Occupational Asthma Reference

Huntley CC, Burge PS, Moore VC, Robertson AS, Walters GI, Occupational asthma in office workers, Occup Environ Med, 2022;72:414,https://doi.org/10.1093/occmed/kqac023

Keywords: OA, office, Oasys, SIC, laminating, air conditioning, acrylate, adhesive, mould, cleaning

Known Authors

Sherwood Burge, Oasys Sherwood Burge

Vicky Moore, Oasys Vicky Moore

Alastair Robertson, Selly Oak Hospital Alastair Robertson

Gareth Walters, Heartlands Gareth Walters

Chris Huntley, University Hospitals Birmingham Chris Huntley

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Abstract

Background
Office work has a relative perception of safety for the worker. Data from surveillance schemes and population-based epidemiological studies suggest that office work carries a low risk of occupational asthma (OA). Office workers are frequently used as comparators in studies of occupational exposure and respiratory disease.

Aims
We aimed to describe and illustrate our tertiary clinical experience of diagnosing OA in office workers.

Methods
We searched the Birmingham NHS Occupational Lung Disease Service clinical database for cases of occupational respiratory disease diagnosed between 2002 and 2020, caused by office work or in office workers. For patients with OA, we gathered existing data on demographics, diagnostic tests including Occupational Asthma SYStem (OASYS) analysis of serial peak expiratory flow and specific inhalational challenge, and employment outcome. We summarised data and displayed them alongside illustrative cases.

Results
There were 47 cases of OA (5% of all asthma) confirmed using OASYS analysis of PEFs in the majority. Sixty percent of cases occurred in healthcare, education and government sectors. The most frequently implicated causative exposures or agents were: indoor air (9), printing, copying and laminating (7), cleaning chemicals (4), mould and damp (4), and acrylic flooring and adhesives (4). Exposures were grouped into internal office environment, office ventilation-related and adjacent environment.

Conclusions
Clinicians should be vigilant for exposures associated with OA in office workers who present with work-related symptoms, where respiratory sensitizing agents may be present. A structured approach to assessment of the workplace is recommended

Occupational asthma in office workersGet accessArrow
C C Huntley, P S Burge, V C Moore, A S Robertson, G I Walters
Occupational Medicine, Volume 72, Issue 6, July 2022, Pages 411–414, https://doi.org/10.1093/occmed/kqac023

Plain text: Background Office work has a relative perception of safety for the worker. Data from surveillance schemes and population-based epidemiological studies suggest that office work carries a low risk of occupational asthma (OA). Office workers are frequently used as comparators in studies of occupational exposure and respiratory disease. Aims We aimed to describe and illustrate our tertiary clinical experience of diagnosing OA in office workers. Methods We searched the Birmingham NHS Occupational Lung Disease Service clinical database for cases of occupational respiratory disease diagnosed between 2002 and 2020, caused by office work or in office workers. For patients with OA, we gathered existing data on demographics, diagnostic tests including Occupational Asthma SYStem (OASYS) analysis of serial peak expiratory flow and specific inhalational challenge, and employment outcome. We summarised data and displayed them alongside illustrative cases. Results There were 47 cases of OA (5% of all asthma) confirmed using OASYS analysis of PEFs in the majority. Sixty percent of cases occurred in healthcare, education and government sectors. The most frequently implicated causative exposures or agents were: indoor air (9), printing, copying and laminating (7), cleaning chemicals (4), mould and damp (4), and acrylic flooring and adhesives (4). Exposures were grouped into internal office environment, office ventilation-related and adjacent environment. Conclusions Clinicians should be vigilant for exposures associated with OA in office workers who present with work-related symptoms, where respiratory sensitizing agents may be present. A structured approach to assessment of the workplace is recommended Occupational asthma in office workersGet accessArrow C C Huntley, P S Burge, V C Moore, A S Robertson, G I Walters Occupational Medicine, Volume 72, Issue 6, July 2022, Pages 411-414, https://doi.org/10.1093/occmed/kqac023

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Comments

Office workers are often used as the control population for population studies of occupational asthma. This case series shows that 5% of all validated cases of occupational asthma from a tertiary referral centre were in office workers. Exposures were grouped into the internal office environment, office ventilation-related and adjacent environment. Common causes were from the air conditioning (9/47), printing, copying and laminating (7/47), cleaning chemicals (4/47), mould and damp (4/47), and acrylic flooring and adhesives (4/47) and 19 others.
9/27/2022

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