Developments of Respiratory, Cardiovascular, and Neurological Diseases Associated with Lithium Battery Disposal: A Cross-Sectional Study

Main Article Content

Alfie Zeyu Guan
Harley Sitou
Wesley Pau
Ellie Nga In Vong
Agnes Chi Tong Ng
Betty Tian Yi Wang

Abstract

Introduction


With the rapid increase in electric vehicle (EV) production and ownership, disposal of lithium iron phosphate (LFP) batteries [1] has become a critical environmental challenge. These batteries contain chemicals like lithium hexafluorophosphate, and organic carbonates (e.g., ethylene carbonate such as ethylene carbonate, and toxic metals such as cadmium and lead [2]. Inhalation of these substances can lead to asthma, chronic obstructive pulmonary disease (COPD), and pneumonitis. Long-term exposure may increase risks of cardiovascular diseases such as hypertension and arrhythmias as well as neurological conditions such as cognitive impairments and dementia [3][4][5]. The objective of our study is to assess disease outcomes in individuals exposed to heavy metals or toxic chemical byproducts from LFP battery recycling or disposal.


Method


Our study deploys a cross-sectional observational design to assess three health outcomes: respiratory, cardiovascular, and neurological outcomes.


Study population


The exposed group includes workers in lithium battery recycling plants or living within a 3 km radius of such facilities. The control group includes individuals who have no occupational exposure and live at least 10 km away from any battery recycling or disposal facility.


Inclusion criteria:


The study includes 18-60-year-old individuals with no previous history of chronic respiratory, cardiovascular, or neurological conditions before employment or residence in or near battery recycling facilities.


Exclusion criteria:


Individuals with chronic history of respiratory, cardiovascular, or neurological diseases are excluded.


Results


Health outcomes assessment for all three systems


We use spirometry to measure FEV1 and FVC for lung function, blood pressure and electrocardiograms for cardiovascular health, and cognitive tests for neurological status.


Data analysis


Baseline characteristics are summarized for descriptive statistics. Outcome differences across groups are compared using t-tests with multivariable regression for adjusted odds ratios.


Conclusion


Our study emphasizes the need for health surveillance for individuals in proximity to lithium battery recycling.

Article Details

How to Cite
Guan, A. Z., Sitou, H., Pau, W., Vong, E. N. I., Ng, A. C. T. and Wang, B. T. Y. (2025) “Developments of Respiratory, Cardiovascular, and Neurological Diseases Associated with Lithium Battery Disposal: A Cross-Sectional Study”, Journal of Asian Medical Students’ Association. Kuala Lumpur, Malaysia. Available at: https://jamsa.amsa-international.org/index.php/main/article/view/758 (Accessed: 15December2025).
Section
EAMSC 2025 Egypt Scientific Paper
Author Biographies

Alfie Zeyu Guan, Macau University of Science and Technology; Avenida Wai Long, Taipa, Macau, China

Director of Academic, AMSA Macau

Harley Sitou, Macau University of Science and Technology; Avenida Wai Long, Taipa, Macau, China

Director of J-AMSA, AMSA Macau

Wesley Pau, Macau University of Science and Technology; Avenida Wai Long, Taipa, Macau, China

Director of Public Health, AMSA Macau

Ellie Nga In Vong, Macau University of Science and Technology; Avenida Wai Long, Taipa, Macau, China

Director of Pubic Relations and Promotion

Agnes Chi Tong Ng, Macau University of Science and Technology; Avenida Wai Long, Taipa, Macau, China

Regional Chairperson AMSA Macau

Betty Tian Yi Wang, Macau University of Science and Technology; Avenida Wai Long, Taipa, Macau, China

Vice Director of Academic, AMSA Macau

References

Zhao, Tianyu, et al. “A review on the recycling of spent lithium iron phosphate batteries.” Journal of Environmental Management, vol. 351, Feb. 2024, p. 119670, https://doi.org/10.1016/j.jenvman.2023.119670.

Larsson, Fredrik, et al. “Author correction: Toxic fluoride gas emissions from lithium-ion battery fires.” Scientific Reports, vol. 8, no. 1, 22 Mar. 2018, https://doi.org/10.1038/s41598-018-22957-8.

Sironval, Violaine, et al. “Respiratory hazard of li-ion battery components: Elective toxicity of lithium cobalt oxide (licoo2) particles in a mouse bioassay.” Archives of Toxicology, vol. 92, no. 5, 17 Mar. 2018, pp. 1673–1684, https://doi.org/10.1007/s00204-018-2188-x.

Deng, Yaotang, et al. “Associations of occupational exposure to micro-linicomno2 particles with systemic inflammation and cardiac dysfunction in cathode material production for lithium batteries.” Environmental Pollution, vol. 359, Oct. 2024, p. 124694, https://doi.org/10.1016/j.envpol.2024.124694.

Netto, Ivan, and Vivek H. Phutane. “Reversible lithium neurotoxicity.” The Primary Care Companion For CNS Disorders, 26 Jan. 2012, https://doi.org/10.4088/pcc.11r01197.