Resiko Gangguan Pernapasan pada Industri Besi Baja

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Joko Susilo
Feny Tunjungsari


Work in steel mills is close to exposure to dust, fumes, and gases. Pollutants from activities in factory workers such as iron dust and other particles can increase the permeability of the respiratory tract mucosa. Iron dust can cause damage to lung surfactant and lung function and quartz can pose a risk of silicosis, lung cancer, cardiovascular disease, and mortality. This study uses several literature reviews through several international journals from 2015 to 2020. Search articles related to the risk of respiratory disorders in steel factories. Exposures to factory workers include metal fumes, dust, silica, acid gases. Respiratory disorders appear in the form of clinical symptoms which are divided into chronic and acute symptoms as well as changes in lungfunction as seen from changes in FVC and FEV1 from spirometry examination. The influencing factors are metallic agents that can be inhaled, the length of time workers are exposed to, working in confined spaces, lack of adequate ventilation, lack of occupational safety and health training, and worker compliance in the use of personal protective equipment. The risk of respiratory disorders in steel industry workers is a decrease in lung function accompanied by acute and chronic respiratory disorders. There are several factors that affect respiratory disorders in workers so that steel production companies are advised to take a comprehensive holistic approach in dealing with the risk of respiratory problems in steel factories.


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How to Cite
Susilo, J., & Tunjungsari, F. (2022). Resiko Gangguan Pernapasan pada Industri Besi Baja. CoMPHI Journal: Community Medicine and Public Health of Indonesia Journal, 3(2), 110-121.


Jain A, Singh A, Aswar NR, Domple VK, Doibale VK. Respiratory Abnormalities among the Workers of Iron and Steel Industry. Scholars Journal of Applied Medical Sciences[Internet]. 2016 [cited 2020 Ags 30];4(5E):1774-1780. Available from:

Nurul Ainun Hamzah, Shamsul Bahri Mohd Tamrin, Noor Hassim Ismail. Metal Dust Exposure and Respiratory Symptoms among Steel Workers: A Dose-Response Relationship. International Journal of Collaborative Research on Internal Medicine & Public Health. 2015 March;7(3):27-39. Available From:

Hamzah NA, Tamrin SBM, Ismail NH. Metal dust exposure and lung function deterioration among steel workers: an exposure response relationship. International Journal of Occupational and Environmental Health [Internet]. 2016 [cited 2020 Ags 30];67(12):1910-1913. Available from: doi: 10.1080/10773525.2016.1207040.

Kumar De S, Maiti S, Ghosh P, Paliwal L. Pulmonary function status of refractory workers in a steel plant: A cross-sectional study design. Ethiop J Health Dev [Internet]. 2019 [cited 28 August 2020];33(4):203-211. Available from:

Girma F, Kebede Z. Dust Exposure Associations with Lung Function among Ethiopian Steel Workers. Annals of Global Health [Internet]. 2019 Jan [cited 2020 Aug 31];85(1):1-5. Available from:

Mousavian NA, Mansouri N, Nezhadkurki F. Estimation of heavy metal exposure in workplace and health risk exposure assessment in steel industry. Measurement, Elsevier [Internet]. 2017 [cited 2020 Ags 30];102;286-290. Available from:

Tobing J, Munir D, Hasibuan M, Aboet A. The correlation of exposure to iron dust with the disorders of the nose muccociliary transport time at PT. GGS Factory workers, Medan-Indonesia. Bali Medical Journal [Internet]. 2017 [cited 28 August 2020];6(3):659-663. Available from:

Wang S, et al. Polycyclic aromatic hydrocarbons exposure and lung function decline among coke-oven workers: A four-year follow-up study. Elsevier inc [Internet]. 2016 May [cited 2020 Aug 31];150(1):14-22. Available from:

Roberto Cappelletti, Marcello Ceppi, Justina Claudatus, Valerio Gennaro. Health status of male steel workers at an electric arc furnace (EAF) in Trentino, Italy. Journal of Occupational Medicine and Toxicology. 2016 Feb 20;11(7):1-10. Available from:

Andersson L, Bryngelsson I, Hedbrant A, Persson A, Johansson A, Ericsson A et al. Respiratory health and inflammatory markers - Exposure to respirable dust and quartz and chemical binders in Swedish iron foundries. PLOS ONE [Internet]. 2019 [cited 28 August 2020];14(11):1-19. Available from:

Riccelli M, Goldoni M, Poli D, Mozzoni P, Cavallo D. Welding Fumes, a Risk Factor for Lung Diseases. International Journal of Environmental Research And public Health [Internet]. 2020 [cited 2020 sept 1]. Available from: Goldoni/c8e0e4f67f8985232b670c281684d601e64c0a27.

Mefrinar Y, Zamanian Z, Pirami H. Respiratory Exposure to Toxic Gases and Metal Fumes Produced by Welding Processes and Pulmonary Function Tests. The international Journal of Occupational and Environmental Medicine [Internet]. 2019 [cited 2020 Ags 30];10(1);40-49. Available from: doi: 10.15171/ijoem.2019.1540. available from : DOI: 10.15171/ijoem.2019.1540

Bakril S, Hariri A, Ismail M. Metal fumes toxicity and its association with lung health problems among welders in automotive industry. International Conference on Mechanical and Manufacturing Engineering [Internet]. 2019 [cited 2020 sept 1]. Available from:

Ali Rangkooy H, Fouladi B, Ibrarahimi Ghavamabadi L, Marghzari L, Khodabakhshnejad F. An Investigation of Respiratory Symptoms and Spirometry Parameters of Welders in a Steel Industry. Journal of Health Sciences [Internet]. 2016 [cited 28 August 2020];8(4):1-5. Available from:

Giulia Paolocci1, Ilenia Folletti1, Kjell Torén, Magnus Ekström, Marco Dell’Omo, Giacomo Muzil. Occupational risk factors for idiopathic pulmonary fibrosis in Southern Europe: a case-control study. BMC Pulmonary Medicine. 2018 May 21;18(75):1471-2466. Available From:

Mousavian NA, Mansouri N, Nezhadkurki F. Estimation of heavy metal exposure in workplace and health risk exposure assessment in steel industry. Measurement, Elsevier [Internet]. 2017 [cited 2020 Ags 30];102:286-290. Available from:

Kristiansen P, Jorgensen K, Hansen J, Bonde J. Redemption of asthma pharmaceuticals among stainless steeland mild steel welders: a nationwide follow‑up study. International Arch Occup Environ Health [Internet]. 2015 [cited 2020 sept 1];88:743–750. Available from:

Cenaa L, Chisholma W, Keanea M, Chen B. A Field Study on the Respiratory Deposition of the Nano-Sized Fraction of Mild and Stainless Steel Welding Fume Metals. Journal of Occupational and Environmental Hygiene [Internet]. 2015 [cited 2020 sept 1]. Available from:

Chuang H, et al. Pulmonary exposure to metal fume particulate matter cause sleep disturbances in shipyard welders. Environmental Pollution [Internet]. 2018 Jan [cited 2020 Aug 31];232(1):523-532. Available from:

Valenti C, et al. Respiratory illness and air pollution from the steel industry: the case of Piquiá de Baixo, Brazil (Preliminary report). Multidisciplinary Respiratory Medicine [Internet]. 2016 Nov [cited 2020 Aug 31];11(41):1-7. Available from:

Matteis D, Heederik D, Burdorf A, Colosio C, Cullinan P, Henneberger K, et al. Current and new challenges in occupational lung diseases. the European Respiratory Society Environment and Health Committee [Internet]. 2017 [cited 2020 sept 1]. Available from:

Perret JL, et al. Dust Coal mine dust lung disease in the modern era. Asian Pacific Society of Respirology [Internet]. 2017 Mar [cited 2020 Aug 31];22(4):662-670. Available from:

Altinsoy B, Oz II, Erboy F, Tor M, Atalay F. Emphysema and Airflow Obstruction in Non-Smoking Coal Miners with Pneumoconiosis. Med Sci Monit [Intenet]. 2016 Dec [cited 2020 Ags 30];22;4887-4893. Available from: DOI: 10.12659/MSM.901820.

Rahmani AH, Al-Hurabi AA, Joseph RJ, Babiker AY. Study Of Work Related Respiratory Symptoms Among Welding Workers. Asian Journal of Pharmaceutical and Clinical Research [Internet]. 2018 Oct [cited 2020 Ags 30];11(2):97-99. Available from: DOI: 10.22159/ajpcr.2018.v11i2.22767.

Heidari H, Mohammadbeigi A, Soltanzadeh A, Darabi M, Asadi-Ghalhari M. Respiratory effects of occupational exposure to low concentration of hydrochloric acid among exposed workers: a case study in steel industry. Medical Gas Research [Internet]. 2019 [cited 28 August 2020];9(4):208-212. Available from:

M. P. Cosgrove. Pulmonary Fibrosis and Exposure to Steel Welding Fume. Occupational Medicine. 2015 July 7;65:706-712. Available From: https://doi:10.1093/occmed/kqv093.

S. Senthil Kumar P, Muthuselvam V, Pugalenthi N, Subramanian K.M, Ramkumar T, Suresh T, et al. Toxicoproteomic analysis of human lung epithelial cells exposed to steel industry ambient particulate matter (PM) reveals possible mechanism of PM related carcinogenesis. Environmental Pollution by Elsevier. 2018 April 9;239:483-492. Available from:

Falcone LM, et al. Pulmonary toxicity and lung tumorigenic potential of surrogate metal oxides in gas metal arc welding–stainless steel fume: Iron as a primary mediator versus chromium and nickel. Plos One Journal [Internet]. 2018 Dec [cited 2020 Aug 31];1-5. Available from:

Zarei F, Rezazadeh Azari M, Salehpour S, Khodakarim S, Omidi L, Tavakol E. Respiratory Effects of Simultaneous Exposure to Respirable Crystalline Silica Dust,Formaldehyde,and Triethylamine of a Group of Foundry Workers. Journal of Research in Health Sciences [Internet]. 2017 [cited 28 August 2020];17(1):1-6. Available from:

Lena S. Jönsson, Håkan Tinnerberg, Helene Jacobsson, Ulla Andersson, Anna Axmon, Jørn Nielsen. The ordinary work environment increases symptoms from eyes and airways in mild steel welders. Int Arch Occup Environ Health 2015 March 6;88:1131–1140. Available From: https://doi:10.1007/s00420-015-1041-2.