Skip to main content
Thorax logoLink to Thorax
. 1996 Apr;51(4):435–440. doi: 10.1136/thx.51.4.435

Occupational asthma: measures of frequency from four countries.

S Meredith 1, H Nordman 1
PMCID: PMC1090684  PMID: 8733501

Abstract

Disease registers and surveillance schemes are not necessarily designed to measure incidence and prevalence, but their data can provide useful epidemiological insights. Their main functions are the detection and identification of hazards so that further cases can be prevented, and to provide a database for research to improve our understanding of the determinants and consequences of disease. Occupational asthma probably accounts for only a small proportion of adult asthma, of the order of 2-6% in the UK. On the other hand, asthma is very common and so thousands of people in the UK and in other western countries have asthma as a result of their work. The frequency of the disease in less developed countries is unknown but is potentially very large. Information on incidence is patchy but from Finland, where ascertainment is most complete, there are approximately 140 per million working people affected each year, and even there disease in the self-employed is probably missed. Data for the UK are limited to cases seen by specialist physicians and the best estimate is that the annual incidence of such cases is about 50 per million. Through internal comparisons and analysis it is possible to judge the extent to which variation in ascertainment and reporting have affected the frequency of reported disease, but so far it has not been possible to measure the underestimation due to persons with work-related symptoms not seeking medical attention or not being referred to a specialist.

Full text

PDF
435

Images in this article

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Anderson H. R. Epidemiology of asthma. 1992 Jan 23-Feb 4Br J Hosp Med. 47(2):99–104. [PubMed] [Google Scholar]
  2. Antó J. M., Sunyer J. A point-source asthma outbreak. Lancet. 1986 Apr 19;1(8486):900–903. doi: 10.1016/s0140-6736(86)90999-2. [DOI] [PubMed] [Google Scholar]
  3. Baker E. L. Sentinel Event Notification System for Occupational Risks (SENSOR): the concept. Am J Public Health. 1989 Dec;79 (Suppl):18–20. doi: 10.2105/ajph.79.suppl.18. [DOI] [PMC free article] [PubMed] [Google Scholar]
  4. Blanc P. Occupational asthma in a national disability survey. Chest. 1987 Oct;92(4):613–617. doi: 10.1378/chest.92.4.613. [DOI] [PubMed] [Google Scholar]
  5. Dewitte J. D., Chan-Yeung M., Malo J. L. Medicolegal and compensation aspects of occupational asthma. Eur Respir J. 1994 May;7(5):969–980. [PubMed] [Google Scholar]
  6. Gannon P. F., Burge P. S. A preliminary report of a surveillance scheme of occupational asthma in the West Midlands. Br J Ind Med. 1991 Sep;48(9):579–582. doi: 10.1136/oem.48.9.579. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gannon P. F., Burge P. S. The SHIELD scheme in the West Midlands Region, United Kingdom. Midland Thoracic Society Research Group. Br J Ind Med. 1993 Sep;50(9):791–796. doi: 10.1136/oem.50.9.791. [DOI] [PMC free article] [PubMed] [Google Scholar]
  8. Keskinen H., Alanko K., Saarinen L. Occupational asthma in Finland. Clin Allergy. 1978 Nov;8(6):569–579. doi: 10.1111/j.1365-2222.1978.tb01511.x. [DOI] [PubMed] [Google Scholar]
  9. Lagier F., Cartier A., Malo J. L. Statistiques médico-légales sur l'asthme professionnel au Québec de 1986 à 1988. Rev Mal Respir. 1990;7(4):337–341. [PubMed] [Google Scholar]
  10. Meredith S. K., McDonald J. C. Work-related respiratory disease in the United Kingdom, 1989-1992: report on the SWORD project. Occup Med (Lond) 1994 Sep;44(4):183–189. doi: 10.1093/occmed/44.4.183. [DOI] [PubMed] [Google Scholar]
  11. Meredith S. K., Taylor V. M., McDonald J. C. Occupational respiratory disease in the United Kingdom 1989: a report to the British Thoracic Society and the Society of Occupational Medicine by the SWORD project group. Br J Ind Med. 1991 May;48(5):292–298. doi: 10.1136/oem.48.5.292. [DOI] [PMC free article] [PubMed] [Google Scholar]
  12. Meredith S. Reported incidence of occupational asthma in the United Kingdom, 1989-90. J Epidemiol Community Health. 1993 Dec;47(6):459–463. doi: 10.1136/jech.47.6.459. [DOI] [PMC free article] [PubMed] [Google Scholar]
  13. Newman Taylor A. J. Occupational asthma. Thorax. 1980 Apr;35(4):241–245. doi: 10.1136/thx.35.4.241. [DOI] [PMC free article] [PubMed] [Google Scholar]
  14. Reilly M. J., Rosenman K. D., Watt F. C., Schill D., Stanbury M., Trimbath L. S., Romero Jajosky R. A., Musgrave K. J., Castellan R. M., Bang K. M. Surveillance for occupational asthma--Michigan and New Jersey, 1988-1992. MMWR CDC Surveill Summ. 1994 Jun 10;43(1):9–17. [PubMed] [Google Scholar]
  15. Stenton S. C., Beach J. R., Avery A. J., Hendrick D. J. The value of questionnaires and spirometry in asthma surveillance programmes in the workplace. Occup Med (Lond) 1993 Nov;43(4):203–206. doi: 10.1093/occmed/43.4.203. [DOI] [PubMed] [Google Scholar]
  16. Sunyer J., Antó J. M., Sabriá J., Rodrigo M. J., Roca J., Morell F., Rodríguez-Roisin R., Codina R. Risk factors of soybean epidemic asthma. The role of smoking and atopy. Am Rev Respir Dis. 1992 May;145(5):1098–1102. doi: 10.1164/ajrccm/145.5.1098. [DOI] [PubMed] [Google Scholar]
  17. Timmer S., Rosenman K. Occurrence of occupational asthma. Chest. 1993 Sep;104(3):816–820. doi: 10.1378/chest.104.3.816. [DOI] [PubMed] [Google Scholar]

Articles from Thorax are provided here courtesy of BMJ Publishing Group

RESOURCES