Report on the January 1997 Detroit Workshop on Metalworking Fluid-Associated Hypersensitivity Pneumonitis

Details

• Personal Author:
  Cox-Ganser, Jean M. ; Kreiss, Kathleen
• Description:
  A workshop held in January 1997 to discuss eight clusters of hypersensitivity pneumonitis in the automotive industry among metalworking fluid-exposed workers came to the conclusion that a risk exists for this granulomatous lung disease where water-based metalworking fluids are used and unusual microbial contaminants occur. Strong candidates for microbial etiology are non-tuberculous mycobacteria and fungi. Cases of hypersensitivity pneumonitis occur among cases with other work-related respiratory symptoms and chest diseases. Reversibility of disease has occurred in many cases with exposure cessation, allowing return to work to jobs without metalworking fluid exposures, or, in some situations, to jobs without the same metalworking fluid exposures. Cases have been recognized with metalworking fluid exposures generally less than 0.5 mg/m3. The workshop participants identified knowledge gaps regarding risk factors, exposure-response relationships, intervention efficacy, and natural history, as well as surveillance needs to define the extent of the problem in this industry. In the absence of answers to these questions, guidance for prevention is necessarily limited. [Description provided by NIOSH]
• Subjects:
  Automobiles Environmental Monitoring Hypersensitivity Lung Diseases Metals Metal Workers Occupational Exposure Occupational Health Respiratory Tract Diseases Risk Assessment Risk Factors Safety

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• Keywords:
  Automotive-industry Exposure-assessment Lung-disease Metalworking Metalworking-fluids Metalworking-industry Occupational-exposure Pulmonary-system-disorders Respiratory-system-disorders Risk-analysis Risk-factors Workers

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• ISBN:
  1893348008
• Publisher:
  American Automobile Manufacturers Association
• Document Type:
  Text
• Genre:
  Proceedings
• Place as Subject:
  District of Columbia ; Michigan ; OSHA Region 3 ; OSHA Region 5 ; West Virginia
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Division:
  DRDS - Division of Respiratory Disease Studies
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  73-79
• NIOSHTIC Number:
  nn:20028441
• Citation:
  Metalworking Fluids Symposium II, The Industrial Metalworking Environment: Assessment and Control of Metal Removal Fluids. September 15-17, 1997, Detroit, Michigan. DA Felinski, JB D'ARcy, eds., Washington, DC: American Automobile Manufacturers Association, 1998 Nov; :73-79
• Editor(s):
  Felinski DA; D'Arcy JB
• Federal Fiscal Year:
  1999
• Peer Reviewed:
  False
• Source Full Name:
  Metalworking Fluids Symposium II, The Industrial Metalworking Environment: Assessment and Control of Metal Removal Fluids. September 15-17, 1997, Detroit, Michigan
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:a1e0b452242c276486bed170de284bf2094451f644ac229cbd1938eb2acc84e066caed6567df46b4d3b41d6d6916b2bd8cd376ff133557817c8f0af11117637d
• Download URL:
  https://stacks.cdc.gov/view/cdc/189855/cdc_189855_DS1.pdf
• File Type:
  [PDF - 1.01 MB ]