Health surveillance for occupational respiratory disease

Occupational Medicine
L Lewis, D Fishwick


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


Oct 1, 1989·Scandinavian Journal of Work, Environment & Health·J KongerudO O Aalen
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Dec 31, 1997·American Journal of Industrial Medicine·E MeijerH Kromhout
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Jun 18, 2002·The European Respiratory Journal. Supplement·J Deslauriers
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Jun 6, 2003·The Journal of Allergy and Clinical Immunology·Miriam G CisternasEdward H Yelin
Sep 21, 2004·Occupational and Environmental Medicine·E MeijerD Heederik
May 20, 2005·Occupational and Environmental Medicine·A BrantP Cullinan
Oct 20, 2005·Occupational and Environmental Medicine·D M WildA D Paltiel
Nov 30, 2005·Occupational Medicine·Susan M Tarlo, Gary M Liss
Nov 30, 2005·Occupational Medicine·Paul F G GannonH M J Willems
Apr 6, 2007·Occupational and Environmental Medicine·Eva SuarthanaEvert Meijer
May 5, 2007·Occupational and Environmental Medicine·Eva HnizdoHenry W Glindmeyer
Mar 27, 2009·Journal of Occupational and Environmental Medicine·Nancy E JohnsonMark B Dignan
Apr 29, 2010·Current Allergy and Asthma Reports·Susan M Tarlo, Gary M Liss
May 8, 2010·Occupational Medicine·K M AllanJ G Ayres
Oct 19, 2010·Occupational and Environmental Medicine·Manon LabrecqueKhalil Rabhi
Nov 26, 2010·Thorax·Jon G AyresJ Fintan Hurley
Feb 3, 2011·Occupational Medicine·A B BohadanaD Zmirou-Navier
May 11, 2011·Journal of Occupational and Environmental Medicine·Mary C Townsend, UNKNOWN Occupational and Environmental Lung Disorders Committee
Dec 14, 2011·Thorax·David FishwickPaul J Nicholson

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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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