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Incidence of Occupational Asthma and Exposure to Toluene Diisocyanate in the United States Toluene Diisocyanate Production Industry
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Dec 2017
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Source: J Occup Environ Med. 59(Suppl 12):S22-S27.
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Details:
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Alternative Title:J Occup Environ Med
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Personal Author:
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Description:Objective
This study examines asthma risk in facilities producing toluene diisocyanate (TDI).
Methods
A total of 197 workers were monitored from 2007 to 2012. TDI air concentrations were used to estimate exposures.
Results
The incidence of cases consistent with TDI-induced asthma was 0.009 per person-years (seven cases) or consistent with TDI-induced asthma or asthma indeterminate regarding work-relatedness was 0.012 (nine cases). Increased risk of cases consistent with TDI asthma was observed for cumulative (odds ratio [OR] = 2.08, 95% confidence interval [CI] 1.07 to 4.05) per logarithm parts per billion-years and peak TDI exposures (OR = 1.18, 95% CI 1.06 to 1.32) (logarithm parts per billion). There was a weak association with cumulative and peak exposures for decline of short-term forced expiratory volume in one second (FEV1). Asthma symptoms were associated with workers noticing an odor of TDI (OR 6.02; 95% CI 1.36 to 26.68).
Conclusions
There is evidence that cumulative and peak exposures are associated with TDI-induced asthma.
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Subjects:
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Source:
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Pubmed ID:29200135
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Pubmed Central ID:PMC5763544
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Funding:
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Volume:59
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