Laura D Cassidy1, Brent Doney, Mei Lin Wang, Laura Kurth, Patrick R Conner, James J Collins, Michael Carson, Don Molenaar, Carrie A Redlich, Eileen Storey. 1. Medical College of Wisconsin, Milwaukee, Wisconsin (Dr Cassidy); National Institute for Occupational Safety and Health, Morgantown, West Virginia (Drs Doney, Wang, Kurth, Storey); BASF-The Chemical Company, Florham Park, New Jersey (Dr Conner); DOW Chemical Company, Midland, Michigan (Drs Collins, Carson); Saginaw Valley State University, University City, Michigan (Dr Collins); Covestro LLC (formerly Bayer MaterialScience LLC), Pittsburgh, Pennsylvania (Dr Molenaar); and Yale University School of Medicine, New Haven, Connecticut (Dr Redlich).
Abstract
OBJECTIVE: The aim of this study was to describe a study of medical monitoring methods and lessons learned in detecting health outcomes in U.S. plants producing toluene diisocyanate (TDI). METHODS: A multidisciplinary team implemented a medical and environmental monitoring program in three TDI plants. RESULTS: Of 269 eligible workers, 197 (73%) participated and 42 (21%) met symptom and/or lung function criteria that would trigger evaluation for possible asthma over 5 years of data collection. Subsequent evaluation was delayed for most, and a web-based data collection system improved timeliness. CONCLUSION: Medical monitoring of TDI workers identified workers triggering further assessment per study protocol. Systems and/or personnel to ensure rapid follow-up are needed to highlight when triggering events represent potential cases of asthma needing further evaluation. Implementation of a research protocol requires resources and oversight beyond an occupational health program.
OBJECTIVE: The aim of this study was to describe a study of medical monitoring methods and lessons learned in detecting health outcomes in U.S. plants producing toluene diisocyanate (TDI). METHODS: A multidisciplinary team implemented a medical and environmental monitoring program in three TDI plants. RESULTS: Of 269 eligible workers, 197 (73%) participated and 42 (21%) met symptom and/or lung function criteria that would trigger evaluation for possible asthma over 5 years of data collection. Subsequent evaluation was delayed for most, and a web-based data collection system improved timeliness. CONCLUSION: Medical monitoring of TDI workers identified workers triggering further assessment per study protocol. Systems and/or personnel to ensure rapid follow-up are needed to highlight when triggering events represent potential cases of asthma needing further evaluation. Implementation of a research protocol requires resources and oversight beyond an occupational health program.
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Authors: James J Collins; Steve Anteau; Patrick R Conner; Laura D Cassidy; Brent Doney; Mei Lin Wang; Laura Kurth; Michael Carson; Don Molenaar; Carrie A Redlich; Eileen Storey Journal: J Occup Environ Med Date: 2017-12 Impact factor: 2.162
Authors: James J Collins; Steve Anteau; Patrick R Conner; Laura D Cassidy; Brent Doney; Mei Lin Wang; Laura Kurth; Michael Carson; Don Molenaar; Carrie A Redlich; Eileen Storey Journal: J Occup Environ Med Date: 2017-12 Impact factor: 2.162
Authors: Ji Ho Lee; Sang Ha Kim; Youngwoo Choi; Hoang Kim Tu Trinh; Eun Mi Yang; Ga Young Ban; Yoo Seob Shin; Young Min Ye; Kenji Izuhara; Hae Sim Park Journal: Yonsei Med J Date: 2018-12 Impact factor: 2.759