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Lucas D, Robin C, Vongmany N, Dewitte JD, Loddé B, Pougnet R, Larabi L. Main Causal Agents of Occupational Asthma in France, Reported to the National Network for Occupational Disease Vigilance and Prevention (RNV3P) 2001-2018. Ann Work Expo Health 2023; 67:297-302. [PMID: 36477519 DOI: 10.1093/annweh/wxac079] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/25/2022] [Accepted: 10/21/2022] [Indexed: 12/12/2022] Open
Abstract
OBJECTIVES The definition of work-related Asthma (WRA) has changed in recent years and new etiologies and agents have been identified. The aim of this study is to describe the main causal agents of WRA in France in the period 2001-2018 in the main work sectors. METHODS Data were collected from the French national network of occupational health surveillance and prevention [Réseau National de Vigilance et de Prévention des Pathologies Professionnelles (RNV3P)], Data between 2001 and 2018 with at least a probable or certain association with one occupational agent, were included. RESULTS Work sectors with more cases OF WRA included personal service activities (10.6%), food industry (10.2%) and healthcare activities (7.6%). WRA cases were most frequently related to flour (10%), quaternary ammoniums compounds (5.3%), isocyanates (5.1%) and cleaning products (4.8%). CONCLUSION Occupational exposure to specific agents capable of causing WRA is still present, and four agents represent more than 25% of the cases. Actions to prevent respiratory exposure are still relevant.
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Affiliation(s)
- D Lucas
- Occupational Diseases Centre, CHRU Morvan, 2 Avenue Foch, 29609 Brest Cedex 2, France.,ORPHY Laboratory, 6 Av V Le Gorgeu 29238 Brest Cedex, Occidental Brittany University Brest, France
| | - C Robin
- Occupational Diseases Centre, CHRU Morvan, 2 Avenue Foch, 29609 Brest Cedex 2, France
| | - N Vongmany
- Direction des alertes et des vigilances sanitaires, National Agency for Security of Food, Environment and Work Agence Nationale de sécurité de l'alimentation, de l'environnement et du travail (ANSES), 14 rue Pierre et Marie Curie, 94700 Maisons-Alfort, France
| | - J D Dewitte
- Occupational Diseases Centre, CHRU Morvan, 2 Avenue Foch, 29609 Brest Cedex 2, France.,Laboratory of Research on Sociology (EA 3149), Université de Bretagne Occidentale Brest, 22 Avenue Camille Desmoulins, 29238 Brest Cedex 3, France
| | - B Loddé
- Occupational Diseases Centre, CHRU Morvan, 2 Avenue Foch, 29609 Brest Cedex 2, France.,ORPHY Laboratory, 6 Av V Le Gorgeu 29238 Brest Cedex, Occidental Brittany University Brest, France
| | - R Pougnet
- Occupational Diseases Centre, CHRU Morvan, 2 Avenue Foch, 29609 Brest Cedex 2, France.,Laboratory of Research on Sociology (EA 3149), Université de Bretagne Occidentale Brest, 22 Avenue Camille Desmoulins, 29238 Brest Cedex 3, France
| | - L Larabi
- Direction des alertes et des vigilances sanitaires, National Agency for Security of Food, Environment and Work Agence Nationale de sécurité de l'alimentation, de l'environnement et du travail (ANSES), 14 rue Pierre et Marie Curie, 94700 Maisons-Alfort, France
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Abstract
Since 1996, PulseNet has served as the national laboratory-based surveillance system for the rapid detection of outbreaks caused by foodborne bacterial pathogens in the United States. For the past two decades, pulsed-field gel electrophoresis was the gold standard subtyping method for the pathogens tracked by PulseNet. A new gold standard is now being implemented with the introduction of cost-effective whole genome sequencing (WGS) for analysis of all the organisms tracked by PulseNet. This transformation is a major undertaking that touches every functional aspect of PulseNet, including laboratory workflows, data storage, analysis management and data interpretation, and language used to communicate information (sequence profile nomenclature system). The benefits of implementing WGS go beyond improved discrimination and precision of the data; it provides an opportunity to determine strain characteristics typically obtained through resource-intensive traditional methodologies, for example, species identification, serotyping, virulence, and antimicrobial resistance profiling, all of which can be consolidated into a single WGS workflow. Such a strategy represents a major shift in the workflows currently practiced in most public health laboratories, but one that brings opportunities for streamlining surveillance activities for the network as a whole. In this study, we provide a brief summary of PulseNet's evolution the past decade along with a general description of the challenges and opportunities that lie ahead.
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Affiliation(s)
- Efrain M Ribot
- Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Molly Freeman
- Centers for Disease Control and Prevention, Atlanta, Georgia
| | - Kelley B Hise
- Centers for Disease Control and Prevention, Atlanta, Georgia
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