Respiratory hazards vary by workplace

Dusts, fumes, gases and other airborne contaminants can affect respiratory health. The relevant approach depends on the agent, exposure level, work process and worker history.

Spirometry can provide useful information

NIOSH describes spirometry as a central tool in occupational respiratory disease surveillance. It can be used to establish baseline lung function, follow function over time and evaluate workers with relevant respiratory symptoms.

Quality matters

Poor-quality spirometry can be misleading. NIOSH emphasizes technically acceptable, repeatable testing and appropriate interpretation and follow-up.

A number is not a diagnosis

Spirometry should be interpreted in context. Occupational history, smoking history where relevant, symptoms, test quality, previous results and workplace exposure all contribute to clinical meaning.

References

  1. NIOSH Spirometry Quality Assurance
  2. OSHA-NIOSH Spirometry Screening and Surveillance Resources

These references support the occupational medicine principles discussed above. Individual assessment and legal requirements may vary by job, exposure and jurisdiction.