307 Ch 306. Occupational and Environmental Lung Disease
職業性肺病 由 workplace 吸入暴露引起;Pneumoconiosis = 吸入無機塵埃肺病:(1) silicosis (silica) — 進行性 fibrosis;(2) asbestosis (asbestos) — pleural plaque、mesothelioma、lung cancer;(3) coal workers’ pneumoconiosis (CWP);(4) berylliosis (granulomatous);(5) siderosis (iron);Organic dust diseases:HP (Ch305);Occupational asthma (Ch303);RADS (reactive airways dysfunction syndrome);Irritant inhalation:chlorine、ammonia、ozone、sulfur dioxide、nitrogen dioxide;Air pollution:PM2.5、PM10、ozone、NO2、SO2 → ↑ asthma、COPD、cardiovascular events、lung cancer;Indoor air pollution:tobacco、biomass cooking(developing world 大宗)、radon (lung cancer)、formaldehyde;Vaping-related lung injury (EVALI) 2019-2024 持續關注;hard-metal disease、flock worker’s lung、popcorn worker’s lung (bronchiolitis obliterans from diacetyl) 都是重要 occupational lung disease;2024 ATS + OSHA updates。