An assessment of occupational exposure to bioaerosols in automated versus manual waste sorting plants.

Occupational exposure during waste sorting is associated with several health outcomes. This study obtained knowledge about the impact of work in fully automated waste sorting plants (AWSP; n = 3) vs manual waste sorting plants (MWSP; n = 3) on personal exposure (n = 71) to bioaerosols and exposure-related health effects. Personal full-shift air samples were collected using various filter-based active sampling devices that were placed in the workers' breathing zone. Personal exposure to inhalable and thoracic dust, endotoxin and microorganisms varied considerably between and within types of waste sorting plants (WSP). Workers at AWSP were on average exposed to 0.34 mg/m inhalable dust, 0.15 mg/m thoracic dust, and 51 EU/m endotoxins (geometric mean (GM) levels), whereas GM exposure levels at MWSP were 0.66 mg/m for inhalable dust, 0.44 mg/m for thoracic dust, and 32 EU/m for endotoxins. Exposure to submicronic fungal fragments did not differ between types of plants and ranged from levels below the detection limit (limit of detection, LOD) to levels in the order of 10 fragments/m. Higher levels of fungal fragments and fungal spores were found at AWSP compared to MWSP with a GM of 2.1 × 10 spores/mand with a GM of 1.2 × 10 spores/m, respectively. Actinobacterial spores were found in samples from AWSP only, with exposure levels ranging from 1.9 × 10 to 1.1 × 10 spores/m. Exposure to microbial DNA varied within and between WSP and was on average in the order of 10 copies/m for fungi and 10 copies/m for bacteria. Health symptoms, such as sneezing, congested nose and runny nose were significantly more common among exposed workers compared to the unexposed control group.