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Medical Monitoring for Occupational Asthma among Toluene Diisocyanate Production Workers in the U.S
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Dec 2017
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Source: J Occup Environ Med. 59(Suppl 12):S13-S21.
[PDF-488.58 KB]
Details:
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Alternative Title:J Occup Environ Med
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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.
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Pubmed ID:29200134
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Pubmed Central ID:PMC5728423
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