Occupational Asthma Reference

Stocks SJ, McNamee R, Turner S, Carder M, Agius RM, Assessing the impact of national level interventions on workplace respiratory disease in the UK: part 2—regulatory activity by the Health and Safety Executive, Occup Environ Med, 2013;70:483-490,
(Plain text: Stocks SJ, McNamee R, Turner S, Carder M, Agius RM, Assessing the impact of national level interventions on workplace respiratory disease in the UK: part 2-regulatory activity by the Health and Safety Executive, Occup Environ Med)

Keywords: SWORD, UK, occupational asthma, incidence, control, flour, painterr, isocyate, colophony, solderer, metal-workig fluid, MWF, wood

Known Authors

Raymond Agius, Centre for Occupational and Environmental Health, Manchester University Raymond Agius

Roseanne McNamee, Manchester University COEH Roseanne McNamee

Melanie Carder, COEH Manchester Melanie Carder

Susan Turner, Centre for Occupational and Environmental Medicine Manchester Susan Turner

If you would like to become a known author and have your picture displayed along with your papers then please get in touch from the contact page. Known authors can choose to receive emails when their papers receive comments.

Abstract

Objective
To investigate whether interventions implemented by the UK Health and Safety Executive addressing exposure to isocyanate-based spray paints in motor vehicle repair (MVR), flour dust in craft bakeries, rosin-based solder flux fume in the electronics industry, metalworking fluids and wood dust coincided with a decline in incidence of work-related short latency respiratory disease or asthma in the target groups.

Method
Changes in the incidence of work-related short latency respiratory disease reported to a UK-based surveillance scheme were compared using a longitudinal, negative binomial regression model with ß distributed random effects. An interrupted time series design was used and comparisons according to inclusion or exclusion in the target group were made by including a statistical interactions expressed as a ratio of incidence rate ratios (RIRRs) in the model.

Results
The incidence of work-related short latency respiratory disease attributed to flour dust significantly increased relative to all other agents (RIRR: 1.10; 95% CI 1.06 to 1.16) whereas work-related short latency respiratory disease attributed to rosin-based solder flux fume significantly declined relative to all other agents (0.94; 0.90 to 0.99). No significant changes in the incidence of SLRD attributed to wood dust (1.03; 0.91 to 1.16) or spray paints (1.03; 0.95 to 1.11) relative to all other agents were observed. A higher proportion of reports originated from the industries targeted by the intervention for rosin-based solder flux fume (65/107; 61%) than spray painting (27/93; 27%) or wood dust (16/42; 38%).

Conclusions
These data support a beneficial effect of interventions to reduce exposure to rosin-based solder flux fume but an increase in work-related short latency respiratory disease attributed to flour dust may indicate increased exposure or increased awareness of the problem

Plain text: Objective To investigate whether interventions implemented by the UK Health and Safety Executive addressing exposure to isocyanate-based spray paints in motor vehicle repair (MVR), flour dust in craft bakeries, rosin-based solder flux fume in the electronics industry, metalworking fluids and wood dust coincided with a decline in incidence of work-related short latency respiratory disease or asthma in the target groups. Method Changes in the incidence of work-related short latency respiratory disease reported to a UK-based surveillance scheme were compared using a longitudinal, negative binomial regression model with b distributed random effects. An interrupted time series design was used and comparisons according to inclusion or exclusion in the target group were made by including a statistical interactions expressed as a ratio of incidence rate ratios (RIRRs) in the model. Results The incidence of work-related short latency respiratory disease attributed to flour dust significantly increased relative to all other agents (RIRR: 1.10; 95% CI 1.06 to 1.16) whereas work-related short latency respiratory disease attributed to rosin-based solder flux fume significantly declined relative to all other agents (0.94; 0.90 to 0.99). No significant changes in the incidence of SLRD attributed to wood dust (1.03; 0.91 to 1.16) or spray paints (1.03; 0.95 to 1.11) relative to all other agents were observed. A higher proportion of reports originated from the industries targeted by the intervention for rosin-based solder flux fume (65/107; 61%) than spray painting (27/93; 27%) or wood dust (16/42; 38%). Conclusions These data support a beneficial effect of interventions to reduce exposure to rosin-based solder flux fume but an increase in work-related short latency respiratory disease attributed to flour dust may indicate increased exposure or increased awareness of the problem

Full Text

Associated Questions

There are no associations for this paper.

Please Log In or Register to put forward this reference as evidence to a question.

Comments

Please sign in or register to add your thoughts.


Oasys and occupational asthma smoke logo