{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T22:10:06Z","timestamp":1785363006675,"version":"3.55.0"},"reference-count":15,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T00:00:00Z","timestamp":1239148800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2009,7]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Organic dust toxic syndrome (ODTS) is an influenza\u2010like illness typically affecting agricultural workers exposed to organic dusts. In July 2007, Tri\u2010County Health Department investigated a cluster of acute respiratory illnesses among urban landscape workers with known mulch exposure.<\/jats:p><\/jats:sec><jats:sec><jats:title>Methods<\/jats:title><jats:p>An epidemiologic study of landscape workers was conducted. Employees were interviewed regarding illness and occupational exposures. Medical records were reviewed. Mulch samples were tested for fungi and endotoxins.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>Five (12%) of 43 employees experienced respiratory illness compatible with ODTS. Illness was associated with prolonged mulch exposure (\u22656 vs. &lt;6 hr\/day; relative risk\u2009=\u200924.7; 95% confidence interval\u2009=\u20093.3\u2013184.9). Mulch samples contained high levels of <jats:italic>Aspergillus<\/jats:italic> spores and endotoxin.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusions<\/jats:title><jats:p>Contaminated mulch was implicated as the source of presumed ODTS among landscape workers, highlighting that ODTS is not limited to rural agricultural settings. Education of employers, safety officers, and clinicians is necessary to improve recognition and prevention of ODTS within urban occupational groups. Am. J. Ind. Med. 52:534\u2013538, 2009. \u00a9 2009 Wiley\u2010Liss, Inc.<\/jats:p><\/jats:sec>","DOI":"10.1002\/ajim.20699","type":"journal-article","created":{"date-parts":[[2009,4,8]],"date-time":"2009-04-08T13:13:35Z","timestamp":1239196415000},"page":"534-538","source":"Crossref","is-referenced-by-count":9,"title":["Cluster of presumed organic dust toxic syndrome cases among urban landscape workers\u2014Colorado, 2007"],"prefix":"10.1002","volume":"52","author":[{"given":"Tegan K.","family":"Boehmer","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Taylor S.","family":"Jones","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Tista S.","family":"Ghosh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Charles S.","family":"McCammon","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Richard L.","family":"Vogt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2009,4,8]]},"reference":[{"key":"e_1_2_1_2_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700270107"},{"key":"e_1_2_1_3_1","unstructured":"Centers of Disease Control and Prevention.1986.Acute respiratory illness following occupational exposure to wood chips\u2014Ohio. Morb Mort Wkly Rep MMWR35: 483\u2010490. Available at:www.cdc.gov\/mmwr\/preview\/mmwrhtml\/00000772.htm."},{"key":"e_1_2_1_4_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700100310"},{"key":"e_1_2_1_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700100324"},{"key":"e_1_2_1_6_1","unstructured":"National Institute for Occupational Safety and Health.1994.Request for assistance in preventing organic dust toxic syndrome. Cincinnati OH: US Department of Health and Human Services Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Publication No. 94\u2010102. Available at:www.cdc.gov\/niosh\/pdfs\/d001027.pdf."},{"key":"e_1_2_1_7_1","first-page":"233","article-title":"Organic dust toxic syndrome among farmers","volume":"46","author":"Rask\u2010Andersen A","year":"1989","journal-title":"Br J Ind Med"},{"key":"e_1_2_1_8_1","doi-asserted-by":"publisher","DOI":"10.2105\/AJPH.88.12.1795"},{"key":"e_1_2_1_9_1","doi-asserted-by":"publisher","DOI":"10.1081\/CLT-120019136"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1128\/AEM.68.4.1743-1753.2002"},{"key":"e_1_2_1_11_1","doi-asserted-by":"publisher","DOI":"10.1136\/oem.55.10.668"},{"key":"e_1_2_1_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/(SICI)1097-0274(199904)35:4<332::AID-AJIM2>3.0.CO;2-E"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.3109\/15563659009038584"},{"key":"e_1_2_1_14_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.116.5.1452"},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.4700240403"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-199704000-00007"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fajim.20699","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.20699","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,11,13]],"date-time":"2023-11-13T20:05:04Z","timestamp":1699905904000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.20699"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2009,4,8]]},"references-count":15,"journal-issue":{"issue":"7","published-print":{"date-parts":[[2009,7]]}},"alternative-id":["10.1002\/ajim.20699"],"URL":"https:\/\/doi.org\/10.1002\/ajim.20699","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[2009,4,8]]}}}