Associated Ocular Health Problems of Air Pollutants among Road Transport Workers in Imo State, Nigeria.

References

[1] Afolabi, O.J., Alli, T.K. and Falayi, B.T., (2021). Socio-Economic Characteristics and Taxis Services Patronage in Lagos State, Nigeria.

[2] Al-Aqaba M.A., Dhillon V.K., Mohammed I., Said D.G., Dua H.S. Corneal nerves in health and disease. Prog. Retin. Eye Res. 2019;73:100762. doi: 10.1016/j.preteyeres.2019.05.003. 

[3] Ambient (Outdoor) Air Quality and Health. [(accessed on 22 September 2021)]. Available online: https://www.who.int/mediacentre/factsheets/fs313/en/

[4] Bourcier, T., Viboud C., Cohen J.C., Thomas F., Bury T., Cadiot L., Mestre O., Flahault A., Borderie V., Laroche L. (2003). Effects of air pollution and climatic conditions on the frequency of ophthalmological emergency examinations. Br. J. Ophthalmol.;87:809–811. doi: 10.1136/bjo.87.7.809. 

[5] Chang, K.H., Hsu, P.Y., Lin, C.J., Lin, C.L., Juo, S.H.H. and Liang, C.L. (2019). Traffic-related air pollutants increase the risk for age-related macular degeneration. J. Investig. Med. 67:1076. doi: 10.1136/jim-2019-001007.

[6] Chen, Y., Lin, H., Lin, Z., Chen, C., Wu, C., Tsai, D., and Chan, C. (2017). Personal PM2.5 exposure on commercial and commuter trains for Taipei Metro. Aerosol and Air Quality Research, 17(1), 206-218.

[7] Chua, S.Y.L., Khawaja, A.P., Morgan, J., Strouthidis, N., Reisman, C., Dick, A.D., Khaw, P.T., Patel, P.J. and Foster, P.J. (2019). The Relationship Between Ambient Atmospheric Fine Particulate Matter (PM2.5) and Glaucoma in a Large Community Cohort. Invest Ophthalmol. Vis. Sci. 60:4915–4923. doi: 10.1167/iovs.19-28346.

[8] Coroneo, M. T. (2013). Pterygium as an early indicator of ultraviolet insolation: a hypothesis. British Journal of Ophthalmology, 97(1), 1-2.

[9] Eftim S.E., Samet J.M., Janes H., McDermott A., Dominici F. Fine particulate matter and mortality: A comparison of the six cities and American Cancer Society cohorts with a medicare cohort. Epidemiology. 2008;19:209–216. doi: 10.1097/EDE.0b013e3181632c09. 

[10] FEPA, (1999). Nigerian Ambient Air Quality Standards (NAAQS) allowable limits for PM10, NO2, SO2, and H2S.

[11] Flaxman, S. R., Bourne, R. R. A., Resnikoff, S., Ackland, P., Braithwaite, T., Cicinelli, M. V., and Taylor, H. R. (2017). Global causes of blindness and distance vision impairment 1990–2020: a systematic review and meta-analysis. The Lancet Global Health, 5(12), e1221-e1234.

[12] Garcia-Sanchez, J., Zuniga-Posselt, K., Ramirez-Miranda, A., and Navas, A. (2019). Effect of the working environment on visual performance. Indian Journal of Ophthalmology, 67(11), 1746-1752.

[13] Hong, J., Zhong, T., Li, H., Xu, J., Ye, X., Mu, Z., Lu, Y., Mashaghi, A., Zhou, Y., Tan, M., et al. (2016). Ambient air pollution, weather changes, and outpatient visits for allergic conjunctivitis: A retrospective registry study. Sci. Rep. 6:23858. doi: 10.1038/srep23858.

[14] Koh, S., Tung, C.I., Inoue, Y. and Jhanji, V. (2018). Effects of tear film dynamics on quality of vision. Br. J. Ophthalmol. 102:1615–1620. doi: 10.1136/bjophthalmol-2018-312333

[15] Li, M., Gong, L., Chapin, W. J., and Zhu, M. (2019). Assessment of vision-related quality of life in dry eye patients. Investigative Ophthalmology and Visual Science, 60(10), 3117-3127.

[16] Liu, Q., Huang, Y., Zhang, X., Wu, L., Guo, Z., and Liu, W. (2020). The effects of atmospheric pollution on public health in the Pearl River Delta, China: A two-stage data envelopment analysis. Science of The Total Environment, 699, 134336.

[17] Mimura, T., Ichinose, T.,.2014.04.057. Yamagami, S., Fujishima, H., Kamei, Y., Goto, M., Takada, S. and Matsubara, M. (2014). Airborne particulate matter (PM2.5) and the prevalence of allergic conjunctivitis in Japan. Sci. Total Environ. 487:493–499. doi: 10.1016/j.scitotenv Nizami AA, Gulani AC. Cataract. [Updated 2022 Jul 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539699/ Nizami AA, Gulani AC. Cataract. [Updated 2022 Jul 5]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2023 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK539699/

[18] Paguntalan, J.C. and Gregoski, M., (2016). Physical activity barriers and motivators among high-risk employees. Work, 55(3), pp.515-524.

[19] Pope, C.A., (2004) 3rd Air pollution and health-good news and bad. N. Engl. J. Med.  ;351:1132–1134. doi: 10.1056/NEJMe048182. 

[20] Pope, C. and Dockery, D. (2006). Health effects of fine particulate air pollution: lines that connect. J Air Waste Manag Assoc. 56:709–742.

[21] Saxena, R., Srivastava, S., Trivedi, D., Anand, E., Joshi, S. and Gupta, S.K. (2003). Impact of environmental pollution on the eye. Acta Ophthalmol Scand.81:491–494. 

[22] Schwela, D. (2000). Air pollution and health in urban areas. Rev. Environ. Health. 15:13–42. doi: 10.1515/REVEH.2000.15.1-2.13.

[23] Smith, J. P., Hamilton, P., Hinds, W., and Price, A. (2018). Prevalence and risk factors of pterygia in a North American Tertiary Military Medical Center Population. Military Medicine, 183(5-6), e262-e267.

[24] Tham, Y. C., Li, X., Wong, T. Y., Quigley, H. A., Aung, T., and Cheng, C. Y. (2014). Global prevalence of glaucoma and projections of glaucoma burden through 2040: A systematic review and meta-analysis. Ophthalmology, 121(11), 2081-2090.

[25] Tuominen I.S.J., Konttinen Y.T., Vesaluoma M.H., Moilanen J.A., Helintö M., Tervo T.M.T. (2003). Corneal innervation and morphology in primary Sjögren’s syndrome. Invest. Ophthalmol. Vis. Sci. 2003;44:2545–2549. doi: 10.1167/iovs.02-1260. 

[26] Uchino, M., Yokoi, N., Uchino, Y., Dogru, M., Kawashima, M., Komuro, A., and Tsubota, K. (2018). Prevalence of dry eye disease and its risk factors in visual display terminal users: The Osaka Study. American Journal of Ophthalmology, 156(4), 759-766.

[27] US EPA, (2016). United States Environmental Protection Agency (US EPA). Basic Information about NO2. EPA.gov.

[28] Versura, P., Profazio, V., Cellini, M., Torreggiani, A. and Caramazza, R. (2000). Eye discomfort and air pollution. Ophthalmologica. 213:103–109.

[29] Wang, W., He, M., Li, Z. and Huang, W. (2019). Epidemiological variations and trends in health burden of glaucoma worldwide. Acta Ophthalmol. 97:e349–e355. doi: 10.1111/aos.14044.

[30] WHO, (2018). WHO annual average guideline for outdoor air quality for NO2, SO2, PM10 and PM2.5

[31] Xu G.T., Zigler J.S., Jr., Lou M.F. The possible mechanism of naphthalene cataract in rat and its prevention by an aldose reductase inhibitor (ALO1576) Exp. Eye Res. 1992;54:63–72. doi: 10.1016/0014-4835(92)90070-9. 

[32] Xu, L., (2012). Who drives a taxi in Canada? (No. March). Ottawa, ON: Citizenship and Immigration Canada.

[33] Zhang, Z., Wang, J., Wang, X., Song, W., and Wang, L. (2019). Research on the impact of environmental pollution on human health in China. Ecotoxicology and Environmental Safety, 174, 153-162.

@article{1707564,
      author = {Nwakamma G. I., Obasi K. O., Iwuoha G. O., Umunnakwe L. O., Nkemka E. V.},
      title = {Associated Ocular Health Problems of Air Pollutants among Road Transport Workers in Imo State, Nigeria.},
      journal = {Iconic Research And Engineering Journals},
      year = {2025},
      volume = {8},
      number = {9},
      pages = {920-931},
      issn = {2456-8880},
      url = {https://www.irejournals.com/formatedpaper/1707564.pdf},
      abstract = {Background: Air pollution is contamination of the indoor or outdoor environment by any chemical, physical or biological agent that modifies the natural characteristics of the atmosphere. Human existence is dependent on air and other environmental factors for sustenance. The influence of environmental factors, particularly air pollutants, on ocular health has recently garnered increasing attention. Motor vehicles are common sources of air pollution. Notable among these prevailing pollutants are, CO, CO2, NO2, SO2 and PM. The association of some ocular health problems with air pollutants have made it exigent for studies to be carried out in this area. Road transport workers are frequently exposed to these pollutants because of their profession. This study is thus aimed at finding ocular health problems that are associated with air pollutants using road transport workers. 
Methods: A cross-sectional survey was conducted among 552 motor park workers in the three geo-political zones of Imo State, Nigeria, namely Okigwe, Orlu and Owerri. Data were collected through structured interviews and ocular examinations across selected parks in the three geo-political zones in Imo State, using simple sampling method. 
Results: The level of concentration of these air pollutants were measured in the various motor parks during morning and evening hours. Many of the road transport workers were found to have one or more ocular health problems. Results showed that Pterygium (57.9%) and Dry eye syndrome (35.9%) were the most prevalent ocular health problems associated with air pollutants among road transport workers. Significant variations in environmental parameters were observed across different parks, indicating potential exposure to air pollutants. 
Conclusion: The association of glaucoma, lens opacity and macular degeneration with air pollutants, though slightly insignificant in this study, is an important area for further studies. The study underscores the need for targeted interventions to safeguard ocular health in this occupational group and the critical importance of understanding and addressing the potential hazards posed by environmental factors on ocular health.},
      keywords = {Ocular Health, Pterygium, glaucoma, Dry eye syndrome.},
      month = {March},
  }