Medical Monitoring for Occupational Asthma among Toluene Diisocyanate Production Workers in the U.S

Cassidy, Laura D.; Doney, Brent; Wang, Mei Lin; Kurth, Laura; Conner, Patrick R.; Collins, James J.; Carson, Michael; Molenaar, Don; Redlich, Carrie A.; Storey, Eileen

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Medical Monitoring for Occupational Asthma among Toluene Diisocyanate Production Workers in the U.S

Published Date:

Dec 2017

Source:

J Occup Environ Med. 59(Suppl 12):S13-S21.

Language:

English

[PDF-488.58 KB]

Details:

Personal Authors:

Cassidy, Laura D. ; Doney, Brent ; Wang, Mei Lin ; Kurth, Laura ; Conner, Patrick R. ; ... More ▼

Keywords:

[+]

Pubmed ID:

29200134

Pubmed Central ID:

PMC5728423

Description:

Objective

To describe a study of medical monitoring methods and lessons learned in detecting health outcomes in U.S. plants producing toluene diisocyanate (TDI).

Methods

A multidisciplinary team implemented a medical and environmental monitoring program in three TDI plants.

Results

Of 269 eligible workers, 197 (73%) participated and 42 (21%) met symptom and/or lung function criteria that would trigger evaluation for possible asthma over five years of data collection. Subsequent evaluation was delayed for most, and a web-based data collection system improved timeliness.

Conclusions

Medical monitoring of TDI workers identified workers triggering further assessment per study protocol. Systems and/or personnel to ensure rapid follow-up are needed to highlight when triggering events represent potential cases of asthma needing further evaluation. Implementation of a research protocol requires resources and oversight beyond an occupational health program.

Document Type:

Journal Article

Collection(s):

CDC Public Access

Funding:

CC999999/Intramural CDC HHS/United States

Place as Subject:

United States

Supporting Files:

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