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Occupational inhalational accidents: analysis of cases from the UK SWORD reporting scheme from 1999 to 2018
  1. David Fishwick1,
  2. Melanie Carder2,
  3. Ireny Iskandar2,
  4. Beth Charlotte Fishwick3,
  5. Martie van Tongeren2
  1. 1Centre for Workplace Health, Health and Safety Executive Bootle Headquarters, Bootle, UK
  2. 2Centre for Occupational and Environmental Health, The University of Manchester, Manchester, UK
  3. 3The University of Manchester, Manchester, UK
  1. Correspondence to Professor David Fishwick, Centre for Workplace Health, Health and Safety Executive Bootle Headquarters, Bootle L20 7HS, Sefton, UK; d.fishwick{at}sheffield.ac.uk

Abstract

Objective To estimate the reported UK incidence of occupational inhalation accidents, and to consider changes of incidence and potential causes over time.

Methods Cases of occupational inhalation accident reported to Surveillance of Work Related Occupational Respiratory Diseases (SWORD) over 20 years were grouped into four 5-year time periods. Cases were characterised by causative exposure, occupation and industrial sector. Incidence rates were calculated using Office of National Statistics employment data.

Results The 172 actual cases reported to SWORD equated to an estimated 502 cases after adjusting for reporting frequency. Their mean age was 41.3 years (SD 12.3); 77% were male. The annual incidence fell from 1.7 per million employed in the first 5-year period, to 0.5 in the most recent. The most common occupations, responsible for 35% of all cases, were in descending order (number, % of total cases): Labourers in process and plant operations (8, 4.7), welding trades (8, 4.7), fire service officers (8, 4.7), heavy goods vehicle drivers (7, 4.1), metal working production and maintenance fitters (7, 4.1), civil service administrative officers and assistants (7, 4.1), food, drink and tobacco process operatives (6, 3.5), and three summated categories of elementary and service occupations including cleaners and domestics (10, 5.8).

Three of 40 exposure categories were common to all time periods; acids (19.6% of all cases 1999–2004, 2.3% 2005–2009, 6.3% 2010–2013, 6.3% 2014–2018), chlorine/hypochlorites (7.2%, 7.0%, 2.5%, 6.3%, respectively) and solvents (14.4%, 11.6%, 12.5%, 6.3%, respectively).

Conclusions The incidence of inhalation accidents appears to have fallen, although certain exposures appear to be persistently linked to cases.

  • Accidents
  • Respiratory System

Data availability statement

Data may be obtained from a third party and are not publicly available. The authors would be happy to discuss options for access to data.

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Data availability statement

Data may be obtained from a third party and are not publicly available. The authors would be happy to discuss options for access to data.

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Footnotes

  • Twitter @martievt

  • Contributors All authors (DF, MC, II, BCF and MvT) contributed to the design, data collection, analysis and manuscript preparation. All authors (DF, MC, II, BCF and MvT) have seen and agreed the final manuscript.

  • Funding This work was supported by the Health and Safety Executive of Great Britain. The content of this paper is the views of the authors, and not necessarily those of HSE or HSE policymakers.

  • Disclaimer Its contents, including any opinions and/or conclusions expressed, are those of the authors alone and do not necessarily reflect HSE policy.

  • Competing interests None declared.

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

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