O2
SENTINEL CASES REPORTED TO THOR NETWORK IN 2024
- Fyall, The University of Manchester, UK
Background
Working conditions and practices are constantly changing, which may lead to emerging health risks and work-related ill-health (WRIH). Data collected by The Health and Occupation Research Network (THOR) allows for early identification of sentinel cases, clusters or new patterns of occupational disease. Early reporting of these emerging health risks to the Health and Safety Executive (HSE) is used to identify priority areas and implement early intervention.
Aims
The aim of this study is to highlight emerging WRIH risks identified by the scheme in 2024.
Method
WRIH cases voluntarily submitted to the THOR network are coded by two researchers and then screened by respiratory and occupational physicians. Cases are added to the list of interest that are a ‘sentinel’ case of a new work-related disease, a ‘cluster’/ ‘outbreak’ or a ‘case of interest’ (e.g. a known occupational disease in a new industry). Cases added to the list of interest are cross-checked with historic data and other schemes, and evidence is sought of existing similar case reports in the medical literature. Further information from the reporter may be requested.
Results
In 2024, 386 actual cases of WRIH were reported to THOR, with the largest proportion (n=220, 51%) reported by chest physicians to the SWORD scheme. 53 sentinel cases were identified.
Conclusions
In 2024, THOR identified trends such as silicosis in artificial stone workers and occupational asthma in welders. Unusual combinations of irritant and allergic dermatitis in new industries highlights the importance of remaining vigilant to new occupational hazards.
Reference:
Fyall K, Wiggans R E, Goodall S, McHale G, Byrne L, Carder M, Gittins M, Fishwick D, Van Tongeren M
