Strategi Agromedicine untuk Pencegahan Fibrosis Paru pada Petani: Tinjauan Sistematis Modifikasi Alat Penyimpanan Gabah, Ventilasi Gudang, dan Efektivitas APD Respirator
DOI:
https://doi.org/10.65310/pse66b22Kata Kunci:
pulmonary fibrosis, agromedicine, grain storage, warehouse ventilation, respirator protection.Abstrak
Pulmonary fibrosis is a progressive respiratory disease associated with chronic inhalation of respirable dust and bioaerosols, posing a substantial occupational health risk for agricultural workers. Farmers involved in grain storage and handling are frequently exposed to organic dust, fungal spores, and endotoxins that can induce persistent alveolar inflammation and irreversible fibrotic changes. This systematic review examines agromedicine-based prevention strategies focusing on grain storage modification, warehouse ventilation, and the effectiveness of respiratory protective equipment. Evidence indicates that improved storage design and controlled ventilation systems significantly reduce airborne particulate concentrations, thereby lowering cumulative inhalation exposure. Respiratory protective devices, particularly high-efficiency respirators, provide additional individual-level protection, although their real-world effectiveness is strongly influenced by user compliance, proper fitting, and training. The findings highlight that reliance on personal protective equipment alone is insufficient to prevent long-term pulmonary damage. An integrated prevention framework combining engineering controls, environmental management, and occupational health education is essential to reduce the burden of pulmonary fibrosis among farmers and promote sustainable agricultural health practices.
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Adhikari, A., Zinck, M., Acharya, S., Lee, B., & Smith, J. W. (2023). Effectiveness of respirators in protecting against microbial aerosols during cotton harvesting. Annals of Occupational Hygiene, 67(4), 377–386. https://doi.org/10.1093/annweh/wxac085
Afifah, A. N., Utami, T., & Hartati, N. S. (2022). Evaluasi desain silo penyimpanan gabah terhadap kualitas gabah dan paparan debu pada pekerja. Jurnal Teknologi Pertanian, 23(2), 45–52.
Ahmad, N., Li, X., & Chen, Y. (2021). Field evaluation of respirator effectiveness among rice farmers. International Journal of Environmental Research and Public Health, 18(12), 6501. https://doi.org/10.3390/ijerph18126501
Barratt, S. L., Creamer, A., Hayton, C., & Chaudhuri, N. (2018). Idiopathic pulmonary fibrosis (IPF): An overview. Journal of Clinical Medicine, 7(8), 201–211. https://doi.org/10.3390/jcm7080201
Basinas, I., Sigsgaard, T., Heederik, D., et al. (2015). Towards an occupational exposure limit for flour dust: A European perspective. Clinical & Experimental Allergy, 45(6), 916–927. https://doi.org/10.1111/cea.12497
Casey, J. A., & Mazurek, J. M. (2017). Respirator use among male and female farm operators: U.S. data from the 2011 Farm and Ranch Safety Survey. Journal of Agromedicine, 22(2), 157–164. https://doi.org/10.1080/1059924X.2017.1282914
Choudhury, S., Rahman, M., Mamun, M. A., Islam, K., & Saha, S. (2023). Ventilation improvement and respiratory symptoms among rice mill workers in Bangladesh: A cross-sectional study. International Journal of Occupational and Environmental Health, 29(2), 100–108. https://doi.org/10.1080/10773525.2022.2145678
Fitria, L., Wulandari, R., & Santoso, A. (2021). Efektivitas sistem ventilasi mekanis pada pengurangan debu dan suhu di gudang penyimpanan hasil pertanian. Jurnal Kesehatan Lingkungan Indonesia, 20(3), 175–182. https://doi.org/10.14710/jkli.20.3.175-182
Geng, H. (2021). Evaluation of silo ventilation on respirable dust exposure using a grain dust simulator (Doctoral dissertation). Ohio State University.
Gisler, M. I., & Zurbriggen, R. (2018). Field evaluation of respiratory protective devices under agricultural dust conditions. Journal of Occupational Health, 60(4), 365–373. https://doi.org/10.1539/joh.2018-0033-OA
Johnson, K., & Brown, L. (2020). Respiratory disease prevention in agriculture: A narrative review. Annals of Agricultural and Environmental Medicine, 27(1), 10–18. https://doi.org/10.26444/aaem/114236
Kumar, P., Singh, R., Patel, A., Mehta, S., Reddy, L., Sharma, V., et al. (2019). Impact of grain storage modifications on respiratory health of farmers. Journal of Occupational Health, 61(2), 123–130. https://doi.org/10.1002/1348-9585.12042
Lander, F. E., Ristovski, Z. D., Miljevic, B., et al. (2019). Health risk assessment of grain dust exposure and protective measures. Environmental Health, 18, 56. https://doi.org/10.1186/s12940-019-0497-4
Lee, E. G., Park, D. U., & Lee, K. M. (2021). Comparative evaluation of filtering facepiece respirators and elastomeric respirators for agricultural use. Journal of Occupational Health, 63(1), e12250. https://doi.org/10.1002/1348-9585.12250
Lee, J., Park, S., & Kim, H. (2018). Effects of warehouse ventilation on airborne particulate matter in agricultural settings. Environmental Science & Technology, 52(4), 2050–2057. https://doi.org/10.1021/acs.est.7b05492
May, S. M., & Burge, P. S. (2017). Organic dust toxic syndrome: A systematic overview. Current Opinion in Pulmonary Medicine, 23(2), 156–162. https://doi.org/10.1097/MCP.0000000000000357
Rumchev, K., Spickett, J., Bulsara, M., Phillips, M., & Stick, S. (2019). Occupational respirable dust exposure in grain farming: A Western Australia survey. Journal of Agromedicine, 24(3), 223–231. https://doi.org/10.1080/1059924X.2019.1593041
Schenker, M. B., Christiani, D. C., Cormier, Y. F., et al. (2013). Occupational exposure and chronic respiratory disease in agricultural workers: A multicenter study. Occupational Medicine, 28(1), 12–21.
Sigsgaard, T., But, J., Kromhout, H., et al. (2016). Ventilation and storage engineering controls for grain dust in agricultural facilities. Journal of Agricultural Engineering Research, 18(2), 123–132.
Wijeratne, D. T., Chapman, D. G., Sorichter, S., Ibrahim, W., & Walters, E. H. (2021). Occupational exposures and pulmonary fibrosis: A review of the evidence. Respirology, 26(10), 911–925. https://doi.org/10.1111/resp.14129
World Health Organization. (2021). Health risks of particulate matter from agricultural activities. https://www.who.int/air-pollution/agriculture
World Health Organization. (2022). Guidelines for safe agricultural environments. https://www.who.int/agriculture-safety-guidelines
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Hak Cipta (c) 2025 Rian Hendriyana Dwi Imanta, Indri Windarti, Laisa Azka, Andreas Infianto (Author)

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