Surveillance of respiratory diseases among construction and trade workers at Department of Energy nuclear sites

American Journal of Industrial Medicine
John DementKnut Ringen

Abstract

Medical screening programs were begun in 1996 and 1997 at three Department of Energy (DOE) nuclear weapons facilities (Hanford Nuclear Reservation, Oak Ridge, and the Savannah River Site) to evaluate whether current and former construction workers are at significant risk for occupational illnesses. The focus of this report is pneumoconiosis associated with exposures to asbestos and silica among workers enrolled in the screening programs through September 30, 2001. Workers provided a detailed work and exposure history and underwent a respiratory examination, which included a respiratory history and symptom questionnaire, a posterior-anterior (P-A) chest radiograph, and spirometry. Both stratified and multivariate logistic regression analyses were used to explore the risk of disease by duration of DOE employment and frequency of exposure, while controlling for potential confounders such as age, race, sex, and other work in the construction and building trades. Of the 2602 workers, 25.2% showed one or more chest X-ray changes by ILO criteria and 42.7% demonstrated one or more pulmonary function defects. The overall prevalence of parenchymal changes by ILO criteria (profusion 1/0 or greater) was 5.4%. In the logistic regression mod...Continue Reading

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Citations

Apr 27, 2012·Journal of Exposure Science & Environmental Epidemiology·Krista Y Christensen, Leonid Kopylev
Apr 15, 2011·Journal of Occupational and Environmental Hygiene·R L NeitzelN S Seixas
Dec 7, 2005·Environmental Health Perspectives·Hester J LipscombDana Loomis
Nov 23, 2006·Annals of the New York Academy of Sciences·Eula BinghamPatricia Quinn
Feb 8, 2011·American Journal of Industrial Medicine·Marek A MikulskiLaurence J Fuortes
Jun 25, 2013·American Journal of Industrial Medicine·Laura S WelchMiles Fisher
Aug 16, 2014·American Journal of Industrial Medicine·Knut RingenPatricia S Quinn
Jul 1, 2015·American Journal of Industrial Medicine·John DementScott Haas
Jan 4, 2017·Journal of Occupational and Environmental Medicine·Laura S WelchPatricia S Quinn
May 19, 2017·Occupational and Environmental Medicine·John M DementPatricia Quinn
Jul 27, 2004·American Journal of Industrial Medicine·Elizabeth M BarbeauGlorian Sorensen
Aug 13, 2004·American Journal of Industrial Medicine·Laura WelchPatricia Quinn
Aug 26, 2011·Journal of Occupational and Environmental Medicine·Marek A MikulskiLaurence J Fuortes
Mar 17, 2011·Journal of Occupational and Environmental Medicine·Xiuwen Sue DongKnut Ringen
Aug 12, 2009·American Journal of Industrial Medicine·John M DementPatricia Quinn
Dec 22, 2009·American Journal of Industrial Medicine·John M DementPatricia Quinn
Oct 29, 2005·American Journal of Industrial Medicine·John DementPatricia Quinn
Oct 29, 2005·American Journal of Industrial Medicine·Toshio MakieDavid G Hoel
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Nov 12, 2018·Occupational and Environmental Medicine·Laura S WelchKnut Ringen
Jan 31, 2020·Occupational and Environmental Medicine·John M DementPatricia Quinn
Jun 9, 2017·Annals of Work Exposures and Health·Paul CartyDavid Rempel
Mar 18, 2021·American Journal of Industrial Medicine·John M DementStella Hines

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