Occupational Asthma
Causal agents for occupational asthma1
Figure 2 shows the most commonly cited agents for cases of occupational asthma in the SWORD and IIDB schemes during the two most recent three year periods. Both SWORD and the IIDB scheme figures continue to implicate isocyanates and flour/grain as the agents responsible for the highest proportion of new cases of occupational asthma. Cutting oils and coolants also account a substantial proportion of SWORD cases. Wood dusts continue to account for a substantial proportion of IIDB cases in contrast to SWORD, where these account for a much smaller proportion. Tables THORR07 and IIDB09 show a full breakdown of the THOR and IIDB cases by agent.
Figure 2: Most common agents for occupational asthma, 2003-2005 and 2006-2008

1 Because the coverage of British industry by occupational physicians varies by type of industry and occupation the chest physician (SWORD) data alone should be used for making comparative statements about different agents, industries and occupations. Given that there is not thought to be a great deal of overlap in cases reported in the two schemes, data from both chest physicians (SWORD) and occupational physicians (OPRA) can be combined to give the best available total estimate for any particular subgroup.

