|Document ID (ISN)||105096|
|ISSN - Serial title
||1351-0711 - Occupational and Environmental Medicine
|Convention or series no.
||Brant A., Nightingale S., Berriman J., Sharp C., Welch J., Newman Taylor A.J., Cullinan P.
||Supermarket baker's asthma: How accurate is routine health surveillance?
||June 2005, Vol.62, No.6, p.395-399. Illus. 13 ref.
||A supermarket chain with 324 in-store bakeries producing bread from raw ingredients conducted a three-stage health programme involving around 3000 bakery employees. The first stage involved a respiratory symptoms questionnaire. If symptoms were present, a second questionnaire focusing on workplace exposures was administered. If employees were considered exposed, specific IgE to flour and fungal α-amylase were determined in blood. Results were compared to those of an independent cross-sectional survey of employees in 20 of the company's stores. Surveillance estimated that 1% of bakery employees had work-related symptoms with specific IgE. This compared with 4% in the cross-sectional survey, suggesting that that routine surveillance can underestimate the workplace burden of disease. The reasons are unclear and additional research needs to be done into the design and efficacy of surveillance in occupational asthma.
||bakery products industry; medical supervision; supermarkets; asthma
||immunoglobulins; enzymes; amylase; flour; allergy tests; exposure evaluation; questionnaire survey; cross-sectional study; programme evaluation; symptoms
||D - Periodical articles
|Country / State or Province||United Kingdom|
||Food, beverage and tobacco industries
Toxic and dangerous substances
|Broad subject area(s)
||Diseases of the respiratory system (except for pneumoconiosis & similar)