Types of Work Related Asthma
There are 3 types of work-related asthma:
- Work-Aggravated: when a person already has asthma but something at work makes the breathing symptoms worse.
- New-Onset Asthma from a High Level Exposure to a Substance at Work: when a person never had asthma before and was exposed to a spill or big leak of a chemical at work, and then developed asthma after that event.
- New-Onset Asthma from Working with a Substance Known to Cause Asthma: when a person may have worked with a substance at work, even for many years with no asthma symptoms and then develops asthma, months or years later.
For greater detail on the diagnosis and identification of the three types of work-related asthma, read the following scientific articles:
- Tarlo SM et al. Diagnosis and Management of Work-Related Asthma. ACCP Consensus Statement. Chest 2008; 134:1S-41S.
- Henneberger PK et al. Work-Exacerbated Asthma. Am J Resp Crit Care Med 2011; 184:368-378.
Substances at work that can cause asthma
There are more than 400 substances that have been reported in the medical literature that have been shown to cause work-related asthma. The list continues to grow. The main categories of substances that can cause asthma in the workplace include:
- ANIMALS (dander, fur, etc.)
- PLANTS and PLANT material
- CHEMICALS
The following is a short list of examples of the types of jobs, industries, and the types of substances that can cause asthma. For an Exposure Code online look-up option for asthma-causing agents, refer to this web site: www.aoecdata.org/ExpCodeLookup.aspx.
Job or Type of Industry | Type of Asthma-Causing Agent |
Animal or Insect Proteins | |
Laboratory animal workers Veterinarians | dander and urine proteins |
Food processing | shellfish, egg proteins |
Poultry farmers | poultry mites, droppings, feathers |
Grain workers | storage mites, aspergillus, grass pollen |
Plant Proteins | |
Bakers | flour dust |
Food processing | coffee bean dust, tea, meat tenderizer |
Farmers | soybean dust |
Sawmill workers/carpenters | wood dust (western red cedar, oak, mahogany, redwood, and others) |
Electric soldering | colophony (pine resin) |
Nurses | psyllium, latex |
Chemicals | |
Plating | nickel salts |
Beauty shop | persulfates |
Welding | stainless steel fumes, chromium salts |
Hospital workers | disinfectants (formaldehyde, glutaraldehyde) |
Plastics manufacturing | TDI, HDI, Methylene diisocyanate, phthalic anhydride |
Automobile painting | dimethyl ethanolamine diisocyanates |
(Source: National Heart, Lung and Blood Institute. June 1992, Pub. No. 92-3091)
The National Institute for Occupational Safety and Health (NIOSH) has developed Alerts on several asthma causing agents. These Alerts provide important information on working with some of the more widely-used and dangerous asthma-causing agents. Click on the reports below to read the Alerts on:
Preventing Asthma in Animal Handlers
Preventing Asthma and Death from Diisocyanate Exposure
Preventing Allergic Reactions to Natural Rubber Latex in the Workplace
View the Federal OSHA’s website on metalworking fluids and asthma
Natural Products | |
vegetable gums | orris root |
flax seed | flour |
castor bean | papain |
soybean | mushroom dust and moldy composte |
natural glues | wood dusts |
animal danders and other animal antigens | natural resins |
coffee bean | animal fat, oil and products |
insect debris | fish meal and emulsions |
detergent enzymes | tobacco dust |
grain dusts and grain products | pancreatic extracts |
Synthetics | |
Inorganic Pharmaceuticals | |
platinum, complex salts | psyllium |
nickel salts | penicillin |
chromium salts | ampicillin |
sodium and potasium | spiramycin |
persulphates | phenylglycine acid chloride |
Organic Pharmaceuticals | |
sulphathiasole | bromelin |
diisocyanates | amprolium hydrochloride |
toulene | sulphone choloramides |
diphenylmethane | tetracycline |
hexamethylene | |
Miscellaneous Anhydrides | |
phthalic | formaldehyde |
tetrachlorophthallic | piperazine |
trimellitic | organophosphorus insecticides |
Miscellaneous Amines | |
pyrolysis products of polyvinyl chloride | |
aminoethyl | alkylaryl polyether alcohol |
ethanolamine | tartrazine |
dimethyl ethanolamine | products of heated adhesives |
ethylene diamine | |
paraphenylenediamine | |
diethylene triamine | |
diethylene tetramine |
Based on materials reviewed and provided by the Michigan State University Occupational and Environmental Medicine Department, updated 2023