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Occupational Medicine 1998;48:481-485
© 1998 Society of Occupational Medicine


research-article

SWORD '97: Surveillance of work-related and occupational respiratory disease in the UK

D. J. Ross, H. L. Keynes and J. C. McDonald

Department of Occupational and Environmental Medicine, National Heart and Lung Institute, Imperial College Dovehouse Street, London SW3 6LY, UK

SWORD is one of seven clinically based reporting schemes which together now provide almost comprehensive coverage of occupational diseases across the UK. Although SWORD is now in its tenth year, participation rates remain high. Of an estimated 3,903 new cases seen this year, 1,031 (26%) were of occupational asthma, 978 (25%) of mesothelioma, 794 (20%) of non-malignant pleural disease, 336 (9%) of pneumoconiosis and 233 (6%) of inhalation accidents. Incidence rates of occupational asthma were generally highest among workers in the manufacture of wood products, textiles and food (particularly grain products and crustaceans) and additionally, in the production of precious and non-ferrous metals, rubber goods, detergents and perfumes, and in mining. Health care workers were noted to have a surprisingly high incidence of inhalation accidents. Occupational asthma attributed to latex has increased dramatically; the highest rates are among laboratory technicians, shoe workers and health care workers.

Keywords      Occupational respiratory disease; surveillance; epidemiology

Received       18 May 1998
Accepted       26 May 1998


Correspondence and reprint requests to: Dr D. J. Ross, Epidemiological Surveillance Unit, Department of Occupational and Environmental Medicine, National Heart and Lung Institute, Imperial College, Dovehouse Street, London SW3 6LY, UK


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