Asthma: Occupational / Work-Related Asthma
What is occupational asthma (or work-related asthma)?
Occupational asthma is asthma caused by or worsened by exposure to substances in the workplace. These substances may cause asthma in one of three ways:
- An allergic reaction
- An irritant reaction
- A reaction in which chemicals that occur naturally in the body build up in the lung, resulting in asthma.
For example, healthcare workers can develop an allergy to latex gloves by breathing in the powdered proteins from the inner lining of the gloves. Workers in the chemical industry who are exposed to substances like ammonia can develop asthma due to an irritant effect, not an allergic reaction.
There are numerous substances used in various industries that can cause occupational asthma:
- Chemical exposure from working with adhesives, shellac and lacquer, plastics, epoxy resins, carpeting, foam and rubber, insulation, dyes (textile workers), enzymes in detergents
- Exposure to proteins in animal hair and dander
- Exposure to grains, green coffee beans, and papain
- Cotton, flax, and hemp dust, commonly found in the textile industry
- Metals such as platinum, chromium, nickel sulfate, and soldering fumes
How do I know if my asthma could be work-related?
Generally, if symptoms are worse on days that you work, improve when you are at home for any length of time (weekends, vacations) and then reoccur when you return to work, occupational asthma should be considered.
Symptoms and Causes
What are the signs and symptoms of occupational asthma?
Symptoms include general signs of asthma such as:
- Chest tightness and shortness of breath
There may also be:
- Eye irritation
- Nasal congestion
- Runny nose
As mentioned, this can be allergy-related or an irritant reaction from exposure to triggers in the workplace.
If you think you have occupational asthma, ask your doctor about a referral to a specialist, most likely an allergist. The specialist will perform a detailed exam including your medical history and current problems. A treatment plan will be developed, including medications to control the asthma and trigger avoidance.
How do I prevent asthma attacks if I have occupational asthma?
Reducing exposure to the occupational trigger is the most important step that can be taken. Appropriate medical management is also important. However, even with appropriate medications, continued exposure may make the asthma more difficult to control.
The Occupational Safety and Health Administration (OSHA), a government agency, has created guidelines that determine acceptable levels of exposure to substances that may cause asthma. Employers are required to follow these rules. However, if exposure is unavoidable in a particular job, most employers are willing to help the employee find a more suitable workplace. Once the cause of your asthma has been determined, discuss with your healthcare provider how best to approach your employer and what precautions need to be taken.