26.12.2012 Views

Toxicology of Industrial Compounds

Toxicology of Industrial Compounds

Toxicology of Industrial Compounds

SHOW MORE
SHOW LESS

You also want an ePaper? Increase the reach of your titles

YUMPU automatically turns print PDFs into web optimized ePapers that Google loves.

154 OCCUPATIONAL ASTHMA INDUCED BY CHEMICAL AGENTS<br />

suggest that cases with RADS are left with less airway reversibility than<br />

occupational asthmatics. This would be consistent with the pathological<br />

findings (Boutet et al., 1993) in RADS, with more severe basement<br />

membrane thickening and bronchial wall fibrosis than is present in<br />

occupational asthma.<br />

The development <strong>of</strong> occupational asthma in any individual has<br />

potentially serious consequences both in terms <strong>of</strong> persisting disability,<br />

possible unemployment and loss <strong>of</strong> income (Gannon et al., 1993). It is<br />

incumbent on management to ensure safe working conditions with<br />

adequate control and regular monitoring <strong>of</strong> atmospheric levels <strong>of</strong> chemical<br />

agents.<br />

References<br />

ALLARD, C., CARTIER, A., GHEZZO, H. and MALO, J-L., 1989, Occupational<br />

asthma due to various agents. Absence <strong>of</strong> clinical and functional improvement<br />

at an interval <strong>of</strong> four or more years after cessation <strong>of</strong> exposure, Chest, 96,<br />

1046–9.<br />

BERNSTEIN, D.I., ROACH, D.E., MCGRATH, K.G., LARSEN, R.S., ZEISS, C. R.<br />

and PATTERSON, R., 1983, The relationship <strong>of</strong> airborne trimellitic<br />

anhydrideinduced symptoms and immune responses, J. Allergy Clin.<br />

Immunol., 72, 709–13.<br />

BOUTET, M., BOULET, L.-P., MALO, J.L., CARTIER, A., CÔTÉ, J., LEBLANC,<br />

C., MILOT, J. and LAVIOLETTE, M., 1993, Morphological evidence <strong>of</strong><br />

modified contractile properties <strong>of</strong> airways in occupational asthma and reactive<br />

airways dys-function syndrome, Am. Rev. Respir. Dis., 147, A113.<br />

BROOKS, S.M., WEISS, M.A. and BERNSTEIN, I.L., 1985, Reactive airways<br />

dysfunction syndrome. Case reports <strong>of</strong> persistent airways hyperreactivity<br />

following high-level irritant exposures, J. Occup. Med., 27, 473–6.<br />

BURGE, P.S., 1982, Single and serial measurements <strong>of</strong> lung function in the<br />

diagnosis <strong>of</strong> occupational asthma, Eur. J. Resp. Dis., 63 (suppl. 123), 47–9.<br />

BUTCHER, B.T. and SALVAGGIO, J.E., 1986, Continuing medical education—<br />

occupational asthma, J. Allergy Clin. Immunol. 78, 547–9.<br />

BUTCHER, B.T., O’NEIL, C.E., REED, M.A. and SALVAGGIO, J.E., 1983, Radioallergosorbent<br />

testing with p-tolyl monoisocyanate in toluene diisocyanate<br />

workers, Clin. Allergy., 13, 31–4.<br />

DIEM, J.E., JONES, R.N., HENDRICK, D.J., GLINDMEYER, H.W.,<br />

DHARMARAJAN, V., BUTCHER, B.T., SALVAGGIO.J.E., and WEILL, H.,<br />

1982, Five year longitudinal study <strong>of</strong> workers employed in a new toluene<br />

diisocyanate manufacturing plant, Am. Rev. Respir. Dis., 126, 420–8.<br />

GANNON, P.F.G. and BURGE, P.S., 1993, The SHIELD scheme in the West<br />

Midlands region, United Kingdom, Brit. J. Ind. Med., 50, 791–6.<br />

GANNON, P.F.G., WEIR, D.C., ROBERTSON, A.S. and BURGE, P.S., 1993,<br />

Health, employment, and flnancial outcomes in workers with occupational<br />

asthma, Brit. J. Ind. Med., 50, 491–6.

Hooray! Your file is uploaded and ready to be published.

Saved successfully!

Ooh no, something went wrong!