Evidence map›Paper›PMID 33904971›Full record

ArticleInternational archives of occupational and environmental health2022

Occupational rhinitis and asthma in bakers: a cross-sectional study in the former Katanga province of DR Congo.

Joseph Pyana Kitenge, Paul Musa Obadia, Trésor Carsi Kuhangana, Tony Kayembe-Kitenge, Patient Nkulu Banza, Lilian Nsenga Mukanda, Pascal Nawej Tshimwang, Patrick D M C Katoto, Celestin Banza Nkulu Lubaba, Abdon Mukalay Wa Mukalay and 1 more

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Article in International archives of occupational and environmental health, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
0.8field-weighted citation impact, top 27% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed, 8 citations in OpenAlex.

  1. Occupational Respiratory Allergy to Flour in the Modern Era.Current allergy and asthma reports · 2025
    Review
  2. Occupational Rhinitis: An Update.Current allergy and asthma reports · 2023
    Review
  3. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors at 3 institutions in 3 countries.

Joseph Pyana KitengeDepartment of Public Health, Unit of Occupational and Environmental Health, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo. docteurpyana@gmail.com.ORCID http://orcid.org/0000-0002-8128-8768
Paul Musa ObadiaDepartment of Public Health, Unit of Toxicology and Environment, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Trésor Carsi KuhanganaDepartment of Public Health, Unit of Toxicology and Environment, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Tony Kayembe-KitengeDepartment of Public Health, Unit of Toxicology and Environment, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Patient Nkulu BanzaDepartment of Public Health, Unit of Toxicology and Environment, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Lilian Nsenga MukandaDepartment of Public Health, Unit of Toxicology and Environment, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Pascal Nawej TshimwangCentre Médical du Centre-Ville, 06, avenue Dioka, Lubumbashi, Democratic Republic of Congo.
Patrick D M C KatotoDepartment of Medicine and Centre for Infectious Diseases, Faculty of Medicine and Health Sciences, Stellenbosch University, Cape Town, South Africa.
Celestin Banza Nkulu LubabaDepartment of Public Health, Unit of Toxicology and Environment, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Abdon Mukalay Wa MukalayDepartment of Public Health, Unit of Epidemiology and Tropical Diseases, Faculty of Medicine, University of Lubumbashi, Lubumbashi, Democratic Republic of Congo.
Benoit NemeryDepartment of Public Health and Primary Care, Centre for Environment and Health, KULeuven, Leuven, Belgium.ORCID http://orcid.org/0000-0003-0571-4689
University of Lubumbashi · CDKU Leuven · BEStellenbosch University · ZA

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveBakers are at high risk of rhinitis and asthma, but the prevalence of these occupational diseases is not well known in Sub-Saharan Africa. We investigated the prevalence of occupational rhinitis and asthma among industrial bakers in the former province of Katanga.

methodsIn a cross-sectional study conducted in eight towns from October 2018 to September 2019, we included 276 male workers from 18 industrial bakeries and 113 male controls (35 butchers and 78 bread sellers), all nonsmokers. Participants replied to a validated questionnaire (European Community of Respiratory Health Survey II), administered face to face, and performed spirometry at the work place. In 15 bakers with symptoms of work-related asthma, records of self-measured peak expiratory flow (PEF) 4 times per day during 4 weeks were analyzed by the OASYS (Occupational Asthma System) protocol.

resultsThe bakers and controls did not differ by age (32.2 ± 7.3 y vs 32.8 ± 10.3 y). According to the questionnaire, work-related rhinitis and asthma were significantly more prevalent among bakers (31% and 5%, respectively) than among controls (2% and 0%, respectively). However, the groups did not differ significantly with regard to spirometric parameters. Based on PEF records, 10 out of 15 were positive for occupational asthma (OASYS score > 2.5), so the rate of occupational asthma was 3.6% in this study.

conclusionThis first study in DR Congo demonstrates the existence of occupational rhinitis and asthma among industrial bakers in Katanga. Further epidemiological studies are needed to clarify the extent and risk factors of baker's asthma in the area. In the meantime, advocacy and implementation of appropriate occupational hygiene measures are warranted to protect bakery workers in DR Congo.

Indexed as

Asthma, OccupationalOccupational DiseasesOccupational ExposureRhinitisCross-Sectional StudiesDemocratic Republic of the CongoFlourHumansMaleAsthmaBakersDR CongoGlobal healthKatangaOccupational healthRhinoconjunctivitis

Identifiers

PMID33904971
OpenAlexW3158992336

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.