What environmental information is helpful when investigating the causative agent of occupational asthma in an office worker?
I have recently seen an office worker with possible occupational asthma. I have asked her to complete serial peak flows using the OASYS diary. The office is not based in a factory or near an industrial site. The employee does not have any other jobs. The work involves use of display screen equipment in a telephone contact centre. There may be photocopier within the office.
If this is occupational asthma what environmental information should I obtain from the employer?
I have already thought of the following:
cleaning agents [biocides etc],
carpet fittings,
pesticide applications [what and when and where?],
type of ventilation system and its maintenance [including routine cultures for thermophilic organisms etc].
sources of latex.
Could you please review my list and recommend what else I should be asking?
Thank you.
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Occupational asthma can occur in ordinary offices, the causes are difficult to find. Your list is good, I might add odorants (the sort that plug into an electricity supply) and perhaps plants (the only cases I know were of workers who serviced the plants, particularly weeping fig, but many of these are now made of plastic)
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