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Occupational asthma

There are two types of occupational asthma:
  • reactive airway dysfunction syndrome and
  • allergic occupational asthma.
Occupational asthma results from exposure to some type of irritant.
Examples of workplace irritants include dye exposure in textile workers, metals in refinery workers, formaldehyde in health-care workers, animal dander in certain laboratory workers, acrylates in adhesive handlers, and exposure to flour and grain dust in bakery workers.

In reactive airway dysfunction syndrome, a single, very high exposure to a certain chemical or irritant can cause the development of asthma like symptoms. Some agents known to cause such a problem are inhaled smoke, ammonia, floor sealant and bleaching agents. In allergic occupational asthma, repeated low levels of exposure to a chemical or irritant can lead to allergic or asthma like symptoms.

In allergic occupational asthma, symptoms may start within 20 minutes of exposure to the causative agent, or symptoms may not start until three to four hours after exposure. These symptoms may include wheezing, coughing, chest tightness, extreme fatigue and shortness of breath that start after exposure to the irritant.

Any adult with new onset of these symptoms, and no prior history of asthma, is suspected of having occupational asthma. To confirm the diagnosis of occupational asthma, your doctor will perform a very detailed history, including questioning if other workers at the workplace have similar symptoms, if symptoms improve when you are not at work and what agents you are exposed to at work. Special breathing tests are ordered. These tests are performed outside of the workplace and after you have been at the workplace for a period of time (the amount of time it takes for your symptoms to start).

The best treatment for allergic occupational asthma is to eliminate exposure to the causative agent. Continued exposure can result in serious complications.[...] report your symptoms to a company's representative and to your health-care provider.
[BY DENNIS CARDONE FOR THE STAR-LEDGER]

Sick Building Syndrome


Sick Building Syndrome (SBS) refers to a situation in which building occupants experience health problems while inside a particular building. Human health issues typically associated with SBS range from allergy attacks and asthma to more complex medical problems involving exposure to toxins.

Mold is a common cause of SBS, said Mani Skaria, Ph.D, plant pathology professor and interim chair of the Department of Agronomy and Resource Sciences, Texas A&M University, Kingsville, TX. "Mold has been known to humans since ancient times and it is impossible to eliminate mold from our lives," Skaria said. "However, we now have the technological ability to detect mold growth in its infancy to control it."

Apart from mold, dust and other antigens also cause SBS. This makes SBS a complex problem and requires objective inspections for possible causes to detect and manage SBS. Skaria cites a need for more plant pathologists and mycologists to study building-related mold growth and development and SBS syndrome in real-world conditions.

More on this topic will be presented during the Identification of Fungi Involved in Sick Building Syndrome workshop at the APS Annual Meeting in Austin, TX, July 30 - August 3, 2005. The workshop will offer the latest information on building inspections, assessing mold in a building, sampling techniques, mold growth areas, common misconceptions, new building construction, industry standards, legal issues, and possible solutions as well as discuss proactive strategies to be taken during house construction in order to control mold, insect, and mite-related allergens.

[Author:American Phytopathological Society]

High VOC Concentrations - a significant factor in developing "Sick Building Syndrome"

In a study of the 100 buildings of the US EPA Building Assessment Survey and Evaluation (BASE), it was found that VOC sources were observed to play a role in direct association with mucous membrane and lower respiratory irritation, and possibly to be indirectly involved in indoor chemical reactions with ozone that produce irritating compounds associated with SBS symptoms.EPA Study - LBNL-51570 (LBNL-51570)
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