Date of News Release: Friday, January 20, 2006

Excessive dust and poor ventilation in the barn can be problematic during the winter. Upper airways (bronchi) can become inflamed if enough dust is inhaled, and this inflammation can lead to a variety of breathing problems.

The most common and least serious of these respiratory problems, Organic Dust Toxicity Syndrome (ODTS), causes flu-like symptoms (fever, fatigue, cough, chest tightness, aches etc.) 4-12 hours after exposure. Agricultural Bronchitis (chronic bronchitis) causes a chronic cough, more pronounced in the morning, with individuals producing phlegm on a regular basis; the irritation and inflammation cause excess mucous production. Hyperreactive airways may cause individuals to have asthma-like symptoms, including chest tightness and shortness of breath.

All of these problems are preventable by limiting the quantity of dust inhaled when working in the barn or other poorly ventilated areas. Using a properly fitted, two-strap disposable dust mask and maintaining adequate ventilation in the barn can help prevent many of these respiratory problems.

Should individuals develop respiratory problems, a rule of thumb when deciding if medical treatment is necessary is to determine if the problem is “just” Organic Dust Toxicity Syndrome. ODTS is treated with acetaminophen and bed rest, and will run its course in 2-5 days. For illness lasting longer and/or severe shortness of breath, medical attention should be sought. Individuals with a chronic cough need to see a doctor; the cough could be due to an infection that might need treatment with antibiotics. All asthma-like symptoms also require medical attention.

NYCAMH’s Farmer’s Clinic specializes in health care for the farm population. Referrals are not required and farmers without insurance can be seen on a fee-for-service basis. The Farmer’s Clinic is held at several Bassett Healthcare sites including Cooperstown, West Winfield, Delhi, Herkimer and Norwich. To discuss a health problem or schedule an appointment, contact Arleen Clark, R.N., toll free at 800-343-7527 ext. 229.