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Trends in occupational respiratory conditions with short latency in the UK.
Barradas, A; Iskandar, I; Carder, M; Gittins, M; Fishwick, D; Seed, M; van Tongeren, M.
Afiliación
  • Barradas A; Centre for Occupational and Environmental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
  • Iskandar I; LASIGE, Faculty of Sciences, University of Lisbon, Lisbon, Portugal.
  • Carder M; Division of Pharmacy and Optometry, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
  • Gittins M; Centre for Occupational and Environmental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
  • Fishwick D; Division of Population Health, Health Services Research and Primary Care, University of Manchester, Manchester, UK.
  • Seed M; Centre for Occupational and Environmental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
  • van Tongeren M; Centre for Occupational and Environmental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, UK.
Occup Med (Lond) ; 2024 Aug 20.
Article en En | MEDLINE | ID: mdl-39163888
ABSTRACT

BACKGROUND:

Occupational short-latency respiratory disease (SLRD; predominantly asthma, rhinitis, hypersensitivity pneumonitis, and occupational infections) prevalence is difficult to determine but certain occupations may be associated with increased susceptibility.

AIMS:

This study aimed to examine which occupations and industries are currently at high risk for SLRD and determine their respective suspected causal agents.

METHODS:

SLRD cases reported to the SWORD scheme between 1999 and 2019 were analysed to determine directly standardized rate ratios (SRR) by occupation against the average rate for all other occupations combined.

RESULTS:

'Bakers and flour confectioners' and 'vehicle spray painters' showed significantly raised SRR for SLRD in general, mostly due to occupational rhinitis (234.4; 95% CI 200.5-274.0) and asthma (63.5; 95% CI 51.5-78.3), respectively. Laboratory technicians also showed significantly raised SRR for occupational rhinitis (18.7; 95% CI 15.1-23.1), primarily caused by laboratory animals and insects. Metal machining setters and setter-operators showed increased SRR for occupational hypersensitivity pneumonitis (42.0; 95% CI 29.3-60.3), largely due to cutting/soluble oils. The occupation mostly affected by infectious disease was welding trades (12.9; 95% CI 5.7-29.3), mainly attributable to microbial pathogenicity.

CONCLUSIONS:

This study identified the occupational groups at increased risk of developing an SLRD based on data recorded over a recent two-decade period in the UK. Occupational asthma and rhinitis were identified as the prevailing conditions and hypersensitivity pneumonitis as a potentially rising respiratory problem in the metalworking industry.

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Occup Med (Lond) Asunto de la revista: MEDICINA OCUPACIONAL Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido

Texto completo: 1 Colección: 01-internacional Base de datos: MEDLINE Idioma: En Revista: Occup Med (Lond) Asunto de la revista: MEDICINA OCUPACIONAL Año: 2024 Tipo del documento: Article País de afiliación: Reino Unido Pais de publicación: Reino Unido