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(Chest. 1990;98:212S-215S.)
© 1990 American College of Chest Physicians

Evaluation of a Proposed NIOSH Surveillance

Case Definition for Occupational Asthma

Julia E. Klees M.D., M.P.H.1; Mark Alexander M.P.H.1; David Rempel M.D., M.P.H.2; William Beckett M.D.3; Rachel Rubin M.D.4; Scott Barnhart M.D.5; and John R. Balmes M.D., F.C.C.P.1

1 The University of California, San Francisco
2 California Department of Health Services
3 Yale University
4 Cook County Hospital, Chicago
5 The University of Washington, Seattle.

The proposed NIOSH surveillance case definition is likely to miss many cases of work-related asthma because of its relatively stringent requirements for information that is not routinely collected by primary case providers. As the case definition is implemented in the SENSOR program, further research should address the sensitivity, specificity, and validity of the various requirements of the case definition. Efforts will also need to be made to educate the clinician population who will be reporting cases, as the success of the program will depend on adequate data collection by the diagnosing physician.






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Copyright © 1990 by the American College of Chest Physicians.