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Letters
Occupational medicine and asthma
| The first 150 words of the full text of this article appear below. |
The article by Francis et al (Occup Environ Med 2007;64:361–5) is interesting and makes an important contribution to clinical practice. It is a pity, however, that a consensus on definition did not precede the production of evidence-based guidelines1 to make sure that the relevance of the evidence was consistent with the emerging consensus.
I note that the consensus panel comprised a group of experts in occupational respiratory diseases based in major hospitals. As far as I can tell only two of the panel are accredited specialists in occupational medicine. While the individual credentials of the panel members are impeccable, full participation by practising occupational physicians rooted in the workplaces where exposure occurs would have given better balance to the panel as a whole.
I am left wondering if the absence of practising occupational physicians is an unfortunate oversight, a reflection of how uncommon occupational asthma is
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