Clinical trial NCT05564546: Study of Chronic Exposure of the Population Living on the Atlantic Coast and on the Caribbean Coast, in Martinique, During the Stranding Period and Outside the Stranding Period of Sargassum Seaweeds
Official title: Impact of Hydrogen Sulfide on Lung Health: Study of Chronic Exposure of the Population Living on the Atlantic Coast and on the Caribbean Coast, in Martinique, During the Stranding Period and Outside the Stranding Period of Sargassum Seaweeds
Study type: INTERVENTIONAL
Overall status: COMPLETED
Phase: NA
Conditions: Obstructive Ventilatory Disorders
Keywords: sargassum seaweed
exposure to H2S
pulmonary effects
H2S poisoning
fractional exhaled nitric oxide
spirometry
Lead sponsor: University Hospital Center of Martinique
Sponsor class: OTHER
First posted: 2022-10-03
Enrollment: 173
Sex: ALL
Minimum age (years): 18
Standard ages: ADULT
OLDER_ADULT
Accepts healthy volunteers: yes
Allocation: NON_RANDOMIZED
Intervention model: PARALLEL
Intervention model description: This is a prospective, longitudinal study, of exposed/non-exposed type, descriptive, comparative and monocentric
Primary purpose: DIAGNOSTIC

Brief summary: Sargassum are pelagic brown sea algae. Two species grow on the surface of the ocean and drift freely with ocean currents in the form of slicks: the pelagic Sargassum fluitans and Sargassum natans.

Since 2011, massive strandings of Sargassum seaweed in the French West Indies are to be deplored. In recent years, strandings have increased. In Martinique, sargassum stranding occurs mainly on the Atlantic coast. The duration of stranding from one year to another is variable, but the period during which the stranding is maximum is between April and October.

The accumulation of strandings causes the compaction of algae and limits access to oxygen, which leads to anaerobic degradation which quickly results in the release of various gases, in particular hydrogen sulphide (H2S).

Acute H2S poisoning is well characterized clinically according to exposure (cutaneous, respiratory, ophthalmological, digestive, neurological symptoms, etc.). On the other hand, there are very few data available on the clinical effects of prolonged, repeated exposure and most often at low doses.

Among the toxic effects for which there are still uncertainties regarding long-term exposure to H2S are lung function, measured by spirometry, and airway inflammation, appreciable by measurement of FeNO (fractional exhaled nitric oxide).

The investigators consider it relevant to focus on the clinical and biological characteristics of the population exposed to sargassum in Martinique, in the field, assuming that exposure to sargassum H2S causes pulmonary effects measurable by spirometry and by FeNO, during the stranding period and outside this period.


Eligibility criteria: Inclusion Criteria:

* Adult participant (age greater than or equal to 18),
* Participant living on the Atlantic coast in Martinique, close (less than 300 meters) to sargassum seaweed stranding areas (exposed group),
* Participant living on the Caribbean coast, in Martinique (unexposed group),
* Participant having been informed of the research,
* Participant having given his free, informed and express consent,
* Participant affiliated to a social security scheme.

Exclusion Criteria:

* Minor Participant,
* Participant with a known respiratory or cardiac pathology,
* Participant with a cognitive state that does not allow him to answer the questionnaire,
* Participant who refused to participate in the study,
* Pregnant or breastfeeding women.

Primary outcomes:
measure: Compare the expired fractions of nitric oxide between people exposed and not exposed to toxic gases from sargassum in Martinique
timeFrame: 6 months
Secondary outcomes:
measure: Compare the pulmonary effects (spirometric) related to the emission of toxic gases from Sargassum between people exposed and those not exposed to Sargassum in Martinique.
timeFrame: 6 months
measure: Compare the pulmonary effects (clinical) related to the emission of toxic gases from Sargassum between people exposed and those not exposed to Sargassum in Martinique.
timeFrame: 6 month
Other outcomes:
Locations:
city: Fort-de-France
country: France
facility: University Hospital Center of Martinique
Study officials:
References: