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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Veröffentlicht in:Occupational and environmental medicine (London, England) England), 2017-07, Vol.74 (7), p.528-530
Hauptverfasser: Barber, C M, Wiggans, R E, Carder, M, Agius, R
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creator Barber, C M
Wiggans, R E
Carder, M
Agius, R
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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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. 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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. 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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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