Aluminium potroom

Super Categories

Subcategories

None

Known Synonyms

aluminium
Aluminium Sodium Flouride

Authors

Johny Kongerud, Rikshospitalet, Oslo University, Norway Johny Kongerud

V Soyseth, Hydro Aluminium Aardal, Norway V Soyseth

There is considerable debate as to whether potroom asthma should be classified with standard occupational asthma, or whether it is due to toxic irritation from hydrogen fluoride, which is present in potroom air. Aluminium sodium fluoride is present as a particulate in potrooms, together with hydrogen fluoride and other toxic gasses. There is a relationship between urinary fluoride levels and disease. This could result from either gas or particulate exposure. There are good longitudinal studies showing a latent interval from first exposure to disease, the development of non-specific reactivity which improves after exposure ceases, individual susceptibility and low dose elicitation, similar to occupational asthma with sensitisation. There are no specific challenge studies with aluminium sodium fluoride dust in potroom workers with asthma, if positive this would support sensitisation rather than a toxic effect of the hydrogen fluoride.

Agent

Aluminium Sodium Fluoride
Other Names
Potroom asthma, aluminium fluoride, aluminium chloride
Sources of Exposure
Mostly in the primary smelting of aluminium, a few cases have been described in melters and casters of refined aluminium were aluminium fluoride is used to dedross the molten aluminium or chlorine used to degas the aluminium
Jobs Potroom worker, melter, caster
Epidemiological Studies
There are very good longitudinal studies from Norway in the 1980's and 1990's amongst others
Air Measurements
Specific IgE/ Skin prick test No specific IgE has been measured. Skin prick testing with potroom dust have been negative in workers with occupational asthma
Biological Monitoring Urinary fluoride can be used as a biological monitor in potroom workers
Specific Challenge There are no challenge reports in potroom workers. Nebulised aluminium chloride has been used in one worker degassing molten alumium with chlorine
Early References
The early studies are from the 1930's in Norway where the disease was thought to be due to fluoride intoxification.
Substitutes
No substitutes. Environmental controls have substantially reduced the risks.

References for: Aluminium potroom See published papers on "Aluminium potroom" from this website.
Haz-Map information on: Aluminium potroom See information on "Aluminium potroom" from the HazMap (Information on Hazardous Chemicals and Occupational Diseases) website.
Asmanet information on: Aluminium potroom See information on "Aluminium potroom" from the AsmaPro website (database of occupational asthma cases).

Oasys Notifications for Aluminium potroom

The Oasys Audit scheme started midway through 2010 and collects agents typed in through the Oasys program. The years before 2010 show old data entered during 2010 or later and are likely to have many fewer notifications. We expect Oasys to become more widely adopted as time goes by so increasing notifications does not necessarily mean an increasing problem.

Occupational asthma notifications to the Oasys Audit Scheme for Aluminium potroom

Selected References for Aluminium potroom

Abstract Available for Bronchial responsiveness decreases in relocated aluminum potroom workers compared with workers who continue their potroom exposure Soyseth V, Kongerud J, Aalen OO, Botten G, Boe J, Bronchial responsiveness decreases in relocated aluminum potroom workers compared with workers who continue their potroom exposure, Int Arch Occup Environ Health, 1995;67:53-57,
Johny Kongerud, Rikshospitalet, Oslo University, Norway, an author of 'Bronchial responsiveness decreases in relocated aluminum potroom workers compared with workers who continue their potroom exposure' V Soyseth, Hydro Aluminium Aardal, Norway, an author of 'Bronchial responsiveness decreases in relocated aluminum potroom workers compared with workers who continue their potroom exposure' Jacob Boe, Bergen, an author of 'Bronchial responsiveness decreases in relocated aluminum potroom workers compared with workers who continue their potroom exposure'

Abstract Available for Aluminium potroom asthma: the Norwegian experience Kongerud J, Boe J, Soyseth V, Naalsund A, Magnus P, Aluminium potroom asthma: the Norwegian experience, Eur Respir J, 1994;7:165-172,
Johny Kongerud, Rikshospitalet, Oslo University, Norway, an author of 'Aluminium potroom asthma: the Norwegian experience' V Soyseth, Hydro Aluminium Aardal, Norway, an author of 'Aluminium potroom asthma: the Norwegian experience' Jacob Boe, Bergen, an author of 'Aluminium potroom asthma: the Norwegian experience'

Abstract Available for Bronchial responsiveness and decline in FEV1 in aluminium potroom workers Soyseth V, Kongerud J, Kjuus H, Boe J, Bronchial responsiveness and decline in FEV1 in aluminium potroom workers, Eur Respir J, 1994;7:888-894,
Johny Kongerud, Rikshospitalet, Oslo University, Norway, an author of 'Bronchial responsiveness and decline in FEV1 in aluminium potroom workers' V Soyseth, Hydro Aluminium Aardal, Norway, an author of 'Bronchial responsiveness and decline in FEV1 in aluminium potroom workers' Jacob Boe, Bergen, an author of 'Bronchial responsiveness and decline in FEV1 in aluminium potroom workers'

Abstract Available for Serial measurements of peak expiratory flow and responsiveness to methacholine in the diagnosis of aluminium potroom asthma Kongerud J, Soyseth V, Burge PS, Serial measurements of peak expiratory flow and responsiveness to methacholine in the diagnosis of aluminium potroom asthma, Thorax, 1992;47:292-297,
Sherwood Burge, Oasys, an author of 'Serial measurements of peak expiratory flow and responsiveness to methacholine in the diagnosis of aluminium potroom asthma' Johny Kongerud, Rikshospitalet, Oslo University, Norway, an author of 'Serial measurements of peak expiratory flow and responsiveness to methacholine in the diagnosis of aluminium potroom asthma' V Soyseth, Hydro Aluminium Aardal, Norway, an author of 'Serial measurements of peak expiratory flow and responsiveness to methacholine in the diagnosis of aluminium potroom asthma'

Abstract Available for A longitudinal study of respiratory symptoms in aluminum potroom workers Kongerud J, Samuelsen SO, A longitudinal study of respiratory symptoms in aluminum potroom workers, Am Rev Respir Dis, 1991;144:10-16,
Johny Kongerud, Rikshospitalet, Oslo University, Norway, an author of 'A longitudinal study of respiratory symptoms in aluminum potroom workers'

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