The objective of this book chapter is to provide a review of recent advances in our understanding of fungal exposures encountered in United States occupational environments and the impacts that these exposures have on worker health. Occupational exposure can occur to a broad diversity of fungal bioaerosols that include spores, conidia, hyphae, yeasts, chlamydospores, and submicron fragments. Pulmonary exposure to fungal bioaerosols in the work environment can lead to some respiratory morbidities. In some cases, exposure to dimorphic fungal conidia can also result in a symptomatic pulmonary infection that can disseminate and become life threatening. Transcutaneous penetrating injuries sustained while handling vegetation may additionally implant fungal spores or hyphae and result in a subcutaneous infection. Workers may also be susceptible to dermatophytes that can proliferate in occluded regions of the skin such as interdigital spaces and cause a cutaneous infection. Occupational environments and work related tasks that can lead to fungal exposure are reviewed. Strategies to avoid worker fungal exposures including engineering and administrative controls as well as personal protective equipment are additionally provided.
Brett J. Green, Allergy and Clinical Immunology Branch, Health Effects Laboratory Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Morgantown, WV 26505, USA
Publication Date
20171005
Document Type
Chapter
Email Address
dox6@cdc.gov
Editors
Viegas C; Viegas S; Gomes AQ; Täubel M; Sabino R
Fiscal Year
2018
ISBN No.
9783319616865
NIOSH Division
HELD
Source Name
Exposure to microbiological agents in indoor and occupational environments
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