Assessment and outcomes of firefighter applicants with possible asthma.
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Accepted version
Author(s)
Type
Journal Article
Abstract
BACKGROUND: Firefighter applicants (FFAs) with a history of asthma may be refused entry to the fire service because of potentially putting themselves and others at risk. AIMS: We undertook a service evaluation to identify respiratory and employment outcomes of FFAs with a history of asthma who had undergone additional respiratory assessment at our specialist occupational lung disease clinic during 2005-19. METHODS: We reviewed FFA medical records and categorized them as having either no current asthma or definite/probable asthma at the time of clinic assessment. 'No current asthma' was defined as negative non-specific bronchial hyper-responsiveness (BHR) to histamine/methacholine, and no symptoms or treatment within the 2 years before clinic. 'Definite/probable current asthma' was defined as either positive BHR, or negative BHR with symptoms and/or treatment within the previous 2 years. Around 1 year later, we contacted FFAs to enquire about their application outcome and current respiratory symptoms. RESULTS: Data were available on 116 applicants; of whom, 45% (n = 52) had definite/probable current asthma and were significantly more likely to be older, atopic to common aeroallergens, report atopic disease and have a lower forced expiratory volume in one second/forced vital capacity ratio compared with applicants with no current asthma. Only two individuals' applications were rejected due to asthma. At follow-up, just 2 (2%) of the 90 operational firefighters reported any recent trouble with asthma. CONCLUSIONS: A history of asthma alone is not sufficient to determine current asthma in FFAs. Even with a diagnosis of current asthma, FFAs are mostly successful in their application to join the fire service.
Date Issued
2022-03
Date Acceptance
2021-12-01
Citation
Occupational Medicine, 2022, 72 (2), pp.118-124
ISSN
0962-7480
Publisher
Oxford University Press
Start Page
118
End Page
124
Journal / Book Title
Occupational Medicine
Volume
72
Issue
2
Copyright Statement
© The Author(s) 2021. Published by Oxford University Press on behalf of the Society of Occupational Medicine.
All rights reserved. For Permissions, please email: journals.permissions@oup.com
All rights reserved. For Permissions, please email: journals.permissions@oup.com
Identifier
https://www.ncbi.nlm.nih.gov/pubmed/34919722
PII: 6468659
Subjects
Asthma
fitness for work
lung function
occupational exposure
screening
workplace
Publication Status
Published
Coverage Spatial
England
Date Publish Online
2021-12-17