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Chest physician-reported, work-related, long-latency respiratory disease in Great Britain

Melanie Carder, Andrew Darnton, Matthew Gittins, S. Jill Stocks, David Ross, Chris M. Barber, Raymond M. Agius
European Respiratory Journal 2017 50: 1700961; DOI: 10.1183/13993003.00961-2017
Melanie Carder
Centre for Occupational and Environmental Health, Centre for Epidemiology, Division of Population Health, Health Services Research and Primary Care, School of Health Sciences, Faculty of Biology, Medicine and Health, The University of Manchester, Manchester, UK
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  • For correspondence: melanie.carder@manchester.ac.uk
Andrew Darnton
Statistics and Epidemiology Unit, Health and Safety Executive, Bootle, UK
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Matthew Gittins
Biostatistics, The University of Manchester, Manchester, UK
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S. Jill Stocks
NIHR Greater Manchester Primary Care Patient Safety Translational Research Centre, Manchester, UK
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David Ross
Dept of Respiratory Medicine, Raigmore Hospital, Inverness, UK
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Chris M. Barber
Centre for Workplace Health, Health and Safety Executive, Buxton, UK
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Raymond M. Agius
Centre for Occupational and Environmental Health, The University of Manchester, Manchester, UK
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Abstract

Much of the current burden of long-latency respiratory disease (LLRD) in Great Britain is attributed to historical asbestos exposure. However, continuing exposure to other agents, notably silica, also contributes to disease burden. The aim of this study was to investigate the incidence of work-related LLRD reported by chest physicians in Great Britain, including variations by age, gender, occupation and suspected agent.

LLRD incidence and incidence rate ratios by occupation were estimated (1996–2014). Mesothelioma cases by occupation were compared with proportional mortality ratios.

Cases were predominantly in men (95%) and 92% of all cases were attributed to asbestos. Annual average incidence rates (males) per 100 000 were: benign pleural disease, 7.1 (95% CI 6.0–8.2); mesothelioma, 5.4 (4.8–6.0); pneumoconiosis, 1.9 (1.7–2.2); lung cancer, 0.8 (0.6–1.0); chronic obstructive pulmonary disease (COPD), 0.3 (0.2–0.4). Occupations with a particularly high incidence of LLRD were miners and quarrymen (COPD), plumbers and gas fitters (asbestosis), and shipyard and dock workers (all other categories). There was a clear concordance between cases of SWORD mesothelioma and proportional mortality ratios by occupation.

Occupationally caused LLRD continues to contribute to a significant disease burden. Many cases are attributable to past exposure to agents such as asbestos and silica, but the potential for occupational exposures persists.

Abstract

Occupational long-latency respiratory disease contributes to a significant disease burden with ongoing exposure risk http://ow.ly/ahyF30gM9DK

Footnotes

  • Support statement: This work was partly supported by the Health and Safety Executive in the UK (contract number PRJ500). The information and views set out in this article are those of the authors and do not necessarily reflect the official opinion of the Health and Safety Executive. Funding information for this article has been deposited with the Crossref Funder Registry.

  • Conflict of interest: None declared.

  • Received May 10, 2017.
  • Accepted September 26, 2017.
  • Copyright ©ERS 2017
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Chest physician-reported, work-related, long-latency respiratory disease in Great Britain
Melanie Carder, Andrew Darnton, Matthew Gittins, S. Jill Stocks, David Ross, Chris M. Barber, Raymond M. Agius
European Respiratory Journal Dec 2017, 50 (6) 1700961; DOI: 10.1183/13993003.00961-2017

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Chest physician-reported, work-related, long-latency respiratory disease in Great Britain
Melanie Carder, Andrew Darnton, Matthew Gittins, S. Jill Stocks, David Ross, Chris M. Barber, Raymond M. Agius
European Respiratory Journal Dec 2017, 50 (6) 1700961; DOI: 10.1183/13993003.00961-2017
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