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Occupational COPD. M. Amini (MD) Aminim@mums.ac.ir. Patient history. A 45 y/o man non-smoker with history of 15 years working at rubber industry Presented with dyspnea, cough and phlegm in recent few years Physical examination reveals nothing specific. Chest radiography showed here.

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Occupational COPD

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Occupational COPD

M. Amini (MD)

Aminim@mums.ac.ir


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Patient history

  • A 45 y/o man non-smoker

  • with history of 15 years working at rubber industry

  • Presented with dyspnea, cough and phlegm in recent few years

  • Physical examination reveals nothing specific



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  • What is the diagnosis?

  • Does it relate to my work history?

  • What about prognosis?

  • Is it treatable?

  • How much does it cost?



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  • Thus, physicians must be aware of the effects potential occupational etiologies for

  • obstructive airway disease and should consider them in every patient with COPD

  • An occupational history should be the first step in the initial evaluation of the patient


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  • The length of time exposed to the agent effects

  • the use of personal protective equipment such as respirators,

  • and a description of the ventilation and

  • overall hygiene of the workplace

    • quantify exposure from the patient's history


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COPD Stage effects Spirometry (Postbronchodilator)

  • Mild

    • FEV1 ≥80% predicted, FEV1/FVC <0.7

  • Moderate

    • 50% ≤ FEV1 <80% predicted, FEV1/FVC <0.7

  • Severe

    • 30% ≤ FEV1 <50% predicted, FEV1/FVC <0.7

  • Very severe 

    • FEV1 <30% predicted, FEV1/FVC <0.7


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  • workers with COPD change in work practices)

  • may continue to work in their usual jobs if


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How much does it cost? change in work practices)


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  • The total annual cost to the change in work practices)National Health Service for the treatment of COPD is

  • thoughtto be £491,652,000 in direct costs


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Thank you change in work practices)


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