Putting workplace safeguards in place for welder
DEAR DR. ROACH: I am a 35-year-old female welder. I am very fit and live a healthy lifestyle, but I worry about the effects of all the things I am exposed to at work (heavy industrial) and how to monitor them. I do not have a family doctor and must rely on walk-in clinics. Are there certain tests I should be having done regularly, especially having to do with the lungs? Thanks! — K.W.
ANSWER: Welders are exposed to industrial chemicals, and this can lead to medical complications. Some of the chemicals used in different types of welding cause irritation in the lungs and can predispose a person to respiratory infections. In fact, in the U.K., it’s recommended that welders consider the 23-valent pneumonia vaccine, since their risk of complications from one particular bacteria, Streptococcus pneumoniae, is very high.
Adequate ventilation, however, probably is the most important part of a welder’s safety practices, from the standpoint of chemical exposure. This is particularly significant because some gases produced when welding — such as lead, manganese and iron oxide — have long-term toxicities to the brain and lungs. Respiratory equipment is recommended if adequate ventilation is not possible. Washing your hands after welding also is recommended (even if you are using hand protection) in order to prevent accidental ingestion.
The ultraviolet light that is produced during welding can damage skin and eyes. This makes proper protection essential. Noise also can be a major problem, so hearing protection may be appropriate, as well.
In the United States, the Occupational Safety and Health Administration has requirements for workers in regular contact with certain chemicals. These are publicly available (https://tinyurl. com/osha-std) but the format requires you know what chemicals you come in contact with. Some chemicals require periodic blood or lung testing. An occupational-medicine expert would be an appropriate physician for you to see: Some work in walk-in clinics, though this isn’t optimal.