Cumulative sensitization and disease in a beryllium oxide ceramics worker cohort

J Occup Environ Med. 2008 Dec;50(12):1343-50. doi: 10.1097/JOM.0b013e31818def24.

Abstract

Objective: We followed a cohort of 136 beryllium oxide ceramics workers from 1992 to 2003, including those who left employment, for beryllium sensitization and chronic beryllium disease (CBD).

Methods: We invited the cohort's participation in current worker surveys in 1992, 1998, 2000, and 2002-2003, and in former worker surveys in 2000-2001 and 2003. We calculated 11-year cumulative incidences (after 1992 initial survey) of sensitization and CBD, both crude and corrected for interval censoring; and period prevalences (including 1992 findings), crude and corrected.

Results: In 1992, point prevalences were 6% sensitized and 4% CBD. We obtained follow-up on 83% of 128 not sensitized in 1992. Crude cumulative incidences for sensitization and CBD were 13% and 9%, respectively; corrected were 15% and 11%. Crude period prevalences for sensitization and CBD were 16% and 11%, respectively; corrected were 20% and 14%. Corrected period prevalences for pre-1992 machining work were 30% and 20%.

Conclusions: With repeated testing over 11 years, total sensitization and CBD in this cohort were triple initial 1992 survey results.

MeSH terms

  • Adult
  • Aged
  • Berylliosis / blood
  • Berylliosis / epidemiology*
  • Beryllium / adverse effects*
  • Beryllium / blood
  • Bronchoscopes
  • Ceramics
  • Chemical Industry
  • Chronic Disease
  • Cohort Studies
  • Female
  • Humans
  • Hypersensitivity / epidemiology*
  • Hypersensitivity / etiology
  • Incidence
  • Lymphocytes
  • Male
  • Middle Aged
  • Occupational Exposure / adverse effects*
  • Proportional Hazards Models
  • Smoking / epidemiology
  • Surveys and Questionnaires

Substances

  • beryllium oxide
  • Beryllium