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Related Experiment Videos

Pre-employment screening among trainee bakers

R De Zotti1, S Molinari, F Larese

  • 1Institute of Occupational Medicine, University of Trieste, Italy.

Occupational and Environmental Medicine
|April 1, 1995
PubMed
Summary

Pre-employment screening can identify atopy (allergic predisposition) in vocational students, aiding in counseling and risk assessment for occupational asthma. This study suggests excluding students with severe allergies from baker training.

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Area of Science:

  • Occupational Health
  • Allergology
  • Public Health

Background:

  • Atopy, a predisposition to allergic diseases, is a significant concern in occupational settings.
  • Vocational training programs present unique challenges for managing health risks associated with specific exposures.

Purpose of the Study:

  • To determine the prevalence of atopy among students in vocational schools.
  • To evaluate the effectiveness of pre-employment screening for identifying at-risk individuals.
  • To inform occupational health strategies and student counseling.

Main Methods:

  • Investigated atopy prevalence using family history, skin prick tests, and serum immunoglobulin E (IgE) levels.
  • Assessed personal history of allergic respiratory diseases in trainee bakers and graphic artists.

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  • Evaluated skin sensitization to specific occupational allergens like flours, alpha-amylase, and storage mites.

    • Main Results:

    • 13.2% of bakers and 14.7% of graphic artists reported allergic symptoms, with significant associations between symptoms and atopy.
    • A notable percentage (28.5%) of bakers without symptoms were atopic based on tests or family history.
    • Skin sensitization to storage mites was common (16%) in both groups, while sensitization to wheat, rye, and alpha-amylase was specific to bakers.

    Conclusions:

    • Pre-employment screening provides valuable medical information for counseling and risk management.
    • Excluding students with existing asthma or severe allergic diseases from baker training is recommended.
    • Atopic students without current symptoms should be informed of occupational asthma risks and advised on periodic check-ups.