title: New-onset asthma associated with exposure to 3-amino-5-mercapto-1,2,4-triazole.
abstract: OBJECTIVE
  The authors conducted an investigation of a cluster of eight new-onset asthma cases identified in a chemical plant through the Sentinel Event Notification Systems for Occupational Risks (SENSOR) program.
  
  
  METHODS
  Workplace investigation involved interviews with the asthma cases, review of medical records, and medical and industrial hygiene surveys in the plant.
  
  
  RESULTS
  Altogether, 11 work-related asthma cases were identified among the plant workers-approximately 10% of the workers exposed to the potential causative agents: 3-amino-5-mercapto-1,2,4-triazole (AMT) or N-(2,6-difluorophenyl)-5-methyl-[1,2,4]triazolo[1,5-a]pyrimidine-2-sulfonamide (DE-498; trade name Flumetsulam). Of these cases, six had physician-diagnosed occupational asthma (OA) based on work-related respiratory symptoms and nonspecific bronchial hyperresponsiveness (NSBH), and of these, three had work-related expiratory peak flow changes.
  
  
  CONCLUSIONS
  The findings of this investigation, together with findings from concurrent animal studies, suggest that this outbreak of new-onset asthma was associated with exposure to AMT.
  
  
  CONCLUSIONS
  A cluster of eight new-onset asthma cases was identified in a chemical plant through the SENSOR program. Subsequent workplace investigation identified AMT, used in the production of a herbicide N-(2,6-difluorophenyl)-5-methyl- [1,2,4]triazolo[1,5-a]pyrimidine-2-sulfonamide, as the most likely causal agent.
authors.affiliation: Division of Respiratory Disease Studies, National Institute for Occupational Safety and Health, 1095 Willowdale Road, Morgantown, WV 26505, USA. Exh6@cdc.gov
authors.forename: Eva
authors.initials: E
authors.lastname: Hnizdo
authors.forename: David
authors.initials: D
authors.lastname: Sylvain
authors.forename: Daniel M
authors.initials: DM
authors.lastname: Lewis
authors.forename: Elise
authors.initials: E
authors.lastname: Pechter
authors.forename: Kathleen
authors.initials: K
authors.lastname: Kreiss
mesh_terms: D001249:Asthma / Q000139:chemically induced / Q000175:diagnosis / Q000453:epidemiology* / Q000276:immunology; D002617:Chemical Industry; D004196:Disease Outbreaks / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D007073:Immunoglobulin E / Q000097:blood; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000139:chemically induced / Q000175:diagnosis / Q000453:epidemiology* / Q000276:immunology; D016273:Occupational Exposure / Q000706:statistics & numerical data*; D012129:Respiratory Function Tests; D018571:Sentinel Surveillance; D014230:Triazoles / Q000633:toxicity*; D014903:West Virginia
chemical_list: C488155:3-amino-5-mercapto-1,2,4-triazole; D014230:Triazoles; D007073:Immunoglobulin E