Onr of my patient reported that several workers in factory are suffering from diabetes and it might be due to absorption of sugar through inhalation or skin absorption.
I also feel these workers to be overworked and sustaining sugar as their major source of food.Please check if they not getting sugar and related products at subsidized rates
During World war II factory workers in munitions factories were exposed to mitrophenol compounds. Nitrophenol is a decoupler for mitochondria and caused excessive weight loss and hancer/