教育服务业中的职业性哮喘：加利福尼亚州、马萨诸塞州、密歇根州和新泽西州，1993 - 2000年

Work-related asthma in the educational services industry: California, Massachusetts, Michigan, and New Jersey, 1993-2000.

作者信息

Mazurek Jacek M, Filios Margaret, Willis Ruth, Rosenman Kenneth D, Reilly Mary Jo, McGreevy Katharine, Schill Donald P, Valiante David, Pechter Elise, Davis Letitia, Flattery Jennifer, Harrison Robert

机构信息

National Institute for Occupational Safety and Health, Morgantown, West Virginia 26505, USA.

出版信息

Am J Ind Med. 2008 Jan;51(1):47-59. doi: 10.1002/ajim.20539.

DOI:10.1002/ajim.20539

PMID:18033692

Abstract

OBJECTIVES

To characterize work-related asthma (WRA) cases working in the educational services industry identified by state-based occupational disease surveillance systems.

METHODS

We examined 2,995 WRA cases reported from 1993 to 2000 to four states: California, Massachusetts, Michigan, and New Jersey.

RESULTS

A total of 265 (9%) WRA cases were employed in the educational services industry; 69% of cases were classified as new-onset asthma and 31% as work-aggravated asthma. New-onset asthma cases were further classified as occupational asthma (61%) or as reactive airways dysfunction syndrome (8%). The most frequently reported occupation was teachers and teachers' aides (54%). The most frequently reported agents were indoor air pollutants (28%), unspecified mold (16%), dusts (14%), and cleaning products (7%).

CONCLUSIONS

Asthma within the educational services industry is an occupational health problem. The health of school employees should also be considered when initiatives addressing asthma among schoolchildren are instituted. The identification, elimination, and/or control of respiratory hazards are important factors for the protection of staff and students alike.

摘要

目的

对基于州的职业病监测系统所识别出的在教育服务行业工作的职业性哮喘（WRA）病例进行特征描述。

方法

我们检查了1993年至2000年期间向加利福尼亚州、马萨诸塞州、密歇根州和新泽西州这四个州报告的2995例职业性哮喘病例。

结果

共有265例（9%）职业性哮喘病例受雇于教育服务行业；69%的病例被归类为新发哮喘，31%为工作加重性哮喘。新发哮喘病例进一步分为职业性哮喘（61%）或反应性气道功能障碍综合征（8%）。最常报告的职业是教师和教师助理（54%）。最常报告的致病因素是室内空气污染物（28%）、未明确的霉菌（16%）、粉尘（14%）和清洁产品（7%）。