Health surveillance for occupational respiratory disease

Occupational Medicine
L Lewis, D Fishwick

Abstract

Occupational lung diseases remain common, and health surveillance is one approach used to assist identification of early cases. To identify areas of good practice within respiratory health surveillance and to formulate recommendations for practice. Published literature was searched since 1990 using a semi-systematic methodology. A total of 561 documents were identified on Medline and Embase combined. Other search engines did not identify relevant documents that had not already been identified by these two main searches. Seventy-nine of these were assessed further and 36 documents were included for the full analysis. Respiratory health surveillance remains a disparate process, even within disease type. A standard validated questionnaire and associated guidance should be developed. Lung function testing was common and generally supported by the evidence. Cross-sectional interpretation of lung function in younger workers needs careful assessment in order to best identify early cases of disease. More informed interpretation of the forced expiratory volume in 1 s/forced vital capacity ratio, for example by using a lower limit of normal for each worker, and of longitudinal lung function information is advised. Immunological tests app...Continue Reading

References

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Citations

Jul 10, 2013·Occupational Medicine·Tokeer Hussain
Apr 17, 2016·Occupational Medicine·D FishwickS Naylor
Feb 20, 2020·Occupational Medicine·Paul J Nicholson
May 12, 2015·Current Opinion in Allergy and Clinical Immunology·Carrie A Redlich, Susan M Tarlo
Aug 8, 2021·International Journal of Environmental Research and Public Health·Emma K AustinJohn Tessier

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