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Use of hospital discharge data for surveillance of chemical-related respiratory disease.

Authors
Reilly-MJ; Rosenman-KD
Source
Arch Environ Health 1995 Jan; 50(1):26-30
NIOSHTIC No.
00226016
Abstract
Exposures to chemical fumes and vapors requiring hospitalization in Michigan in 1989 and 1990 were surveyed. The International Classification of Diseases (ICD) diagnosis code 506 was used to identify hospital discharges for chemically related respiratory disease from the Michigan Hospital Association (MHA) Service Corporation Michigan Inpatient Database. Medical records were examined for 329 patients. Occupational exposure accounted for one third of the cases, with chlorine (7782505) and sulfur-dioxide (7446095) (13.6%) the most common agents. The mixing of industrial cleaners (9.7%) and single industrial cleaners (5.8%) were also noted as frequent agents. Exposures to grain dusts, molds, and agricultural chemicals in farm work accounted for 11.7%. Nonwork related exposures included fires (26.9%), petroleum products (18.1%), mixing of household products (12.9%) and household cleaning products (11.1%). Michigan Occupational Safety and Health Administration (MIOSHA) inspections at 23 of the patient workplaces found three facilities with exposure to the suspected substance above the NIOSH recommended levels, two of which exceeded the enforceable MIOSHA permissible exposure levels. Seven facilities were cited for other OSHA violations, including noise and hazard communication standards. A standardized health questionnaire was administered to 261 coworkers at 14 of the inspected facilities. New onset asthma or occupational asthma were reported by 23% of the workers. The authors conclude that hospital discharge data are useful tools in identifying both work and nonwork related respiratory hazards.
Keywords
NIOSH-Publication; NIOSH-Cooperative-Agreement; Health-surveys; Occupational-exposure; Occupational-respiratory-disease; Respiratory-system-disorders; Epidemiology; Toxic-gases
CODEN
AEHLAU
CAS No.
7782-50-5; 7446-09-5
Publication Date
19950101
Document Type
Journal Article
Funding Amount
197188
Funding Type
Cooperative Agreement
Fiscal Year
1995
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-CCU-502998
Issue of Publication
1
ISSN
0003-9896
Source Name
Archives of Environmental Health
State
MI
Performing Organization
Department of Consumer & Industry Service, Michigan Department of Public Health
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