To the Editor:
The recent proposal to reclassify chronic obstructive pulmonary disease appropriately identifies environmentally related disease (1). However, in addition to biomass and pollution exposure, the critical role of occupation in the development (2) and worsening (3) of chronic obstructive pulmonary disease should be acknowledged.
Footnotes
Originally Published in Press as DOI: 10.1164/rccm.202208-1496LE on September 29, 2022
Author disclosures are available with the text of this letter at www.atsjournals.org.
References
- 1. Celli B, Fabbri L, Criner G, Martinez FJ, Mannino D, Vogelmeier C, et al. Definition and nomenclature of chronic obstructive pulmonary disease: time for its revision. Am J Respir Crit Care Med . 2022;206:1317–1325. doi: 10.1164/rccm.202204-0671PP. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 2. Blanc PD, Annesi-Maesano I, Balmes JR, Cummings KJ, Fishwick D, Miedinger D, et al. The occupational burden of nonmalignant respiratory diseases. An official American Thoracic Society and European Respiratory Society statement. Am J Respir Crit Care Med . 2019;199:1312–1334. doi: 10.1164/rccm.201904-0717ST. [DOI] [PMC free article] [PubMed] [Google Scholar]
- 3. Harber P, Tashkin DP, Simmons M, Crawford L, Hnizdo E, Connett J, Lung Health Study Group Effect of occupational exposures on decline of lung function in early chronic obstructive pulmonary disease. Am J Respir Crit Care Med . 2007;176:994–1000. doi: 10.1164/rccm.200605-730OC. [DOI] [PMC free article] [PubMed] [Google Scholar]