title: Assessment of respiratory health surveillance for laboratory animal workers.
abstract: BACKGROUND
  Occupational asthma is the most common work-related respiratory disease in the UK. Individuals whose work potentially puts them at risk include those exposed to laboratory animals. Workplace health surveillance programmes aim to minimize these health risks but are recognized to be challenging to implement effectively.
  
  
  OBJECTIVE
  To evaluate the efficacy of the respiratory health surveillance programme provided by a National Health Service occupational health service (OHS) to individuals potentially exposed to respiratory sensitizers at work with laboratory animals.
  
  
  METHODS
  Case notes from the OHS respiratory health surveillance programme over a 2 year period were examined. Symptom detection by the OHS surveillance questionnaire was compared to a cross-sectional survey using items from the validated International Union Against Tuberculosis and Lung Disease (IUATLD) questionnaire. The surveillance spirometry records were audited against good standards of practice.
  
  
  RESULTS
  The response rate for the anonymized survey using IUATLD questions was 60% and detected similar numbers of potential work-related symptoms to the OHS surveillance questionnaire. Over 80% of spirometry records met accepted standards for technique, effort and recording. In this study of 85 individuals over 2 years, three cases of occupational asthma were identified.
  
  
  CONCLUSIONS
  The current surveillance appears to be effective in identifying potential cases of occupational asthma. Modification of the questionnaire content and layout might improve response rates. This study suggests that spirometry does not detect new cases other than those already identified by questionnaire.
authors.affiliation: NHS Grampian Occupational Health Service, Foresterhill Lea, Foresterhill, Aberdeen AB25 2ZY, UK. kathryn.allan@abermed.com
authors.forename: K M
authors.initials: KM
authors.lastname: Allan
authors.forename: E
authors.initials: E
authors.lastname: Murphy
authors.forename: J G
authors.initials: JG
authors.lastname: Ayres
mesh_terms: D000328:Adult; D000368:Aged; D017750:Animal Technicians; D000818:Animals; D000830:Animals, Laboratory; D001249:Asthma / Q000453:epidemiology; D005260:Female; D006801:Humans; D006969:Hypersensitivity, Immediate / Q000453:epidemiology / Q000209:etiology; D008297:Male; D017056:Medical Laboratory Personnel; D008875:Middle Aged; D009784:Occupational Diseases / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D016273:Occupational Exposure / Q000009:adverse effects* / Q000517:prevention & control / Q000706:statistics & numerical data; D009786:Occupational Health Services / Q000458:organization & administration*; D011482:Protective Devices / Q000706:statistics & numerical data; D012130:Respiratory Hypersensitivity / Q000453:epidemiology* / Q000209:etiology / Q000517:prevention & control; D017751:Safety Management; D013147:Spirometry; D013222:State Medicine / Q000458:organization & administration; D006113:United Kingdom / Q000453:epidemiology; D055815:Young Adult