ID | Control of isocyanate exposure in MVR | Time periods | Type of ill-health | Time periods compared | A. All workers: spray paint vs other agent | B. MVR vs other industries (all agents) | C. Motor vehicle manufacture vs other industries (all agents) | |||
---|---|---|---|---|---|---|---|---|---|---|
RIRR | 95% CIs | RIRR | 95% CIs | RIRR | 95% CIs | |||||
1 | HSE intervention (2004–2007) | time1=2001–2003 time2=2004–2007 time3=2008–2010 | SLRD | time2/time1 | 1.21 | 0.74 to 1.97 | 0.34 | 0.12 to 0.95 | 1.38 | 0.92 to 2.07 |
time3/time1 | 1.03 | 0.56 to 1.87 | 1.67 | 0.78 to 3.61 | 1.05 | 0.64 to 1.70 | ||||
Asthma | time2/time1 | 1.26 | 0.75 to 2.09 | 0.39 | 0.14 to 1.12 | 1.26 | 0.83 to 1.92 | |||
time3/time1 | 1.29 | 0.70 to 2.40 | 1.85 | 0.80 to 4.28 | 0.93 | 0.55 to 1.58 | ||||
ID | Craft bakeries: exposure to flour dust and enzymes in improvers | Time periods | Type of ill-health | Time periods compared | D. All workers: flour vs other agents | E. Food industry: flour vs other agents | F. Attributed to flour in bakers: retail vs industrial | |||
RIRR | 95% CIs | RIRR | 95% CIs | RIRR | 95% CIs | |||||
2a | Introduction of a MEL (April 2001) Introduction of a WEL (25 April 2005) HSE inspection pack (2006–2008) | time1=May 1999–Apr 2001 time2=May 2001–Apr 2003 time3=May 2003–Apr 2005 time4=May 2005–2008 time5=2009–2010 | SLRD | time2/time1 | 1.54 | 0.89 to 2.68 | 1.60 | 0.66 to 3.86 | 8.45 | 2.36 to 30.33 |
time3/time1 | 2.09 | 1.22 to 3.57 | 2.05 | 0.85 to 4.92 | 3.63 | 1.17 to 11.20 | ||||
time4/time1 | 2.35 | 1.42 to 3.89 | 2.30 | 1.00 to 5.31 | 2.50 | 0.88 to 7.17 | ||||
time5/time1 | 3.03 | 1.69 to 5.43 | 4.69 | 1.49 to 14.74 | 5.49 | 1.65 to 18.23 | ||||
Asthma | time2/time1 | 1.37 | 0.76 to 2.47 | 1.37 | 0.54 to 3.48 | 7.03 | 1.85 to 26.76 | |||
time3/time1 | 1.95 | 1.11 to 3.42 | 1.90 | 0.75 to 4.77 | 3.12 | 0.95 to 10.27 | ||||
time4/time1 | 2.24 | 1.33 to 3.79 | 2.32 | 0.96 to 5.60 | 2.50 | 0.83 to 7.57 | ||||
time5/time1 | 2.90 | 1.55 to 5.43 | 5.36 | 1.35 to 21.23 | 5.79 | 1.56 to 21.40 | ||||
2b | Introduction of a WEL (25 April 2005) HSE inspection pack (2006–2008) | time3=May 2003–Apr 2005 time4=May 2005–2008 time5=2009–2010 | SLRD | time4/time3 | 1.12 | 0.73 to 1.74 | 1.13 | 0.51 to 2.48 | 0.69 | 0.30 to 1.59 |
time5/time3 | 1.45 | 0.86 to 2.45 | 2.29 | 0.75 to 6.96 | 1.52 | 0.55 to 4.16 | ||||
time5/time4 | 1.29 | 0.79 to 2.10 | 2.03 | 0.69 to 5.99 | 2.19 | 0.87 to 5.52 | ||||
Asthma | time4/time3 | 1.15 | 0.72 to 1.84 | 1.22 | 0.52 to 2.88 | 0.80 | 0.33 to 1.93 | |||
time5/time3 | 1.49 | 0.83 to 2.66 | 2.83 | 0.73 to 11.03 | 1.85 | 0.60 to 5.68 | ||||
time5/time4 | 1.29 | 0.75 to 2.23 | 2.32 | 0.61 to 8.79 | 2.31 | 0.82 to 6.50 | ||||
ID | Controlling inhalation exposure to metalworking fluids | Time periods | Type of ill-health | Time periods compared | G. All workers: MWF vs other agents | H. All workers: MWF vs other agents (excluding one reporter*) | ||||
RIRR | 95% CIs | RIRR | 95% CIs | |||||||
3 | HSE inspection pack and removal of MEL without replacement with WEL (2005–2006) | time1=2002–2004 time2=2005–2006 time3=2007–2008 | SLRD | time2/time1 | 2.20 | 1.19 to 4.06 | 2.69 | 0.87 to 8.33 | ||
time3/time1 | 2.02 | 1.05 to 3.89 | 4.61 | 1.55 to 13.72 | ||||||
Asthma | time2/time1 | 2.20 | 1.10 to 4.43 | 1.59 | 0.39 to 6.44 | |||||
time3/time1 | 1.12 | 0.47 to 2.70 | 2.06 | 0.51 to 8.37 | ||||||
ID | Controlling inhalation exposure to rosin based solder fume | Time periods | Type of ill-health | Time periods compared | I. All workers: solder vs other agents | |||||
RIRR | 95% CIs | |||||||||
4 | Introduction MEL (March 1999) Introduction of WEL (25 April 2005) HSE inspection pack (2007–2008) | time1=Jan 1996–Mar 1999 time2=Apr 1999–May 2002 time3=Jun 2002–Apr 2005 time4=May 2005–Dec 2008 time5=Jan 2009–Dec 2010 | SLRD | time2/time1 | 0.96 | 0.58–1.59 | ||||
time3/time1 | 0.64 | 0.35 to 1.16 | ||||||||
time4/time1 | 0.45 | 0.23 to 0.88 | ||||||||
time5/time1 | 0.69 | 0.30 to 1.57 | ||||||||
Asthma | time2/time1 | 0.92 | 0.55 to 1.55 | |||||||
time3/time1 | 0.64 | 0.34 to 1.19 | ||||||||
time4/time1 | 0.48 | 0.25 to 0.94 | ||||||||
time5/time1 | 0.73 | 0.30 to 1.77 | ||||||||
ID | Wood dust: Controlling inhalation exposure | Time periods | Type of ill-health | Time periods compared | J. All workers: wood dust vs other agents | |||||
RIRR | 95% CIs | |||||||||
5 | Introduction of WEL (25 April 2005) HSE inspection pack (2002–2007) | time1=2002–2004 time2=2005–2007 time3=2008–2010 | SLRD | time2/time1 | 0.89 | 0.42 to 1.87 | ||||
time3/time1 | 1.18 | 0.56 to 2.48 | ||||||||
Asthma | time2/time1 | 1.04 | 0.48 to 2.26 | |||||||
time3/time1 | 1.31 | 0.58 to 2.97 |
The RIRR can be considered an estimate of the magnitude of the difference in the change in incidence between the groups over the defined time periods.
*Analysis G was repeated excluding the reporter investigating the outbreak of respiratory disease related to MWF.16 ,17
HSE, UK Health and Safety Executive; MEL, maximum exposure limit; MWF, metalworking fluid; RIRR, ratio of incidence rate ratios or interaction term; SLRD, short latency respiratory disease (includes asthma, allergic alveolitis, rhinitis, inhalation accidents); WEL, workplace exposure limit.