Emphysema and occupational exposure to industrial pollutants.

Kjuus, Helge; Istad, Helge; Langård, Sverre

doi:10.5271/sjweh.2545

Cited by 11 publications

(5 citation statements)

References 25 publications

(15 reference statements)

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“…Similar combinations of the effect of variable temperature and chemicals were also seen in a 13-year follow-up study of Cracow residents (76,77). A threefold increase in the risk for emphysema has also been shown to be related to exposure in a populationbased case-control study (78) in Norway.…”

Section: Mixed Dust Fumes and Gas Exposurementioning

confidence: 55%

Occupational Exposures and Chronic Airflow Limitation

Dimich‐Ward¹,

Kennedy²,

Chan‐Yeung³

1996

Canadian Respiratory Journal

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S tudies have shown that the diseases of dusty occupations, in particular the pneumoconioses, are on the decline in developed countries. In contrast, mortality rates due to the chronic nonmalignant lung diseases including those characterized by airflow obstruction are increasing (1) and these diseases are responsible for high rates of morbidity and extended periods of disablement. It is now generally accepted that occupational exposure to organic dusts such as grain and cotton The recent literature was reviewed to evaluate whether chronic airflow limitation is associated with occupational exposures to dusts. Only those studies that controlled for the effects of smoking were included. There is compelling evidence that exposure to inorganic dusts, such as from coal and hardrock mining or asbestos, are associated with the development of chronic airflow limitation, independently of pneumoconiosis. Nonsmoking gold miners are particularly at high risk of airflow obstruction and emphysema. Findings from studies of organic dusts, such as exposures to wood, cotton, grain or other agricultural dusts, or to mixed dust exposures, were less consistent but tended to show positive dose-response associations. In the majority of studies, no statistical interaction was shown between dust exposures and smoking; however, the effects of the dust exposures were often more pronounced. An occupational history should be considered, in addition to a smoking history, as an integral part of an investigation of chronic airflow limitation in a patient. Key Words: Chronic airflow limitation, FEV 1 , Occupational exposures, SmokingLes expositions professionnelles et l'obstruction respiratoire chronique RÉSUMÉ : On a passé en revue les études récentes pour éval-uer si l'obstruction respiratoire chronique a un rapport avec les expositions professionnelles aux poussières. Seules les études avec groupe témoin pour les effets du tabagisme ont été retenues. On peut conclure que les expositions aux poussières inorganiques comme celles provenant du charbon et des roches ou de l'amiante est associée à l'obstruction respiratoire chronique, indépendamment d'une pneumoconiose. Les nonfumeurs qui travaillent dans les mines d'or sont particulière-ment exposés au développement d'une obstruction respiratoire et d'un emphysème. Les résultats des études sur les poussières organiques, telles que les expositions aux poussières de bois, de coton, de grain ou d'autres poussières agricoles, ou les expositions à plusieurs types de poussières étaient moins constants mais tendaient à démontrer une association dose-réponse positive. Dans la plupart des études, aucun lien statistique n'a été démontré entre les expositions aux poussières et le tabagisme; toutefois, les effets des expositions aux poussières étaient souvent plus prononcés. Par conséquent, les antécédents professionnels tout comme les antécédents de consommation de tabac devraient faire partie intégrante de l'anamnèse chez un patient présentant une obstruction respiratoire chronique.

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Section: Mixed Dust Fumes and Gas Exposurementioning

confidence: 55%

Occupational Exposures and Chronic Airflow Limitation

Dimich‐Ward¹,

Kennedy²,

Chan‐Yeung³

1996

Canadian Respiratory Journal

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“…Previous research shows that occupational exposure to coal dust, silica, endotoxin, and cadmium was associated with emphysema. 31, 32 …”

Section: Discussionmentioning

confidence: 99%

Prevalence of Chronic Obstructive Pulmonary Disease Among US Working Adults Aged 40 to 70 Years

Doney

Hnizdo

Syamlal

et al. 2014

Journal of Occupational &Amp; Environmental Medicine

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Objective To estimate the prevalence and prevalence odds ratios of chronic obstructive pulmonary disease (COPD) among US workers by major occupational groups. Methods The 2004 to 2011 National Health Interview Survey data for working adults 40 to 70 years old was analyzed to estimate the prevalence of COPD by major occupational groups. Logistic regression models were used to evaluate the associations between COPD (chronic bronchitis or emphysema) and occupations. Results The estimated overall COPD prevalence was 4.2% (95% CI, 4.0 to 4.3). The odds of COPD were highest among workers in health care support occupations (prevalence odds ratio, 1.64; 95% CI, 1.25 to 2.14) followed by food preparation and serving-related occupations (prevalence odds ratio, 1.57; 95% CI, 1.20 to 2.06). Conclusions Prevalence varied by occupations, suggesting workplace exposures may contribute to COPD. Preventive measures such as interventions to reduce smoking may reduce the prevalence of COPD.

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“…established. [4][5][6][7] It has been suggested that heavy exposure to cadmium may lead to emphysema. 5 In vivo diagnosis of emphysema requires HRCT of the chest or measurement of diffusion capacity.…”

Section: Discussionmentioning

confidence: 99%

“…3 Emphysema developing as a consequence of an occupational exposure has been reported only rarely. [4][5][6][7] We describe the rare occurrence of severe emphysema in a non-smoker male who had worked for nearly three decades in nickel electroplating industry.…”

Section: Introductionmentioning

confidence: 99%

Occupational Emphysema Following Long-term Exposure to Metal Fumes During Electroplating in a Non-smoker

Mittal¹,

Gupta²,

Dash³

et al. 2022

The Indian Journal of Chest Diseases and Allied Sciences

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Exposure to cigarette smoke is by far the most common causative factor for chronic obstructive pulmonary disease. Occupational exposure to fumes, chemicals, dusts and environmental pollution is also an important cause of chronic productive cough. Emphysema developing as a consequence of an occupational exposure is extremely rare. We describe the rare occurrence of severe emphysema in a non-smoker male who had worked for nearly three decades in nickel electroplating industry.

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Emphysema and occupational exposure to industrial pollutants.

Cited by 11 publications

References 25 publications

Occupational Exposures and Chronic Airflow Limitation

Occupational Exposures and Chronic Airflow Limitation

Prevalence of Chronic Obstructive Pulmonary Disease Among US Working Adults Aged 40 to 70 Years

Occupational Emphysema Following Long-term Exposure to Metal Fumes During Electroplating in a Non-smoker

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