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Cited by 88Occupational exposure and asthmaAsthma and respiratory diseasesOccupational Health and Safety in Workplaces

Occupational asthma in France: a 1-yr report of the Observatoire National de Asthmes Professionnels project

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Kopferschmitt-Kubler, M.C., Ameille, J., Popin, E., Calastreng-Crinquand, A., Vervloet, D., Bayeux-Dunglas, M.C., Pauli, G., members of Observatoire National de Asthmes Professionnels Group·2002·European Respiratory Journal
DOI 10.1183/09031936.02.00102202
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Abstract

Observatoire National des Asthmes Professionnels (ONAP) was created in 1996 by two French professional societies to estimate the incidence of occupational asthma and to promote preventive measures against it. Occupational and chest physicians were asked to report newly diagnosed cases of work-related asthma and reactive airway dysfunction syndrome (RADS), the information collected included age, sex, occupation, suspected causal agents and diagnostic methods. In 1997, 82.3% of 559 cases reported (64% males, mean age 36±13 yrs) involved occupational asthma, 4.7% RADS and 12.7% atypical asthma syndromes. Incidence rates (expressed as number of cases per million workers) showed a regional variation that ranged from 4 to 73 (national mean: 25.7). The most frequently suspected agents were flour (23.3%), followed by isocyanates (16.6%), latex (7.5%), aldehydes (5.5%), and persulphates (4.1%). Occupations at risk were bakers (23.9%), healthcare workers (12%), painters (9.1%), hairdressers (5.2%), wood industry workers (4.8%) and cleaners (3.5%). These results are compared to those of other systems set up in Europe and North America. Because of the considerable bias inherent in a surveillance system based on voluntary, reporting, the number of occupational asthma cases reported is probably lower than the real incidence. Nevertheless, the French National Observatory for Occupational Asthma encourages physician awareness of occupational asthma and provides an estimate of its incidence and aetiologies in France.

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  • Epidemiological studies suggest that cleaning product exposure may be linked to the onset or worsening of respiratory symptoms and asthma.

    “Epidemiological studies suggest that exposure to cleaning products can be associated with the development and/or exacerbation of respiratory symptoms and asthma [15–18].”

    From Occupational exposure and health risks of volatile organic compounds of hotel housekeepers: Field measurements of exposure and health risks (2021) · cites this paper as [17]

    The 'Characteristics of reporting physicians' section (Fig. 2; page not provided) includes cleaners among occupations with reported occupational asthma, supporting a possible occupational link. But the paper does not establish that cleaning products specifically caused those cases or address exacerbation of existing asthma; its 'Suspected agents and occupations' section says the occupation–agent details are not presented. (LLM, conf=0.82)

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Research works printed but not linked: 6

  1. [1]1. Lagier F, Martin F, Charpin D, Vervloet D. Sous-de ´claration des cas d9asthme professionnel dans la re ´gion Provence-Alpes-Co ˆte d9Azur et la Corse. Rev Mal Resp 1991; 8: 209-212.
  2. [2]2. Ameille J. Les asthmes professionnels: donne ´es e ´pide ´miologiques et re ´sultats de l9enque ˆte nationale. Arch Mal Prof 1996; 57: 75-77.
  3. [6]6. Gannon PFG, Burge PS. The SHIELD scheme in the West Midlands Region United Kingdom. Br J Ind Med 1993; 50: 791-796.
  4. [8]8. Baur X, Degens P, Weber K. Occupational obstructive airway diseases in Germany. Am J Ind Med 1998; 33: 454-461.
  5. [13]13. Lagier F, Cartier A, Malo JL. Statistiques me ´dico- le ´gales sur l9asthme professionnel au Que ´bec de 1986 a ` 1988. Rev Mal Respir 1990; 7: 337-341.
  6. [21]21. Pauli G, Kopferschmitt MC. Isocyanates and asthma. In: Miyamoto T, Okuda M, eds. Progress in Allergy and Clinical Immunology. Proceedings of the 14th International Congress of Allergology and Clinical Immunology, Kyoto, 1991. Toronto, Hogrefe & Huber, 1992; pp. 152-158.

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Authors
Kopferschmitt-Kubler, M. C., Ameille, J., Popin, E., Calastreng-Crinquand, A., Vervloet, D., Bayeux-Dunglas, M. C., Pauli, G., & members of Observatoire National de Asthmes Professionnels Group
Affiliations
  • Société de Pneumologie de Langue Française (FR)
  • Hôpitaux Universitaires de Strasbourg (FR)
Venue
European Respiratory Journal
Publisher
European Respiratory Society (ERS)
Published
2002-01
Volume
19
Issue
1
Pages
84-89
ISSN
  • 0903-1936 (ISSN-L)
  • 1399-3003
DOI
10.1183/09031936.02.00102202
OpenAlex
W2140188437
Semantic Scholar
c8a9c80ce97152ab0da997770f174c9b95db0c97
Cited by
88
References
19
Citations by year
2026: 1 · 2025: 1 · 2024: 1 · 2023: 1 · 2022: 1 · 2021: 6 · 2020: 2 · 2019: 2 · 2018: 2 · 2017: 1 · 2015: 4 · 2014: 1 · 2013: 8 · 2012: 5
FWCI
8.01
Type
journal article
Language
en
Open access
Locations
  • European Respiratory Journal (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
  • Health Sciences › Medicine › Physiology › Asthma and respiratory diseases
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Safety in Workplaces
Keywords
occupational asthma, reactive airways dysfunction syndrome, incidence, isocyanates, LaTeX, aldehydes, persulfate, baker's asthma, healthcare workers, occupational exposure, surveillance systems
MeSH terms
Adult, Age Factors, Aldehydes, Asthma, Female, Flour, France, Humans, Latex, Male, Middle Aged, Occupational Diseases, Occupations, Sex Factors

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