Occupational Lung Diseases in the 21st Century: The Changing Landscape and Future Challenges

Details

• Personal Author:
  Fazen LE ; Linde B ; Redlich CA
• Description:
  Purpose of review: Occupational exposures remain an underrecognized and preventable cause of lung disease in high-income countries. The present review highlights the emergence of cleaning-related respiratory disease and the re-emergence of silicosis as examples of trends in occupational lung diseases in the 21st century. Recent findings: Employment trends, such as the shift from large-scale manufacturing to a service economy, the growth of the healthcare sector, and changing consumer products have changed the spectrum of work-related lung diseases. Following decades of progress in reducing traditional hazards such as silica in U.S. workplaces, cases of advanced silicosis have recently re-emerged with the production of engineered stone countertops. With growth in the healthcare and service sectors in the United States, cleaning products have become an important cause of work-related asthma and have recently been associated with an increased risk of chronic obstructive pulmonary disease (COPD) in women. However, these occupational lung diseases largely go unrecognized by practicing clinicians. Summary: The present article highlights how changes in the economy and work structure can lead to new patterns of inhalational workplace hazards and respiratory disease, including cleaning-related respiratory disease and silicosis. Pulmonary clinicians need to be able to recognize and diagnose these occupational lung diseases, which requires a high index of suspicion and a careful occupational history. [Description provided by NIOSH]
• Subjects:
  Asthma, Occupational Lung Diseases Occupational Diseases Occupational Exposure Occupational Health Respiratory System Respiratory Tract Diseases Safety Silicosis
• Keywords:
  Author Keywords: Cleaning Products Cleaning Compounds Inhalation Lung Disease Medical Surveillance Occupational Asthma Occupational Diseases Occupational Exposure Occupational Lung Disease Work-related Asthma
• ISSN:
  1070-5287
• Document Type:
  Text
• Funding:
  Grant
• Genre:
  Journal Article
• Place as Subject:
  Connecticut ; OSHA Region 1
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  142-148
• Volume:
  26
• Issue:
  2
• NIOSHTIC Number:
  nn:20059138
• Citation:
  Curr Opin Pulm Med 2020 Mar; 26(2):142-148
• Contact Point Address:
  Louis E. Fazen, MD, PhD, Yale Occupational and Environmental Medicine Program, 367 Cedar St, ESHA 2nd Floor, New Haven, CT 06510, USA
• Email:
  louis.fazen@yale.edu
• Federal Fiscal Year:
  2020
• Performing Organization:
  Yale University School of Medicine
• Peer Reviewed:
  True
• Start Date:
  20010701
• Source Full Name:
  Current Opinion in Pulmonary Medicine
• End Date:
  20260630
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:752084683210da76378690960dc79c108f46ffc844f0b955d418d67a331e4c4e9da9eb0630de7d58e7ef48af64e9aa6e1bb6e604f1ce6ea067cb80cfe4e28b76
• Download URL:
  https://stacks.cdc.gov/view/cdc/223448/cdc_223448_DS1.pdf
• File Type:
  [PDF - 225.80 KB ]