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Q: latex allergy as it relates to limitation in employment ( Answered 3 out of 5 stars,   0 Comments )
Question  
Subject: latex allergy as it relates to limitation in employment
Category: Health > Conditions and Diseases
Asked by: awrpete-ga
List Price: $50.00
Posted: 16 Apr 2003 13:34 PDT
Expires: 16 May 2003 13:34 PDT
Question ID: 191385
determinine the percentage of the job market a person could be
precluded from as a result of a moderate to severe latex allergy.
Pete Davie
peterd@pdavie.com
Answer  
Subject: Re: latex allergy as it relates to limitation in employment
Answered By: pinkfreud-ga on 16 Apr 2003 15:25 PDT
Rated:3 out of 5 stars
 
In order to determine the percentage of the job market a person could
be precluded from as a result of a moderate to severe latex allergy,
it is useful to begin by compiling a list of occupations in which
latex exposure is likely.

"Because latex gloves provide positive protection against blood borne
pathogens, there has been a dramatic increase in the use of these
gloves -- especially among health care workers -- to meet worker
protection requirements adopted in the 1980s. With this increased use
and changes in glove manufacturing that resulted from the increased
demand, there has been a rise in reported allergic reactions by some
users. Studies indicate that 8% to 12% of exposed health care workers
suffer allergic reactions to latex. In addition, many individuals may
experience allergic irritant symptoms, such as skin rash, from the
chemicals used in the production of the latex products. In addition to
health care, other workers who are at risk but with less frequent
glove use include hairdressers, housekeepers, food service workers and
child care workers."

State of Washington: Department of Labor and Industries
http://www.lni.wa.gov/wisha/hazalerts/hz972.htm

Here is an excerpt from an article published by NIOSH (National
Institute for Occupational Safety and Health) about latex allergy in
the workplace:

"WHO IS AT RISK? 
Workers with ongoing latex exposure are at risk for developing latex
allergy. Such workers include health care workers (physicians, nurses,
aides, dentists, dental hygienists, operating room employees,
laboratory technicians, and hospital housekeeping personnel) who
frequently use latex gloves and other latex-containing medical
supplies. Workers who use latex gloves less frequently (law
enforcement personnel, ambulance attendants, funeral-home workers,
fire fighters, painters, gardeners, food service workers, and
housekeeping personnel) may also develop latex allergy. Workers in
factories where latex products are manufactured or used can also be
affected."

Centers for Disease Control and Prevention: NIOSH
http://www.cdc.gov/niosh/latexalt.html

These are among the occupations where latex allergy may be a factor
that could adversely affect employment opportunities:

Child care workers
Dentists & dental hygienists
Firemen
Food service workers
Garden & landscape workers
Hairdressers
Health care workers 
Housekeepers & janitors
Latex factory workers
Morticians
Painters
Police officers

It should be noted, however, that not all the jobs in these
occupations necessarily involve contact with latex products. My
research indicates that health care workers and latex factory workers
are the groups which report the greatest number of work-related
adverse reactions to latex.

Here is an estimate of the amount of occupational exposure to latex
that exists in the United Kingdom:

"A large part of the UK workforce suffers occupational exposure to
latex - perhaps as many as one million (4%) of the workforce."

Bandolier Journal
http://www.jr2.ox.ac.uk/bandolier/bandopubs/NHSSlatex.html 

According to the U.S. Department of Labor's Bureau of Labor
Statistics, there were 145,594,000 jobs in the United States in the
year 2000. By 2010, it is estimated that this number will have risen
to 167,754,000.

Bureau of Labor Statistics
http://www.bls.gov/emp/emptab21.htm

The occupational profiles of the United States and the United Kingdom
are relatively similar. If we accept the figure of 4% of the workforce
being exposed to latex on the job, we reach an estimate of 5,823,760
jobs (in 2000) in which an American worker would be at a disadvantage
if he or she were allergic to latex. Using the same 4% figure, and
following BLS projections, this number may rise to 6,710,160 by 2010.

Search terms used:

"latex allergy"
"latex allergies"
"latex exposure"
"occupational exposure"
"exposure on the job"

Thanks for asking an interesting question. If anything is unclear, or
if a link does not function, just click the "Request Answer
Clarification" button so that I may offer further assistance before
you rate my answer.

Best regards,
pinkfreud

Request for Answer Clarification by awrpete-ga on 16 Apr 2003 16:39 PDT
Thanks- good start; however, latex exists in environments beyond the
use of latex gloves, so I'm trying to get an understanding of the full
scope of work environments that could be impacted- could you review
this info and respond::

4. Products Containing Latex Proteins
Emergency Equipment
Blood pressure cuffs
Stethoscopes
Disposable gloves
Oral and nasal airways
Tourniquets
Intravenous tubing
Syringes
Edotracheal tubes
Electrode pads Personal Protective Equipment
Gloves
Surgical masks
Goggles
Respirators
Rubber aprons
 
Office Supplies
Rubber bands
Erasers
Adhesive tape
Glue
Stamps, envelopes
Mouse pads Hospital Supplies
Anaesthesia masks
Catheters
Band aids
Injection ports
Rubber tops of multidose vials
Dental dams 

Household Objects
Automobile tyres
Motorcycle and bicycle handgrips
Carpeting
Swimming goggles
Racquet handles
Shoe soles
Expandable fabrics (waistbands)
Dish washing gloves
Hot water bottles
Condoms
Rubber plants
Ear phones
Panty hose
Camera eye pieces
Rubber balls Diaphragms
Balloons
Bath mats
Chewing gum
Cosmetics
Ear phones
Foam rubber
Shoes
Water toys
Nappies
Toothbrush handles
Rubber boots
Baby bottle nipples
Pacifiers 
 
Source: Occupational Health Surveillance Update, Jan 1998, New Jersey
Dept of Health and Senior Services

Clarification of Answer by pinkfreud-ga on 16 Apr 2003 17:02 PDT
The long list of products that contain latex doesn't really help in
estimating the percentage of jobs that involve significant exposure to
latex. The 4% figure was the only such estimate that I was able to
find, although there are many sites that give more precise figures
within occupations (particularly in the health care industry.)

Request for Answer Clarification by awrpete-ga on 16 Apr 2003 20:50 PDT
OK- But would it be significant that latex exposure occurs in office
supplies and carpeting? Might this presence of latex place an office
worker 'at risk'??

Clarification of Answer by pinkfreud-ga on 16 Apr 2003 21:19 PDT
It is certainly possible that a person with a latex allergy might
react to certain office supplies and carpeting. However, I think it
would be quite a stretch to assume that the typical latex-allergic
person would be precluded from working in any offices or in any
carpeted areas. Most latex allergies are of the "contact dermatitis"
variety; it is relatively easy to avoid touching office supplies such
as rubber bands, and bare skin does not typically come in contact with
carpeting. None of my research suggests that the typical
latex-sensitive individual must stay away from all carpeted surfaces.

Request for Answer Clarification by awrpete-ga on 17 Apr 2003 09:47 PDT
Agree with the notion that most allergic reactions are from skin
contact, but airborn exposure can initiate an allergic reaction,
particularly in a severe case(often from the powder used in a latex
glove). So: assuming a severe latex allergy (one thats evolved to
airborn matter and to other substances such as certain foods)would
outgasing from carpet backing, or balloons (you remember the
smell..)possibly cause a reaction?
thanks for your effort.

Clarification of Answer by pinkfreud-ga on 17 Apr 2003 12:30 PDT
Airborne exposure to latex is indeed a possible source of allergic
reactions:

"Ask about nasal congestion, sneezing, weeping eyes or itching after
being in a latex environment, e.g. the doctors exam room, theatre or
even ‘special adult parties’.
Why? Airborne exposure causes rhinitis, conjunctivitis and asthma.
(TUC press release 12/12/2001)

Discuss any funny symptoms after blowing up party balloons; reactions
after dental work, X-Ray procedures (e.g. barium enema) or minor
surgical examinations or procedures.
Why? Mucosal or intravenous exposure can result in anaphylaxis or
angiodema."

Latex Allergy
http://www.latexallergy.ndo.co.uk/

"Inhalation of airborne glove powder can occur. The proteins
responsible for latex allergy have been shown to bind to the
cornstarch glove powder which is used to lubricate the gloves. These
can be inhaled and contact the body membranes...

Latex sensitization in workers in a latex surgical glove manufacturing
plant was found to be 11% on the basis of skin prick tests, and 6% of
those tested were found to have occupational asthma to airborne latex
particles."

Association of Societies for Occupational Safety and Health
http://www.asosh.org/Programmes/SORDSA/Latex_allergy.htm

Fortunately, "Type 1" hypersensitivity to latex (in which airborne
particles or contact with the mucosa bring on a severe reaction) is
present in less than one percent of the population:

Latex Allergy Links: Michigan Dental Association
http://latexallergylinks.tripod.com/MDA.html

Here is a large collection of links related to latex allergy that may
be of interest to you:

Latex Allergy Links
http://latexallergylinks.tripod.com/
awrpete-ga rated this answer:3 out of 5 stars
good start but limited risk of exposure to use of latex gloves and in
the mnf. process of latex itself. Clarification requested.

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