Vol 61, No 1 (2010)
Original article
Published online: 2010-05-21

open access

Page views 725
Article views/downloads 2040
Get Citation

Connect on Social Media

Connect on Social Media

Occupational asthma in the commercial fishing industry: a case series and review of the literature

David Lucas, Raymond Lucas, Keith Boniface, Dominique Jegaden, Brice Lodde, Jean-Ariel Dewitte
IMH 2010;61(1):13-16.

Abstract

We present a case series of snow crab-induced occupational asthma (OA) from a fishing and processing vessel, followed by a review of OA in the commercial fishing industry. OA is typically caused from an IgE-mediated hypersensitivity reaction after respiratory exposure to aerosolized fish and shellfish proteins. It more commonly occurs due to crustaceans, but molluscs and fin fish are implicated as well. Standard medical therapy for asthma may be used acutely; however, steps to reduce atmospheric allergen concentrations in the workplace have proven to be preventive for this disease.
Int Marit Health 2010; 61, 1: 13-17

Article available in PDF format

View PDF Download PDF file

References

  1. Gautrin D, Newman-Taylor AJ, Nordman H, et al. Controversies in epidemiology of occupational asthma. Eur Respir J. 2003; 22(3): 551–559.
  2. Lopata AL, Baatjies R, Thrower SJ, et al. Occupational allergies in the seafood industry--a comparative study of Australian and South African workplaces. Int Marit Health. 2004; 55(1-4): 61–73.
  3. Orford RR, Wilson JT. Epidemiologic and immunologic studies in processors of the king crab. Am J Ind Med. 1985; 7(2): 155–169.
  4. Endelman PA. Exposure, assessment and prevalence of asthma among maritime crab processing personnel. Paper presented at the American Hygiene Conference and Exposition 1994 May, Los Angeles 1994.
  5. Cartier A, Malo JL, Ghezzo H, et al. Occupational asthma in snow crab-processing workers. J Allergy Clin Immunol. 1984; 74(3 Pt 1): 261–269.
  6. Cartier A, Lehrer SB, Horth-Susin L, et al. Prevalence of crab asthma in crab plant workers in Newfoundland and Labrador. Int J Circumpolar Health. 2004; 63 Suppl 2: 333–336.
  7. Dorsett DD, Sechena R. Arctic snow crab-related lung disease. Int J Circumpolar Health. 1998; 57(Suppl 1): 601–608.
  8. Morbidity and mortality weekly report. NIOSH publication. 1982; 31: 95–96.
  9. Cartier A, Hunt B, Weytjens K, et al. Occupational asthma to Atlantic rock crab processing workers in Eastern North America. J Allergy Clin Immunol. 1999; 103: 179.
  10. Burel A, Camus F, Leroyer C, et al. Allergies respiratoires dues aux homards chez un cuisinier. 1 è res journées thématiques de la Société française de Médecine du Travail Paris- 28/01/95. Arch Mal Prof. 1996: 294–296.
  11. Patel PC, Cockcroft DW. Occupational asthma caused by exposure to cooking lobster in the work environment: a case report. Ann Allergy. 1992; 68(4): 360–361.
  12. Lemière C, Desjardins A, Lehrer S, et al. Occupational asthma to lobster and shrimp. Allergy. 1996; 51(4): 272–273.
  13. Gaddie J, Legge JS, Friend JA, et al. Pulmonary hypersensitivity in prawn workers. Lancet. 1980; 2(8208-8209): 1350–1353.
  14. McSharry C, Anderson K, McKay IC, et al. The IgE and IgG antibody responses to aerosols of Nephrops norvegicus (prawn) antigens: the association with clinical hypersensitivity and with cigarette smoking. Clin Exp Immunol. 1994; 97(3): 499–504.
  15. Desjardins A, Malo JL, L'Archevêque J, et al. Occupational IgE-mediated sensitization and asthma caused by clam and shrimp. J Allergy Clin Immunol. 1995; 96(5 Pt 1): 608–617.
  16. Baur X, Huber H, Chen Z. Asthma to Gammarus shrimp. Allergy. 2000; 55(1): 96–97.
  17. Musmand JJ, Daul CB, Lehrer SB. Crustacea allergy. Clin Exp Allergy. 1993; 23(9): 722–732.
  18. Glass WI, Power P, Burt R, et al. Work-related respiratory symptoms and lung function in New Zealand mussel openers. Am J Ind Med. 1998; 34(2): 163–168.
  19. Karlin JM. Occupational asthma to clam’s liver extract. J Allergy Clin Immunol. 1979; 63: 197.
  20. Goetz DW, Whisman BA. Occupational asthma in a seafood restaurant worker: cross-reactivity of shrimp and scallops. Ann Allergy Asthma Immunol. 2000; 85(6 Pt 1): 461–466.
  21. Tomaszunas S, Wecławik Z, Lewiński M, et al. Allergic reactions to cuttlefish in deep-sea fishermen. Lancet. 1988; 1(8594): 1116–1117.
  22. Clarks PS. Immediate respiratory hypersensitivity to abalone. Med J Aust. 1979; 1(13): 623.
  23. Droszcz W, Kowalski J, Piotrowska B, et al. Allergy to fish in fish meal factory workers. Int Arch Occup Environ Health. 1981; 49(1): 13–19.
  24. Douglas JD, McSharry C, Blaikie L, et al. Occupational asthma caused by automated salmon processing. Lancet. 1995; 346(8977): 737–740.
  25. Jeebhay MF, Robins TG, Lopata AL. World at work: fish processing workers. Occup Environ Med. 2004; 61(5): 471–474.
  26. Rodríguez J, Reaño M, Vives R, et al. Occupational asthma caused by fish inhalation. Allergy. 1997; 52(8): 866–869.
  27. Sherson D, Hansen I, Sigsgaard T. Occupationally related respiratory symptoms in trout-processing workers. Allergy. 1989; 44(5): 336–341.
  28. Jeebhay MF, Robins TG, Miller ME, et al. Occupational allergy and asthma among salt water fish processing workers. Am J Ind Med. 2008; 51(12): 899–910.
  29. Armentia A, Lombardero M, Callejo A, et al. Occupational asthma by Anisakis simplex. J Allergy Clin Immunol. 1998; 102(5): 831–834.
  30. Pulido-Marrero Z, González-Mancebo E, Alfaya-Arias T, et al. Unusual sensitization to Anisakis simplex. Allergy. 2000; 55(6): 586–587.
  31. Scala E, Giani M, Pirrotta L, et al. Occupational generalised urticaria and allergic airborne asthma due to anisakis simplex. Eur J Dermatol. 2001; 11(3): 249–250.
  32. Onizuka R, Inoue K, Kamiya H. [Red soft coral-induced allergic symptoms observed in spiny lobster fishermen]. Arerugi. 1990; 39(3): 339–347.
  33. Jyo T, Komoto K, Tsuboi S, et al. Seasquirt asthma -- occupational asthma induced by inhalation of antigenic substances contained in seasquirt body fluid. Allerg Immunol (Leipz). 1974; 20-21(4): 435–448.
  34. Madsen J, Sherson D, Kjøller H, et al. Occupational asthma caused by sodium disulphite in Norwegian lobster fishing. Occup Environ Med. 2004; 61(10): 873–874.
  35. Fraj J, Lezaun A, Colás C, et al. Occupational asthma induced by aniseed. Allergy. 1996; 51(5): 337–339.
  36. Bessot JC, Moreau L’, Pauli G. Moreau L’ Asthme aux allerg è nes d’origine végétale. In: Bessot JC, Pauli G. ed. l’asthme professionnel. Margaux Orange, Paris 1999: 231–264.
  37. Cartier A, Malo JL, Ghezzo H, et al. IgE sensitization in snow crab-processing workers. J Allergy Clin Immunol. 1986; 78(2): 344–348.
  38. Jeebhay MF, Robins TG, Seixas N, et al. Environmental exposure characterization of fish processing workers. Ann Occup Hyg. 2005; 49(5): 423–437.
  39. Jeebhay MF, Robins TG, Lehrer SB, et al. Occupational seafood allergy: a review. Occup Environ Med. 2001; 58(9): 553–562.
  40. Onizuka R, Kamiya H, Muramoto K, et al. Purification of the major allergen of red soft coral (Dendronephthya nipponica). Int Arch Allergy Immunol. 2001; 125(2): 135–143.
  41. Malo JL, Chrétien P, McCants M, et al. Detection of snow-crab antigens by air sampling of a snow-crab production plant. Clin Exp Allergy. 1997; 27(1): 75–78.
  42. Beaudet N, Brodkin CA, Stover B, et al. Crab allergen exposures aboard five crab-processing vessels. AIHA J (Fairfax, Va). 2002; 63(5): 605–609.
  43. Becklake MR. Epidemiology: prevalence and determinants. In: Asthma in the workplace. Marcel Decker, New York 1993: 29–59.
  44. Gautrin D, Cartier A, Howse D, et al. Occupational asthma and allergy in snow crab processing in Newfoundland and Labrador. Occup Environ Med. 2010; 67(1): 17–23.
  45. Malo JL, Cartier A, Ghezzo H, et al. Patterns of improvement in spirometry, bronchial hyperresponsiveness, and specific IgE antibody levels after cessation of exposure in occupational asthma caused by snow-crab processing. Am Rev Respir Dis. 1988; 138(4): 807–812.