Physician based surveillance system for occupational respiratory diseases : the experience of PROPULSE, Québec, Canada.
To evaluate the feasibility of implementing a physician based surveillance system of occupational respiratory diseases (PROPULSE) in Québec with regard to physician participation rate, characteristics of reported cases, and comparison with official statistics from the Workers'Compensation Board (WCB).
Methods-All chest physicians and allergists in Quebec were asked to report suspected new cases of occupational respiratory diseases, on a monthly basis, between October 1992 and September 1993.
For each case, personal information was collected and the physician's opinion on whether the condition was related to work was categorised as highly likely, likely, and unlikely.
Of the 161 physicians initially approached, 68% participated.
Physicians rated 48% of suspected cases as highly likely, 29% as likely, and 20% as unlikely.
The most often reported diagnosis was asthma (63%), followed by diseases related to asbestos (16%). Silicosis was less frequent (5%) but it was reported for six workers under 40 of whom five were involved in sandblasting activities.
The high proportion of cases of asthma probably reflects the increasing importance of this disease but may also reflect the different patterns of reporting among physicians with different expertise.
The distribution of cases by diagnostic category is quite different between the PROPULSE system and that of the WCB (annual mean number of compensated cases during a four year period). (...)
Mots-clés Pascal : Exposition professionnelle, Médecine travail, Homme, Canada, Amérique du Nord, Amérique, Organisation santé, Appareil respiratoire pathologie, Surveillance sanitaire, Médecin, Québec, Faisabilité, Méthodologie, Incidence, Activité professionnelle
Mots-clés Pascal anglais : Occupational exposure, Occupational medicine, Human, Canada, North America, America, Public health organization, Respiratory disease, Sanitary surveillance, Physician, Quebec, Feasibility, Methodology, Incidence, Professional activity
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0246832
Code Inist : 002B30B03. Création : 11/06/1997.