Medical surveillance for the emerging occupational and environmental respiratory diseases

Details

• Alternative Title:
  Curr Opin Allergy Clin Immunol
• Personal Author:
  Weissman, David N.
• Description:
  Purpose of review
  
  To highlight the important issues to consider in deciding whether to pursue and how to conduct medical surveillance for the emerging occupational and environmental respiratory diseases. It provides several recent examples illustrating implementation and usefulness of medical surveillance and the lessons learned from these experiences.
  
  Recent findings
  
  Medical surveillance conducted after sentinel outbreaks of constrictive bronchiolitis in microwave popcorn and flavoring production plants have shown the usefulness of this approach in documenting the burden of disease, identifying particular problem areas as targets for preventive interventions, and in tracking the progress. They have also identified the usefulness of longitudinal spirometry, which allows comparison of the individuals’ results to their own previous tests. The importance of recognizing a sentinel outbreak needing greater investigation is demonstrated by the cluster of cases of constrictive bronchiolitis recognized in military veterans returning from Iraq and Afghanistan. The World Trade Center disaster has demonstrated the importance of having baseline lung function data for future comparison and the importance of rapidly identifying exposed populations at greatest risk for health effects, and thus potentially having the greatest benefit from medical surveillance.
  
  Summary
  
  When used appropriately, medical surveillance is a useful tool in addressing the emerging occupational and environmental respiratory diseases by facilitating improvements in primary prevention and enabling interventions to help individuals through secondary prevention.
  
  
• Subjects:
  Animals Environmental Exposure Humans Occupational Diseases Occupational Exposure Respiration Disorders Risk Factors
• Keywords:
  Constrictive Bronchiolitis Medical Surveillance Respiratory Disease Spirometry World Trade Center
• Source:
  Curr Opin Allergy Clin Immunol. 14(2):119-125
• Pubmed ID:
  24500294
• Pubmed Central ID:
  PMC4711259
• Document Type:
  Journal Article
• Funding:
  CC999999/Intramural CDC HHSUnited States/
• Volume:
  14
• Issue:
  2
• Collection(s):
  CDC Public Access
• Main Document Checksum:
  urn:sha256:5cece52687435191b25f74251b06ae82a110ec8394ff6c29e13b7d7a62c03ef8
• Download URL:
  https://stacks.cdc.gov/view/cdc/37535/cdc_37535_DS1.pdf
• File Type:
  [PDF - 265.94 KB ]