Work placement and worker fitness. Implications of the Americans with Disabilities Act for pulmonary medicine.

Pulmonary physicians have a significant role in assessing the ability of individuals with respiratory impairments to be placed in jobs or retain current jobs. The Americans with Disabilities Act mandates a high level of rational thought and justification for any recommendation against placement or work retention. This article reviews criteria for determining if an individual with a respiratory impairment or disability can currently and safely perform a job and if there is substantial direct threat of future risk. In addition, methods of modifying the workplace to accommodate individuals with respiratory disabilities are discussed.

[1]  P. Harber,et al.  Personal risk assessment under the Americans with Disabilities Act. A decision analysis approach. , 1993, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[2]  P. Harber,et al.  Accommodating respiratory handicap , 1993 .

[3]  J. Minna.  The molecular biology of lung cancer pathogenesis. , 1993, Chest.

[4]  A. Miller,et al.  Lung function testing: selection of reference values and interpretative strategies. , 1992, The American review of respiratory disease.

[5]  S. St Clair,et al.  Americans with Disabilities Act. Considerations for the practice of occupational medicine. , 1992, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[6]  P. Harber.  Respiratory disability. The uncoupling of oxygen consumption and disability. , 1992, Clinics in chest medicine.

[7]  J. Dosman,et al.  Atopic status as a factor in job decision making in grain workers. , 1991, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[8]  T. Sellers,et al.  Evidence for mendelian inheritance in the pathogenesis of lung cancer. , 1990, Journal of the National Cancer Institute.

[9]  G. Borg.  Psychophysical scaling with applications in physical work and the perception of exertion. , 1990, Scandinavian journal of work, environment & health.

[10]  K M Venables,et al.  Smoking and occupational allergy in workers in a platinum refinery. , 1989, BMJ.

[11]  P. Harber,et al.  Relationship of subjective tolerance of respirator loads to physiologic effects and psychophysical load sensitivity. , 1989, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[12]  P. Harber,et al.  Noninvasive measurement of respirator effect at rest and during exercise. , 1989, American Industrial Hygiene Association journal.

[13]  J. Hankinson,et al.  Workplace measurement of respirator effects using respiratory inductive plethysmography. , 1989, American Industrial Hygiene Association journal.

[14]  J. Hankinson,et al.  The use of inductive plethysmography in the study of the ventilatory effects of respirator wear. , 1988, American Industrial Hygiene Association journal.

[15]  L. Fabbri,et al.  Fatal asthma in a subject sensitized to toluene diisocyanate. , 1988, The American review of respiratory disease.

[16]  J. Cotes,et al.  Lung function impairment as a guide to exercise limitation in work-related lung disorders. , 1988, The American review of respiratory disease.

[17]  J. E. Hansen,et al.  The role of exercise testing in impairment evaluation. , 2015, The American review of respiratory disease.

[18]  G. Andersson,et al.  The metabolic cost of various occupational exposures. , 1987, Ergonomics.

[19]  Bland Sm,et al.  Occupational allergy to laboratory animals: an epidemiologic study. , 1986 .

[20]  M. Khoury,et al.  Preemployment screening for allergy to laboratory animals: epidemiologic evaluation of its potential usefulness. , 1986, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[21]  M. Hobbs,et al.  The natural history of asbestosis in former crocidolite workers of Wittenoom Gorge. , 1986, The American review of respiratory disease.

[22]  B. Butcher,et al.  Absence of hyperresponsiveness to methacholine in a worker with methylene diphenyl diisocyanate (MDI)-induced asthma. , 1986, Chest.

[23]  P. Harber,et al.  Clinical decision analysis in occupational medicine. Choosing the optimal FEV1 criterion for diagnosing occupational asthma. , 1985, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[24]  S. Vedal,et al.  Symptoms, pulmonary function, and bronchial hyperreactivity in western red cedar workers compared with those in office workers. , 1984, The American review of respiratory disease.

[25]  E. A. Fleishman,et al.  The measurement of effort. , 1984, Ergonomics.

[26]  P Harber,et al.  Estimation of the exertion requirements of coal mining work. , 1984, Chest.

[27]  M. Chan-yeung,et al.  Clinical features and natural history of occupational asthma due to western red cedar (Thuja plicata). , 1982, The American journal of medicine.

[28]  P. Corey,et al.  Comparison of respiratory variables in grain elevator workers and civic outside workers of Thunder Bay, Canada. , 1979, The American review of respiratory disease.

[29]  D. Trichopoulos,et al.  T LYMPHOCYTES IN HBAg CARRIERS AND RESPONDERS , 1975, The Lancet.

[30]  M L Newhouse,et al.  An epidemiological study of workers producing enzyme washing powders. , 1970, Lancet.