In this refinery, the differences in workers' ventilatory lung function before the harvesting season are unlikely to be explained by bagasse exposure. However, the increase in reported symptoms (wheeze, shortness of breath, eye problems and rhinitis) over the season is likely due to irritation by dust, in particular bagasse, rather than microbiological agents.
Occupational and environmental medicine
Programa Salud y Trabajo en América Central, Central American Institute for Studies on Toxic Substances, Universidad Nacional de Costa Rica, Heredia, Costa Rica.
Occup Environ Med. 2012 May;69(5):331-8
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