Priorities for understanding and managing occupational allergy: a Delphi Consensus


  • A report by the Special Interest Group on Occupational Allergy of the British Society of Allergy and Clinical Immunology prepared, and working group chaired, by Dr R. M. Agius, The University of Edinburgh EH8 9AG.

  • Members of working group: Dr R. Aldridge, Royal Infirmary of Edinburgh EH3 9YW. Dr P. S. Burge, East Birmingham Hospital B9 5ST. Dr A. Forsyth, Belvidere Hospital, Glasgow G3I 4PG. Dr P. G. Harries. Rank Hovis MacDougall, Berkshire SL4 3ST. Dr W. Howe, Conoco (U.K.) Ltd, Warwick CV34 6DA. Professor A. J. Newman Taylor. Royal Brompton National Heart & Lung Hospital, London SW3 6NP. Dr C. A. C. Pickering, Wythenshawe Hospital, Manchester M23 9LT, Dr R. J. G. Rycroft, St John's Institute of Dermatology, St Thomas' Hospital, London SEl 7EH, Professor A. Seaton, University Medical School, Aberdeen AB9 2ZD. Dr A. J. M, Slovak, British Nuclear Fuels pic, Warrington WA3 6AS. Dr R. D. Tee, National Heart & Lung Institute, London SW3 6LR. Dr M. Topping, Health & Safety Executive, London W2 4TF.

Dr R. M. Agius, Department of Public Health Sciences, The University of Edinburgh Medical School, Teviot Place, Edinburgh EH8 9AG, U.K.

Summary

Limiting factors in the understanding, clinical management, and prevention of occupationally related allergic disease should be identified, since these dictate the tasks that need to be undertaken and/or important research questions that warrant an answer. Through an adaptation of the Delphi technique, a working group of the Special Interest Group on Occupational Allergy of the British Society of Allergy and Clinical Immunology addressed these issues. The consensus categorized and ranked the limiting factors and tasks needed in relation to epidemiology and natural history, mechanisms, clinical diagnosis, statute and education, and the workplace environment. This report should help focus the debate regarding which issues are perceived to be most relevant and timely for research and good practice in the field of occupational allergy.

Ancillary