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Peto, R., Speizer, F.E., Cochrane, A.L., Moore, F., Fletcher, C.M., Tinker, C.M., Higgins, I.T.T., Gray, R.G., Richards, S.M., Gilliland, J. and Norman-Smith, B. (1983) The Relevance in Adults of Air-flow Obstruction, but Not of Mucus Hypersecretion, to Mortality from Chronic Lung Disease: Results from 20 Years of Prospective Observation. American Review of Respiratory Disease, 128, 491-500. http://dx.doi.org/10.1164/arrd.1983.128.3.491

has been cited by the following article:

  • TITLE: Occupational Health Surveillance: Pulmonary Function Test in Proppant Exposures

    AUTHORS: Humairat H. Rahman, Giffe T. Johnson, Raymond D. Harbison

    KEYWORDS: Proppant, Hydraulic Fracking, Pulmonary Function Test, Proppant Workers

    JOURNAL NAME: Occupational Diseases and Environmental Medicine, Vol.4 No.2, May 12, 2016

    ABSTRACT: Workers involved in hydraulic fracking processes are exposed to various types of chemicals and dusts in their workplaces, such as proppants, which hold open the fissures created in the fracking process. Recently, ceramic proppants have been developed that may be less hazardous to workers than traditional proppants. Pulmonary function testing of workers producing ceramic proppant was used to assess the potential inhalation hazards of ceramic proppant. 100 male workers from a producer of ceramic proppant were evaluated with pulmonary function test data collected and evaluated using The American Thoracic Society (ATS) acceptability criteria. A comparison group was selected from the Third National Health and Nutrition Examination Survey (NHANES III) spirometry laboratory subset. No pulmonary function deficits were found in the worker group in comparison to the NHANES III population. Mean FEV1 and FVC values in workers were 3.8 and 4.8 liters respectively, and were greater as compared to the NHANES III population of similar demographics. An FEV1/FVC ratio of less than 0.8, when compared to the NHANES III group, produced an odds ratio of 0.44 in worker group, indicating less risk of preclinical pulmonary dysfunction. Overall, exposure to ceramic proppant was not found to produce an adverse impact on pulmonary function in workers engaged in the manufacture of ceramic proppant.