The current national surveillance system for occupational illnesses underestimates the incidence of work-related asthma.
This article describes a state-based surveillance system for work-related asthma.
The Michigan surveillance system enables us to estimate the incidence of work-related asthma, describe the characteristics of affected individuals, and facilitate public health interventions in the form of workplace inspections.
The data presented are based on interviews with a case-series of individuals with work-related asthma reported to the Michigan Department of Public Health (MDPH) from 1988 to 1994.
We also present cross-sectional data on coworkers of the index cases, who were interviewed during the workplace investigations, and exposure measurements from those investigations.
Potential cases were reported by physicians, hospitals, or the Michigan Department of Labor.
Case eligibility was based on the criteria for work-related asthma developed by the National Institute for Occupational Safety and Health (NIOSH).
Between 1988 and 1994,725 people who met the NIOSH criteria for work-related asthma were reported to the MDPH.
Seventy-six percent of the reports were from physicians, 17.1% were from hospitals, 7.3% werefrom workers'compensation records, and 3.5% were from other health professionals.
Eighty-three percent of the reports were for individuals with the onset of newly diagnosed asthma after a period of syptomless exposure, 7. (...)
Mots-clés Pascal : Asthme, Exposition professionnelle, Homme, Programme sanitaire, Surveillance sanitaire, Michigan, Etats Unis, Amérique du Nord, Amérique, Epidémiologie, Médecine travail, Appareil respiratoire pathologie, Bronchopneumopathie obstructive, Allergie, Immunopathologie
Mots-clés Pascal anglais : Asthma, Occupational exposure, Human, Sanitary program, Sanitary surveillance, Michigan, United States, North America, America, Epidemiology, Occupational medicine, Respiratory disease, Obstructive pulmonary disease, Allergy, Immunopathology
Notice produite par :
Inist-CNRS - Institut de l'Information Scientifique et Technique
Cote : 97-0340428
Code Inist : 002B06C02. Création : 12/09/1997.