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International Journal of Immunopathology and Pharmacology
Preface: ISOEAID ’05 IN KUMAMOTO TOWARDS THE CONSECUTIVE AND COMPREHENSIVE CONTROL MEASURES FOR PREVENTION OF ALLERGY AND IMMUNO-TOXICITY IN THE WORKPLACE AND LIVING ENVIRONMENT
1. Vol. 20, no. 2, (S2)1-8 (2007) FOREST BATHING ENHANCES HUMAN NATURAL KILLER ACTIVITY AND EXPRESSION OF ANTI-CANCER PROTEINS Q. LI, K. MORIMOTO1, A. NAKADAI, H. INAGAKI, M. KATSUMATA, T. SHIMIZU, Y. HIRATA, K. HIRATA, H. SUZUKI, Y. MIYAZAKI2, T. KAGAWA2, Y. KOYAMA3, T. OHIRA2, N. TAKAYAMA2, A.M. KRENSKY4 and T. KAWADA Department of Hygiene and Public Health, Nippon Medical School, Tokyo; 1Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Osaka; 2Forestry and Forest Products Research Institute, Tsukuba, Ibaraki; 3Nagano Prefecture Forest Research Center, Nagano, Shiojiri, Japan; 4Stanford University School of Medicine, Palo Alto, CA, USA In order to explore the effect of forest bathing on human immune function, we investigated natural killer (NK) activity; the number of NK cells, and perforin, granzymes and granulysin-expression in peripheral blood lymphocytes (PBL) during a visit to forest fields. Twelve healthy male subjects, age 37-55 years, were selected with informed consent from three large companies in Tokyo, Japan. The subjects experienced a three-day/two-night trip in three different forest fields. On the first day, subjects walked for two hours in the afternoon in a forest field; and on the second day, they walked for two hours in the morning and afternoon, respectively, in two different forest fields. Blood was sampled on the second and third days, and NK activity; proportions of NK, T cells, granulysin, perforin, and granzymes A/B-expressing cells in PBL were measured. Similar measurements were made before the trip on a normal working day as the control. Almost all of the subjects (11/12) showed higher NK activity after the trip (about 50% increased) compared with before. There are significant differences both before and after the trip and between days 1 and 2 in NK activity. The forest bathing trip also significantly increased the numbers of NK, perforin, granulysin, and granzymes A/B-expressing cells. Taken together, these findings indicate that a forest bathing trip can increase NK activity, and that this effect at least partially mediated by increasing the number of NK cells and by the induction of intracellular anti-cancer proteins.
2. Vol. 20, no. 2, (S2) 9-14 (2007)
ACUTE IMPACT OF VOLCANIC ASH ON ASTHMA SYMPTOMS AND TREATMENT Y. SHIMIZU, K. DOBASHI1, T. HISADA, A. ONO, M. TODOKORO2, H. IIJIMA, M. UTSUGI, S. KAKEGAWA3, K. IIZUKA4, T. ISHIZUKA, A. MORIKAWA2 and M. MORI Department of Medicine and Molecular Science, Gunma University Graduate School of Medicine, 1Gunma University Faculty of Health Science, 2Department of Pediatrics and Developmental Medicine, Gunma University Graduate School of Medicine, Gunma; 3Gunma University Faculty of Medicine, School of Medicine, 4Tomioka General Hosptal, Gunma, Japan Information about the impacts of disasters on health is useful for establishing hazard prediction maps and action plans of disaster management. This study aims at learning effective asthma management from the volcano disaster of Mount Asama eruption in Japan on September 1, 2004. We conducted a cross-sectional study to assess the acute impact of volcanic ash on asthma symptoms and their treatment changes by using a questionnaire completed by 236 adult asthmatic patients and their physicians. In the ashfall over 100g/m2 area, 42.9% of asthma patients suffered exacerbations, PEF decreased, asthma treatments increased, and inhalation of β2 stimulants was used most for exacerbated asthma. Compared to severe asthma patients, mild and moderate asthma patients were most at risk. Severe asthma patients were not affected since most of them knew their asthma status was severe, and did not go outside and kept windows closed. Deteriorated asthma symptoms of wheezing, chest tightness and cough appeared in the ashfall over 100g/m2 area. Ash contained inhalable 10μm diameter particles, and included high concentrations of airway toxic substrates of silica. These data suggest that ashfall over 100 g/m2 is harmful, access to these areas by asthma patients needs to be restricted, and these areas need to improve asthma treatment. In addition, the increase in the proportion of asthma patients with wheeze and cough are diagnostic clues for ash-induced asthma in affected areas, and can be used by doctors to tell whether patients are receiving sufficient asthma treatment.
3. Vol. 20, no. 2, (S2) 15-22 (2007)
REVIEW ARTICLE IMMUNOTOXICITY AND SENSITIZING CAPACITY OF METAL COMPOUNDS DEPEND ON SPECIATION M. DI GIOACCHINO, N. VERNA, L. DI GIAMPAOLO, F. DI CLAUDIO, M.C. TURI, A. PERRONE. C. PETRARCA, R. MARIANI-COSTANTINI1, E. SABBIONI2 and P. BOSCOLO3 Allergy Related Diseases Unit and 1Molecular Pathology Unit, Ageing Research Center (CeSI) “G. d’Annunzio” University Foundation, Chieti; 2Joint Research Center of the European Commission, ECVAM, Ispra; 3Dept of Neurosciences, “G. d’Annunzio” University, Chieti, Italy Immunotoxicity of metal compounds is an issue of great importance due to the recent industrial application of metals with unknown toxicity on the immune system and the discovery of metal intermediary compounds not sufficiently studied yet. In this report we show results of our study on the immunotoxicity of the following metals: the Platinum group elements (Platinum, Palladium, Rhodium), Titanium and Arsenic. We applied functional and non functional assays and investigated both innate and adaptive immune systems, in particular, cell proliferation, cytokine production by PBMCs and O-2 production by neutrophils. We obtained the following results: only some Ti compounds (Titanocene, Ti ascorbate and Ti oxalate) show immunotoxicity. Trivalent As compounds (Sodium arsenite and tetraphenyl arsonium chloride) are more immunotoxic than the other investigated As compounds. Genotoxicity of Pt group compounds is in the following order: Pt > Rh > Pd. Immunotoxicity of Pt group compounds is in the following order: Pd > Pt > Rh. Lymphocytes and macrophages show a different reaction of neutrophils to metal toxicity. We can conclude that these studies show that metal immunotoxicity depends on speciation. In general speciation provides additional and often essential information in evaluating metal toxicity. However, there are many difficulties in applying speciation in investigating toxico-kinetic aspects to many metals, mainly due to the lack of information about the existence and significance of species and to the lack of analytical methods for measuring species in biological samples.
4. 23-25 SUBJECTIVE SYMPTOMS OF MEDICAL STUDENTS EXPOSED TO FORMALDEHYDE DURING A GROSS ANATOMY DISSECTION COURSE C-N. WEI, K. HARADA1, S. OHMORI 2, Q-J- WEI 2, K. MINAMOTO 2 and A. UEDA 2 Center for Policy Studies, Kumamoto University, 1Department of Preventive and Environmental Medicine, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University, Kumamoto; 2Department of Microbiology and Environmental Chemistry, School of Health Sciences, Kumamoto University, Kumamoto, Japan The purpose of this study is to investigate the safety of and to try to find the best plan to cope with exposure to FA for students during a gross anatomy dissection course. The FA exposure level and subjective symptoms was estimated. The relationship between exposure to FA and subjective symptoms of irritation were discussed for times; before, in the beginning period, in the middle period, and upon completion of the Anatomy Dissection Course. The geometric means of FA concentration were 32.7 ug/m3 (before), 891.3 ug/m3 (beginning), 763.3 ug/m3 (middle), and 238.9 ug/m3 (completion), respectively. Among them, FA-related symptoms were observed in 61.1%; 28.0% fell strong stress during the course, and 27.4% complained that their normal life situation was affected. Our results indicate that such subjective symptoms during the anatomy dissection course were related to the period spent in the anatomy dissection room. Our study suggests that shortening the time of each anatomy dissection practical class and reduction of the number of cadaver tables could help to reduce symptoms.
5. 27-29 HIGH PREVALENCE OF POLLINOSIS SYMPTOMS AMONG THE FARMERS CULTIVATING JAPANESE PEARS S. HAYASHI, H. TERANISHI1, Y. SHIMOOKA and N. YAMADA Department of Environmental Systems Engineering, Toyama Prefectural University, Toyama; 1Department of Public Health, Faculty of Medicine, University of Toyama, Toyama, Japan In a district of Japanese pear cultivators, a questionnaire survey and an IgE antibody survey were conducted on the pollinosis. A high prevalence of 36.3 % of the farmers complained of pollinosis symptoms. By the IgE antibody survey, the symptoms were found to be related to the airborne pollens in the orchard.
6. 31-34 OCCUPATIONAL ALLERGIC CONTACT DERMATITIS FROM MIOGA (ZINGIBER MIOGA ROSC.) IN GREENHOUSE CULTIVATORS K. MINAMOTO, K. HARADA1, Q.J. WEI, C.N. WEI, S. OMORI and A. UEDA Department of Preventive and Environmental Medicine, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University; 1Department of Microbiology and Environmental Chemistry, School of Health Sciences, Kumamoto University, Kumamoto, Japan Mioga (Zingiber mioga Rosc.) is a member of the ginger family (Zingiberaceae), which is native to tropical Asia. In Japan, the young flower buds are used as a spice, and hand dermatitis suspected as being an allergy to mioga has been recognized in mioga greenhouse cultivators. To investigate the extent of the problems and the causes of dermatitis, 20 householders cultivating mioga in their greenhouses were asked to participate in a questionnaire study. Consecutive patch tests were performed on some subjects with dermatitis. Self-reported questionnaires were distributed to the main cultivator in each household who attended a lecture of mioga cultivation methods held at an agriculture cooperative association in the area. Some subjects who answered as presenting or having had hand dermatitis were patch tested for mioga (as is), four kinds of mioga extracts, and three kinds of natural rubber gloves. Results: 35 cultivators from 16 households answered the questionnaire. Eight of the 35 subjects (22.9%) answered that they had experienced hand dermatitis since they started mioga cultivation. Four of the 8 subjects were patch tested. Two of the 4 subjects showed allergic reactions to mioga (as is) and the extracts. The other two cases showed irritation to mioga (as is). The first two cases also showed allergic reactions to natural rubber gloves. To our knowledge, there is no previous report of allergic contact dermatitis from mioga.
7. 35-43 RELATIONSHIP BETWEEN, LIFESTYLE, MOLD AND SICK BUILDING SYNDROMES IN NEWLY BUILT DWELLINGS IN JAPAN K. NAKAYAMA and K. MORIMOTO Department of Social and Environmental Medicine, Osaka University Graduate School of Medicine, Suita, Osaka, Japan To investigate the relationships among Sick Building Syndrome (SBS) symptoms, we conducted a questionnaire and an indoor environment mold survey in a sample of newly built dwellings in Japan. The questionnaire included questions on SBS symptoms and lifestyle and a mold survey conducted in the living room of each dwelling. The odds ratios (OR) for insufficient sleep were 3.58 in males and 2.57 (weighted for SBS symptoms; W) in females, 0.38 (W) for alcohol consumption in males, and 0.10 (W) for working hours in females. The ORs for total molds were 2.90 and 2.90 (W): 2.25 (W) for Cladosporium cladosporioides, 3.60 and 7.69 (W) for Penicillium sp. in females, and 4.08 and 8.82 (W) for Alternaria alternata in males. These results suggest that the presence of Penicillium sp. in females and Alternaria alternata in males increases the risk of SBS, whereas sufficient sleep, moderate alcohol consumption for males, and fewer working hours for females might alleviate SBS symptoms.
8. 45-49 AIRBORNE BIOLOGICAL HAZARDS IN DIFFERENT PIG FATTENING SYSTEMS H. DIEFENBACH1, E. HARTUNG2, A. SUNDRUM3, M. LOHMEYER4 and M.A. RIEGER1 1University of Wuppertal, Department of Applied Physiology, Occupational Medicine and Infectiology Faculty of Safety Engineering, Wuppertal; 2University of Hohenheim, Faculty of Agricultural Science, Stuttgart-Hohenheim; 3University of Kassel, Faculty of Ecological Agricultural Science, Department of Animal Nutrition and Animal Health, Kassel-Witzenhausen, Germany; 4Mikrobiologisches Labor Dr. J. Balfanz- Dr. M. Lohmeyer GbR, Microbiological Laboratory, Münster, Germany In this research project two organic and two conventional housing systems for fattening pigs are assessed in regard to the emission of microorganisms, endotoxins and dust. The concentrations of microorganisms and endotoxins varied between the different housing systems while no distinct differences for the dust concentrations were observed. Endotoxins concentrations reached up to 14 495 EU/m³ (median) in deep litter stable, indicating the high exposure with biological agents during farm work. The differences between the stables could not be assigned to the organic or conventional kind of husbandry but to the management of the systems.
9. 51-53
A PROPOSAL FOR GUIDELINE FOR PREVENTION OF ALLERGIC OCCUPATIONAL ASTHMA –IN CONFORMITY WITH THE GLOBALLY HARMONIZED SYSTEM OF CLASSIFICATION AND LABELLING OF CHEMICALS (GHS) K. SATO and Y. KUSAKA Special committee of Japanese Society of Occupational and Environmental Allergy. Department of Environmental Health, School of Medicine, University of Fukui, Matsuoka-cho, Japan The use of chemical products to enhance and improve life is a widespread worldwide practice. Alongside the benefits of these products, there is also the potential of chemicals for adverse effects to people or the environment. As a result, a number of countries or organizations have developed laws or regulations over the years that require information to be prepared and transmitted to those using chemicals, through labels or Safety Data Sheets (SDS). Their differences are significant enough to result in different labels or SDS for the same product in different countries. In July 2003, United Nations (UN) recommended the globally harmonized system of classification and labelling of chemicals (GHS). We, special committee of Japanese Society of Occupational and Environmental Allergy proposed a guideline for prevention of allergic occupational asthma and sensitizers (n=60) causing occupational asthma or contact dermatitis in conformity with respiratory and skin sensitization criteria of GHS. We should propose these 60 sensitizers to the chemical industry association and governments to control, regulate and label them in each country.
10. 55-58 OCCUPATIONAL CONTACT DERMATITIS (DRUG-INDUCED MEDICAMENTOSA): SIX CASE REPORTS J. ZOU, L. LIU, S. SUN, Y. ZHAO, Y. PEI and G. LIU Shandong Occupational Sanitation and Occupational Disease Academy Department of Toxic and Physical Factors’ Disease, Shandong, China We report six patients who had dermatitis after contacting certain chemical substances (one worker with contact 1-chloromethyl naphthalene and five with contact Hydroxy-phthalimide). They appeared like drug-induced erythma multiforme, bullosa epidermalysis from the point of contact gradually spreading to the whole body, combining high temperature, digestive system dysfunction, such as liver dysfunction etc. We can call this occupational drug-induced medicamentosa. The course of dermatosis diseases is 1 - 2 months. Hormone and sustaining treatment may be effective. We discuss chemistry substance, clinical presentation, diagnoses, treatment and relevant prognosis.
11. 59-63 COMBINED EFFECTS OF ELECTROMAGNETIC FIELDS ON IMMUNE AND NERVOUS RESPONSES P. BOSCOLO1, M. DI GIOACCHINO1, L. DI GIAMPAOLO1, A. ANTONUCCI3 and S. DI LUZIO2 1Occupational Medicine, “G. d’Annunzio” University of Chieti and Pescara, 2Dept. of Clinical Sciences and Bio-imaging, INFM (Sect. Aq.), “G. d’Annunzio” University of Chieti-Pescara Italy In technologically developed countries, there is concern about hazards from electromagnetic fields (EMFs). Several studies have reported that immune and neuroendocrine systems exert an integrated response to EMF exposure. The aim of this review is to summarize the results of studies on the effect of low and high frequency EMF on immune and neuroendocrine systems on which our research group has been working for several years.
12. 65-67 ALLERGENIC POLLENS AND SPORES IN THE WORKING ENVIRONMENT OF JAPANESE PEAR FARMERS H. TERANISHI＊, M. UCHIDA, S. HAYASHI1 and N. YAMADA1 Department of Public Health, Faculty of Medicine, University of Toyama, 1Department of Bio-resource, Toyama Prefectural University, Toyama, Japan Occupational allergies such as pollinosis are reported in several agricultural works in Japan. Many pollens and spores were observed in Japanese pear orchard during the artificial pollination season. By the study on daily symptoms in an allergic farmer, we confirmed that the pollinosis symptoms were most common and most severe during the artificial pollination. These results suggest that the exposure to allergenic pollens and spores induces allergic symptoms. Thus, caution should be paid for the avoidance of the exposure to these allergenic pollens and spores to prevent the allergy
13. 69-74 CASE STUDY OF VOLATILE ORGANIC COMPOUNDS IN INDOOR AIR OF A HOUSE BEFORE AND AFTER REPAIR WHERE SICK BUILDING SYNDROME OCCURRED K. HARADA, K. HARA1, C.-N. WEI2, S. OHMORI3, O. MATSUSHITA4 and A. UEDA3 Department of Microbiology and Environmental Chemistry, School of Health Sciences, Kumamoto University, Kumamoto; 1Department of Environmental Health, School of Medicine, Kurume University, Kurume; 2Center for Policy Studies, Kumamoto University, 3Department of Preventive and Environmental Medicine, Graduate School of Medical and Pharmaceutical Sciences, Kumamoto University; 4Department of Public Policy, Graduate School of Law, Kumamoto University, Kumamoto, Japan A housewife in her late thirties, mother of two children, had an indefinite complaint about the indoor air quality of her house. Inspectors from a public health center treating the housewife’s complaint quantified formaldehyde (FA) in high concentration exceeding Japanese national guideline of FA in some rooms of the house. We also determined FA and total volatile organic compounds (TVOCs) in higher concentrations more than the national guidelines. Remodeling of the house was performed to improve the air quality as follows. Vinyl wallpaper was exchanged to plant made paper, plywood made doors were exchanged to pure wood made doors, plywood stairs were covered with plant cork and so on. After remodeling the house, we measured the concentrations of FA and TVOCs again. The concentrations of the chemicals in the indoor air decreased which approve effectiveness of the remodeling. Moreover complaints of the housewife lessened. This also proved the effectiveness of the remodeling. Four years after the inspection, we visited the house again and found that the concentration of FA in the house was still lower than that of national guideline. The housewife was evaluated in a good healthy condition by her answers to our questions related to indoor air quality, daily life, physical condition, and so on.
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