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There is a risk of sensitisation to flour, storage mites and alpha amylase,an enzyme used in baking. Probably the most at risk are the people who toss flour around in mixing dough. I would recommend the usual surveillance as guided by Guidance note MS 45 on Occupational Asthma, on commencement 6/52, and then I think it is at 3/12 (can't find my copy to confirm)After that annually. It might be worth considering smokers and those with a history of atopy to be at higher risk. and doing it 6 monthly. Diane ----- Original Message ----- From: "Fearnley Debbie (RBT) Mid Cheshire Tr" <[log in to unmask]> To: <[log in to unmask]> Sent: Thursday, February 12, 2004 2:42 PM Subject: Re: Cold room workers > We have recntly taken over providing an OH service to a local bakery. The > previous provider perfomed 'cold room worker' screening. > > Local contacts with other industries seem to focus on chest problems > Does anyone have any infromation about health surveillance and would be > willing to share this? > Debbie Fearnley > Head of Occupational Health > Mid Cheshire Hospitals NHS Trust > Leighton Hospital > Middlewich Road > Crewe > Cheshire > CW2 5ED > > Telephone: 01270 612372 > Fax: 01270 612372 > > > Important Notice > > If you have received this e-mail in error, please notify the sender and > delete the e-mail and all attachments immediately. This e-mail (including > any attachments) may contain confidential and/or privileged information. If > you are not the intended recipient, any reliance on, use, disclosure, > dissemination, distribution or copying of this e-mail or attachments is > strictly prohibited. Mid Cheshire Hospitals NHS Trust has checked for > viruses but the contents of an attachment may still contain software > viruses, which could damage your computer system. Mid Cheshire Hospitals NHS > Trust does not accept liability for any damage you sustain as a result of a > virus introduced by this e-mail or any attachment and you are advised to use > up-to-date virus checking software. E-mail transmission cannot be guaranteed > to be secure or error free. > > This e-mail is not intended, nor should it be taken to create any legal > relations, contractual or otherwise. Any views or opinions expressed within > this e-mail or attachment are solely those of the sender, and do not > necessarily represent those of Mid Cheshire Hospitals NHS Trust, unless > otherwise specifically stated. If verification is required, please request a > hard copy version. Mid Cheshire Hospitals NHS Trust is not bound by or > liable for any opinion, contractor or offer to contract expressed in any > e-mail. > > ~~~~~~~~~~~~~~~ > Please remove this footer before replying. > Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives ~~~~~~~~~~~~~~~ Please remove this footer before replying. Visit http://www.jiscmail.ac.uk/lists/occ-health.html for list archives