Occupational & Environmental Medicine

 

 

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Sentinel Health Effects, Occupational Diagnoses with Known Environmental Exposure as Etiological Agents

Occupationally Related Unnecessary Disease, Disability, and Untimely Death

 

Index of Conditions

bulletAcute Bronchitis, Pneumonitis, Pulmonary Edema - ICD-9: 506.0, 506.1
 
Occupation:                               Agent: 
-----------                               ------ 
Refrigeration, fertilizer,                 
 oil refining industries                  Ammonia 
 
Alkali and bleach 
   industries                             Chlorine 
 
Silo fillers, arc welders, nitric          
   acid industry                          Nitrogen oxides 
 
Paper/refrigeration industries,            
   oil refining                           Sulfur dioxide 
 
Cadmium smelters/processors               Cadmium 
 
Plastics industry                         Trimellitic anhydride 
 
Boilermakers                              Vanadium pentoxide 
 
Organic chemicals manufacturers           Trimellitic anhydride 
bulletAgranulocytosis, Neutropenia - ICD-9: 288.0
 
Occupation:                             Agent: 
-----------                             ------ 
Occupations with benzene exposure       Benzene 
 
Explosives/pesticide industries         Phosphorous 
 
Pesticides, pigments, pharmaceuticals   Arsenic 
bulletAllergic Alveolitis (Unspecified) - ICD-9: 495.9
 
   
Occupation:                     Agent:  
-----------                     ------  
Cinnamon processing workers	  Cinnamon dust,  
                                 cinnamonaldehyde  
  
Distillery, vegetable, compost  Aspergillus fumigatus  
   plant workers  
  
Sawmill workers                 Unknown  
  
Paper manufacture/wood room     Alternaria, wood dust  
  
Snow crab processing workers    Unknown  
  
bulletAllergic/contact Dermatitis - ICD-9: 692
 

Occupation: Leather tanning, poultry dressing plants, fish packing, adhesives and sealants, boat building & repair
Irritants: Cutting oils, phenol, solvents, acids, alkalis, detergents
Allergens: Nickel, chromate, fomaldehyde, dyes, rubber products

 

bulletAnthrax - ICD-9: 022
 

Occupation: Shepherds, farmers, butchers, handlers of imported hides/fibers, veterinarians, vet pathologists, weavers
Agent: Bacillus Anthracis

 

bulletAplastic Anemia - ICD-9: 288.0
 

Occupation: Explosives manufacture, occupations with benzene exposure, radiologists, radium chemists, dial painters
Agent: Trinitrotoluene (TNT)

 

bulletAsbestosis - ICD-9: 501
 

Occupation: Asbestos industries/utilizers

 

bulletBrucellosis - ICD-9: 023
 

Occupation: Farmers, Shepherds, Veterinarians, Lab workers, Slaughterhouse workers, Field officers
Agent: Brucella abortus, suis

 

bulletByssinosis - ICD-9: 504
 

Occupation: Cotton industry workers
Agents: Cotton, flax, hemp, cotton-synthetic dusts

 

bulletCancers
bulletCancer of nasal cavities - ICD-9:160
 
 
Occupation:                             Agent: 
-----------                             ------ 
Woodworkers, cabinet/furniture          Hardwood dusts 
      makers 
 
Boot/shoe industry                      Unknown 
 
Radium chemists, dial painters          Radium 
 
Chromium producers, users               Chromates 
 
Nickel smelting/refining                Nickel 
 
Sawmill workers, carpenters             Chlorophenols 
bulletCancer of larynx - ICD-9: 161
 

Occupation: Asbestos industry/utilizers
Agent: Asbestos

 

bulletCancer of lung, bronchus, trachea - ICD-9: 162
 
 
Occupation:                            Agent: 
-----------                            ------ 
Asbestos industry/utilizers            Asbestos 
 
Topside coke oven workers              Coke oven emission 
 
Uranium/fluorspar miners               Radon daughters 
 
Chromium producers, users              Chromates 
 
Nickel smelter/processor/user          Nickel 
 
Smelters                               Arsenic , arsenic 
                                                   trioxide 
 
Mustard gas formulators                Mustard gas 
 
Ion exchange resin makers,             Bis(chloromethyl) ether 
   chemists                            Chlorom ethyl methyl 
                                                       ether 
 
Iron ore (underground) miners          Radon daughters 
 
Plant protection workers,              Pesticides, herbicides, 
   agronomists                         fungicides, insecticides 
 
Welders                                Unknown 
 
Copper smelter/roaster workers         inorganic AsSO2, Cu, Pb 
                                        Sulfuric acid, AsO3 
 
Welders, gas cutters                   asbestos, 
					hexavalent chromium 
 
Foundry-floor molders/casters          Polyaromatic 
                                        hydrocarbons 
 
Dichromate production                  Unknown 
   floor molders/casters 
 
Chromate production                    Chromium dust 
 
Chromate pigment prod. workers         Lead chromate, 
                                        zinc chromate 
 
Pigment production                     Zinc chromate dust 
 
Steel industry,                        Unknown 
   furnace/foundry workers 
 
Rubber reclaim operators               Unknown 
bulletCancer of bone - ICD-9: 170
 

Occupation: Radium chemists/processors, dial painters

bulletCancer of scrotum - ICD-9: 187.7
 
 
Occupation:                            Agent: 
-----------                            ------ 
Automatic lathe operators,             Mineral/cutting oils 
   metal workers 
 
Coke oven workers,                     Soots/tars 
   petroleum refiners,                 Tar distallates 
   tar distillers 
 
Tool setters, fitters                  Mineral oil, pitch, tar 
   cotton spinners, 
   chimney sweeps, 
   machine operators 
 
bulletCancer of bladder - ICD-9: 188
 

Occupation: Rubber/dye workers
Agents: Benzidine, Alpha, Beta-naphthylamine, Magenta, Auramine, 4-aminobiphenyl, 4- nitrophenyl

 

bulletCancer of kidney & urinary tract - ICD-9: 189
 

Occupation: Coke oven workers

  • Cataract - ICD-9: 366.4
     
     
    Occupation:                             Agent: 
    -----------                             ----- 
    Microwave/radar technicians             Microwaves 
     
    Explosives industries                   Trinitrotoluene 
     
    Radiologists                            Ionizing radiation 
     
    Blacksmiths, glass blowers, bakers      Infrared radiation 
     
    Moth repellant formulators,             Naphthalene 
       fumigators 
     
    Explosives, dye, herbicide, pesticide   Dinitrophenol, 
       industries                            dinitro-o- cresol 
     
    Ethylene oxide sterilizer,              Ethylene oxide 
       microbiology supervisors, 
       inspectors 
     
  • Carpal Tunnel Syndrome - ICD-9: 354M
     

    Occupation: Meat packers, deboners

     

  • Cerebellar Ataxia - ICD-9: 334.3
     
     
    Occupation:                             Agent: 
    -----------                             ------ 
    Chemical industry using toluene         Toluene 
     
    Electrolytic chlorine production,	Mercury, organic 
     battery makers, fungicide formulators 
  • Chronic Beryllium Disease (beryllosis) - ICD-9: 503M
     

    Occupation: Beryllium alloy workers, ceramic and cathode ray tube makers, nuclear reactor workers
    Agent: Mycobacterium tuberculosis

     

  • Coalworker's Pneumoconiosis - ICD-9: 500
     

    Occupation: Coal miners
    Agent: Coal dust

     

  • Erythroleukemia - ICD-9: 207.0
     

    Occupation: Occupations with exposure to benzene

     

  • Extrinsic Asthma - ICD-9: 493.0, 507.8
     
     
    Occupation:                             Agent: 
    -----------                             ------ 
    Jewelry/alloy/catalyst makers           Platinum 
     
    Polyurethane, adhesive, paint           Isocyanates 
     
    Alloy, catalysts, refinery              Chromium, cobalt 
     
    Solderers                               Aluminum soldering flux 
     
    Plastics/dye/insecticides               Phthalic anhydride 
     
    Foam workers, latex makers, biologists  Formaldehyde 
     
    Printing industry                       Gum arabic 
     
    Nickel platers                          Nickel sulfate 
     
    Bakers                                  Flour 
     
    Plastics, organic chemicals             Trimellitic anhydride 
     
    Woodworkers, furniture makers           Red cedar (plicatic 
                                                         acid), 
                                             other wood dusts 
     
    Detergent formulators                   Bacillus-derived 
                                               exoenzymes 
     
    Crab processing workers                 Unknown 
     
    Hospital/geriatric department nurses    Psyllium dusts 
     
    Laxative manufacture/packaging          Psyllium dusts 
     
    Prawn processing workers                Unknown 
     
    Snow crab processing workers            Unknown 
     
  • Fish-fancier's Finger - ICD-9: 031.1
     

    Occupation: Aquarium workers, aquarium cleaners, breeders/owners
    Agent: Mycobacterium marinum

     

  • Grain Handler's Lung - ICD-9: 495.8
     

    Occupation: Grain handlers
    Agents: Erwinia herbicola, enterobacter agglomerans

     

  • Hemangiosarcoma of Liver - ICD-9: 155M
     

    Occupation: Vinyl chloride polymerization industry, vintners
    Agent: Vinyl chloride monomer, arsenical pesticides

     

  • Hemolytic Anemia, Nonautoimmune - ICD-9: 283.1
     
     
    Occupation:                             Agent: 
    -----------                             ------ 
    Whitewashing/leather industry           Copper sulfate 
     
    Electrolytic processes,                 Arsine 
       arsenical ore smelting 
     
    Plastics industry                       Trimellitic anhydride 
     
    Dye, celluloid, resin industry          Naphthalene 
    
  • Hepatitis A - ICD-9: 070.0, 070.1
    Occupation:Day care center staff, orphanage staff, mental retardation institution staff, medical personnel

     

  • Hepatitis B - ICD-9: 070.2, 070.3
    Occupation:Nurses and aides, anesthesiologists, orphanage/mental institution staff, medical lab personnel, general dentists, oral surgeons, physicians

     

  • Hepatitis C - ICD-9: 054.6
    Occupation: Surgical residents, student nurses, nurses, dental assistants, physicians, orthopedic scrub nurses, psychiatric nurses
    Agent: Herpes simplex virus

     

  • Herpetic Whitlow - ICD-9: 054.6
    Occupation: Surgical residents, student nurses, nurses, dental assistants, physicians, orthopedic scrub nurses, psychiatric nurses
    Agent: Herpes simplex virus

     

  • Histoplasmosis - ICD-9:115
    Occupation: Bridge maintenance workers
    Agent: Histoplasma capsul

     

  • Human Immunodeficiency Virus (HIV) - ICD-9: 042
    Occupation: Health care workers

     

  • Infertility, Male - ICD-9: 606
     
     
    Occupation:                               Agent:  
    -----------                               ------  
    Kepone formulators                        Kepone 
    
    DBCP producers                            Dichlorobromopropane 
    
  • Leptospirosis - ICD-9:100.8
    Occupation: Farmers/laborers
    Agent: Leptospira

     

  • Lymphoid Leukemia, Acute - ICD-9: 204.0
     
    Occupation:                             Agent:
    -----------                             ------
    Rubber industry                         Unknown
    
    Radiologists                            Ionizing Radiation
    
  • Malignant Neoplasm of Nasopharynx - ICD-9: 147
     

    Occupation: Carpenters, cabinetmakers, sawmill workers, lumberjacks, electricians, fitters
    Agent: Chlorophenols

     

  • Maltworker's Lung - ICD-9: 495.4
     

    Occupation: Maltworkers
    Agent: Aspergillus clavatus

     

  • Mesothelioma - ICD-9:158, 163
     

    Occupation: Asbestos industries/utilizers, Shipyard workers during WWII

     

  • Methemoglobinemia - ICD-9: 289.7
     
     
    Occupation:                             Agent: 
    -----------                             ------ 
    Explosives/dye industries               Aromatic amino/nitro 
                                             cpds (e.g. aniline, 
                                             TNT, nitroglycerine) 
     
    Rubber workers                          Aniline, o-toluidine, 
                                             nitrobenzene 
    
  • Mononeuritis (upper limb), Mononeuritis Multiplex - ICD-9: 354.2, 354.3
     
      
    Occupation:                             Agent:  
    -----------                             ------  
    Dental technicians                      methyl methacrylate  
                                             monomer
      
    Poultry processing, turkey              cumulative trauma
    
  • Mushroom Worker's Lung - ICD-9: 495.5
     

    Occupation: Mushroom farm / spawning shed, farmers
    Agent: Pasteurized compost

     

  • Myeloid Leukemia, Acute - ICD-9: 205.0
     

    Occupation: Occupations with exposure to benzene, radiologists (ionizing radiation)

     

  • Neuropathy, Inflammatory/toxic - ICD-9: 357.7
     
     
     
    Occupation:                            Agent: 
    -----------                            ------ 
    Pesticide industry, pigments,          Arsenic/arsenic compunds 
       pharmaceutical formulators 
     
    Furniture refinishers,                 Hexane 
       degreasing operations 
     
    Plastic-coated fabric workers          Methyl n-butyl ketone 
     
    Explosives industry                    Trinitrotoluene 
     
    Rayon manufacturing                    Carbon disulfide 
     
    Plastics, hydraulics, coke ind.        Tri-o-cresyl phosphate 
     
    Battery, smelter, foundry              Inorganic lead 
     
    Dentists, chloralkali workers          Inorganic mercury 
     
    Chloralkali plants, fungicides,        Organic mercury 
       battery makers 
     
    Plastic industry, paper manufacturers  Acrylamide 
     
    Ethylene oxide sterilizer operator     Ethylene oxide 
    
  • Noise Effects on Inner Ear - ICD-9: 388.1
     

    Occupation: Occupations with exposure to excessive noise

     

  • Ornithosis - ICD-9: 073
     

    Occupation: Psittacine bird breeders, pet shop staff, poultry producers, veterinarians, zoo employees, duck processing/rearing
    Agent: Chalmydia psittaci

     

  • Parkinson's Disease (secondary) - ICD-9: 332.1
     
     
    Occupation:                            Agent: 
    -----------                            ------ 
    Manganese processing,                  Manganese 
       battery makers, welders 
     
    Internal combustion engine industry    Carbon Monoxide 
    
  • Plague - ICD-9: 020
     

    Occupation: Shepherds, farmers, ranchers, hunters, field geologists
    Agent: Yersinia Pestis

     

  • Pulmonary Tuberculosis - ICD-9: 011
     

    Occupation: Physicians, medical personnel, medical lab workers
    Agent: Mycobacterium tuberculosis

     

  • Rabies - ICD-9: 071
     

    Occupation: Veterinarians, animal/game wardens, lab researchers, farmers, ranchers, trappers

     

  • Raynaud's Phenomenon (secondary) - ICD-9: 443.0
     

    Occupation: Lumberjacks, chainsawers, grinders, chippers, rock drillers, stone cutters, jackhammer operators, riveters (whole body vibration)
    Agent: Vinyl chloride polymerization industry

     

  • Renal Failure, Acute or Chronic - ICD-9: 584, 585
     
     
    Occupation:                             Agents: 
    -----------                             ------ 
    Battery makers, plumbers, solderers     Inorganic lead 
     
    Electrolytic processes,                 Arsine 
       aresenical ore smelting 
     
    Battery makers, jewelers, dentists      Inorganic mercury 
     
    Fluorocarbon formulators,               Carbon tetrachloride 
       fire extinguisher makers 
     
    Antifreeze manufacture                  Ethylene glycol 
     
    Chromate pigment production             Inorganic lead 
    
  • Rocky Mountain Spotted Fever - ICD-9: 082.0
     

    Occupation: Laboratory technicians, tick breeders, virologists, microbiologists, physicians
    Agent: Rickettsia rickett

     

  • Rubella - ICD-9: 056
     

    Occupation: Medical Personnel, intensive care personnel

     

  • Sequiosis - ICD-9: 495.8
     

    Occupation: Red cedar mill workers, woodworkers, sawmill, joinery
    Agents: Redwood sawdust, thuja plicata

  • Silicosis - ICD-9: 502M
     
    Occupation:                             Agents: 
    -----------                             ------ 
    Quarrymen, sandblasters, silica         Silica
     processors, mining, metal, and
     ceramic industries
    
    Cryolite refining                       Cryolite or Na3AIF6, quartz dust
    
  • Silicotuberculosis - ICD-9: 011, 502
     

    Occupation: Quarrymen, sandblasters, silica processors, mining, metal foundries, ceramic industries
    Agent: Silica and M. tuberculosis

     

  • Skeletal Fluorosis - ICD-9: 733.9M
     

    Occupation: Cryolite workers
    Agent: Cryolite - Na3AIF6

     

  • Sporotrichosis - ICD-9: 117.1
     

    Occupation:

    bulletNurserymen
    bulletForesters
    bulletFlorists
    bulletEquipment operators

    Agent: Sporothrix schenck

     

  • Talcosis - ICD-9: 502M
     

    Occupation:

    bulletTalc processors
    bulletSoap stone mining/milling
    bulletPolishing
    bulletCosmetics industry

    Agent: Mycobacterium tuberculosis

     

  • Tetanus - ICD-9: 037
     

    Occupation:

    bulletFarmers
    bulletRanchers

    Agent: Clostridium Tetani

     

  • Toxic Encephalitis - ICD-9: 323.7
     
      
    Occupation:                            Agent:  
    -----------                            ------  
    Battery, smelter, foundry worker       (lead)  
      
    Electrolytic chlorine production,      (mercury)  
     battery makers, fungicide formulators  
      
    
  • Toxic Hepatitis - ICD-9: 570, 573.3

     
      
    Occupation:                             Agents:  
    -----------                             ------  
    Solvent utilizers, dry-cleaners,        Carbon tetrachloride, chloroform, plastics industry              
    tetrachloroethane,  
                                             trichloroethylene,  
                                             tetrachloroethylene  
      
    Explosives/dye industries               Phosphorous, TNT  
      
    Fire/waterproofing additive formulators	Chloronaphthalenes  
      
    Plastics formulators                    Methylenedianiline  
      
    Fumigators, gasoline/fire extinguisher  Methyl bromide,  
       formulators                           ethylene dibromide  
      
    Disinfectant, fumigant, synthetic resin Cresol  
       formulators  
    

  • Tularemia - ICD-9: 021
     

    Occupation:

    bulletHunters
    bulletFur handlers
    bulletSheep industry workers
    bulletCooks
    bulletVeterinarians
    bulletRanchers
    bulletVet pathologists
    bulletLab workers
    bulletSoldiers

    Agents:

    bulletFrancisella tularensis
    bulletPasteurella tularensis