Assessment of respiratory health surveillance for laboratory animal workers

K. M. Allan, E. Murphy, J. G. Ayres

    Research output: Contribution to journalArticle

    7 Citations (Scopus)

    Abstract

    BACKGROUND: Occupational asthma is the most common work-related respiratory disease in the UK. Individuals whose work potentially puts them at risk include those exposed to laboratory animals. Workplace health surveillance programmes aim to minimize these health risks but are recognized to be challenging to implement effectively.

    AIMS: To evaluate the efficacy of the respiratory health surveillance programme provided by a National Health Service occupational health service (OHS) to individuals potentially exposed to respiratory sensitizers at work with laboratory animals.

    METHODS: Case notes from the OHS respiratory health surveillance programme over a 2 year period were examined. Symptom detection by the OHS surveillance questionnaire was compared to a cross-sectional survey using items from the validated International Union Against Tuberculosis and Lung Disease (IUATLD) questionnaire. The surveillance spirometry records were audited against good standards of practice.

    RESULTS: The response rate for the anonymized survey using IUATLD questions was 60% and detected similar numbers of potential work-related symptoms to the OHS surveillance questionnaire. Over 80% of spirometry records met accepted standards for technique, effort and recording. In this study of 85 individuals over 2 years, three cases of occupational asthma were identified.

    CONCLUSIONS: The current surveillance appears to be effective in identifying potential cases of occupational asthma. Modification of the questionnaire content and layout might improve response rates. This study suggests that spirometry does not detect new cases other than those already identified by questionnaire.
    Original languageEnglish
    Pages (from-to)458-463
    Number of pages6
    JournalOccupational Medicine
    Volume60
    Issue number6
    Early online date6 May 2010
    DOIs
    Publication statusPublished - Sep 2010

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    Laboratory Animals
    Occupational Health Services
    Occupational Asthma
    Spirometry
    Health
    National Health Programs
    Workplace
    Lung Diseases
    Surveys and Questionnaires
    Tuberculosis
    Cross-Sectional Studies

    Cite this

    Assessment of respiratory health surveillance for laboratory animal workers. / Allan, K. M.; Murphy, E.; Ayres, J. G.

    In: Occupational Medicine, Vol. 60, No. 6, 09.2010, p. 458-463 .

    Research output: Contribution to journalArticle

    Allan, K. M. ; Murphy, E. ; Ayres, J. G. / Assessment of respiratory health surveillance for laboratory animal workers. In: Occupational Medicine. 2010 ; Vol. 60, No. 6. pp. 458-463 .
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    abstract = "BACKGROUND: Occupational asthma is the most common work-related respiratory disease in the UK. Individuals whose work potentially puts them at risk include those exposed to laboratory animals. Workplace health surveillance programmes aim to minimize these health risks but are recognized to be challenging to implement effectively.AIMS: To evaluate the efficacy of the respiratory health surveillance programme provided by a National Health Service occupational health service (OHS) to individuals potentially exposed to respiratory sensitizers at work with laboratory animals.METHODS: Case notes from the OHS respiratory health surveillance programme over a 2 year period were examined. Symptom detection by the OHS surveillance questionnaire was compared to a cross-sectional survey using items from the validated International Union Against Tuberculosis and Lung Disease (IUATLD) questionnaire. The surveillance spirometry records were audited against good standards of practice.RESULTS: The response rate for the anonymized survey using IUATLD questions was 60{\%} and detected similar numbers of potential work-related symptoms to the OHS surveillance questionnaire. Over 80{\%} of spirometry records met accepted standards for technique, effort and recording. In this study of 85 individuals over 2 years, three cases of occupational asthma were identified.CONCLUSIONS: The current surveillance appears to be effective in identifying potential cases of occupational asthma. Modification of the questionnaire content and layout might improve response rates. This study suggests that spirometry does not detect new cases other than those already identified by questionnaire.",
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    AB - BACKGROUND: Occupational asthma is the most common work-related respiratory disease in the UK. Individuals whose work potentially puts them at risk include those exposed to laboratory animals. Workplace health surveillance programmes aim to minimize these health risks but are recognized to be challenging to implement effectively.AIMS: To evaluate the efficacy of the respiratory health surveillance programme provided by a National Health Service occupational health service (OHS) to individuals potentially exposed to respiratory sensitizers at work with laboratory animals.METHODS: Case notes from the OHS respiratory health surveillance programme over a 2 year period were examined. Symptom detection by the OHS surveillance questionnaire was compared to a cross-sectional survey using items from the validated International Union Against Tuberculosis and Lung Disease (IUATLD) questionnaire. The surveillance spirometry records were audited against good standards of practice.RESULTS: The response rate for the anonymized survey using IUATLD questions was 60% and detected similar numbers of potential work-related symptoms to the OHS surveillance questionnaire. Over 80% of spirometry records met accepted standards for technique, effort and recording. In this study of 85 individuals over 2 years, three cases of occupational asthma were identified.CONCLUSIONS: The current surveillance appears to be effective in identifying potential cases of occupational asthma. Modification of the questionnaire content and layout might improve response rates. This study suggests that spirometry does not detect new cases other than those already identified by questionnaire.

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