1.Prevalence of Chronic Non-Communicable Respiratory Diseases in Mosul City
Radhwan Hussein Ibrahim ; Ahmed Abdulrazzaq Malallah Al-Nuaimy
Malaysian Journal of Medicine and Health Sciences 2024;20(No.1):205-211
Introduction: Chronic non-communicable respiratory diseases (CNCRDs) encompass a group of conditions affecting
the airways and lung structures, including Chronic Obstructive Pulmonary Disease (COPD), emphysema, allergic
rhinitis, asthma, pulmonary arterial hypertension, and cystic fibrosis. CNCRDs pose a significant global health challenge, resulting in approximately four million deaths annually. This study aimed to identify the prevalence and risk
factors associated with CNCRDs and measure trends in the prevalence of these risk factors over time. Methods: A
cross-sectional epidemiological study was conducted using data collected from primary health centers on both sides
of Mosul City. The study period extended from January 1 to July 31, 2022, with information obtained from (40) primary health centers, consisting of (20) centers on the right side and (20) centers on the left side of Mosul. Results:
In 2021, the City of Mosul recorded a total of 13,005 registered cases, with 5,598 cases being attributed to asthma
(43%), and 7,347 cases being associated with COPD (57%). Bronchial asthma constituted 43% of cases, with 5598
patients, and the highest incidence occurred in the age group between 20-44 years. Conclusion: The prevalence
of bronchial asthma and COPD among patients with CNCRDs in Mosul is alarmingly high. It emphasizes the importance of implementing preventive policies and strategies targeting modifiable risk factors for these respiratory
conditions.
2.The Health of Workers in Cement Factory: Evaluation of Lung Function
Radhwan Hussein Ibrahim ; Ayman Fathi Ramadhan
Malaysian Journal of Medicine and Health Sciences 2022;18(No.1):195-199
Introduction: Very few follow-up studies have investigated the respiratory function of cement employees. This research’s key objectives were to calculate overall dust exposure, evaluate chronic respiratory problems, and determine lung function status in cement factory workers. Methods: This cross-sectional study was done in the Cement
Factory - City of Mosul. 100 cement production employees participated in this study who is exposed directly to the
dust. Another 100 employees were chosen from the departments where the workers are not exposed to dust. The
“Medical Research Council Questionnaire (MRCQ)” that recommended for use in epidemiological and occupational
respiratory surveys was used. Lung function tests were performed using a Cosmed Pony FX spirometer. At the end of
the day’s shift, acute respiratory symptoms were scored on a five-point Likert scale (1-5) using a modified questionnaire for respiratory symptoms. Different lung function was tested. Results: The mean age of the workers was 36.4
years (range 28-61), all of them were male. Cement overall dust ranged from (1.1 to 11.6 mg/m3
) at the workplace.
The (TLC) for 10 mg/m3
was exceeded in just one of the tests. For the exposed group, “the volume of air that can
forcibly be blown out in the first 1 second, after full inspiration” FEV1 is (72.20 ± 11.35), the volume of air that can
forcibly be blown out after full inspiration, measured in liters (FVC%) is (70.40 ± 12.27). Conclusion: Preventive
measures are needed to reduce exposure to dust. Chronic respiratory symptoms and decreased lung function have
been associated with high exposure to cement dust.