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Fatal asthma from powdering shark cartilage and review of fatal occupational asthma literature.

Authors
Ortega-HG; Kreiss-K; Schill-DP; Weissman-DN
Source
Am J Ind Med 2002 Jul; 42(1):50-54
NIOSHTIC No.
20022210
Abstract
Work-related asthma (WRA) is the most common work-associated respiratory disease in developed countries. We report shark cartilage dust as a new potential cause of occupational asthma (OA) in the context of other fatal OA case reports. A 38-year-old white male worked for 8 years in a facility which primarily granulated and powdered various plastics. Sixteen months prior to his death, the plant began grinding shark cartilage. After 10 months of exposure, he reported chest symptoms at work in association with exposure to shark cartilage dust and a physician diagnosed asthma. Six months later, he complained of shortness of breath at work and died from autopsy-confirmed asthma. The latency from onset of exposure to symptoms and from symptom onset to death was shorter than 10 previously reported OA fatalities. Recognition of occupational causes and triggers of asthma and removal of affected individuals from these exposures is critical and can prevent progression to irreversible or even fatal asthma.
Keywords
Respiratory-irritants; Respiratory-system-disorders; Bronchial-asthma; Pulmonary-function; Environmental-factors; Sensitization; Dusts; Dust-exposure; Breathing; Breathing-atmospheres; Breathing-zone; Work-environment; Worker-health; Exposure-levels; Occupational-exposure; Occupational-respiratory-disease; Pulmonary-system-disorders; Mortality-data
Contact
National Institute for Occupational Safety and Health, HELD/ASB/Mailstop L-4218, 1095 Willowdale Road, Morgantown, West Virginia 26505, USA
CODEN
AJIMD8
Publication Date
20020701
Document Type
Journal Article
Email Address
DWeissman@cdc.gov
Funding Type
Cooperative Agreement
Fiscal Year
2002
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-008338; Cooperative-Agreement-Number-U60-CCU-208160
Issue of Publication
1
ISSN
0271-3586
NIOSH Division
HELD
Priority Area
Disease and Injury: Asthma and Chronic Obstructive Pulmonary Disease
Source Name
American Journal of Industrial Medicine
State
WV; NJ
Performing Organization
New Jersey Department of Health and Senior Services
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