Skip directly to search Skip directly to A to Z list Skip directly to page options Skip directly to site content

NIOSHTIC-2 Publications Search

Search Results

Industry-wide medical surveillance in California flavor manufacturing workers: cross-sectional results.

Authors
Kreiss-K; Kim-TJ; Materna-BJ; Prudhomme-JC; Fedan-KB; Sahakian-N; Windham-G
Source
Am J Respir Crit Care Med 2010 May; 181(Meeting Abstracts):A5111
NIOSHTIC No.
20037057
Abstract
Rationale. After reports of two cases of bronchiolitis obliterans in flavor manufacturing workers, California health and labor agencies initiated industry-wide surveillance to identify extent of and risk factors for respiratory disease. Methods. We examined cross-sectional questionnaire and spirometry data submitted by companies' physicians for 584 workers in 19 workplaces, of whom 467 (80%) had acceptable data. We compared the prevalence ratios of respiratory symptoms, diagnoses, and abnormal spirometry in workers to a general population sample. We determined personal and workplace risk factors for spirometric obstructive abnormality with odds ratios. Results. Flavoring workers reported no excess of respiratory symptoms or physician diagnoses, but were 2.7 times more likely to have severe airways obstruction on spirometry testing, compared to the general population. Risk factors identified for 18 cases with airways obstruction from six companies included younger age group, Hispanic ethnicity, liquid and powder production work, greater company diacetyl usage, and having a coworker with obstruction. Conclusion. Public health surveillance documented a flavoring industry risk of severe lung disease, justifying preventive interventions to lower flavoring exposures and medical screening for secondary prevention until worker safety is demonstrated.
Keywords
Airway-obstruction; Airway-resistance; Breathing; Bronchial-asthma; Exposure-assessment; Exposure-levels; Exposure-methods; Injuries; Injury-prevention; Lung-disorders; Lung-function; Lung-irritants; Lung-tissue; Occupational-hazards; Occupations; Pulmonary-clearance; Pulmonary-congestion; Pulmonary-disorders; Pulmonary-function; Pulmonary-system; Pulmonary-system-disorders; Risk-analysis; Risk-factors; Safety-measures; Safety-practices; Statistical-analysis; Work-analysis; Work-environment; Worker-health; Work-operations; Work-organization; Work-performance; Workplace-studies
CODEN
AJCMED
Publication Date
20100501
Document Type
Abstract
Fiscal Year
2010
NTIS Accession No.
NTIS Price
ISSN
1073-449X
NIOSH Division
DRDS
Source Name
American Journal of Respiratory and Critical Care Medicine
State
WV
TOP