Reeb-Whitaker Carolyn, LaSee Claire R, Bonauto David K
Washington State Department of Labor and Industries, Safety and Health Assessment and Research for Prevention (SHARP) Program, Olympia, WA, USA.
J Asthma. 2022 Aug;59(8):1537-1547. doi: 10.1080/02770903.2021.1955379. Epub 2021 Aug 16.
We conducted surveillance for work-related asthma (WRA) in Washington State to identify the industry sectors and asthma exposures most commonly affecting injured workers and in need of prevention activities.
Using workers' compensation data as the primary data source, valid cases were classified as work-aggravated asthma (WAA) or new onset asthma that includes occupational asthma (OA) and reactive airways dysfunction syndrome (RADS). The source of exposure that caused the worker's asthma, their industry and occupation were determined.
There were 784 valid work-related asthma cases identified for the period 2009-2016, WAA ( = 529) was most common followed by occupational asthma ( = 127) and RADS ( = 12). The Health Care and Social Assistance industry had the highest number of cases ( = 170) with 82% classified as WAA. The highest overall proportions of new onset asthma are occurring in Agriculture, Forestry, Fishing and Hunting (33% of work related asthma cases), Manufacturing (31%) and Construction (30%). The leading substances associated with new onset asthma across all industries include hop plant dust, wood and cedar dust, mineral and inorganic dust, mold, and cleaning materials. We describe ten cases of cannabis-associated asthma including seven from workers in the legalized cannabis industry, four of whom had OA.
State-based work-related asthma surveillance is critical in identifying the workers and exposures associated with this occupational disease, including the detection of a case-series in the cannabis industry.
我们在华盛顿州开展了与工作相关哮喘（WRA）的监测，以确定最常影响受伤工人且需要预防措施的行业部门和哮喘暴露情况。
以工人赔偿数据作为主要数据源，将有效病例分类为工作加重型哮喘（WAA）或新发哮喘，后者包括职业性哮喘（OA）和反应性气道功能障碍综合征（RADS）。确定导致工人哮喘的暴露源、其行业和职业。
2009 - 2016年期间共确定784例有效的与工作相关哮喘病例，其中WAA（n = 529）最为常见，其次是职业性哮喘（n = 127）和RADS（n = 12）。医疗保健和社会救助行业的病例数最多（n = 170），其中82%被分类为WAA。新发哮喘总体比例最高的行业是农业、林业、渔业和狩猎业（占工作相关哮喘病例的33%）、制造业（31%）和建筑业（30%）。所有行业中与新发哮喘相关的主要物质包括啤酒花粉尘、木材和雪松粉尘、矿物和无机粉尘、霉菌以及清洁材料。我们描述了10例大麻相关哮喘病例，其中7例来自大麻合法化行业的工人，4例患有职业性哮喘。
基于州的与工作相关哮喘监测对于识别与这种职业病相关的工人和暴露情况至关重要，包括在大麻行业中发现一系列病例。
