Trends in suspected and recognized occupational respiratory diseases in Germany between 1970 and 2005.
BACKGROUND
Respiratory diseases represent a major proportion of occupational diseases in many countries. Little information is available about their incidences over the past several decades.


METHODS
Based on the reports of the three German federal accident insurance agencies, the numbers of suspected and recognized cases of occupational respiratory diseases between 1970 and 2005 were collected and combined. The trends in the rates per 100,000 insured workers were calculated.


RESULTS
In total, a decline in occupational respiratory diseases since 1998 could be observed. This trend is mainly based on the decrease in non-malignant respiratory diseases due to silica and obstructive airway diseases. In contrast, asbestos-induced diseases showed a leveling off or an increase (mesothelioma) during the last 10years.


CONCLUSIONS
Although trends in occupational disease may be influenced by several factors, the presented data indicate that prevention has been effective in reducing some ofthe most frequent occupational respiratory diseases in Germany.
van Kampen
V
V
BGFA, Research Institute of Occupational Medicine, German Social Accident Insurance, Ruhr University Bochum, Bochum, Germany. kampen@bgfa.ruhr-uni-bochum.de
Merget
R
R
Butz
M
M
Taeger
D
D
Brüning
T
T
D005260:Female; D005858:Germany / Q000453:epidemiology; D006801:Humans; D015994:Incidence; D008297:Male; D009784:Occupational Diseases / Q000145:classification / Q000453:epidemiology* / Q000209:etiology*; D012140:Respiratory Tract Diseases / Q000145:classification / Q000453:epidemiology* / Q000209:etiology*