Occupational lung diseases in the 21st century: the changing landscape and future challenges

被引:21
作者
Fazen, Louis E. [1 ]
Linde, Brian [1 ]
Redlich, Carrie A. [1 ,2 ]
机构
[1] Yale Sch Med, Yale Occupat & Environm Med Program, Dept Med, New Haven, CT USA
[2] Yale Sch Med, Sect Pulm Crit Care & Sleep Med, New Haven, CT USA
关键词
cleaning products; medical surveillance; occupational lung disease; silicosis; work-related asthma; AMERICAN THORACIC SOCIETY; WORK-RELATED ASTHMA; UNITED-STATES; RESPIRATORY-DISEASE; SILICOSIS; HEALTH; PREVALENCE; EXPOSURE; RISK; MANAGEMENT;
D O I
10.1097/MCP.0000000000000658
中图分类号
R56 [呼吸系及胸部疾病];
学科分类号
摘要
Purpose of review Occupational exposures remain an underrecognized and preventable cause of lung disease in high-income countries. The present review highlights the emergence of cleaning-related respiratory disease and the re-emergence of silicosis as examples of trends in occupational lung diseases in the 21st century. Recent findings Employment trends, such as the shift from large-scale manufacturing to a service economy, the growth of the healthcare sector, and changing consumer products have changed the spectrum of work-related lung diseases. Following decades of progress in reducing traditional hazards such as silica in U.S. workplaces, cases of advanced silicosis have recently re-emerged with the production of engineered stone countertops. With growth in the healthcare and service sectors in the United States, cleaning products have become an important cause of work-related asthma and have recently been associated with an increased risk of chronic obstructive pulmonary disease (COPD) in women. However, these occupational lung diseases largely go unrecognized by practicing clinicians. The present article highlights how changes in the economy and work structure can lead to new patterns of inhalational workplace hazards and respiratory disease, including cleaning-related respiratory disease and silicosis. Pulmonary clinicians need to be able to recognize and diagnose these occupational lung diseases, which requires a high index of suspicion and a careful occupational history.
引用
收藏
页码:142 / 148
页数:7
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