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The evaluation of pulmonary fitness and risk.

Harber P

Occup Med: State of the Art Rev 1988 Apr; 3(2):285-298

00183497

Methods for evaluating pulmonary fitness and risk of potential workers in the occupational environment were presented. Appropriate job placement required determination of potential exposures at the work site, respiratory demands, and the magnitude and timing of the physical work to be performed. Techniques for assessing job demands and personal risk included patient clinical history, chest roentgenography, physical examination, spirometry, and exercise testing. Respiratory disorders considered included reversible obstructive lung disease (asthma), hyperreactive airways, abnormal genetic traits, interstitial lung disease, pneumoconiosis, chronic bronchitis, irreversible airflow obstruction, cigarette smoking, upper airway disorders, and pulmonary infections; job placement decisions required detailed consideration of the patient's medical history and potential exposure situations. The use of industrial respirators was assessed. The author concludes that medical evaluations for job placement decisions must consider the work requirements and the condition of the individual; the right of a respiratory impaired individual to a job must be balanced against the need to protect the potential worker against any adverse effects.

NIOSH-Publication; NIOSH-Grant; Pulmonary-system-disorders; Screening-methods; Occupational-medicine; Risk-analysis; Risk-factors; Work-performance; Worker-health; Clinical-tests; Analytical-methods; Pulmonary-function; Pulmonary-system; Job-analysis

Medicine University of California School of Medicine Los Angeles, Calif 90024

SAOME4

19880401

Journal Article

Weaver NK

654363

Grant

1988

9780932883551

Grant-Number-R01-OH-002005

2

0885-114X

Respirators

Occupational Medicine: State of the Art Reviews. The Petroleum Industry

CA

University of California Los Angeles, Los Angeles, California