Industry-wide medical surveillance of California flavor manufacturing workers: Cross-sectional results.
Am J Ind Med
; 53(9): 857-65, 2010 Sep.
Article
em En
| MEDLINE
| ID: mdl-20564514
ABSTRACT
BACKGROUND:
Two cases of bronchiolitis obliterans in flavor manufacturing workers prompted California health and labor agencies to initiate industry-wide surveillance.METHODS:
Companies' physicians submitted cross-sectional questionnaire and spirometry data for 467 workers in 16 workplaces. We compared prevalence ratios of respiratory symptoms, diagnoses, and abnormal spirometry to a general population sample. We calculated odds ratios for risk factors for spirometric obstructive abnormality.RESULTS:
Flavoring workers were 2.7 times more likely than the general population to have severe airways obstruction. Risk factors identified for 18 cases with obstruction from six companies included younger age, Hispanic ethnicity, liquid and powder production work, greater company diacetyl usage, and having a coworker with obstruction. Severity of obstruction was related to tenure. At least 12 workers had probable occupational fixed airways obstruction.CONCLUSIONS:
The flavoring industry risk of severe lung disease justifies lowering flavoring exposures and medical screening for secondary prevention until worker safety is demonstrated.
Texto completo:
1
Coleções:
01-internacional
Base de dados:
MEDLINE
Assunto principal:
Exposição Ocupacional
/
Saúde Ocupacional
/
Diacetil
/
Aromatizantes
/
Indústrias
/
Pneumopatias
/
Doenças Profissionais
Tipo de estudo:
Etiology_studies
/
Observational_studies
/
Prevalence_studies
/
Prognostic_studies
/
Risk_factors_studies
/
Screening_studies
Limite:
Adult
/
Female
/
Humans
/
Male
/
Middle aged
País/Região como assunto:
America do norte
Idioma:
En
Revista:
Am J Ind Med
Ano de publicação:
2010
Tipo de documento:
Article
País de afiliação:
Estados Unidos