Occupational Exposure to Municipal Solid Wastes and Development of Toxic Neuropathies： Possible Role of Nutrient Supplementation, Complementary and Alternative Medicines in Chemoprevention

• Published in: Chinese journal of integrative medicine 2014-09, Vol.20 (9), p.643-653
• Main Authors: Ekor, Martins, Odewabi, Adesina O.
• Format: Article
• Language: English
• Subjects: Complementary Therapies; Dietary Supplements; Feature Article; Humans; Medicine; Medicine & Public Health; Nervous System Diseases - etiology; Occupational Exposure; Solid Waste; 化学预防; 城市固体废弃物; 城市固体废物; 病变; 神经毒性; 职业暴露; 营养补充; 预防药物
• ISSN: 1672-0415; 1993-0402
• DOI: 10.1007/s11655-014-1779-x

Achieving effective municipal solid waste （MSW） management remains a major challenge and waste generation and accumulation continue to constitute important environmental and public health concern, particularly in most developing countries. Although the general population is at risk of adverse health consequences and hazards associated with exposure to MSW, the waste management workers （WMWs） are the most vulnerable because of their direct involvement in the disposal of waste, with increasing evidence of work-related health and safety risks among these individuals. Among the numerous work-related health hazards prevalent in WMWs, development of toxic neuropathies following chronic occupational exposure remains poorly recognized. However, the risk or predisposition to toxic neuropathies is becoming evident considering the increasing recognition of large amount of neurotoxic heavy metals and hazardous industrial materials present in MSW in mostparts of the world. The present review seeks to draw attention to the continuous vulnerability of the WMWs to developing toxic neuropathies. This is aimed at facilitating conscious efforts by relevant governmental and non- governmental agencies towards promoting risk reduction and ensuring adequate protection against possible toxic polyneuropathies associated with occupational exposure to solid wastes. While continuous education of the WMWs on the need for adequate compliance to safety regulations and practice remains sacrosanct towards achieving significant reduction in toxic neuropathies and related adverse health consequences of waste handling, it is also our intention in this review to underscore the possible relevance of nutrient supplementation and alternative medicines in chemoprevention.