Work-Related Reactive Airways Dysfunction Syndrome Cases from Surveillance in Selected US States

Details

• Personal Author:
  Davis, Letitia ; Derk SJ ; Filios, Margaret S. ; Flattery J ; Harrison, Robert ; Henneberger, Paul K. ; Reilly MJ ; Reinisch F ; Rosenman, Kenneth D. ; Schill, Donald P. ; Tift B ; Tumpowsky C ; Valiante D
• Description:
  The objective was to elaborate the descriptive epidemiology of work-related cases of reactive airways dysfunction syndrome (RADS). Cases of work-related asthma (WRA) were identified in four states in the United States during 1993-1995 as part of the Sentinel Event Notification Systems for Occupational Risks (SENSOR). Information gathered by follow-back interview was used to describe 123 work-related RADS cases and to compare them to 301 other WRA cases whose onset of disease was associated with a known asthma inducer. RADS represented 14% of all new-onset WRA cases identified by the state SENSOR surveillance systems. RADS cases had significant adverse medical and occupational outcomes identified by follow-back interview. In particular, 89% still had breathing problems, 78% had ever sought emergency care and 39% had ever been hospitalized for work-related breathing problems, 54% had applied for worker compensation benefits, and 41% had left the company where they experienced onset of asthma. These values equaled or exceeded the comparable figures for those WRA cases whose onset was attributed to a known inducer. Work-related RADS represents a minority of all WRA cases, but the adverse impact of this condition appears to equal that of other WRA cases. [Description provided by NIOSH]
• Subjects:
  Epidemiology Hypersensitivity Occupational Health Respiratory Hypersensitivity Respiratory System Respiratory Tract Diseases Risk Assessment Safety Workplace
• Keywords:
  Airway-obstruction Breathing Chemical-hypersensitivity Occupational-respiratory-disease Pulmonary-system-disorders Respiratory-hypersensitivity Respiratory-system-disorders Risk-analysis Sensitization Surveillance-programs Workplace-monitoring

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• ISSN:
  1076-2752
• Document Type:
  Text
• Funding:
  Cooperative Agreement
• Genre:
  Journal Article
• Place as Subject:
  California ; Massachusetts ; Michigan ; New Jersey ; OSHA Region 1 ; OSHA Region 2 ; OSHA Region 3 ; OSHA Region 5 ; OSHA Region 9 ; 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:
  360-368
• Volume:
  45
• Issue:
  4
• NIOSHTIC Number:
  nn:20023963
• Citation:
  J Occup Environ Med 2003 Apr; 45(4):360-368
• Contact Point Address:
  National Institute for Occupational Safety and Health, 1095 Willowdale Road, Mail Stop H-2800, Morgantown, WV 26505
• Email:
  pkh0@cdc.gov
• CAS Registry Number:
  1,5-Naphthalene diisocyanate (CAS RN 3173-72-6) ; Chlorine (CAS RN 7782-50-5) ; Formaldehyde (CAS RN 50-00-0) ; Glutaraldehyde (CAS RN 111-30-8) ; Hexamethylene diisocyanate (CAS RN 822-06-0) ; Toluene 2,4-diisocyanate (CAS RN 584-84-9)
• Federal Fiscal Year:
  2003
• NORA Priority Area:
  Disease and Injury: Asthma and Chronic Obstructive Pulmonary Disease
• Performing Organization:
  New Jersey Department of Health and Senior Services
• Peer Reviewed:
  True
• Start Date:
  19920930
• Source Full Name:
  Journal of Occupational and Environmental Medicine
• End Date:
  20060929
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:05878f69b1788e8334bb619f1e16f9f39bd99db4499c2fe77cdb0e512cd875aa4122ad9c423fd20e761f48c80d1b8b3e16c2cd57d65209e89b38fe25c18c567c
• Download URL:
  https://stacks.cdc.gov/view/cdc/195995/cdc_195995_DS1.pdf
• File Type:
  [PDF - 190.08 KB ]