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Document ID (ISN)102501
CIS number 03-1666
ISSN - Serial title 0271-3586 - American Journal of Industrial Medicine
Year 2003
Convention or series no.
Author(s) Dement J.M., Welch L., Bingham E., Cameron B., Rice C., Quinn P., Ringen K.
Title Surveillance of respiratory diseases among construction and trade workers at Department of Energy nuclear sites
Bibliographic information June 2003, Vol.43, No.6, p.559-573. Illus. 35 ref.
Abstract Medical screening programs were initiated in 1996 at three nuclear weapons facilities to evaluate whether current and former construction workers were at significant risk for occupational illnesses. The focus of this report is pneumoconiosis associated with exposures to asbestos and silica among workers enrolled in the screening programs through 30 September 2001. Workers provided a detailed work and exposure history and underwent a respiratory examination, which included a respiratory symptom questionnaire, a chest radiograph and spirometry. Of the 2,602 workers enrolled in the project, 25.2% showed one or more chest X-ray changes by ILO criteria and 42.7% demonstrated one or more pulmonary function defects. The overall prevalence of parenchymal changes by ILO criteria was 5.4%. In the logistic regression models, the odds ratio for parenchymal disease was 2.6 for workers employed 6 to 20 years and increased to 3.6 for workers employed more than 35 years, with additional incremental risks for workers reporting routine exposures to asbestos or silica.
Descriptors (primary) silica; asbestos; respiratory diseases; risk factors; construction work; long-term exposure; pneumoconiosis
Descriptors (secondary) ILO; occupation disease relation; long-term study; respiratory function tests; radiological classifications; statistical evaluation; medical examinations; chest radiography; spirometry
Document type D - Periodical articles
Country / State or ProvinceUSA
Subject(s) Construction industry
Broad subject area(s) Industries and occupations
Browse category(ies) Asbestos
Pneumoconioses
Diseases of the respiratory system (except for pneumoconiosis & similar)