A Bergeret

University of Lyon, Lyons, Rhône-Alpes, France

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Publications (68)88.68 Total impact

  • Archives des Maladies Professionnelles et de l Environnement 06/2014; 75(3):S1. · 0.22 Impact Factor
  • Archives des Maladies Professionnelles et de l Environnement 06/2014; 75(3):S1. · 0.22 Impact Factor
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    ABSTRACT: Objectives: A case-control study was carried out to identify driving behaviors associated with the risk of on-duty road accident and to compare driving behaviors according to the type of journey (on duty, commuting, and private) for on-duty road accident victims. Methods: Cases were recruited from the Rhône Road Trauma Registry between January 2004 and October 2005 and were on duty at the time of the accident. Control subjects were recruited from the electoral rolls of the case subjects' constituencies of residence. Cases' and controls' driving behavior data were collected by self-administered questionnaire. A logistic regression was performed to identify behavioral risk factors for on-duty road accidents, taking into account age, sex, place of residence, road accident risk exposure, socio-occupational category, and type of road user. A second analysis focused specifically on the case subjects, comparing their self-assessed usual behaviors according to the type of journey. Results: Significant factors for multivariate analysis of on-duty road accidents were female gender, history of on-duty road accidents during the previous 10 years, severe time pressure at work, and driving a vehicle not belonging to the driver. On-duty road accident victims reported behavioral risk factors more frequently in relation to driving for work than driving for private reasons or commuting: nonsystematic seat belt use, cell phone use at least once daily while driving, and history of accidents with injury during the previous 10 years. Conclusions: This study provides knowledge on behavioral risk factors for on-duty road accidents and differences in behavior according to the type of journey for subjects who have been on-duty road accident victims. These results will be useful for the design of on-duty road risk prevention.
    Traffic injury prevention 01/2013; 14(4):353-9.
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    ABSTRACT: OBJECTIVES: Trichloroethylene (TCE) is suspected of association with elevated risk of cervical cancer. A case-control study was performed in a geographical area in which occupational TCE exposure is high. The study objective was to analyze the correlation between occupational TCE exposure and cervical cancer (including precancerous conditions). METHODS: Case and control subjects were recruited by gynecologists. General and occupational data were collected by telephonic interviews. An industrial hygienist assessed occupational TCE exposure on a task-exposure matrix. Analysis focused on occupational TCE exposure at various levels and on cumulative dose. Multivariate analysis was performed to take account of the various risk factors. RESULTS: In total, 67 case and 67 age-matched control subjects were included. Mean age was 36 years in both groups. Five of the possible general risk factors correlated significantly with cervical dysplasia or cancer: number of partners, history of genital or anal wart, interval between first period and first sexual relation, parity, and body mass index, the last three showing inverse correlation. Elevated risk was found in women who had had jobs as manual workers according to the PCS French classification (professions and socioprofessional categories), and production and related workers according to ISCO classification (International Standard Classification of Occupations), with odds ratios (ORs), adjusted on general and medical risk factors, of 7.68 [95% confidence interval (CI): 1.39-42.54] and 7.48 (1.30-43.24), respectively, among skilled service sector workers; the adjusted OR was close to significance, at 4.67 (95% CI: 0.92-23.67). No occupational sectors were significantly associated with elevated risk. In all, 17 (25.4%) case and 15 (22.4%) control subjects were exposed to TCE: raw OR = 1.17 (95% CI: 0.54-2.52), adjusted OR = 1.51 (95% CI: 0.42-5.41). There was no significant correlation between cumulative dose and exposure time. CONCLUSIONS: The study found no significantly increased risk of cervical dysplasia or cancer associated with occupational TCE exposure.
    Annals of Occupational Hygiene 10/2012; · 2.16 Impact Factor
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    ABSTRACT: The main objective of the present study is to determine the prevalence of lifetime use and use in the past 30 days of narcotics in French seamen and to assess factors correlated with positive urine test in seamen as a whole. A stratified survey conducted in 19 French ports collected 1,928 self-administered questionnaires on cigarette, alcohol and narcotics consumption. Seafarers were randomly selected and interviewed during their annual seafaring aptitude consultation. Only the 1847 male respondents were included in analysis. Nearly half of the seamen had tried cannabis at some point in their life, and 16% were users in the past 30 days. Lifetime use of certain other illegal drugs (cocaine, heroin, hallucinogenic mushrooms, poppers and ecstasy) was non-negligible, but cocaine and heroin were the only ones showing exceptional prevalence of consumption over the previous 30 days. Lifetime use of drugs was non-negligible among seamen. Prevalence of recent cannabis use was elevated. Recent consumption as indicated by positive urine test correlated with age group, family situation, occupational category, geographical area, young age of first alcohol consumption and experimentation with other drugs.
    Addictive behaviors 11/2011; 37(3):335-8. · 2.25 Impact Factor
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    ABSTRACT: Diseases, including cancer induced by asbestos, usually occur after many years of latency. The follow-up of employees must therefore continue after the end of their employment (retirement, redundancy, etc.) and such an arrangement has existed in France since 1996. This article reviews the literature on the post-employment monitoring arrangements that exist outside of France, particularly in other European countries, and their characteristics. This research has revealed a limited number of national experiences in Germany, Spain, Finland, Italy, Norway, Poland, and Switzerland. The medical protocols generally involve: algorithm decisions, questionnaire, physical examination, chest radiography, CT scan, and/or spirometry. Internationally, various methods exist to select employees for follow-up and to determine the frequency of subsequent examinations. Unlike Germany, which has a long experience of such medical follow-up, several of these programs are more recent. Post-occupational medical surveillance of asbestos-related disease is uncommon, monitoring arrangements vary and depend on medical and also on social factors. The French system of post-occupational monitoring can undoubtedly improve but it bears comparison with arrangements in other countries, where these are even present.
    Revue des Maladies Respiratoires 04/2011; 28(4):556-64. · 0.50 Impact Factor
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    ABSTRACT: Introduction Diseases, including cancer induced by asbestos, usually occur after many years of latency. The follow-up of employees must therefore continue after the end of their employment (retirement, redundancy, etc.) and such an arrangement has existed in France since 1996. This article reviews the literature on the post-employment monitoring arrangements that exist outside of France, particularly in other European countries, and their characteristics. State of art This research has revealed a limited number of national experiences in Germany, Spain, Finland, Italy, Norway, Poland, and Switzerland. The medical protocols generally involve: algorithm decisions, questionnaire, physical examination, chest radiography, CT scan, and/or spirometry. Perspectives Internationally, various methods exist to select employees for follow-up and to determine the frequency of subsequent examinations. Unlike Germany, which has a long experience of such medical follow-up, several of these programs are more recent. Conclusions Post-occupational medical surveillance of asbestos-related disease is uncommon, monitoring arrangements vary and depend on medical and also on social factors. The French system of post-occupational monitoring can undoubtedly improve but it bears comparison with arrangements in other countries, where these are even present.
    Revue Des Maladies Respiratoires - REV MAL RESPIR. 01/2011; 28(4):556-564.
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    ABSTRACT: Hospital surveillance systems have been established to monitor occupational blood exposures. We compare short-term monitoring with long-term monitoring of data analysis over 11 years and 21 institutions to identify variations in the number of reported exposures. Short-term monitoring examines the current number of exposures compared to their average over previous years. Long-term monitoring detects trends over several years by various exposure characteristics (place, staff, procedure, etc) through estimating rates of change and using the best linear unbiased predictors (BLUPs) to prevent artefactual trends due to the many categories for each characteristic. Graphical representations of estimated rates help detect change and differences in rates of change. Annual monitoring allowed detection of significant changes in the number of reported exposures. Long-term monitoring identified moderate trends over time. The BLUP corrected the estimate of each specific annual rate of change and allowed all other rates to reduce the random variability around the mean change for more specificity. League tables showed significant increases or decreases compared to no change. League tables for two-by-two comparisons allowed reliable comparisons between estimates of the rates of change, although with spurious ranking. Funnel plots enabled quick detection of changes in trends within specified confidence intervals. Long-term trends agreed with the dominant type of annual changes over the 11 years but were not as sensitive. The two methods have different uses. Both are helpful for assessing short-term sudden and long-term minor changes in number of exposures, possibly reflecting the success or otherwise of introducing specific safety devices or guidelines.
    Occupational and environmental medicine 11/2010; 67(11):785-91. · 3.64 Impact Factor
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    ABSTRACT: The aim of this study is to assess tobacco consumption, nicotine dependence as diagnosed by Fagerström test, alcohol consumption, alcohol dependence as diagnosed by CAGE questionnaire and drug consumption in French seamen. Results are presented according to job category: fishermen and merchant seamen. French seamen were recruited from a stratified survey of 19 ports in France. Subjects completed a questionnaire during their annual medical check-up. The questionnaire covered demographic and professional items, tobacco, alcohol and drug consumption behaviour. Nicotine and alcohol dependence were, respectively, assessed by the Fagerström Test for Nicotine Dependence (FTND) and a French version of the CAGE questionnaire. A urine test was used to detect cannabis derivatives. Prevalence rates for current smoking and daily alcohol consumption were higher in fishermen than merchant seamen. The prevalence of nicotine dependence on FTND was likewise higher in fisherman smokers, who also showed more intense smoking behaviour. The category of seamen did not correlate with alcohol addiction, but differences in alcohol-related behaviour emerged between fishermen and merchant seamen. Prevalence of cannabis and other drug use was higher in merchant seamen, although the two categories of seaman did not differ with respect to recent use of cannabis. Demographic factors cannot fully explain these differences, as multivariate analysis showed significantly greater risks in marine fisheries. Alcohol and tobacco consumption are a major public health problem for seafarers. Fishermen seem to be more liable to high consumption. Working conditions may explain these differences.
    International Archives of Occupational and Environmental Health 11/2009; 83(5):497-509. · 2.10 Impact Factor
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    ABSTRACT: Several studies have investigated the association between trichloroethylene (TCE) exposure and renal cell cancer (RCC) but findings were inconsistent. The analysis of a case control study has shown an increased risk of RCC among subjects exposed to high cumulative exposure. The aim of this complementary analysis is to assess the relevance of current exposure limits regarding a potential carcinogenic effect of TCE on kidney. Eighty-six cases and 316 controls matched for age and gender were included in the study. Successive jobs and working circumstances were described using a detailed occupational questionnaire. An average level of exposure to TCE was attributed to each job-period in turn. The main occupational exposures described in the literature as increasing the risk of RCC were assessed as well as non-occupational factors. A conditional logistic regression was performed to test the association between TCE and RCC risk. Three exposure levels were studied (average exposure during the eight-hour shift): 35ppm, 50ppm and 75ppm. Potential confounding factors identified were taken into account at the threshold limit of 10% (p=0.10) (body mass index [BMI], tobacco smoking, occupational exposures to cutting fluids and to other oils). Adjusted for tobacco smoking and BMI, the odd-ratios associated with exposure to TCE were respectively 1.62 [0.77-3.42], 2.80 [1.12-7.03] and 2.92 [0.85-10.09] at the thresholds of 35ppm, 50ppm and 75ppm. Among subjects exposed to cutting fluids and TCE over 50ppm, the OR adjusted for BMI, tobacco smoking and exposure to other oils was 2.70 [1.02-7.17]. Results from the present study as well as those provided in the international literature suggest that current French occupational exposure limits for TCE are too high regarding a possible risk of RCC.
    Revue d Épidémiologie et de Santé Publique 02/2009; 57(1):41-7. · 0.69 Impact Factor
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    ABSTRACT: Background Several studies have investigated the association between trichloroethylene (TCE) exposure and renal cell cancer (RCC) but findings were inconsistent. The analysis of a case control study has shown an increased risk of RCC among subjects exposed to high cumulative exposure. The aim of this complementary analysis is to assess the relevance of current exposure limits regarding a potential carcinogenic effect of TCE on kidney.
    Revue D Epidemiologie Et De Sante Publique - REV EPIDEMIOL SANTE PUBL. 01/2009; 57(1):41-47.
  • Archives Des Maladies Professionnelles Et De L Environnement - ARCH MAL PROF ENVIRON. 01/2009; 70(3):327-336.
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    ABSTRACT: Objective Several epidemiological studies have reported increased morbidity or mortality from cervical cancer in workers exposed to trichloroethylene (TCE). This chlorinated solvent is classified as probably carcinogenic by the International Agency for Research on Cancer (IARC, group 2), but is still employed in the screw-cutting industry in, for example, the French department Haute-Savoie. A retrospective pilot study was performed on medical and work-related data collected over a one-year period by an occupational physician who suspected the presence of a cancer cluster. The objective was an initial risk assessment to determine the usefulness of a possible dedicated epidemiological study. Materials and methods The data comprised history of TCE exposure at work and of cervical conization (indicating cervical cancer). The risk of cervical pathology linked to TCE exposure was assessed by odds ratio (OR) and Chi2 test. Socioeconomic category was taken into account. Exposure was reassessed for all patients reporting history of cervical conization to estimate measurement bias (concomitant recording of pathology and exposure). Results In the 777 women seen in occupational medicine consultation during the year in question, there were 18 cases of cervical conization, in 11 of which the occupational physician recorded TCE exposure. The risk of cervical pathology associated with TCE exposure was 4.55 (1.88–11.00) and remained elevated after adjustment for socioeconomic category OR = 3.95 (1.36–11.49). After reassessment of TCE exposure, risk remained elevated, although the raw OR was no longer statistically significant OR = 1.84 (0.71–4.75). Discussion Literature data and the present pilot study suggest an increase in cervical cancer risk in workers exposed to TCE. None of the published epidemiological studies, however, focused specifically on this association and known risk factors (such as human papilloma virus) were not taken into account. A dedicated study appears feasible and justified, has been set up and is presently underway.
    Archives Des Maladies Professionnelles Et De L Environnement - ARCH MAL PROF ENVIRON. 01/2009; 70(4):417-424.
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    ABSTRACT: To study the relationship between alcohol abuse or dependence as diagnosed by the CAGE questionnaire, and nicotine dependence as diagnosed by Fagerström Test of Nicotine Dependence (FTND) in French seamen. French seamen were recruited from a stratified survey of 19 ports in France. The subjects completed a questionnaire during their annual medical check-up with occupational physicians and nurses of the Occupational Health Department (Service de santé des gens de mer). Approximately forty-four per cent of male subjects were current smokers, and approximately sixty-three per cent of these were nicotine dependent according to FTND. More than 11% of male subjects drank alcohol every day. About 16% of these were alcohol dependent according to CAGE. A strong positive relationship has been shown between alcohol dependence and nicotine dependence. There was a highly significant difference between alcohol dependent and non-alcohol dependent subjects in the FTND. Conversely, nicotine dependent and non-nicotine dependent subjects significantly differed regarding several alcohol-related variables. Alcohol and nicotine consumption is a major public health issue in seamen. A strong positive correlation was found between alcohol abuse or dependence and nicotine abuse or dependence. Some alcohol-related behaviours were associated with nicotine dependence, and some tobacco-related behaviours were also associated with alcohol dependence. These findings are novel for this kind of population in France. In view of these results, combined smoking cessation and alcohol consumption reduction policies should be developed in this population. Finally, future studies could analyze the work environment, which seems to be associated with consumption and dependency.
    International maritime health 01/2009; 60(1-2):18-28.
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    ABSTRACT: The present study sought to describe call-center working conditions and call-handlers' subjective experience of their work. A transversal study was performed in companies followed by the 47 occupational physicians taking part. A dedicated questionnaire included one part on working conditions (work-station organization, task types, work schedules, and controls) and another on the perception of working conditions. Psychosocial risk factors were explored by three dimensions of the Karasek questionnaire, decision latitude, psychological demands and social support. A descriptive stage characterized the population and quantified the frequency of the various types of work organization, working conditions and perception. Certain working conditions data were crossed with perception data. The total sample comprised 2,130 call-handlers from around 100 different companies. The population was 71.9% female, with a mean age of 32.4 years. The general educational level was high, with 1,443 (68.2%) of call-handlers having at least 2 years' higher education; 1,937 of the workers (91.2%) had permanent work contracts. Some working situations were found to be associated with low decision latitude and high psychological demands: i.e., where the schedule (full-time or part-time) was imposed, where the call-handlers had not chosen to work in a call-center, or where they received prior warning of controls. Moreover, the rate of low decision latitude and high psychological demands increased with seniority in the job. The rate of low decision latitude increased with the size of the company and was higher when call duration was imposed and when the call-handlers handled only incoming calls. The rate of high psychological demands was higher when call-handlers handled both incoming and outgoing calls. This study confirmed the high rate of psychosocial constraints for call-handlers and identified work situations at risk.
    International Archives of Occupational and Environmental Health 11/2008; 82(1):67-77. · 2.10 Impact Factor
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    ABSTRACT: The present study sought to assess the impact of telephone call center employees' working conditions on health by identifying at-risk employment situations. A transversal study was performed in companies followed by 47 occupational physicians taking part (working conditions have been previously described). A self-administered medical questionnaire was used to collect data on absence due to sick leave, hearing and visual problems, musculoskeletal disorders, psychotropic drug use, etc. An analog-scale self-assessment of health status and a general health questionnaire (GHQ-12) were used. Personal or familial events that might underlie health problems and affect GHQ-12 results were quantified and taken into account in a logistic regression. A total of 2,130 call-handlers were included. Workers who had availed sick leave during the previous 12 months were 60%. The most frequent musculoskeletal complaints over the previous 12-month period concerned the cervical region (59%). During the same period, 77.3% of subjects experienced visual fatigue, 50% reported auditory fatigue signs and 47% vocal disturbance or fatigue. According to the Likert scale, 39.4% of workers had showed psychological distress. Almost 24% of the workers had used psychoactive medication during the previous 12 months. A significant association was found between psychological distress and the frequency of musculoskeletal disorders. Psychological distress and musculoskeletal disorders were significantly greater in workers with Job Strain and Iso Strain. After taking non-occupational factors into account, some occupational factors were found to increase the risk of psychological distress (Likert >12): imposed full-time schedule, being unable to simultaneously meet both quality and quantity requirements, situations of tension with clients, negative comments from superiors, and lack of recognition from superiors. This survey of over 2,000 call center employees highlighted the high frequency of psychological distress in this population and the health impact of working conditions.
    International Archives of Occupational and Environmental Health 08/2008; 82(6):747-56. · 2.10 Impact Factor
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    ABSTRACT: Purpose of the study Workers have to drive cars in several occupations. The aim of this article is to review the literature about the adverse health effects linked to this exposure, excluding road crashes. Methods A bibliographic analysis was performed on diseases related to car driving exposure, focusing on French and English data published between 1975 and 2006. Results Five groups of diseases were identified: musculoskeletal disorders, cardiovascular diseases, psychiatric disorders, male reproductive impairments and exposure to air pollutants in the car cockpit. In taxi drivers, salespeople, police officers and others workers the risk of lumbar pathologies was found to increase with annual mileage and driving duration. Gestures, postures and exposure to whole body vibrations are suspected to be the etiological factors. Improvement of car accessories (adjustable lumbar support, steering wheel adjustment) and work organisation are ways of prevention. Most of the pathologies identified were found in studies on taxi drivers. The excess risk of myocardial infarction seems to be explained in a large part by the prevalence of cardiovascular factors in this population. Motor exhausts are responsible for exposure to air pollutants in car cockpits, levels being higher than atmospheric levels but under current occupational limits. Taxi drivers were found to be particularly exposed to psychosocial constraints and to use more psychoactive substances than the general population. The excess of atypical forms of spermatozoa identified is anecdotal and not responsible for fertility problems. Conclusion Further studies should be carried out (case-control or prospective) to confirm the increased risks described in workers exposed to car driving, especially the potential health effect of air pollutants exposure in car cockpits.
    Archives Des Maladies Professionnelles Et De L Environnement - ARCH MAL PROF ENVIRON. 01/2008; 69(3):464-474.
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    ABSTRACT: Use of cell phones has increased dramatically since 1992 when they were first introduced in France. Certain electromagnetic fields (at extremely low frequency) have been recognized as possibly carcinogenic by the International Agency for Research on Cancer. Given the use of radiofrequency technology in cell phones, the rapid increase in the number of cell phones has generated concerns about the existence of a potential health hazard. To evaluate the relationship between the use of cell phones and the development of tumors of the head, a multicentric international study (INTERPHONE), coordinated by the International Agency for Research on Cancer, was carried out in 13 countries. This publication reports the results of the French part of the INTERPHONE study. INTERPHONE is a case-control study focused on tumors of the brain and central nervous system: gliomas, meningiomas and neuromas of cranial nerves. Eligible cases were men and women, residents of Paris or Lyon, aged 30-59, newly diagnosed with a first primary tumor between February 2001 and August 2003. The diagnoses were all either histologically confirmed or based upon unequivocal radiological images. Controls were matched for gender, age (+/-5 years) and place of residence. They were randomly drawn from electoral rolls. Detailed information was collected for all subjects during a computer-assisted face-to-face interview. Conditional logistic regression was used to estimate the odds ratio (OR) for an association between the use of cell phones and risk of each type of cancer. Regular cell phone use was not associated with an increased risk of neuroma (OR=0,92; 95% confidence interval=[0.53-1.59]), meningioma (OR=0,74; 95% confidence interval=[0.43-1.28]) or glioma (OR=1.15; 95% confidence interval=[0.65-2.05]). Although these results are not statistically significant, a general tendency was observed for an increased risk of glioma among the heaviest users: long-term users, heavy users, users with the largest numbers of telephones. No significant increased risk for glioma, meningioma or neuroma was observed among cell phone users participating in Interphone. The statistical power of the study is limited, however. Our results, suggesting the possibility of an increased risk among the heaviest users, therefore need to be verified in the international INTERPHONE analyses.
    Revue d Épidémiologie et de Santé Publique 11/2007; 55(5):321-32. · 0.69 Impact Factor
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    M Hours, J Févotte, S Lafont, A Bergeret
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    ABSTRACT: To assess the mortality of a cohort of workers in a synthetic textile spinning plant and to evaluate the relationship between mortality from lung, liver and bladder cancer and the processes or the products used. The study population consisted of male workers present for at least 6 months in the plant from 1968 to 1984. The cohort was followed until 1999. Vital status and the causes of death were determined by consulting national registries. The population of the Franche-Comté region was used for comparison. In total, 17 groups of exposure were assessed by the industrial hygienist, based on the consensus of an expert group that determined the exposure levels of each job to selected occupational hazards. Each worker was assigned to one or several groups, according to his occupational history. Confounding factors could not be assessed. Standardised mortality ratios (SMR) and 95% bilateral confidence intervals were calculated based on an assumed Poisson distribution of the number of cases to compare the plant mortality and the population mortality. Internal analyses were performed with Cox models in order to assess the risks of death related to the various exposures. In the whole cohort, mortality from all malignant neoplasms was lower than expected, but this was not significant. All the estimated SMRs were lower than or close to 1. The "hot -line fitters" (RR = 2.13; n = 9; 1.06 to 4.29) and the "fibre-drawing workers" (RR = 1.83; n = 20;1.09 to 3.07) experienced a statistically significant excess in mortality from lung cancer. A slightly elevated but not significant risk of death related to lung cancer (RR = 1.5; n = 41; 0.8 to 2.7) was observed in the groups with the highest exposure to mineral fibres. A statistically significant increase in cancer deaths was observed for workers with high exposure to dust (higher intensity: RR = 1.42; n = 79; 1.06 to 1.89). Some findings, mainly of lung cancer, justify further exploration in other plants in this industry.
    Occupational and environmental medicine 10/2007; 64(9):575-81. · 3.64 Impact Factor
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    ABSTRACT: Purpose of the study To present a case of pulmonary alveolar lipoproteinosis (PAP) in a patient exposed to grain dust and to discuss the possible occupational origin of this rare disorder. Case-report The patient was a 38 year-old man, current smoker (12 pack years), who had been exposed to dusts, especially grain dust. He presented with progressive dyspnoea. Lung function tests showed a restrictive ventilatory defect. The CT scan of the chest showed a typical crazy paving pattern. The diagnosis of pulmonary alveolar lipoproteinosis was confirmed by histopathology of the thoracoscopic lung biopsy. The patient recovered with the eviction of dust exposure and subcutaneous granulocyte monocyte colony stimulating factor. Discussion Several environmental and occupational causes of pulmonary alveolar lipoproteinosis have been described, including strong occupational exposure to silica dust, and exposure to cement, cellulose fibres, aluminium dust, and wood dust. Several cases of pulmonary alveolar lipoproteinosis have also been reported in patients who had been exposed to grain dust. A case control study is justified to analyse the possible link between pulmonary alveolar lipoproteinosis and occupational dust exposures.
    Archives Des Maladies Professionnelles Et De L Environnement - ARCH MAL PROF ENVIRON. 01/2007; 68(5):551-554.

Publication Stats

369 Citations
88.68 Total Impact Points

Institutions

  • 2003–2012
    • University of Lyon
      Lyons, Rhône-Alpes, France
    • CHU de Lyon - Groupement Hospitalier Edouard Herriot
      Lyons, Rhône-Alpes, France
  • 2007–2010
    • Hospices Civils de Lyon
      Lyons, Rhône-Alpes, France
  • 2001–2009
    • Claude Bernard University Lyon 1
      • Unité mixte de recherche epidémiologique et de surveillance transport travail environnement
      Villeurbanne, Rhône-Alpes, France
  • 1989–2004
    • Centre Hospitalier Lyon Sud
      Lyons, Rhône-Alpes, France
  • 1990
    • Institut Universitaire de France
      Lutetia Parisorum, Île-de-France, France