Occupational asthma, also called work-related asthma, is a lung disease that occurs when an individual is exposed to certain chemicals, irritants, or allergens in the workplace. The biggest difference between occupational asthma and other types of asthma is that it can usually be reversed when exposure to workplace irritants stops.
This article details the various types of occupational asthma irritants, some of the most at-risk jobs, treatment, and prevention.
There are three common causes of occupational asthma: allergic reactions, irritant reactions or "irritant-induced occupational asthma" (II-OA), and buildup of chemicals or "sensitizer-induced occupational asthma" (SI-OA), which eventually cause asthma attacks.
Healthcare workers may develop occupational asthma from inhaling the dust particles of latex gloves or other latex objects.
Irritant-induced occupational asthma is caused by a variety of chemical agents including:
Textile workers may develop occupational asthma by inhaling dust from flax, cotton, and hemp. The dust particles can cause irritation and inflammation in the lungs and induce an allergic reaction.
When inhaled over time, the particles that make up insecticides can damage the lining of the airways and trigger an allergic reaction.
Individuals who are regularly exposed to common asthma triggers at work are at an increased risk for developing occupational asthma. Substances that can trigger occupational asthma include:
Workers most likely to be exposed to one or more of these triggers include:
Occupational asthma is often under-diagnosed. One 2019 study looked at a population of 50,000 workers with asthma. They found that only 11.7% of people had ever told their healthcare provider that their asthma was related to work, and only 9.1% of people learned that their asthma was work-induced from their healthcare provider.
According to the Centers for Disease Control and Prevention (CDC), approximately 17% of adult asthma cases are related to occupational exposures.
You will not know for sure if your asthma is work-related until you meet with your healthcare provider or an allergist for an evaluation.
A healthcare provider or allergist will perform a physical exam to determine your lung function. Then they will ask you about your medical history as well as the symptoms you're currently experiencing.
You can expect them to ask detailed questions about your work environment and potential allergens. They'll want to know about the timing of your asthma symptoms, and they might even ask how you feel when you're not at work.
It can be tricky to tell the symptoms of occupational asthma and bronchitis apart. They both come with coughing, wheezing, and shortness of breath.
However, bronchitis may go away on its own after a few days or weeks, whereas occupational asthma does not go away until the allergen is removed. If you have a cough that lasts for months and comes back more than two years in a row, it could be chronic bronchitis.
If you think you might have occupational asthma, make an appointment with your healthcare provider as soon as you can. For asthma symptoms that do not get better with the use of a rescue inhaler, or lead to difficulty breathing or blue or purple lips or fingernails, seek immediate medical attention.
Most allergists will work with their asthma patients to develop an asthma treatment plan. This usually involves identifying and avoiding asthma triggers, and using a rescue inhaler for asthma attacks. Treatment for occupational asthma is the same.
Occupational asthma is among the most treatable types of asthma, because it can usually be reversed when the irritant or allergen is removed.
Occupational asthma can be misdiagnosed or simply go untreated. This can mean years of exposure to an irritant, which can lead to permanent lung damage.
Ideally, preventing occupational asthma starts at the employer level by avoiding common asthma-inducing substances. But this isn't always possible, depending on person's employment and financial needs.
Ongoing screening is another level of prevention that employers may use to help identify whether occupational asthma is prevalent among their employee population.
Discuss your diagnosis with your employer to determine options for removing or minimizing your exposure to your occupational asthma triggers. By law, your employer is required to make reasonable accommodations so that you may continue to work. This could be as simple as a healthcare worker swapping out latex gloves for a hypoallergenic alternative.
Occupational asthma is asthma induced by a person's workplace environment. It spans industries, from agriculture to healthcare and many others in between. The symptoms can be confused with other lung diseases such as bronchitis.
If you have asthma symptoms such as coughing, wheezing, and shortness of breath at work, but feel better on the weekends or vacations, talk to your healthcare provider about occupational asthma.
Fortunately, occupational asthma is usually reversible if the workplace irritant is removed. Most employers are willing and able to work with people who have occupational asthma to eliminate the exposure, or to make reasonable accommodations to ensure they are not putting their employees at unnecessary risk. There's no reason to brush off your asthma symptoms or fear speaking up about how they're affecting you at work.
In order to prove occupational asthma, you'll have to work with your healthcare provider or an allergist. They'll talk to you about your symptoms, health history, work history, and work environment.
Substances or chemicals in the form of vapors, dust, gas, and fumes are the most common cause of occupational asthma.
Occupational asthma is usually reversible when exposure to the allergen is removed.