L’observatoire national des asthmes professionnels

Kopferschmitt-Kubler, M.C.; Popin, E; Vervloët, D.; Ameille, J.; Pauli, G.

doi:10.1016/s0335-7457(02)00011-4

Cited by 6 publications

(4 citation statements)

References 14 publications

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“…This variability can be explained by several factors. According to Kopferschmitt-Kubler MC [17], this may be an underreporting of the link between the disease and the exposure at work related to either the patient or the physician. The number of cases may also depend on the type of industries in a given geographical area, the age and gender of patients, the variability of data collection systems, and the type of occupational diseases' reporting system (by patients or by doctors).…”

Section: Discussionmentioning

confidence: 99%

Occupational Allergic Contact Dermatitis in Tunisia: Epidemiology and Occupational Outcome

Aloui¹,

Maoua²,

Kalboussi³

et al. 2018

ODEM

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Background: Occupational allergic contact dermatitis (ACD) is one of the most frequent diseases on the workplace worldwide. Its national incidence and prevalence were not previously studied in Tunisia. Objective: To assess incidence of occupational allergic contact dermatitis and its occupational outcome in Tunisia. Methods: Descriptive epidemiological study of all cases of occupational allergic contact dermatitis reported from 2002 to 2012 in Tunisia and recognized by the medical commissions of the National Health Insurance Fund. Results: 315 cases of occupational ACD were collected representing an annual incidence of 31.65 cases/100.000 workers in the private sector in Tunisia. The mean age of our population was 42.70 ± 9.02 years with a male predominance (sex ratio 3.03). The most affected sectors were the clothing sector (14.3% of cases) and the cement industry (13.7% of cases). Patch tests were positive in 188 patients (59.67%). The most frequently positive allergen was potassium dichromate in 27.3% of the cases. Overall, 25.4% of patients had lost their jobs. After multiple binary logistic regression, job loss had a statistically significant relationship with localization of lesions on the face and on dominant hand. Conclusion: Occupational ACD is frequent in Tunisia and is responsible for an important rate of job loss. Preventive measures must be reinforced, especially the wearing of protective gloves.

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Section: Discussionmentioning

confidence: 99%

Occupational Allergic Contact Dermatitis in Tunisia: Epidemiology and Occupational Outcome

Aloui¹,

Maoua²,

Kalboussi³

et al. 2018

ODEM

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“…Some files of patients with real occupational asthma could have been rejected due to administrative reasons such as: exceeding the deadline of cost managementdefined legally as the delay which separates the end of exposure and the first observation of the disease, or the performance of a profession which is not cited in some tables whose list of works exposing a causal agent is restrictive, or if the causal agent is not listed in any occupational diseases tables provided for by the 94 -28 law of February 21 st 1994 regarding compensation for damages resulting from work accidents and occupational diseases in the private sector [5]. Under-reporting can be secondary to misdiagnosis, to ignorance of the laws by the treating doctors or the doctors who made the asthma diagnosis, or to the specificities of the official systems of reporting occupational diseases, which provides only a rough idea about the incidence of occupational asthma in view of the fact that they are based on the patient's voluntary approach in order to get an official recognition for the occupational nature of his/her pathology [6]. Some workers do not report their diseases lest they should lose their job or because the compensation is perceived as low [7].…”

Section: Discussionmentioning

confidence: 99%

“…Studies carried out by monitoring programs of many countries found annual incidences between 3 and 174 cases per million of workers (Table 5). • SWORD [6] 1989-1991 19…”

Section: Discussionmentioning

confidence: 99%

“…According to Kopferschmitt-Kubler MC, it may be: underdiagnosis of the asthmatic disease according to the criteria which were used, work-related underreporting either with the patient or the doctor, varying exposures according to the implicated industries and the asthma generating professions, and ultimately type of the system of declaration (founded on a voluntary approach of the patient) or of reporting (doctors' voluntary reporting) [6]. The system is different in Finland where the declaration/reporting is compulsory (since 1974) and must be made directly at the insurer agency by any doctor who diagnosed an occupational disease [6] and who is not under obligation to issue an initial medical certificate to the patient who decides the declaration as it is the case in Tunisia [5]. Such obligation enables to limit to the maximum the underestimation of OA incidence; the incidence which seems high in Finland is therefore the most accurate.…”

Section: Discussionmentioning

confidence: 99%

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Epidemiology of Occupational Asthma in Tunisia: Results of a First National Study

Maoua¹,

Olfa²,

Boughattas³

et al. 2016

ODEM

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Introduction: Apart from its increasingly important frequency, occupational asthma (OA) has become the most important cause of occupational respiratory disorders in developed countries. The number of etiological agents continues to grow following the constant introduction of new harmful substances in industry. Objectives: Determine the prevalence and incidence of OA in our country, the socio-occupational characteristics of asthmatics, and study the forensic and social impact of such pathology. Material and Methods: An exhaustive retrospective epidemiological study was conducted in Tunisia about charts of occupational asthma cases recognized by the competent commissions of the National Medical Care Fund (CNAM) during the period ranging from January 1 st 2000 to December 31 st 2008. Results: 361 occupational asthma cases, accounting for a prevalence of 7.17% of all occupational diseases, were recognized during the period of the study. Occupational asthma annual incidence was estimated to be 24.42 cases per 1000000 workers. Our study population was mainly women with a sex ratio of 0.86. More than a half (57.6%) of recognized OA cases were working in the textile industry sector. Concerning the asthmatics' professional career, most of recognized OA cases (n = 225 i.e. 70.6% of cases) kept their jobs, whereas 58 patients did not. The professional career was linked to gender with a job loss that is 1.79 time more important in asthmatic women. Conclusion: The incidence of occupational asthma in Tunisia is comparable * Corresponding author.M. Maher et al. 28with that found in other Mediterranean countries. A rigorous and adequate prevention is necessary and allows reducing the importance of this occupational pathology and its serious consequences.

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Asthme professionnel : profil clinique et professionnel du travailleur asthmatique tunisien

Toujani

Hédhli

Mjid

et al. 2016

Revue de Pneumologie Clinique

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L’observatoire national des asthmes professionnels

Cited by 6 publications

References 14 publications

Occupational Allergic Contact Dermatitis in Tunisia: Epidemiology and Occupational Outcome

Occupational Allergic Contact Dermatitis in Tunisia: Epidemiology and Occupational Outcome

Epidemiology of Occupational Asthma in Tunisia: Results of a First National Study

Asthme professionnel : profil clinique et professionnel du travailleur asthmatique tunisien

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