title: Work-related asthma in the educational services industry: California, Massachusetts, Michigan, and New Jersey, 1993-2000.
abstract: OBJECTIVE
  To characterize work-related asthma (WRA) cases working in the educational services industry identified by state-based occupational disease surveillance systems.
  
  
  METHODS
  We examined 2,995 WRA cases reported from 1993 to 2000 to four states: California, Massachusetts, Michigan, and New Jersey.
  
  
  RESULTS
  A total of 265 (9%) WRA cases were employed in the educational services industry; 69% of cases were classified as new-onset asthma and 31% as work-aggravated asthma. New-onset asthma cases were further classified as occupational asthma (61%) or as reactive airways dysfunction syndrome (8%). The most frequently reported occupation was teachers and teachers' aides (54%). The most frequently reported agents were indoor air pollutants (28%), unspecified mold (16%), dusts (14%), and cleaning products (7%).
  
  
  CONCLUSIONS
  Asthma within the educational services industry is an occupational health problem. The health of school employees should also be considered when initiatives addressing asthma among schoolchildren are instituted. The identification, elimination, and/or control of respiratory hazards are important factors for the protection of staff and students alike.
authors.affiliation: National Institute for Occupational Safety and Health, Morgantown, West Virginia 26505, USA. acq8@cdc.gov
authors.forename: Jacek M
authors.initials: JM
authors.lastname: Mazurek
authors.forename: Margaret
authors.initials: M
authors.lastname: Filios
authors.forename: Ruth
authors.initials: R
authors.lastname: Willis
authors.forename: Kenneth D
authors.initials: KD
authors.lastname: Rosenman
authors.forename: Mary Jo
authors.initials: MJ
authors.lastname: Reilly
authors.forename: Katharine
authors.initials: K
authors.lastname: McGreevy
authors.forename: Donald P
authors.initials: DP
authors.lastname: Schill
authors.forename: David
authors.initials: D
authors.lastname: Valiante
authors.forename: Elise
authors.initials: E
authors.lastname: Pechter
authors.forename: Letitia
authors.initials: L
authors.lastname: Davis
authors.forename: Jennifer
authors.initials: J
authors.lastname: Flattery
authors.forename: Robert
authors.initials: R
authors.lastname: Harrison
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000395:Air Pollutants, Occupational / Q000009:adverse effects*; D001249:Asthma / Q000453:epidemiology*; D002648:Child; D005178:Faculty / Q000706:statistics & numerical data*; D005260:Female; D006801:Humans; D008297:Male; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology*; D015995:Prevalence; D012574:Schools / Q000706:statistics & numerical data; D014481:United States / Q000453:epidemiology; D017132:Workplace
chemical_list: D000395:Air Pollutants, Occupational