Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015
ObjectiveTo estimate the reported incidence of occupational hypersensitivity pneumonitis (OHP) in the UK and to consider whether the pattern of attributed causation has changed over time.MethodsAll cases of OHP reported to the SWORD scheme between January 1996 and December 2015 were classified into...
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description | ObjectiveTo estimate the reported incidence of occupational hypersensitivity pneumonitis (OHP) in the UK and to consider whether the pattern of attributed causation has changed over time.MethodsAll cases of OHP reported to the SWORD scheme between January 1996 and December 2015 were classified into 1 of 10 categories of the suspected agent. Cases were grouped into four 5-year time periods to examine any changing pattern in incidence or suspected causation. For each time period, the annual incidence was calculated using the estimated number of reported cases and the working population of the UK.ResultsBetween 1996 and 2015, there were 202 actual cases of OHP reported to SWORD, equating to an estimated 818 cases, when adjusting for the sampling ratio. Over this period, the annual UK incidence was 1.4 per million workers. The mean (SD) age of reported cases was 52 (13) years, and cases were four-times more likely to be men than women. Over the study period, there was a fall in the proportion of cases reported to be due to agricultural exposures (44–12%), and an increase in cases due to metalworking fluids (MWFs, 2–45%).ConclusionsOver the last 20 years, the incidence of OHP in the UK has been ∼1–2 cases per million workers per year. Working with water-based MWFs is now the most commonly suspected causative exposure for OHP cases reported to the SWORD scheme in the UK. |
doi_str_mv | 10.1136/oemed-2016-103838 |
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fullrecord | <record><control><sourceid>jstor_pubme</sourceid><recordid>TN_cdi_pubmedcentral_primary_oai_pubmedcentral_nih_gov_5520266</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><jstor_id>44363708</jstor_id><sourcerecordid>44363708</sourcerecordid><originalsourceid>FETCH-LOGICAL-b486t-e71b05e0f408857302b07955578b12616b2b39f5789e3782195a4cd8e77ac7f83</originalsourceid><addsrcrecordid>eNqNkctu1TAQhiMEohd4ABYgS2y6IDBjxzdVQkKlXESlSkDF0kpynB4fJXGwnUrnbXgWngyfphwBK1b2eL75Zzx_UTxBeInIxCtvB7sqKaAoEZhi6l5xiJWEUmoq7uc741iCRDwojmLcACCTjD4sDqjUqEHQw2I-n9zKDs73_npLfEd8285TnZwf656st5MN0Y7RJXfj0pZMo50HP-YwnpJgJx9SJF3wA0lrS758u_z8lsR2nef6-cONt49XnxYAtRYkeZLH5Y-KB13dR_v47jwurt6dfz37UF5cvv949uaibColUmklNsAtdBUoxSUD2oDUnHOpGqQCRUMbprscasukoqh5XbUrZaWsW9kpdly8XnSnucmrau2YQt2bKbihDlvja2f-zoxuba79jeGcAhUiC5zcCQT_fbYxmcHF1vZ9PVo_R4OqEixz1a7X83_QjZ9D3mKmNAKlAJplCheqDT7GYLv9MAhmZ6q5NdXsTDWLqbnm2Z-_2Ff8djEDTxdgE5MP-3xVMcEk7AReLPlm2PxHv1-rxrWl</addsrcrecordid><sourcetype>Open Access Repository</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>1910220093</pqid></control><display><type>article</type><title>Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015</title><source>MEDLINE</source><source>JSTOR Archive Collection A-Z Listing</source><creator>Barber, C M ; Wiggans, R E ; Carder, M ; Agius, R</creator><creatorcontrib>Barber, C M ; Wiggans, R E ; Carder, M ; Agius, R</creatorcontrib><description>ObjectiveTo estimate the reported incidence of occupational hypersensitivity pneumonitis (OHP) in the UK and to consider whether the pattern of attributed causation has changed over time.MethodsAll cases of OHP reported to the SWORD scheme between January 1996 and December 2015 were classified into 1 of 10 categories of the suspected agent. Cases were grouped into four 5-year time periods to examine any changing pattern in incidence or suspected causation. For each time period, the annual incidence was calculated using the estimated number of reported cases and the working population of the UK.ResultsBetween 1996 and 2015, there were 202 actual cases of OHP reported to SWORD, equating to an estimated 818 cases, when adjusting for the sampling ratio. Over this period, the annual UK incidence was 1.4 per million workers. The mean (SD) age of reported cases was 52 (13) years, and cases were four-times more likely to be men than women. Over the study period, there was a fall in the proportion of cases reported to be due to agricultural exposures (44–12%), and an increase in cases due to metalworking fluids (MWFs, 2–45%).ConclusionsOver the last 20 years, the incidence of OHP in the UK has been ∼1–2 cases per million workers per year. Working with water-based MWFs is now the most commonly suspected causative exposure for OHP cases reported to the SWORD scheme in the UK.</description><identifier>ISSN: 1351-0711</identifier><identifier>EISSN: 1470-7926</identifier><identifier>DOI: 10.1136/oemed-2016-103838</identifier><identifier>PMID: 27919062</identifier><language>eng</language><publisher>England: BMJ Publishing Group Ltd</publisher><subject>Adult ; Age ; Aged ; Allergies ; Alveolitis ; Alveolitis, Extrinsic Allergic - epidemiology ; Alveolitis, Extrinsic Allergic - etiology ; Animals ; Antigens ; Asthma ; Birds ; Categories ; Causation ; Epidemiology ; Estimates ; Exposure ; Female ; Humans ; Hypersensitivity ; Incidence ; Lung diseases ; Male ; Mathematical analysis ; Medical prognosis ; Men ; Mens health ; Metal workers ; Metalworking fluids ; Metalworking industry ; Middle Aged ; Mortality ; Occupational diseases ; Occupational Diseases - epidemiology ; Occupational Diseases - etiology ; Occupational Exposure - adverse effects ; Pneumonitis ; Practice ; Respiratory diseases ; Risk Factors ; Sampling ; SHORT REPORT ; Surveillance ; Trends ; United Kingdom - epidemiology ; Womens health ; Workers</subject><ispartof>Occupational and environmental medicine (London, England), 2017-07, Vol.74 (7), p.528-530</ispartof><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>2017 BMJ Publishing Group</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/.</rights><rights>Copyright: 2016 Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing</rights><rights>Published by the BMJ Publishing Group Limited. For permission to use (where not already granted under a licence) please go to http://www.bmj.com/company/products-services/rights-and-licensing/ 2016</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-b486t-e71b05e0f408857302b07955578b12616b2b39f5789e3782195a4cd8e77ac7f83</citedby><cites>FETCH-LOGICAL-b486t-e71b05e0f408857302b07955578b12616b2b39f5789e3782195a4cd8e77ac7f83</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://www.jstor.org/stable/pdf/44363708$$EPDF$$P50$$Gjstor$$H</linktopdf><linktohtml>$$Uhttps://www.jstor.org/stable/44363708$$EHTML$$P50$$Gjstor$$H</linktohtml><link.rule.ids>230,315,782,786,805,887,27931,27932,58024,58257</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/27919062$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Barber, C M</creatorcontrib><creatorcontrib>Wiggans, R E</creatorcontrib><creatorcontrib>Carder, M</creatorcontrib><creatorcontrib>Agius, R</creatorcontrib><title>Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015</title><title>Occupational and environmental medicine (London, England)</title><addtitle>Occup Environ Med</addtitle><description>ObjectiveTo estimate the reported incidence of occupational hypersensitivity pneumonitis (OHP) in the UK and to consider whether the pattern of attributed causation has changed over time.MethodsAll cases of OHP reported to the SWORD scheme between January 1996 and December 2015 were classified into 1 of 10 categories of the suspected agent. Cases were grouped into four 5-year time periods to examine any changing pattern in incidence or suspected causation. For each time period, the annual incidence was calculated using the estimated number of reported cases and the working population of the UK.ResultsBetween 1996 and 2015, there were 202 actual cases of OHP reported to SWORD, equating to an estimated 818 cases, when adjusting for the sampling ratio. Over this period, the annual UK incidence was 1.4 per million workers. The mean (SD) age of reported cases was 52 (13) years, and cases were four-times more likely to be men than women. Over the study period, there was a fall in the proportion of cases reported to be due to agricultural exposures (44–12%), and an increase in cases due to metalworking fluids (MWFs, 2–45%).ConclusionsOver the last 20 years, the incidence of OHP in the UK has been ∼1–2 cases per million workers per year. Working with water-based MWFs is now the most commonly suspected causative exposure for OHP cases reported to the SWORD scheme in the UK.</description><subject>Adult</subject><subject>Age</subject><subject>Aged</subject><subject>Allergies</subject><subject>Alveolitis</subject><subject>Alveolitis, Extrinsic Allergic - epidemiology</subject><subject>Alveolitis, Extrinsic Allergic - etiology</subject><subject>Animals</subject><subject>Antigens</subject><subject>Asthma</subject><subject>Birds</subject><subject>Categories</subject><subject>Causation</subject><subject>Epidemiology</subject><subject>Estimates</subject><subject>Exposure</subject><subject>Female</subject><subject>Humans</subject><subject>Hypersensitivity</subject><subject>Incidence</subject><subject>Lung diseases</subject><subject>Male</subject><subject>Mathematical analysis</subject><subject>Medical prognosis</subject><subject>Men</subject><subject>Mens health</subject><subject>Metal workers</subject><subject>Metalworking fluids</subject><subject>Metalworking industry</subject><subject>Middle Aged</subject><subject>Mortality</subject><subject>Occupational diseases</subject><subject>Occupational Diseases - epidemiology</subject><subject>Occupational Diseases - etiology</subject><subject>Occupational Exposure - adverse effects</subject><subject>Pneumonitis</subject><subject>Practice</subject><subject>Respiratory diseases</subject><subject>Risk Factors</subject><subject>Sampling</subject><subject>SHORT REPORT</subject><subject>Surveillance</subject><subject>Trends</subject><subject>United Kingdom - epidemiology</subject><subject>Womens health</subject><subject>Workers</subject><issn>1351-0711</issn><issn>1470-7926</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2017</creationdate><recordtype>article</recordtype><sourceid>9YT</sourceid><sourceid>ACMMV</sourceid><sourceid>EIF</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><recordid>eNqNkctu1TAQhiMEohd4ABYgS2y6IDBjxzdVQkKlXESlSkDF0kpynB4fJXGwnUrnbXgWngyfphwBK1b2eL75Zzx_UTxBeInIxCtvB7sqKaAoEZhi6l5xiJWEUmoq7uc741iCRDwojmLcACCTjD4sDqjUqEHQw2I-n9zKDs73_npLfEd8285TnZwf656st5MN0Y7RJXfj0pZMo50HP-YwnpJgJx9SJF3wA0lrS758u_z8lsR2nef6-cONt49XnxYAtRYkeZLH5Y-KB13dR_v47jwurt6dfz37UF5cvv949uaibColUmklNsAtdBUoxSUD2oDUnHOpGqQCRUMbprscasukoqh5XbUrZaWsW9kpdly8XnSnucmrau2YQt2bKbihDlvja2f-zoxuba79jeGcAhUiC5zcCQT_fbYxmcHF1vZ9PVo_R4OqEixz1a7X83_QjZ9D3mKmNAKlAJplCheqDT7GYLv9MAhmZ6q5NdXsTDWLqbnm2Z-_2Ff8djEDTxdgE5MP-3xVMcEk7AReLPlm2PxHv1-rxrWl</recordid><startdate>20170701</startdate><enddate>20170701</enddate><creator>Barber, C M</creator><creator>Wiggans, R E</creator><creator>Carder, M</creator><creator>Agius, R</creator><general>BMJ Publishing Group Ltd</general><general>BMJ Publishing Group LTD</general><general>BMJ Publishing Group</general><scope>9YT</scope><scope>ACMMV</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8C1</scope><scope>8FE</scope><scope>8FG</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABJCF</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ATCPS</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>BGLVJ</scope><scope>BHPHI</scope><scope>BTHHO</scope><scope>CCPQU</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>HCIFZ</scope><scope>K9.</scope><scope>KB0</scope><scope>L6V</scope><scope>M0S</scope><scope>M1P</scope><scope>M7S</scope><scope>NAPCQ</scope><scope>PATMY</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PTHSS</scope><scope>PYCSY</scope><scope>7X8</scope><scope>5PM</scope></search><sort><creationdate>20170701</creationdate><title>Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015</title><author>Barber, C M ; Wiggans, R E ; Carder, M ; Agius, R</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-b486t-e71b05e0f408857302b07955578b12616b2b39f5789e3782195a4cd8e77ac7f83</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2017</creationdate><topic>Adult</topic><topic>Age</topic><topic>Aged</topic><topic>Allergies</topic><topic>Alveolitis</topic><topic>Alveolitis, Extrinsic Allergic - epidemiology</topic><topic>Alveolitis, Extrinsic Allergic - etiology</topic><topic>Animals</topic><topic>Antigens</topic><topic>Asthma</topic><topic>Birds</topic><topic>Categories</topic><topic>Causation</topic><topic>Epidemiology</topic><topic>Estimates</topic><topic>Exposure</topic><topic>Female</topic><topic>Humans</topic><topic>Hypersensitivity</topic><topic>Incidence</topic><topic>Lung diseases</topic><topic>Male</topic><topic>Mathematical analysis</topic><topic>Medical prognosis</topic><topic>Men</topic><topic>Mens health</topic><topic>Metal workers</topic><topic>Metalworking fluids</topic><topic>Metalworking industry</topic><topic>Middle Aged</topic><topic>Mortality</topic><topic>Occupational diseases</topic><topic>Occupational Diseases - epidemiology</topic><topic>Occupational Diseases - etiology</topic><topic>Occupational Exposure - adverse effects</topic><topic>Pneumonitis</topic><topic>Practice</topic><topic>Respiratory diseases</topic><topic>Risk Factors</topic><topic>Sampling</topic><topic>SHORT REPORT</topic><topic>Surveillance</topic><topic>Trends</topic><topic>United Kingdom - epidemiology</topic><topic>Womens health</topic><topic>Workers</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Barber, C M</creatorcontrib><creatorcontrib>Wiggans, R E</creatorcontrib><creatorcontrib>Carder, M</creatorcontrib><creatorcontrib>Agius, R</creatorcontrib><collection>BMJ Open Access Journals</collection><collection>BMJ Journals:Open Access</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Nursing & Allied Health Database</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Public Health Database</collection><collection>ProQuest SciTech Collection</collection><collection>ProQuest Technology Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Materials Science & Engineering Collection</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Agricultural & Environmental Science Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>Technology Collection</collection><collection>Natural Science Collection</collection><collection>BMJ Journals</collection><collection>ProQuest One Community College</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>SciTech Premium Collection</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>ProQuest Engineering Collection</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Engineering Database</collection><collection>Nursing & Allied Health Premium</collection><collection>Environmental Science Database</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>Engineering Collection</collection><collection>Environmental Science Collection</collection><collection>MEDLINE - Academic</collection><collection>PubMed Central (Full Participant titles)</collection><jtitle>Occupational and environmental medicine (London, England)</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Barber, C M</au><au>Wiggans, R E</au><au>Carder, M</au><au>Agius, R</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015</atitle><jtitle>Occupational and environmental medicine (London, England)</jtitle><addtitle>Occup Environ Med</addtitle><date>2017-07-01</date><risdate>2017</risdate><volume>74</volume><issue>7</issue><spage>528</spage><epage>530</epage><pages>528-530</pages><issn>1351-0711</issn><eissn>1470-7926</eissn><abstract>ObjectiveTo estimate the reported incidence of occupational hypersensitivity pneumonitis (OHP) in the UK and to consider whether the pattern of attributed causation has changed over time.MethodsAll cases of OHP reported to the SWORD scheme between January 1996 and December 2015 were classified into 1 of 10 categories of the suspected agent. Cases were grouped into four 5-year time periods to examine any changing pattern in incidence or suspected causation. For each time period, the annual incidence was calculated using the estimated number of reported cases and the working population of the UK.ResultsBetween 1996 and 2015, there were 202 actual cases of OHP reported to SWORD, equating to an estimated 818 cases, when adjusting for the sampling ratio. Over this period, the annual UK incidence was 1.4 per million workers. The mean (SD) age of reported cases was 52 (13) years, and cases were four-times more likely to be men than women. Over the study period, there was a fall in the proportion of cases reported to be due to agricultural exposures (44–12%), and an increase in cases due to metalworking fluids (MWFs, 2–45%).ConclusionsOver the last 20 years, the incidence of OHP in the UK has been ∼1–2 cases per million workers per year. Working with water-based MWFs is now the most commonly suspected causative exposure for OHP cases reported to the SWORD scheme in the UK.</abstract><cop>England</cop><pub>BMJ Publishing Group Ltd</pub><pmid>27919062</pmid><doi>10.1136/oemed-2016-103838</doi><tpages>3</tpages><oa>free_for_read</oa></addata></record> |
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subjects | Adult Age Aged Allergies Alveolitis Alveolitis, Extrinsic Allergic - epidemiology Alveolitis, Extrinsic Allergic - etiology Animals Antigens Asthma Birds Categories Causation Epidemiology Estimates Exposure Female Humans Hypersensitivity Incidence Lung diseases Male Mathematical analysis Medical prognosis Men Mens health Metal workers Metalworking fluids Metalworking industry Middle Aged Mortality Occupational diseases Occupational Diseases - epidemiology Occupational Diseases - etiology Occupational Exposure - adverse effects Pneumonitis Practice Respiratory diseases Risk Factors Sampling SHORT REPORT Surveillance Trends United Kingdom - epidemiology Womens health Workers |
title | Epidemiology of occupational hypersensitivity pneumonitis; reports from the SWORD scheme in the UK from 1996 to 2015 |
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