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Prevalence of occupational exposure to asthmagens derived from animals, fish and/or shellfish among Australian workers
  1. Sonia El-Zaemey1,
  2. Renee N Carey1,
  3. Ellie Darcey1,
  4. Alison Reid1,
  5. Deborah Catherine Glass2,
  6. Geza P Benke2,
  7. Tim R Driscoll3,
  8. Susan Peters4,
  9. Si Si1,
  10. Michael J Abramson2,
  11. Lin Fritschi1
  1. 1School of Public Health, Curtin University, Perth, Western Australia, Australia
  2. 2School of Public Health & Preventive Medicine, Monash Centre for Occupational and Environmental Health, Monash University, Melbourne, Victoria, Australia
  3. 3Sydney School of Public Health, University of Sydney, New South Wales, Australia
  4. 4School of Population Health, The University of Western Australia, Perth, Western Australia, Australia
  1. Correspondence to Dr Sonia El-Zaemey, School of Public Health, Curtin University, Bentley,Western Australia 6102, Australia; sonia.el-zaemey{at}curtin.edu.au

Abstract

Objective Several animal, fish and/or shellfish derived substances encountered in the workplace can initiate or exacerbate asthma. The aims of this study were: to produce a population-based estimate of the current prevalence of occupational exposure to animal, fish and/or shellfish derived asthmagens, to identify the main circumstances of exposures and to identify occupations with the highest proportions of exposed respondents.

Methods We used data from the Australian Work Exposure Study-Asthma, a national telephone survey that investigated the current prevalence of occupational exposure to asthmagens among Australian workers. A web-based tool was used to collect job task information and assign exposure to asthmagens, including animal, fish and/or shellfish derived asthmagens. Prevalence ratios to determine risk factors for exposure were estimated using modified Poisson regression.

Results Of the 4878 respondents, 12.4% were exposed to asthmagens derived from animals, fish and/or shellfish. Exposure to these asthmagens was significantly higher in workers residing in regional and remote areas, compared with major cities. The main circumstance of exposure to animal derived asthmagens was through cleaning up rat/mice infestations, while the main circumstance of exposure to fish and/or shellfish derived asthmagens was through preparing and cooking salmon. Occupational groups with the highest proportion of exposure to animal or fish and/or shellfish derived asthmagens were farmers/animal workers and food workers, respectively.

Conclusions This is the first study investigating occupational exposure to animal, fish and/or shellfish derived asthmagens in a nationwide working population. The results of this study can be used to inform the direction of occupational interventions and policies to reduce work-related asthma.

  • occupational asthma
  • exposure assessment
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Footnotes

  • Contributors SE-Z drafted the manuscript and conducted all statistical analyses. LF directed the study and is responsible for its overall design. AR, TRD, DCG, RNC, ED, MJA, SS and SP were involved in the design of this study. All authors provided feedback on the draft of this manuscript. All authors read and approved the final manuscript.

  • Funding National Health and Medical Research Council (# 1056684) and Safe Work Australia. LF is supported by fellowships from NHMRC and Cancer Council Western Australia.

  • Competing interests None declared.

  • Patient consent Obtained.

  • Ethics approval Curtin University Human Research Ethics Committee.

  • Provenance and peer review Not commissioned; externally peer reviewed.

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