Introduction:
Work-aggravated asthma is pre-existing or concomitant asthma whose symptoms are
aggravated by the work environment. The aim of this study was to determine the prevalence of this pathology and its associated
factors among bakery workers in Abidjan. Materials and Methods: This descriptive and analytical cross-sectional
study was conducted over a period of four (4)
months from 18 December 2019 to 18 April 2020.Two questionnaires were used, one on employees and the
other on the indoor environment of bakeries. In addition, a spirometry test was
performed on all bakery workers. Statistical analysis was performed using stata
15.1 software. Results: A total of 599 bakery employees, including
bakers (59.73%), sales assistants/cashiers (23.52%), cleaners(6.34%) and administrative
staff (10.18%), were investigated. The mean age was 30.8 ± 8 years, with a sex
ratio (M/F) = 2.2. Asthma symptoms were
found in 95 (15.86%) employees, of whom 74(77.9%) had work-related asthma and 11 (14.9%)had asthma aggravated by work. The factors associated with work-aggravated asthma were
personal or family history of allergy or atopy [ORa= 3.75; CI95%: 1.56- 8.93; p
References
[1]
Mével, H., Demange, V., Penven, E., Trontin, C., Wild, P. and Paris, C. (2016) Assessment of Work-Related Asthma Prevalence, Control and Severity: Protocol of a Field Study. BMC Public Health, 16, Article No. 1164. https://doi.org/10.1186/s12889-016-3824-0
[2]
Tarlo, S.M. (2016) Update on Work-Exacerbated Asthma. International Journal of Occupational Medicine and Environmental Health, 29, 369-374. https://doi.org/10.13075/ijomeh.1896.00676
[3]
Lemiere, C. and Cartier, A. (2016) Asthme Professionnel Avec et Sans Période de Latence.
[4]
Mevel, H. (2019) Contribution to Improving Knowledge of Work-Related Asthma. These, Biologie-Santé-Environnement, Universite de Lorraine, Lorraine. https://hal.univ-lorraine.fr/tel-02460677/document
[5]
Cannon, J., Cullinan, P. and Taylor, A.N. (1995) Consequences of Occupational Asthma. BMJ, 311, 602-603. https://doi.org/10.1136/bmj.311.7005.602
[6]
Lowery, E.P., Henneberger, P.K., Rosiello, R., Sama, S.R., Preusse, P., and Milton, D.K. (2007) Quality of Life of Adults with Workplace Exacerbation of Asthma. Quality of Life Research, 16, 1605-1613. https://doi.org/10.1007/s11136-007-9274-5
[7]
Mazurek, J.M., Knoeller, G.E. and Moorman, J.E. (2012) Effect of Current Depression on the Association of Work-Related Asthma with Adverse Asthma Outcomes: A Cross-Sectional Study Using the Behavioral Risk Factor Surveillance System. Journal of Affective Disorders, 136, 1135-1142. https://doi.org/10.1016/j.jad.2011.09.045
[8]
Bradshaw, L., Sumner, J., Delic, J., Henneberger, P. and Fishwick, D. (2018) Work Aggravated Asthma in Great Britain: A Cross-Sectional Postal Survey. Primary Health Care Research & Development, 19, 561-569. https://doi.org/10.1017/S1463423618000063
[9]
Baatjies, R., Lopata, A.L., Sander, I., Raulf-Heimsoth, M., Batemane, E.D., Meijster, T., et al. (2009) Determinants of Asthma Phenotypes in Supermarket Bakery Workers. European Respiratory Journal, 34, 825-833. https://doi.org/10.1183/09031936.00164408
[10]
Dubini, M., Marraccini, P., Brass, D.M., Patrini, L. and Riboldi, L. (2020) Occupational Asthma and Rhinitis Due to Wheat Flour: Sublingual Specific Immunotherapy Treatment. Medicina del Lavoro, 111, 203-209.
[11]
Faustin, E. (2021) Bakery and Pastry Sector: The Government Is Encouraging Investment in This Sector. https://www.fratmat.info/article/211267/conomie/filiere-boulangeriepatisserie-le-gouvernement-encourage-l039investissement-dans-ce-secteur-d039activite
[12]
World Bank (2015) Study on the Competitiveness of the Ivorian Manufacturing Industry. This Report Is Commissioned by the World Bank. The Views Expressed in This Report Are Those of the Consultant and Do Not Represent Those of the World Bank or Its Board of Directors. https://documents1.worldbank.org/curated/en/480881468189533348/pdf/97221-revised-wp-p148295-ouo-9-box391473b-acs.pdf
[13]
Republique De Cote D’Ivoire (2015) General Population and Housing Census 2014. Institut National De La Statistique. http://www.ins.ci/n/index.php?limitstart=5
[14]
Soglohoun, N. and Degla, P. (2023) Determinants of Credit Demand by Agricultural Farms in Cotton Area in Benin. Revue Internationale des Sciences de Gestion, 6, 352-375.
[15]
Tarlo, S.M. and Lemiere, C. (2014) Occupational Asthma. The New England Journal of Medicine, 370, 640-649. https://doi.org/10.1056/NEJMra1301758
Tarlo, S.M. and Lau, A. (2019) Update on the Management of Occupational Asthma and Work-Exacerbated Asthma. Allergy, Asthma and Immunology Research, 11, 188-200. https://doi.org/10.4168/aair.2019.11.2.188
[18]
Fahim, A.E. and El-Prince, M. (2013) Pulmonary Function Impairment and Airway Allergy among Workers in Traditional Bakeries. International Journal of Occupational Medicine and Environmental Health, 26, 214-219. https://doi.org/10.2478/s13382-013-0082-6
[19]
Al Badri, F.M., Baatjies, R. and Jeebhay, M.F. (2020) Assessing the Health Impact of Interventions for Baker’s Allergy and Asthma in Supermarket Bakeries: A Group Randomised Trial. The International Archives of Occupational and Environmental Health, 93, 589-599. https://doi.org/10.1007/s00420-019-01511-7
[20]
Henneberger, P.K., Redlich, C.A., Callahan, D.B., Harber, P., Lemiere, C., Martin, J., et al. (2011) An Official American Thoracic Society Statement: Work-Exacerbated Asthma. American Journal of Respiratory and Critical Care Medicine, 184, 368-378. https://doi.org/10.1164/rccm.812011ST
[21]
Baur, X., Aasen, T.B., Sherwood, B.P., Heederik, D., Henneberger, P.K., Maestrellie, P., et al. (2012) The Management of Work-Related Asthma Guidelines: A Broader Perspective. European Respiratory Review, 21, 125-139. https://doi.org/10.1183/09059180.00004711
[22]
Paris, C. (2015) Occupational Allergy-Pneumology. Work-Aggravated Asthma. Inrs. Dec, 113-125.
[23]
Roio, L.C., Del Mizutani, R.F., Pinto, R.C., Terra-Filho, M. and Santos, U.P. (2021) Work-Related Asthma. Jornal Brasileiro de Pneumologia, 47. https://doi.org/10.36416/1806-3756/e20200577
[24]
Goe, S.K., Henneberger, P.K., Reilly, M.J., Rosenman, K.D., Schill, D.P., Valiante, D., et al. (2004) A Descriptive Study of Work Aggravated Asthma. Occupational and Environmental Medicine, 61, 512-517. https://doi.org/10.1136/oem.2003.008177
[25]
Muñoz, X., Cruz, M.J., Bustamante, V., Lopez-Campos, J.L. and Barreiro, E. (2014) Work-Related Asthma: Diagnosis and Prognosis of Immunological Occupational Asthma and Work-Exacerbated Asthma. The Journal of Investigational Allergology and Clinical Immunology, 24, 396-405.
[26]
Karvala, K., Nordman, H., Luukkonen, R. and Uitti, J. (2014) Asthma Related to Workplace Dampness and Impaired Work Ability. The International Archives of Occupational and Environmental Health, 87, 1-11. https://doi.org/10.1007/s00420-012-0830-0
[27]
Lemiere, C., Bégin, D., Camus, M., Forget, A., Boulet, L.P. and Gérin, M. (2012) Occupational Risk Factors Associated with Work-Exacerbated Asthma in Quebec. Occupational and Environmental Medicine, 69, 901-907. https://doi.org/10.1136/oemed-2012-100663
[28]
World Health Organisation (2009) WHO Guidelines for Indoor Air Quality: Moisture and Moulds. http://www.euro.who.int/pubrequest?language=french
[29]
Cai, J., Li, B., Yu, W., Wang, H., Du, C., Zhang, Y., et al. (2019) Household Dampness-Related Exposures in Relation to Childhood Asthma and Rhinitis in China: A Multicentre Observational Study. Environment International, 126, 735-746. https://doi.org/10.1016/j.envint.2019.03.013
[30]
Conseil De La Santé Publique H. (2019) Factors Contributing to Healthy Housing—Current State of Knowledge and Recommendations for Public Policies for Healthy Housing.
[31]
Saarinen, K., Karjalainen, A., Martikainen, R., Uitti, J., Tammilehto, L., Klaukka, T., et al. (2003) Prevalence of Work-Aggravated Symptoms in Clinically Established Asthma. European Respiratory Journal, 22, 305-309. https://doi.org/10.1183/09031936.03.00100102
