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Emerging opportunities to prevent occupational lung disease

Correspondence to:
Correspondence to:
Dr K Kreiss
Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV 26505, USA; kkreiss@cdc.gov

The first 150 words of the full text of this article appear below.

New opportunities to prevent occupational lung diseases require the discovery of new occupational lung diseases, new settings for recognised occupational lung diseases, and new approaches to their prevention. Reviewing the last decade’s discoveries, we can learn how to recognise new prevention opportunities involving emerging occupational lung diseases. Since 1996, some examples of newly recognised occupational lung disease include flock workers’ lung,¹ hypersensitivity pneumonitis associated with biocontaminated synthetic metal working fluids,² severe acute respiratory syndrome (SARS), asthma associated with 3-amino-5-mercapto-1,2,4-triazole (AMT) in herbicide manufacture;³ and bronchiolitis obliterans from flavouring chemicals.⁴ If the past is paradigm, approaches to recognition and prevention can proceed without knowing how to measure causal agents and without regulating them.

Astute clinicians can play a vital role in suspecting an emerging occupational cause when they diagnose a rare disease or a cluster of more common or severe disease. For example, Dr David Kern recognised that the . . . [Full text of this article]