Which agents cause occupational asthma and which workers are at risk?


*** 2++ The most frequently reported agents include isocyanates, flour and grain dust, colophony and fluxes, latex, animals, aldehydes and wood dust.

Evidence

Ameille J, Pauli G, CalastrengCrinquand A et al , Reported incidence of occupational asthma in France , J Occup Environ Med , 2003 ; 60 : 136-41

Brhel P , Occupational respiratory diseases in the Czech Republic , Ind Health , 2003 ; 41 : 121-123

Cortona G, Pisati G, Dellabianca A et al , Allergopatie professionali respiratorie: l'esperienza delle Unita Operative Ospedaliere di Medicina del Lavoro in Lombardia dal 1990 al 1998. [Respiratory occupational allergies: the experience of the Hospital Operative Unit of Occupational Medicine in Lombardy from 1990 to 1998] , G Ital Med Lav Ergon , 2001 ; 23 : 64-70

Gannon PFG, Burge PS , The SHIELD scheme in the West Midlands Region, United Kingdom , Br J Ind Med , 1993 ; 50 : 791-796

McDonald JC, Keynes HL, Meredith SK , Reported Incidence Of Occupational Asthma In The United Kingdom 1989-97. , Occup Environ Med , 2000 ; 57 : 823-829

Meredith SK, Taylor VM, McDonald JC , Occupational respiratory disease in the United Kingdom 1989: a report to the British Thoracic Society and the Society of Occupational Medicine by the SWORD project group , Br J Ind Med , 1991 ; 48 : 292-298

Meyer JD, Holt DL, Cherry NM et al , SWORD '98: surveillance of work-related and occupational respiratory disease in the UK , Occup Med (London) , 1999 ; 49 : 485-489

Sallie BA, Ross DJ, Meredith SK et al , SWORD '93. Surveillance of work-related and occupational respiratory disease in the UK , Occup Med (London) , 1994 ; 44 : 177-182

Toren K, Jaervholm B, Brisman J et al , Adult-onset asthma and occupational exposures , Scand J Work Environ Health , 1999 ; 25 : 430-435

Principal reccomendations

This statement supports the following principal reccomendations

View the principal reccomendations

Employers and their health and safety personnel should be aware of the very large number of agents known to cause occupational asthma and the risk of exposure to such agents.

Health practitioners should consider the use of skin prick or serological tests as part of the health surveillance of workers exposed to agents that cause IgE associated occupational asthma to assess the effectiveness of the control of exposure and the risk of occupational asthma among workers.

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