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Occupational and Environmental Medicine 2008;65:148; doi:10.1136/oem.2007.035360
Copyright © 2008 by the BMJ Publishing Group Ltd.

POSTSCRIPT

Letters

Authors’ response

Helen C Francis, R McL Niven

North West Lung Research Centre, Wythenshawe Hospital, Manchester M23 9LT, UK

Correspondence to:
Dr Helen Francis, North West Lung Research Centre, Wythenshawe Hospital, Manchester M23 9LT, UK; helen.c.francis@manchester.ac.uk

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

We thank Dr Preece for his comments. We believe that he is justified in questioning the make-up of the panel and that this has a significant bias for tertiary assessment of occupational lung disease. However, our aim in performing this process was to get this group of experts to agree on "definitions" with a view to unifying the label at this later clinical stage of the process.1 In addition, we hoped that the requirements of a specialist occupational lung disease assessment service would form a basis for developing a "standards of care" document for those giving expert medical advice in this specialist field. We felt that it was appropriate to carry out the process from this standpoint, as if this body could not agree on what constitutes occupational asthma or work aggravated asthma in principal, how could we work towards an agreed process for evaluation at all levels?

A . . . [Full text of this article]


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