National Jewish Health, Division of Environmental and Occupational Health Sciences, Denver, Colorado (Ms Zell-Baran, Dr Meehan, Ms Wolff, Dr Strand, Dr Krefft, Dr Gottschall, Dr Macedonia, Dr Gross, and Dr Rose); University of Colorado, Aurora, Colorado (Dr Meehan, Dr Gottschall, Dr Macedonia, Dr Gross, Dr Rose, and Dr Sanders); Colorado School of Public Health, Aurora, Colorado (Ms Zell-Baran, Dr Strand and Dr Pepper); Veterans Administration Eastern Colorado Health Care System, Aurora, Colorado (Dr Krefft); United States Air Force, Aurora, Colorado (Dr Pepper).
J Occup Environ Med. 2019 Dec;61(12):1036-1040. doi: 10.1097/JOM.0000000000001731.
The aim of this study was to examine military occupational specialty (MOS) codes to identify those at risk from inhalation exposures during Southwest Asia deployment.
Exposure intensity to diesel exhaust, sandstorms, burn pit smoke, combat dust, and occupational vapors/dusts/gases/fumes (VDGF) were scored for all Army/Marine MOS codes by an expert panel. Based on MOS code, panel-rated exposure scores were compared with questionnaire data from military personnel with postdeployment respiratory illnesses.
All exposures except VDGF were rated higher (range P < 0.0001 to P = 0.003) for combat versus noncombat MOS codes. Deployers with respiratory illnesses reported more intense exposure to diesel exhaust (P < 0.0001), burn pit smoke (P < 0.0001), and sandstorms (P = 0.005) compared with panel raters. These deployers clustered in MOS codes rated highest for inhalation hazard exposure intensity.
MOS codes are useful in identifying high-risk military occupations where medical surveillance and exposure control should be focused.
本研究旨在通过审查军事职业分类（MOS）代码，确定在部署到西南亚期间可能因吸入暴露而面临风险的人群。
一个专家小组对所有陆军/海军陆战队 MOS 代码的柴油废气、沙尘暴、燃烧坑烟雾、战斗扬尘以及职业蒸气/粉尘/气体/烟雾（VDGF）暴露强度进行评分。根据 MOS 代码，将小组评定的暴露分数与有部署后呼吸系统疾病的军人的问卷调查数据进行比较。
除 VDGF 外，所有暴露（范围 P<0.0001 至 P=0.003）在战斗与非战斗 MOS 代码中评分更高。与小组评定者相比，患有呼吸系统疾病的部署人员报告称，他们接触柴油废气（P<0.0001）、燃烧坑烟雾（P<0.0001）和沙尘暴（P=0.005）的强度更高。这些部署人员集中在吸入危险暴露强度最高的 MOS 代码中。
MOS 代码可用于识别高风险军事职业，应在这些职业中重点进行医疗监测和暴露控制。
