Next Article in Journal
Accidentally Swallowing a Toothbrush in a Patient during a Vomiting Attempt: Literature Review and Case Report
Previous Article in Journal
Tapping the Potential of Resilience to Support an Integrated and Person-Centred Approach to Health and Wellbeing—Developing a Simple Assessment Tool for Practice
 
 
Article
Peer-Review Record

Job Exposure Matrix for Chrysotile Asbestos Fibre in the Asbestos Cement Manufacturing (ACM) Industry in Zimbabwe

Int. J. Environ. Res. Public Health 2022, 19(5), 2680; https://doi.org/10.3390/ijerph19052680
by Benjamin Mutetwa 1,*, Dingani Moyo 1,2,3 and Derk Brouwer 1
Reviewer 1: Anonymous
Reviewer 2:
Int. J. Environ. Res. Public Health 2022, 19(5), 2680; https://doi.org/10.3390/ijerph19052680
Submission received: 13 January 2022 / Revised: 31 January 2022 / Accepted: 8 February 2022 / Published: 25 February 2022
(This article belongs to the Topic Air Pollution and Occupational Exposure)

Round 1

Reviewer 1 Report

Dear authors,

I have read your manuscript with interest. I do believe that this study provides valuable data combining fibre measurement at these asbestos-cement manufactoring industries in Zimbabwe with main jobs. I agree that this JEM could be useful for future studies on ARD in Zimbabwe.

My questions are mainly related to the methods used to mesure asbestos in the air samples. Authors mention that light microscopy was used. As it is already known, light microscopy has a limited sensitivity for detecting asbestos fibres and this limitations shoud be mentioned and discussed. Moreover, how were samples analyzed to ascertain the type of asbestos? Authors shoud mention the method used, for example energy-dispersive x-ray analysis or whatever alternative method. This aplies for determining chrisotyle asbestos and also amphyboles (local bulk samples). 

I have had some problems to understand properly Table 1. When displaying f/ml values, minimum and maximal values are misleading (for example, for saw cutting in Harare minimal value is 0,19 and maximal is 0,16). Additionally, the meaning of "LB" and "UB" should be exposed in the footnote.

The same lack of explanatory footnote is observed in Table 2

In the discussion, the higher fibre values in 2018-2020 in respect to 2009-2016 in Harare is attributed to the lack of cleaning-up. However, if this had been the problem, the same lack of cleaning up would had happened during 2009-2016, when lower levels were detected. 

I think authors should improve their discussion in page 9. The improvement observed in Bulawayo during 2017-2019 is attributed to adherence to good work practices and I do not understand why the same company had different work practices in the different settlements. 

Authors state that the risk of developing ARD is real if materials are contaminated with amphiboles. However, there is no doubt that chrysotile fibers are also dangerous and I do believe that this point should be clearly stated in the manuscript.

Taking into account the abovementioned, I think authors should list some other limitations. The reduced number of measurements during 2016-2020 should be previously mentioned in methods, otherwise the reader assumes that the number of measurement were homogeneous across the different time periods.  

Author Response

Please see the attachment

Author Response File: Author Response.docx

Reviewer 2 Report

This study uses a job exposure matrix (JEM) to evaluate the historical exposure to asbestos in two Zimbabwean asbestos plants during 15 years. Of particular interest is that the data are specified for different types of common jobs in the industry.

This relatively short manuscript is well structured and written in an accessible way. The tables are useful and do not attract particular comments

Weaknesses of the study are a lack of quality control on the data provided by the industry.

The local character of the study hampers the international relevance and application of the conclusions.

Author Response

Please see the attachment

Author Response File: Author Response.docx

Round 2

Reviewer 1 Report

Dear authors, thank you for your responses. I do not have further comments

Back to TopTop