Work-Related Asthma in the Cannabis Industry: Findings From California, Massachusetts, Michigan, and Washington.

IF 1.4
Michelle Pacheco, Kathleen Fitzsimmons, Carolyn Reeb-Whitaker, Kenneth Rosenman, Jennifer Flattery, Justine Lew Weinberg, Mary Jo Reilly, Sarah Yiu, Coralynn Sack, Danièle Todorov, Robert Harrison, Katelynn E Dodd, Emily Sparer-Fine
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Abstract

Objective: Describe work-related asthma (WRA) cases and associated exposures in the legalized cannabis industry.

Methods: Using data from four state-based surveillance systems (California, Massachusetts, Michigan, and Washington), WRA cases within the cannabis industry were identified and classified as new-onset asthma or work-aggravated asthma.

Results: From legalization dates (1996 in California, 2012 in Massachusetts, 2008 in Michigan, 1998 in Washington) through 2023, 30 WRA cases were identified. A majority were aged 18 to 34 years (66.7%) and were male (60%). Thirteen (52%) cases were new-onset asthma, and 12 (48%) were work-aggravated asthma, with two fatalities. The most frequently reported exposure was plant materials (40.4%), of which 94.7% were cannabis dust and/or marijuana plant. Most cases (69%) worked in indoor cultivation/processing.

Conclusions: Cannabis industry workers are at risk for WRA, emphasizing the need for interventions to address workplace respiratory hazards.

大麻产业中与工作相关的哮喘:来自加州、马萨诸塞州、密歇根州和华盛顿州的调查结果。
目的:描述与工作相关的哮喘(WRA)病例和大麻合法化行业的相关暴露。方法:利用来自四个州(加利福尼亚州、马萨诸塞州、密歇根州和华盛顿州)的监测系统的数据,确定大麻行业内的WRA病例,并将其归类为新发哮喘(NOA)或工作加重哮喘(WAA)。结果:从合法化日期(1996年在加利福尼亚州,2012年在马萨诸塞州,2008年在密歇根州,1998年在华盛顿州)到2023年,确定了30例WRA病例。年龄以18-34岁为主(66.7%),男性占60.0%。NOA 13例(52.0%),WAA 12例(48.0%),死亡2例。最常报告的暴露是植物材料(40.4%),其中94.7%是大麻粉尘和/或大麻植物。大多数病例(69.0%)在室内种植/加工。结论:大麻产业工人有患WRA的风险,强调需要采取干预措施来解决工作场所呼吸危害。
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