Abstract

Occupational and environmental exposure to grain dust can cause a spectrum of clinical syndromes, including asthma, acute and chronic changes in airway reactivity, grain fever, bronchitis, and progressive irreversible airflow obstruction.1 In North America alone, more than 5 million agricultural workers are exposed to grain dust each year.1-4 Among grain handlers, the prevalence of work-shift changes in FEV1 (≥10% decline) varies between 3.9 and 11%.2-4 Grain fever, an acute illness consisting of fevers, chills, headache, myalgias, chest tightness, dyspnea, and a transient decline in airflow, has been reported in up to 25% of grain workers.

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