Assessment of respiratory health and environmental safety measures in phosphate fertilizer industry in the middle region of the Nile Delta, Egypt.

Phosphate fertilizer industry is one of the most environmental polluting industries in Egypt. To identity the prevalence of abnormal ventilatory functions and to assess environmental safety measures in phosphate fertilizer industry in the middle region of the Nile Delta, Egypt. The study included 180 exposed male workers in phosphate fertilizer factory at Kafr El-Zayat City. An interview questionnaire was used to collect data related to socio-demographic, occupational history, and work-related respiratory manifestations. Spirometer was used for measuring ventilatory functions tests. Assessment of workplace safety measures was done by using Occupational Safety and Health (OSH) Inspection Checklist, and environmental measures of total dust and sulfur dioxides (SOx) were obtained from records. Self-reported respiratory manifestations were found in 74/180 workers (41.11%), with rhinitis (49.3%), cough (38.9%), and expectoration (38.3%) were the most frequent. Abnormal ventilatory functions were confirmed and reported in about one-fourth of workers (43/180, 23.9%) with prominence of obstructive pattern. Significant negative correlation was found between age and MVV values (r = - 0.449, p = 0.001) and between duration of work and values of both FEV1(r = - 0.248, p = 0.033) and MVV (r = - 0.473, p = 0.001). The mean percent of applied safety practices and measures in workplace was 53.39% ± 16.4. The mean of sulfur dioxides values in English acid unit exceeded the permissible exposure level (PEL). Preventive medical and environmental safety measures were inadequate with a relatively high prevalence of abnormal ventilatory functions among workers. Sulfur dioxides measurements exceeded PEL.