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A descriptive study of work aggravated asthma.

机译：对工作加重哮喘的描述性研究。

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BACKGROUND AND AIMS: Work related asthma (WRA) is one of the most frequently reported occupational lung diseases in a number of industrialised countries. A better understanding of work aggravated asthma (WAA), as well as work related new onset asthma (NOA), is needed to aid in prevention efforts. METHODS: WAA and NOA in the United States were compared using cases reported to the National Institute for Occupational Safety and Health (NIOSH) from four state Sentinel Event Notification Systems for Occupational Risks (SENSOR) surveillance programmes for 1993-95. RESULTS: A total of 210 WAA cases and 891 NOA cases were reported. WAA cases reported mineral and inorganic dusts as the most common exposure agent, as opposed to NOA cases, in which diisocyanates were reported most frequently. A similar percentage of WAA and NOA cases still experienced breathing problems at the time of the interview or had visited a hospital or emergency room for work related breathing problems. NOA cases were twice as likely to have applied for workers' compensation compared with WAA cases. However, among those who had applied for worker compensation, approximately three-fourths of both WAA and NOA cases had received awards. The services and manufacturing industrial categories together accounted for the majority of both WAA (62%) and NOA (75%) cases. The risk of WAA, measured by average annual rate, was clearly the highest in the public administration (14.2 cases/10(5)) industrial category, while the risk of NOA was increased in both the manufacturing (3.2 cases/10(5)) and public administration (2.9 cases/10(5)) categories. CONCLUSIONS: WAA cases reported many of the same adverse consequences as NOA cases. Certain industries were identified as potential targets for prevention efforts based on either the number of cases or the risk of WAA and NOA.
机译：背景与目的：与工作有关的哮喘（WRA）是许多工业化国家中最常报告的职业性肺病之一。需要更好地了解工作加重性哮喘（WAA）以及与工作有关的新发哮喘（NOA），以帮助预防工作。方法：使用美国国家职业安全与健康研究所（NIOSH）从1993-95年四个州职业风险前哨事件通知系统（SENSOR）监视程序中报告的病例，比较美国的WAA和NOA。结果：报告了210例WAA病例和891例NOA病例。与NOA案例相反，WAA案例报告矿物和无机粉尘是最常见的暴露剂，而NOA案例则最常报告二异氰酸酯。相似的WAA和NOA病例在面谈时仍出现呼吸问题，或因工作相关呼吸问题而去医院或急诊室。与WAA案件相比，NOA案件申请工伤赔偿的可能性是后者的两倍。但是，在申请工人赔偿的人中，WAA和NOA案件中约有四分之三获得了赔偿。在WAA（62％）和NOA（75％）案例中，服务和制造业类别合计最多。以平均年率衡量的WAA风险显然是公共行政部门中最高的（14.2例/ 10（5））工业类别，而两个制造业中的NOA风险都增加了（3.2例/ 10（5）） ）和公共管理（2.9例/ 10（5））类别。结论：WAA病例报告了许多与NOA病例相同的不良后果。根据案例数或WAA和NOA的风险，某些行业被确定为预防工作的潜在目标。

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