Cost effectiveness of surveillance for isocyanate asthma: finding an occupational health policy framework

LaMontagne, A. D.
November 2005
Occupational & Environmental Medicine;Nov2005, Vol. 62 Issue 11, p741
Academic Journal
The article focuses on the cost-effective analysis for medical surveillance for isocyanate asthma. The causal link between isocyanate exposure and asthma is well established, and more is known about the pathophysiology, natural history, long term consequences and benefits of medical surveillance in this instance than for most other occupational exposures. A mathematical simulation model was developed based on a carefully specified set of clinical parameters, drawing from empirical studies where possible and well qualified expert opinion otherwise. The U.S. Occupational Safety & Health Act states that "each employer shall furnish to each of his employees employment and a place of employment which are free from recognised hazards that are causing or are likely to cause serious physical harm." The hazards of isocyanates are very well recognised and cause serious physical harm. The article author acknowledges that their results might explain why employers can have little financial incentive to implement effective surveillance strategies despite great societal benefits.


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