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1 Service de Pneumologie, Cliniques de Mont-Godinne, Université Catholique de Louvain, Yvoir, Belgium. 2 Dept of Respiratory Medicine and Allergology and Dept of Occupational and Environmental Medicine, Sahlgrenska University Hospital, Göteborg, Sweden. 3 Division of Occupational and Environmental Medicine, Dept of Medicine, University of California, San Francisco, California, USA
CORRESPONDENCE: O. Vandenplas, Service de Pneumologie, Cliniques universitaires UCL de Mont-Godinne, B-5530, Yvoir, Belgium. Fax: 32 81423352. E-mail: olivier.vandenplas@pneu.ucl.ac.be
Keywords: asthma, disability, occupational disease
Received: May 13, 2003
Accepted May 14, 2003
O. Vandenplas is supported by the Services Fédéraux des Affaires Scientifiques, Techniques et Culturelles (grant SSTC PS/10/44).
Abstract
There is accumulating evidence that the workplace environment contributes significantly to the general burden of asthma. The purpose of this review is to explore the respiratory health and socioeconomic consequences of work-related asthma by addressing a series of controversial issues: 1) what is the natural history of occupational asthma and in what ways does ongoing exposure to the causal agent impact clinical outcomes?; 2) how does the natural history of irritant-induced asthma differ in its health outcomes from immunologically-mediated occupational asthma?; 3) do working conditions have a significant impact on asthma regardless of the aetiology of the disease?; 4) what is the scope of work disability from work-related-asthma in social and economic terms?; 5) what is the clinician's role in reducing the respiratory health consequences of work-related asthma? 6) to what extent do existing compensation and other social insurance schemes successfully address occupational asthma and work-aggravated asthma?
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