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International Archives of Occupational and Environmental Health

Erschienen in:

01.08.2005 | Reports on National Health Regulations

Non-malignant occupational respiratory diseases in Germany in comparison with those of other countries

verfasst von: X. Baur, U. Latza

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 7/2005

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Abstract

Objective: To present recent data on the occurrence of non-malignant occupational airway diseases in Germany and to compare mainly affected occupations of obstructive airway diseases caused by allergens and irritants with available surveillance data from other countries. Methods: Sources of German data were statistics for the year 2003 of the Ministry of Labour and Social Affairs and of the federation of statutory accident insurance institutions for the industrial sector. Results: Confirmed cases of non-malignant occupational respiratory diseases in Germany are mainly benign asbestos-associated diseases (occupational disease no. 4103: 1,975 cases), silicosis/coal worker’s pneumoconiosis (occupational disease no. 4101: 1,158 cases), obstructive airway diseases due to allergens (occupational disease no. 4301: 935 cases), chronic obstructive bronchitis and/or emphysema in hard coal miners (occupational disease no. 4111: 414 cases), obstructive airway diseases due to irritants and toxic agents (occupational disease no. 4302: 181 cases), diseases caused by ionising radiation (171 cases), diseases due to isocyanates (occupational disease no. 1315: 55 cases), and 22 cases of other rare occupational lung and airway diseases. Miners, bakers, chemical workers, hairdressers and health care workers are mostly affected. Bakers were also frequently affected by occupational asthma in Finland, France, Sweden, the United Kingdom, the Piedmont region in Italy, South Africa, and New Zealand. Further, high frequencies of occupational asthma were reported for health care workers in France, Italy, New Jersey, Michigan, and South Africa. Conclusion: Despite completely different legal definitions and regulations, comparably high numbers of occupational obstructive diseases in western countries require better primary and secondary prevention in industries with high incidence, especially in bakeries, the health care sector, farming, and mining. Furthermore, there is a urgent need for harmonization of recognition and compensation systems for occupational diseases as well as of respective preventive strategies within the European Union.

Ameille J, Calastreng-Crinquand A, Kopfersmitt MC, et al (1998) Incidence of occupational asthma in France, in 1996. In: Chiyotani K, Hosoda Y, Aizawa Y (eds) Advances in the prevention of occupational respiratory diseases. Proceedings of the 9th international conference, Tokyo 13–16 october 1997, Elsevier Science, Tokyo, pp430–433

Ameille J, Pauli G, Calastreng-Crinquand A, Vervloet D, Iwatsubo Y, Popin E, Bayeux-Dunglas MC, Kopferschmitt-Kubler MC (2003) Reported incidence of occupational asthma in France, in 1996–1999. The ONAP programme. Occup Environ Med 60:136–141CrossRef

American Thoracic Society (2003) American Thoracic Society Statement. Occupational contribution to the burden of airway disease. Am J Respir Crit Care Med 167:787–797

Anto JM, Vermeire P, Vestbo J, Sunyer J (2001) Epidemiology of chronic obstructive pulmonary disease. Eur Respir J 17:982–994CrossRefPubMed

Arif AA, Whitehead LW, Delclos GL, Tortolero SR, Lee ES (2002) Prevalence and risk factors of work-related asthma by industry among United States workers: data from the third national health and nutrition examination survey (1988–1994). Occup Environ Med 59:505–511CrossRefPubMed

Bakke P, Eide GE, Hanoa R, Gulsvik A (1991) Occupational dust or gas exposure and prevalences of respiratory symptoms and asthma in a general population. Eur Respir J 4:273–278PubMed

Baur X, Degens P, Weber K (1998) Occupational obstructive airway diseases in Germany. Am J Ind Med 33:454–462CrossRefPubMed

Becklake MR, Malo J-L, Chan-Yeung M (1999) Epidemiological approaches in occupational asthma. In: Bernstein IL, Chan-Yeung M, Malo J-L, Bernstein DI (eds) Asthma in the workplace, 2nd edn. Dekker, New York Basel, pp27–65

Bena A, D’Errico A, Mirabelli D (1999) Un sistema di rilevazione attiva dell’asma bronchiale professionale: i risultati di due anni attività del programma PRiOR. Med Lav 90:556–571PubMed

Bergdahl IA, Torén K, Eriksson K, Hedlund U, Nilsson T, Flodin R, Jarvholm B (2004) Increased mortality in COPD among construction workers exposed to inorganic dust. Eur Respir J 23:402–406CrossRefPubMed

Bianchi C, Brollo A, Ramani L, Berte R (1991) Exposure to asbestos in Monfalcone, Italy. A necropsy-based study. IARC Sci Publ 112:127–140

Brisman J, Albin M, Rylander L, Mikoczy Z, Lillienberg L, Hoglund AD, Toren K, Meding B, Diab KK, Nielsen J (2003) The incidence of respiratory symptoms in female Swedish hairdressers. Am J Ind Med 44:673–678CrossRefPubMed

Bundesministerium für Arbeit und Sozialordnung (2003) Sicherheit und Gesundheit bei der Arbeit—Unfallverhütungsbericht 2002. BMAS, Bonn

Burgdorf A, Dahhan M, Swuste P (2003) Occupational characteristics of cases with asbestos-related diseases in the Netherlands. Ann Occup Hyg 47:485–492CrossRefPubMed

Cherry NM, McDonald JC (2002) The incidence of work-related disease reported by occupational physicians, 1996–2001. Occup Med 52:407–411CrossRef

Commission of the European Communities (2002) Adapting to change in work and society: a new community strategy on health and safety at work 2002–2006. Brussels. (COM (2002) 118 final)

Commission of the European Communities (2003) Commission recommendation of 19 September 2003 concerning the European schedule of occupational diseases [notified under document number C (2003) 3297]. Official J EU L 238:28

Contreras GR, Rousseau R, Chan-Yeung M (1994) Occupational respiratory diseases in British Columbia, Canada in 1991. Occup Environ Med 51:710–712PubMed

Di Stefano F, Siriruttanapruk S, McCoach J, Burge PS (1998) The incidence of occupational asthma in the West Midlands (UK) from the shield surveillance scheme. Eur Respir J 12(Suppl 28):30CrossRefPubMed

Esterhuizen TM, Hnizdo E, Rees D (2001) Occurrence and causes of occupational asthma in South Africa—results from SORDSA’s occupational asthma registry 1997–1999. S Afr Med J 91:509–513PubMed

Eurogip (2002) Occupational diseases in 15 European countries. Data 1990–2000. New developments 1999–2002. Eurogip, Paris

European Commission (2003) Commission continues fight against occupational diseases. Brussels (IP/03/1288)

Gannon PFG, Burge PS (1991) A preliminary report of a surveillance scheme of occupational asthma in the West Midlands. Br J Ind Med 48:579–582PubMed

Halbert RJ, Isonaka S, George D, Iqbal A (2003) Interpreting COPD prevalence estimates. What is the true burden of disease? Chest 123:1684–1692

Hauptverband der gewerblichen Berufsgenossenschaften, Sankt Augustin (2004) Geschäfts-und Rechnungsergebnisse der gewerblichen Berufsgenossenschaften 2003. Bonifatius, Paderborn, and M. Butz, personal communication

Hnizdo E, Esterhuizen TM, Rees D, Rees D, Lalloo UG (2001) Occupational asthma as identified by the surveillance of work-related and occupational respiratory diseases programme in South Africa. Clin Exp Allergy 31:32–39CrossRefPubMed

Jajosky RAR, Harrison R, Reinisch F, Flattery J, Chan J, Tumpowsky C, Davis L, Reilly MJ, Rosenman KD, Kalinowski D, Stanbury M, Schill DP, Wood J (1999) Surveillance of work-related asthma in selected US states using surveillance guidelines for State Health Departments—California, Massachusetts, Michigan, and New Jersey 1993–1995. Mor Mortal Wkly Rep CDC Surveill Summ 48:1–20

Karjalainen A, Kurppa K, Virtanen S, Keskinen H, Nordman H (2000) Incidence of occupational asthma by occupation and industry in Finland. Am J Ind Med 37:451–458CrossRefPubMed

Karjalainen A, Virtanen S (1999) European statistics on occupational diseases “evaluation of the 1995 pilot data”. Luxembourg: Eurostat 1999 (Population and social conditions 3/1999/E/n 2

Kishimoto T, Morinaga K, Kira S (2000) The prevalence of pleural plaques and/or pulmonary changes among construction workers in Okayama, Japan. Am J Ind Med 37:291–295CrossRefPubMed

Kogevinas M, Antó JM, Sunyer J, Tobias A, Kromhout H, Burney P (1999) Occupational asthma in Europe and other industrialised areas: a population-based study. European community respiratory health survey study group. Lancet 353:1750–1754

Kopferschmitt-Kubler MC, Ameille J, Popin E, Calastreng-Crinquand A, Vervloet D, Bayeux-Dunglas MC, Pauli G (2002) Occupational asthma in France: a 1-year report of the observatoire National de Asthmes Professionnels project. Eur Respir J 19:84–89CrossRefPubMed

Koskinen K, Zitting A, Tossavainen A, Rinne JP, Roto P, Kivekas J, Reijula K, Huuskonen MS (1998) Radiographic abnormalities among Finnish construction, shipyard and asbestos industry workers. Scand J Work Environ Health 24:109–117

Latza A, Haamann F, Baur X (2005) Effectiveness of a nationwide interdisciplinary preventive programme for latex allergy. In Arch Occup Environ Med 78(5):394–402CrossRef

Latza U, Oldenburg M, Baur X. Occupational endotoxin exposure and respiratory symptoms among cotton textile workers. Arch Environ Health (in press)

Latza U, Baur X (2005) Occupational obstructive airway diseases in Germany: Frequency and causes in an international comparison. Am J Ind Med (in press)

Latza U, Stahlkopf H, Weinssen U, Schneider D, van Kampen V, Sadowski H, Gässler A, Baur X (2002) Prävention arbeitsbedingter obstruktiver Atemwegserkrankungen. Schriftenreihe Bundesanstalt für Arbeitsschutz und Arbeitsmedizin, S 71, Wirtschaftverlag NW, Bremerhaven

Leuenberger P, Schindler C, Schwartz J, Ackermann-Liebrich U, Tara D, Perruchoud AP, Wuthrich B, Zellweger JP, Blaser K, Bolognini G, Bongard JP, Brandli O, Domenighetti G, Elsasser S, Grize L, Karrer W, Keller R, Kunzli N, Medici T, Schoni MH, Solari G, Tschopp JM, Villiger B, Zemp E (2000) Occupational exposure to inhalative irritants and methacholine responsiveness. Scand J Work Environ Health 26:146–152PubMed

Mak GK, Gould MK, Kuschner WG (2001) Occupational inhalant exposure and respiratory disorders among never-smokers referred to a hospital pulmonary function laboratory. Am J Med Sci 322:121–126CrossRefPubMed

McDonald JC, Keynes HL, Meredith SK (2000) Reported incidence of occupational asthma in the United Kingdom, 1989–1997. Occup Environ Med 57:823–829CrossRefPubMed

Meredith SK, Tylor VM, McDonald JC (1991) Occupational respiratory disease in the United Kingdom 1989: a report to the British thoracic society and the society of occupational medicine by the SWORD project group. Br J Ind Med 48:292–298PubMed

Meyer JD, Holt DL, Cherry NM, McDonald JC (1999) SWORD’98: surveillance of work-related and occupational respiratory disease in the UK. Occup Med Lond 49:485–490PubMed

Meyer JD, Holt DL, Chen Y, Cherry NM, McDonald JC (2001) SWORD ‘99: surveillance of work-related and occupational respiratory disease in the UK. Occup Med Lond 51:204–208CrossRefPubMed

NIOSH (2002) NIOSH Publication No. 2003-111. The Work-Related Lung Disease Surveillance Report http://www.cdc.gov/niosh/docs

Rosenman KD, Reilly MJ, Kalinowski DJ (1997) A state-based surveillance system for work-related asthma. J Occup Environ Med 39:415–425CrossRefPubMed

Sigsgaard T, personal communication

Takahashi K, Sera Y, Okubo T (1993) A descriptive epidemiological study on pleural plaque cases identified from the worker’s periodical health examinations in Kitakyushu, Japan. Sangyo Igaku 35:302–313PubMed

Toren K (1996) Self-reported rate of occupational asthma in Sweden 1990–1992. Occup Environ Med 53:757–761PubMed

Trupin L, Earnest G, San Pedro M, Balmes JR, Eisner MD, Yelin E, Katz PP, Blanc PD (2003) The occupational burden of chronic obstructive pulmonary disease. Eur Respir J 22:462–469CrossRefPubMed

Viegi G, Prediletto R, Paoletti P, Carrozzi L, Di Pede F, Vellutini M, Di Pede C, Giuntini C, Lebowitz MD (1991) Respiratory effects of occupational exposure in a general population sample in north Italy. Am Rev Respir Dis 143:510–515PubMed

Walls C, Crane J, Gillies J, Wilsher M, Wong C (1997) Occupational asthma and other non-asbestos occupational respiratory diseases notified between 1993 and 1996. N Z Med J 110:246–249PubMed

Walls C, Crane J, Gillies J, Wilsher M, Wong C (2000) Occupational asthma cases notified to OSH from 1996 to 1999. N Z Med J 113:491–492PubMed

World Health Organisation—WHO (2002) Prevention of allergy and allergic asthma. Management of Non-communicable Diseases Department, Chronic Respiratory Diseases and Arthritis. WHO, Geneva

World Health Organisation—WHO (2003) Framework convention on tobacco control. WHO, Geneva http://www.who.int/tobacco/fctc/text/en/fctc_en.pdf

Xu X, Christiani DC (1993) Occupational exposures and physician-diagnosed asthma. Chest 104:1364–1370PubMed

Titel: Non-malignant occupational respiratory diseases in Germany in comparison with those of other countries
verfasst von: X. Baur
U. Latza
Publikationsdatum: 01.08.2005
Verlag: Springer-Verlag
Erschienen in: International Archives of Occupational and Environmental Health / Ausgabe 7/2005
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI: https://doi.org/10.1007/s00420-005-0613-y

Springer Medizin

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