“…For example, coffee processing workers can be exposed to natural diacetyl levels well above the OELs [22] , yet the respiratory status of coffee processing workers has been evaluated in many studies [21] , [26] , [27] , [29] , [33] , [43] , [50] , [51] , [52] , [54] , [55] , [58] , [59] and the most consistent adverse effects are allergic respiratory responses to specific allergens in respirable green coffee dusts [21] , [26] , [27] , [29] , [30] , [50] , [54] , [55] , [59] . To the best of our knowledge, there are no reports of bronchiolitis obliterans or other serious, obstructive diseases occurring at elevated rates in coffee processing workers handling unflavored coffee beans or ground coffee.…”