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[Bowmaker's disease: an occupational disease in the manufacture of bows for string instruments].

Inhalation of wood dust from the tropical tree Fernambouc (Caesalpinia echinata) in the manufacture of string bows can cause characteristic symptoms (bow-makers disease). To confirm this observation, 177 bow-makers, working in a village near Erlangen (Bavaria), the centre of this manufacture, filled in questionnaires. Of these 36 worked with Fernambouc, 141 with other types of wood. Twelve out of these 36 suffered from dyspnoea, cough, sneezing impulses, tearing and coryza, which would disappear quickly at weekends and during holidays. 14 of those working with other types of wood merely had sneezing, irritation of the mucosa, a few also cough, dyspnoea and tearing. Extracts of Fernambouc splinters were made for serological testing. However, neither experimental sensitization in animals nor skin tests in the twelve gave allergic reactions. A 51-year-old woman with long-standing bronchial asthma developed dyspnoea five minutes after an inhalative provocation test; a prick test brought about slight infiltration. Thus, no evidence of an allergic origin of symptoms from Fernambouc dust inhalation could be elicited.

Asthma↗

[The incidence of occupational diseases in the health services within the catchment area of the Clinic for Occupational Diseases of the School of Medicine in Prague].

The authors analyzed notified occupational diseases at the department of occupational diseases during the 10 past years, focusing attention on workers in the health workers' union. The highest ratio is that of viral hepatitis (64.8%) and skin diseases (14.7%). These are followed by other infectious diseases, tuberculosis, asthma bronchiale, etc. The largest number of occupational diseases was reported in female health workers (74.7%) which is consistent with nationwide data on occupational diseases. The high ratio of women is not surprising with regard to the marked feminization of this occupation. The highest ratio of occupational diseases was reported in women aged 21-30 years, whereby viral hepatitis accounted for 32.6%. Occupational diseases are important not only from the medical but also from the economic aspect. Therefore even a minor reduction of occupational diseases has marked economic consequences. From the investigation ensues that at present it is important to concentrate above all on two groups of occupational diseases, i.e. occupational infectious contagious diseases and occupational skin diseases. A prerequisite for reduction of type B viral hepatitis is immunization of health workers at risk departments against hepatitis B, which is being implemented at present.

Adult↗

Possibility of Lyme disease as an occupational disease-- seroepidemiological study of regional residents and forestry workers.

We conducted a study to investigate the state of human infection by the Lyme disease pathogen by determining the prevalence of positivity for serum anti-body to Borrelia burgdorferi among regional residents and forestry workers in Nagano Prefecture. Assay of the antibody titer was performed by indirect fluorescent antibody technique (IFA) using Borrelia burgdorferi strain B-31 as the antigen. The study was based on the results of an earlier investigation to test our prediction of high infection rates for adult ticks of I.persulcatus and I.ovatus in Nagano Prefecture. The study results showed infection to regional residents and forestry workers by the Lyme disease pathogen and a significantly higher positive rate in forestry workers than in regional residents. These findings indicate the need to consider this disorder as an occupational disease of forestry workers.

Antibodies, Bacterial↗