed acute pulmonary coccidioidomycosis; none used respiratory protection. We recommended engineering, work practice, and administrative controls, powered air-purifying respirator use, and medical care. Occupational coccidioidomycosis incidence nearly quadrupled in California from 2000 to 2006, with the highest rates in construction and agricultural workers. CONCLUSIONS: Construction workers are at risk for occupational coccidioidomycosis. The high attack rate in this outbreak was due to lack of awareness, rainfall patterns, soil disruption, and failure to use appropriate controls. Multiple risk-based measures are needed to control occupational coccidioidomycosis in endemic areas. |
Lack of respiratory improvement following remediation of a water-damaged office building
Iossifova YY , Cox-Ganser JM , Park JH , White SK , Kreiss K . Am J Ind Med 2010 54 (4) 269-77 BACKGROUND: Damp buildings are commonly remediated without removing employees or ongoing medical surveillance. METHODS: We examined paired pulmonary function and questionnaire data from 2002 and 2005 for 97 employees in a water-damaged building during ongoing but incomplete remediation. RESULTS: We observed no overall improvement in respiratory health, as reflected in symptom scores, overall medication use, spirometry abnormalities, or sick leave. Four employees went from borderline bronchial hyperresponsiveness to bronchial hyperresponsiveness; six developed abnormal spirometry; three more reported post-occupancy current asthma, and four hypersensitivity pneumonitis. The number of participants without lower respiratory symptoms decreased from 27 in 2002 to 20 in 2005. Respiratory cases relocated in the building had a decrease in medication use and sick leave in 2005. CONCLUSIONS: During dampness remediation, relocation may be health protective and prevent incident building-related respiratory cases. Without relocation of entire workforces, medical surveillance is advisable for secondary prevention of existing building-related disease. Am. J. Ind. Med. (c) 2010 Wiley-Liss, Inc. |
Concurrent silicosis and pulmonary mycosis at death
Iossifova Y , Bailey R , Wood J , Kreiss K . Emerg Infect Dis 2010 16 (2) 318-20 To examine risk for mycosis among persons with silicosis, we examined US mortality data for 1979-2004. Persons with silicosis were more likely to die with pulmonary mycosis than were those without pneumoconiosis or those with more common pneumoconioses. Health professionals should consider enhanced risk for mycosis for silica-exposed patients. |
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