Environmental and health monitoring study in dry cleaning departments

Abstract

The aim of the present work is to evaluate the potential exposures to perchloroethylene in the dry cleaning departments in a group of seven first‐class Egyptian hotels; conditions which contribute to excessive levels and possible health effects in the exposed workers. Environmental monitoring of the workplaces was done through air samples, being collected from the breathing zones in the dry cleaning departments, carried out in different stages during washing process: close to press machine, flat iron, mannequin, spotting table and while charging the cleaning machine with the solvent. Atmospheric samples were analyzed by gas chromatography technique. The environmental study showed that the PCE levels were much exceeded in many workplaces, compared to the recommended TLV‐TWA. A group of 53 dry cleaners are included in the present work, in addition to 30 unexposed office workers, served as a control group. Both groups were thoroughly interviewed and examined clinically stressing on the condition of their CNS and PNS. Blood samples were collected and analyzed (spectrophotometrically) for the measurement of liver and renal function tests. Urine samples were collected and analyzed for the determination of the urinary trichloroacetic acid. Headache, nervousness, dizziness and vertigo were the most prevalent symptoms elicited in the exposed workers, followed by symptoms of respiratory and gastrointestinal irritation and skin and mucous membranes’ reactions. Gloves and stokings’ hypoaesthesia affected about l/4th of the exposed workers, followed by tremors (22.64%), first cranial nerve affection (11.32%), and disturbed reflexes (5.66%). Other signs elicited in the exposed workers were in the form of skin manifestations (16.98%), pallor (7.55%), and jaundice (2 cases). Insignificant systolic and diastolic high blood pressures were elicited in the exposed workers compared to the controls. Higher values of blood urea, serum creatinine, SGOT, total proteins, and urinary trichloroacetic acid were elicited in the exposed workers compared to the controls, whereas, lower figures of albumin were elicited in the exposed workers than in the controls. However, in spite of such differences, there was no statistical significance for those differences except for the urinary trichloroacetic acid (t = 3.6, ρ < 0.05). Duration of exposure proved to have no significant effect on most of the bioindicators, being examined in the present study. The study recommended a pre employment medical examination for the subjects recommended to work in dry cleaning, as well as a periodic medical examination to elicit the early manifestations due exposure to PCE. Various engineering control measures must be taken into consideration, when we try to improve the workplaces being studied. Personal protective measures could be considered the last effective line of defense against the various health hazards being faced by the working population in such an important economic activity.

Keywords:

• dry cleaning
• perchloroethylene
• PCE
• liver
• neurological
• renal