Details:

Alternative Title:
J Occup Environ Med
Personal Author:
Cassidy, Laura D. ; Doney, Brent ; Wang, Mei Lin ; Kurth, Laura ; Conner, Patrick R. ; ... More +
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 ; Less -
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.
Subject:
[+]
Adult
Aged
Asthma, Occupational
Chemical Industry
Environmental Monitoring
Female
Forced Expiratory Volume
Humans
Male
Middle Aged
Occupational Exposure
Population Surveillance
Program Evaluation
Referral And Consultation
Spirometry
Surveys And Questionnaires
Symptom Assessment
Toluene 2,4-Diisocyanate
Young Adult

Source:
J Occup Environ Med. 59(Suppl 12):S13-S21. ;
Pubmed ID:
29200134
Pubmed Central ID:
PMC5728423
Document Type:
Journal Article ;
Funding:
CC999999/Intramural CDC HHS/United States ;
Place as Subject:
United States ;
Collection(s):
CDC Public Access
Main Document Checksum:
[+]
urn:sha256:f319616ddb718b2ecf5ec1186295a91f161510bc423b81bd9ed6b2fa34a46204
File Type:

Supporting Files

• 	nihms911711.nxml	xml
  	nihms911711f1.gif	gif
  	nihms911711f1.jpg	jpeg
  	nihms911711f2.gif	gif
  	nihms911711f2.jpg	jpeg

More +