© 2005 BMJ Publishing Group Ltd
EDITORIAL
Respiratory medicine
The role of occupation in the development of chronic obstructive pulmonary disease (COPD)
Health and Safety Laboratory and University of Sheffield, UK
Correspondence to:
Correspondence to:
Dr D Fishwick
Health and Safety Laboratory and University of Sheffield, Harpur Hill, Buxton SK17 9JN, UK; david.fishwick@hsl.gov.uk
A discussion of current issues
Keywords: COPD; health and safety executive; occupation; workplace dust exposure
| The first 150 words of the full text of this article appear below. |
Chronic obstructive pulmonary disease (COPD) is the fourth leading cause of death worldwide.1 In the UK, COPD is given as the cause of death on about 30 000 death certificates annually.2 This represents 5.1% of all deaths. The prevalence of COPD is difficult to determine because the condition does not usually manifest until mid-life, when it is already moderately advanced. In England and Wales, it is estimated that there are currently 900 000 diagnosed cases, and allowing for under-diagnosis the true prevalence is estimated to be 1.5 million.3 The total annual cost to the National Health Service for the treatment of COPD is thought to be £491 652 000 in direct costs, and £982 000 000 including indirect costs, causing 21.9 million working days to be lost in 199495 as a result of this condition.
A recent clinical study from the UK noted that in a random sample
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