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Allergic bronchopulmonary aspergillosis in garden waste (compost) collectors--occupational implications.
[allergic bronchopulmonary aspergillosis]
The
separation
of
rotting
garden
material
from
general
domestic
waste
and
its
collection
for
processing
in
industrial
composting
sites
is
a
relatively
new
industry
in
the
UK
.
Two
cases
of
allergic
bronchopulmonary
aspergillosis
and
the
results
of
health
surveillance
are
described
in
a
team
of
28
garden
waste
(
compost
)
collectors
.
A
few
cases
of
extrinsic
allergic
alveolitis
due
to
Aspergillus
fumigatus
have
previously
been
reported
in
compost
workers
.
In
the
absence
of
any
guidance
from
research
and
to
prevent
similar
cases
of
a
potentially
serious
illness
,
we
advise
that
new
starters
to
the
job
of
collecting
or
processing
compost
are
screened
for
asthma
and
aspergillus
sensitivity
,
cystic
fibrosis
,
bronchiectasis
and
immunodeficiency
if
their
exposure
to
high
levels
of
Aspergillus
sp
can
not
be
controlled
.
Annual
health
surveillance
for
these
workers
is
also
recommended
.
