{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,6]],"date-time":"2025-10-06T09:18:06Z","timestamp":1759742286691,"version":"3.37.3"},"reference-count":29,"publisher":"European Respiratory Society (ERS)","issue":"4","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Eur Respir J"],"accepted":{"date-parts":[[2007,11,4]]},"published-print":{"date-parts":[[2008,4]]},"abstract":"<jats:p>Ingestion of milk powder is a known cause of allergies in children, but the risks to respiratory health from exposure to inhaled milk powder have not been studied previously. The aim of the present study was to assess the effects of occupational exposures in a milk powder factory on respiratory symptoms and lung function.<\/jats:p><jats:p>A cross-sectional study was conducted on 167 milk powder factory workers (response rate 77%) and 76 office workers (73%) from four factories in Thailand. All participants answered a questionnaire and performed spirometry. Measurements of concentrations of dust were used to give additional information on exposures.<\/jats:p><jats:p>Mean respirable dust concentrations in the factory were 0.02\u20132.18\u2005mg\u00b7m<jats:sup>\u22123<\/jats:sup>. The risk of breathlessness and nasal symptoms were significantly increased in production and packing staff. The risk of skin symptoms was significantly increased in those adding vitamin mixture to milk powder. Factory workers showed significantly lower forced expiratory volume in one second measured as percentage of predicted value.<\/jats:p><jats:p>The present study provides new evidence that workers exposed to milk powder by inhalation are at an increased risk of nasal symptoms, wheezing and breathlessness, and exhibit reduced spirometric lung function, even at relatively low air concentrations of milk dust.<\/jats:p>","DOI":"10.1183\/09031936.00106407","type":"journal-article","created":{"date-parts":[[2007,11,22]],"date-time":"2007-11-22T01:36:13Z","timestamp":1195695373000},"page":"807-814","source":"Crossref","is-referenced-by-count":10,"title":["Respiratory effects of occupational exposures in a milk powder factory"],"prefix":"10.1183","volume":"31","author":[{"given":"P.","family":"Sripaiboonkij","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"W.","family":"Phanprasit","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"M. S.","family":"Jaakkola","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"81","published-online":{"date-parts":[[2007,11,21]]},"reference":[{"key":"2024102019265158000_31.4.807.1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2005.06.018"},{"key":"2024102019265158000_31.4.807.2","doi-asserted-by":"crossref","first-page":"P33","DOI":"10.1016\/S1081-1206(10)62120-5","volume":"89","year":"2002","journal-title":"Ann Allergy Asthma Immunol"},{"key":"2024102019265158000_31.4.807.3","doi-asserted-by":"crossref","first-page":"P52","DOI":"10.1016\/S1081-1206(10)62123-0","volume":"89","year":"2002","journal-title":"Ann Allergy Asthma Immunol"},{"key":"2024102019265158000_31.4.807.4","doi-asserted-by":"publisher","DOI":"10.1016\/j.foodcont.2004.10.020"},{"key":"2024102019265158000_31.4.807.5","unstructured":"World Health Organization. WHO Global strategy for Food Safety. Safer Food for Better Health. Geneva, World Health Organization, 2002. www.who.int\/foodsafety\/publications\/general\/en\/strategy_en.pdf. Date last accessed: February 4, 2008"},{"key":"2024102019265158000_31.4.807.6","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.02110543"},{"key":"2024102019265158000_31.4.807.7","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2002.123870"},{"key":"2024102019265158000_31.4.807.8","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.93.12.2055"},{"key":"2024102019265158000_31.4.807.9","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwg238"},{"key":"2024102019265158000_31.4.807.10","doi-asserted-by":"publisher","DOI":"10.1183\/09031936.04.00116903"},{"key":"2024102019265158000_31.4.807.11","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2005.11.003"},{"key":"2024102019265158000_31.4.807.12","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwj249"},{"key":"2024102019265158000_31.4.807.13","doi-asserted-by":"crossref","first-page":"1007","DOI":"10.1289\/ehp.9875","volume":"115","year":"2007","journal-title":"Environ Health Perspect"},{"key":"2024102019265158000_31.4.807.14","doi-asserted-by":"publisher","DOI":"10.1164\/ajrccm.152.3.7663792"},{"key":"2024102019265158000_31.4.807.15","first-page":"457","volume":"83","year":"2000","journal-title":"J Med Assoc Thai"},{"key":"2024102019265158000_31.4.807.16","unstructured":"Eller PM, Cassinelli ME. NIOSH Manual of Analytical Methods. 4th Edn. Department of Health and Human Services (National Institute for Occupational Safety and Health), Publication No.\u200594-113. Ohio, Centers for Disease Control and Prevention, 1994"},{"key":"2024102019265158000_31.4.807.17","unstructured":"Burge PS. How to take an occupational exposure history relevant to lung disease. In: Hendrick DJ, Burge PS, Beckett WS, Churg A, eds. Occupational Disorders of the Lung: Recognition, Management and Prevention. London, WB Saunders, 2002; pp.\u200526\u201329"},{"key":"2024102019265158000_31.4.807.18","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.1108"},{"key":"2024102019265158000_31.4.807.19","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2002.120557"},{"key":"2024102019265158000_31.4.807.20","doi-asserted-by":"publisher","DOI":"10.1067\/mai.2002.126461"},{"key":"2024102019265158000_31.4.807.21","doi-asserted-by":"publisher","DOI":"10.1136\/oem.2005.025221"},{"key":"2024102019265158000_31.4.807.22","doi-asserted-by":"publisher","DOI":"10.1007\/s11882-007-0017-z"},{"key":"2024102019265158000_31.4.807.23","doi-asserted-by":"crossref","first-page":"189","DOI":"10.1111\/j.1398-9995.1994.tb00824.x","volume":"49","year":"1994","journal-title":"Allergy"},{"key":"2024102019265158000_31.4.807.24","doi-asserted-by":"publisher","DOI":"10.1097\/01.jom.0000144997.94352.1d"},{"key":"2024102019265158000_31.4.807.25","doi-asserted-by":"publisher","DOI":"10.1111\/j.1398-9995.1990.tb00500.x"},{"key":"2024102019265158000_31.4.807.26","doi-asserted-by":"publisher","DOI":"10.1016\/0091-6749(94)90261-5"},{"key":"2024102019265158000_31.4.807.27","doi-asserted-by":"publisher","DOI":"10.1016\/j.jaci.2006.03.048"},{"key":"2024102019265158000_31.4.807.28","doi-asserted-by":"publisher","DOI":"10.1111\/j.0105-1873.2004.00304.x"},{"key":"2024102019265158000_31.4.807.29","doi-asserted-by":"publisher","DOI":"10.1097\/00130832-200410000-00012"}],"container-title":["European Respiratory Journal"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/syndication.highwire.org\/content\/doi\/10.1183\/09031936.00106407","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,2,24]],"date-time":"2025-02-24T06:07:19Z","timestamp":1740377239000},"score":1,"resource":{"primary":{"URL":"https:\/\/publications.ersnet.org\/lookup\/doi\/10.1183\/09031936.00106407"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2007,11,21]]},"references-count":29,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2008,3,31]]},"published-print":{"date-parts":[[2008,4]]}},"alternative-id":["10.1183\/09031936.00106407"],"URL":"https:\/\/doi.org\/10.1183\/09031936.00106407","relation":{},"ISSN":["0903-1936","1399-3003"],"issn-type":[{"type":"print","value":"0903-1936"},{"type":"electronic","value":"1399-3003"}],"subject":[],"published":{"date-parts":[[2007,11,21]]}}}