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Work-related reactive airways dysfunction syndrome cases from surveillance in selected US states.

Authors
Henneberger-PK; Derk-SJ; Davis-L; Tumpowsky-C; Reilly-MJ; Rosenman-KD; Schill-DP; Valiante-D; Flattery-J; Harrison-R; Reinisch-F; Filios-MS; Tift-B
Source
J Occup Environ Med 2003 Apr; 45(4):360-368
NIOSHTIC No.
20023963
Abstract
The objective was to elaborate the descriptive epidemiology of work-related cases of reactive airways dysfunction syndrome (RADS). Cases of work-related asthma (WRA) were identified in four states in the United States during 1993-1995 as part of the Sentinel Event Notification Systems for Occupational Risks (SENSOR). Information gathered by follow-back interview was used to describe 123 work-related RADS cases and to compare them to 301 other WRA cases whose onset of disease was associated with a known asthma inducer. RADS represented 14% of all new-onset WRA cases identified by the state SENSOR surveillance systems. RADS cases had significant adverse medical and occupational outcomes identified by follow-back interview. In particular, 89% still had breathing problems, 78% had ever sought emergency care and 39% had ever been hospitalized for work-related breathing problems, 54% had applied for worker compensation benefits, and 41% had left the company where they experienced onset of asthma. These values equaled or exceeded the comparable figures for those WRA cases whose onset was attributed to a known inducer. Work-related RADS represents a minority of all WRA cases, but the adverse impact of this condition appears to equal that of other WRA cases.
Keywords
Respiratory-system-disorders; Surveillance-programs; Epidemiology; Airway-obstruction; Workplace-monitoring; Occupational-respiratory-disease; Sensitization; Chemical-hypersensitivity; Breathing; Respiratory-hypersensitivity; Risk-analysis; Respiratory-system-disorders; Pulmonary-system-disorders
Contact
National Institute for Occupational Safety and Health, 1095 Willowdale Road, Mail Stop H-2800, Morgantown, WV 26505
CODEN
JOEMFM
CAS No.
7782-50-5; 50-00-0; 111-30-8; 584-84-9; 3173-72-6; 822-06-0
Publication Date
20030401
Document Type
Journal Article
Email Address
pkh0@cdc.gov
Funding Type
Cooperative Agreement
Fiscal Year
2003
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-008338; Cooperative-Agreement-Number-U60-CCU-208160
Issue of Publication
4
ISSN
1076-2752
NIOSH Division
DRDS
Priority Area
Disease and Injury: Asthma and Chronic Obstructive Pulmonary Disease
Source Name
Journal of Occupational and Environmental Medicine
State
WV; MA; MI; NJ; CA
Performing Organization
New Jersey Department of Health and Senior Services
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