Occupational allergy and asthma among salt water fish processing workers
dc.contributor.author | Jeebhay, Mohamed F. | en_US |
dc.contributor.author | Robins, Thomas G. | en_US |
dc.contributor.author | Miller, Mary E. | en_US |
dc.contributor.author | Bateman, Eric | en_US |
dc.contributor.author | Smuts, Marius | en_US |
dc.contributor.author | Baatjies, Roslynn | en_US |
dc.contributor.author | Lopata, Andreas L. | en_US |
dc.date.accessioned | 2008-12-01T21:01:21Z | |
dc.date.available | 2010-01-05T16:59:14Z | en_US |
dc.date.issued | 2008-12 | en_US |
dc.identifier.citation | Jeebhay, Mohamed F.; Robins, Thomas G.; Miller, Mary E.; Bateman, Eric; Smuts, Marius; Baatjies, Roslynn; Lopata, Andreas L. (2008). "Occupational allergy and asthma among salt water fish processing workers." American Journal of Industrial Medicine 51(12): 899-910. <http://hdl.handle.net/2027.42/61335> | en_US |
dc.identifier.issn | 0271-3586 | en_US |
dc.identifier.issn | 1097-0274 | en_US |
dc.identifier.uri | https://hdl.handle.net/2027.42/61335 | |
dc.identifier.uri | http://www.ncbi.nlm.nih.gov/sites/entrez?cmd=retrieve&db=pubmed&list_uids=18726880&dopt=citation | en_US |
dc.description.abstract | Background Fish processing is a common economic activity in Southern Africa. The aim of this study was to determine the prevalence and host determinants of allergic symptoms, allergic sensitization, bronchial hyper-responsiveness and asthma among workers processing saltwater fish. Methods A cross-sectional study was conducted on 594 currently employed workers in two processing plants involved in pilchard canning and fishmeal processing. A modified European Community Respiratory Health Survey (ECRHS) questionnaire was used. Skin prick tests (SPT) used extracts of common airborne allergens, fresh fish (pilchard, anchovy, maasbanker, mackerel, red eye) and fishmeal. Spirometry and methacholine challenge tests (MCTs; tidal breathing method) used ATS guidelines. Results Work-related ocular-nasal symptoms (26%) were more common than asthma symptoms (16%). The prevalence of atopy was 36%, while 7% were sensitized to fish species and 26% had NSBH (PC 20 ≤ 8 mg/ml or ≥12% increase in FEV 1 post-bronchodilator). The prevalence of probable occupational asthma was 1.8% and fish allergic rhino-conjunctivitis 2.6%. Women were more likely to report work-related asthma symptoms (OR = 1.94) and have NSBH (OR = 3.09), while men were more likely to be sensitized to fish (OR = 2.06) and have airway obstruction (OR = 4.17). Atopy (OR = 3.16) and current smoking (OR = 2.37), but not habitual seafood consumption were associated with sensitization to fish. Conclusions Based on comparison with previous published studies, the prevalence of occupational asthma to salt water fish is lower than due to shellfish. The gendered distribution of work and exposures in fish processing operations together with atopy and cigarette smoking are important determinants of occupational allergy and asthma. Am. J. Ind. Med. 51:899–910, 2008. © 2008 Wiley-Liss, Inc. | en_US |
dc.format.extent | 154691 bytes | |
dc.format.extent | 3118 bytes | |
dc.format.mimetype | application/pdf | |
dc.format.mimetype | text/plain | |
dc.publisher | Wiley Subscription Services, Inc., A Wiley Company | en_US |
dc.subject.other | Life and Medical Sciences | en_US |
dc.subject.other | Occupational Health and Environmental Toxicology | en_US |
dc.title | Occupational allergy and asthma among salt water fish processing workers | en_US |
dc.type | Article | en_US |
dc.rights.robots | IndexNoFollow | en_US |
dc.subject.hlbsecondlevel | Public Health | en_US |
dc.subject.hlbtoplevel | Health Sciences | en_US |
dc.description.peerreviewed | Peer Reviewed | en_US |
dc.contributor.affiliationum | Department of Environmental Health Sciences, University of Michigan, Ann Arbor, Michigan | en_US |
dc.contributor.affiliationother | Occupational and Environmental Health Research Unit, School of Public Health and Family Medicine, University of Cape Town, Western Cape, South Africa ; Associate Professor. ; Occupational and Environmental Health Research Unit, School of Public Health and Family Medicine, University of Cape Town, Room 4.44, Fourth Level, Falmouth Building, Anzio Road, Observatory, Western Cape 7925, South Africa. | en_US |
dc.contributor.affiliationother | Department of Labour and Industries, Seattle, Washington | en_US |
dc.contributor.affiliationother | Department of Respiratory Medicine and Lung Institute, University of Cape Town, Western Cape, South Africa | en_US |
dc.contributor.affiliationother | Nutritional Intervention Research Unit, Medical Research Council, Tygerberg, Western Cape, South Africa ; School of Physiology, Nutrition and Consumer Science, University of North-West, Potchefstroom, South Africa | en_US |
dc.contributor.affiliationother | Occupational and Environmental Health Research Unit, School of Public Health and Family Medicine, University of Cape Town, Western Cape, South Africa | en_US |
dc.contributor.affiliationother | Allergy and Asthma Research Group, Institute of Infectious Diseases and Molecular Medicine, University of Cape Town, Western Cape, South Africa ; School of Applied Science, Food Sciences, RMIT University, Melbourne, Australia | en_US |
dc.identifier.pmid | 18726880 | en_US |
dc.description.bitstreamurl | http://deepblue.lib.umich.edu/bitstream/2027.42/61335/1/20635_ftp.pdf | |
dc.identifier.doi | http://dx.doi.org/10.1002/ajim.20635 | en_US |
dc.identifier.source | American Journal of Industrial Medicine | en_US |
dc.owningcollname | Interdisciplinary and Peer-Reviewed |
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