Blogs

• Occupational lung disease caused by inhalation of bagasse or sugarcane dust
• First reported in India in a cardboard manufacturing firm near Kolkata
• India has a large sugarcane industry
• Sugarcane fiber is utilized in manufacturing of paper, cardboard and rayon
• Bagassosis occurs due to a thermophilic actinomycete k/a Thermoactinomyces sacchari
• Symptoms:
– Breathlessness
– Cough
– Hemoptysis and
– Slight fever
• Acute diffuse bronchiolitis
• Skiagram:
– Mottling in lungs or shadow

Byssinosis
• Due to inhalation of cotton fiber dust over long periods of time
• Symptoms are:
– Chronic cough
– Progressive dyspnea
– Ending in chronic bronchitis and
– Emphysema
• Incidence 7 – 8% in surveys done in Mumbai, Ahmedabad and Delhi

References:
• Park’s Textbook of Preventive and Social Medicine

Types of Pneumoconiosis: http://www.ihatepsm.com/blog/pneumoconioses

Anthracosis
Carbon dust (coal mine dust):
Coal miner’s pneumoconiosis
• Two phases in coal miners pneumoconiosis
1. Simple pneumoconiosis: little ventilatory impairment
– Around 12 yr. of exposure needed for this phase to appear
2. Progressive massive fibrosis (PMF): severe respiratory disability and frequently results in premature death
– Once a background of simple pneumoconiosis has been reached, a PMF may develop out of it even if the exposure is ceased

• Cause of permanent disability and mortality
• Caused by inhalation of dust containing free silica or silicon dioxide (SiO2)
• First reported in India in 1947 from Kolar Gold Mines (Mysore)
• Silica exposure occurs in industries like:
– Mining of:
• Coal
• Mica
• Gold and Silver
• Lead, Zinc, Manganese etc.
– Pottery and ceramic
– Sand blasting
– Metal grinding
– Building and construction
– Rock mining
– Iron and steel etc.

Definition (ILO):
“Pneumoconiosis is the accumulation of dust in the lungs and the tissue reaction to its presence”
• ‘Pneumoconioses’ is the plural
• Dust within the size range of 0.5 to 3 micron pose maximum risk as these can easily enter the alveoli.
– Particles larger than 3 microns don’t reach the alveoli
– Particles smaller than 0.5 microns are exhaled out
– The dust particles which get deposited in the alveoli, cause inflammation in the lungs that can eventually lead to fibrosis of the lung tissue

• This initiative is to bring together existing programmes for IFA supplementation for:
– pregnant and lactating women and;
– children in the age group of 6–60 months) and
– Introduce new age groups.
• Thus National Iron+ Initiative will reach the following age groups for supplementation or preventive programming:
– Bi-weekly iron supplementation for preschool children 6 months to 5 years
– Weekly supplementation for children from 1st to 5th grade in Govt. & Govt. Aided schools

• The National Prophylaxis Programme against Nutritional Blindness due to vitamin A deficiency (NPPNB due to VAD) was started in 1970
– with the specific aim of preventing nutritional blindness due to keratomalacia
– As an urgent measure to combat the unacceptably high magnitude of xerophthalmic blindness in the country seen in the 1950s and 1960s
• The Programme was started as a 100 per cent centrally sponsored programme

References:
WHO (2005) Manual for participants; Emergency Triage Assessment and Treatment (ETAT)
Facility based IMNCI - Participant Manual. Ministry of Health and Family Welfare Government of India, 2009

Reference:
Marcia L. London. Pediatric Assessment. Maternal & Child Nursing Care, Ed 3rd, Prentice Hall, 2010: 961-1022.
Seidel, H.M.Ball, J.W,Dains, J.,& Benedict,G.W.(2003). Mosby’s guide to physical examination (5th ed.).St.Louis,MO: Mosby

References:
Marcia L. London. Pediatric Assessment. Maternal & Child Nursing Care, Ed 3rd, Prentice Hall, 2010: 961-1022.
Byrnes,K. Conducting the paediatric health history: A guide Pediatric Nursing, 1996; 22: 135–137