{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,3,28]],"date-time":"2026-03-28T02:08:14Z","timestamp":1774663694980,"version":"3.50.1"},"reference-count":17,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2007,1,19]],"date-time":"2007-01-19T00:00:00Z","timestamp":1169164800000},"content-version":"vor","delay-in-days":5862,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[1991,1]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Workers in pulpmills can be exposed to a multitude of gases hazardous to respiratory function, the most common of which is chlorine gas. First\u2010aid reports of acute gas overexposure incidents (\u201cgassings\u201d) over an 8 year period were used to generate exposure data on a group of pulpmill workers whose respiratory function had been studied cross\u2010sectionally in 1981 and 1988. Three hundred forty\u2010eight incidents representing 174 workers were identified, 78% of these being treated solely by the first\u2010aid attendant with the administration of 0, and cough suppression medication. Among 316 workers tested during a 1988 respiratory health survey, 78 had at least one chlorine or chlorine dioxide \u201cgassing\u201d incident. There was a significant decrease in the FEV<jats:sub>1<\/jats:sub>\/FVC ratio (p &lt; .05) as well as increased risk for workplace associated chest symptoMS in this group with at least one \u201cgassing\u201d incident. In an age\u2010 and smoking\u2010matched analysis, among workers tested both in 1981 and 1988, there was a greater decline in FEV<jats:sub>1<\/jats:sub>\/FVC ratio and MMF (p &lt; .05) in the \u201cgassed\u201d group than in the nonexposed group over the 7 year period of observation. These results eMPHasize the need for worker protection against accidental chlorine gas exposures.<\/jats:p>","DOI":"10.1002\/ajim.4700200107","type":"journal-article","created":{"date-parts":[[2007,4,19]],"date-time":"2007-04-19T01:20:19Z","timestamp":1176945619000},"page":"71-81","source":"Crossref","is-referenced-by-count":37,"title":["First\u2010aid reports of acute chlorine gassing among pulpmill workers as predictors of lung health consequences"],"prefix":"10.1002","volume":"20","author":[{"given":"David A.","family":"Salisbury","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Donald A.","family":"Enarson","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Moira","family":"Chan\u2010Yeung","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Susan M.","family":"Kennedy","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2007,1,19]]},"reference":[{"key":"e_1_2_1_2_1","first-page":"7","article-title":"Recommended respiratory diseases questionnaire for use with adults and children in. epidemiological research","volume":"118","author":"American Lung Association","year":"1978","journal-title":"Am Rev Respir Dis"},{"key":"e_1_2_1_3_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.88.3.376"},{"key":"e_1_2_1_4_1","first-page":"249","article-title":"Respiratory survey of workers in a pulp and paper mill in Power River, British Columbia","volume":"122","author":"Chan\u2010Yeung M","year":"1980","journal-title":"Am Rev Respir Dis"},{"key":"e_1_2_1_5_1","first-page":"333","article-title":"Effects of accidental chlorine inhalation on pulmonary function","volume":"143","author":"Charan NB","year":"1985","journal-title":"Western J Med"},{"key":"e_1_2_1_6_1","first-page":"365","article-title":"The prevalence of chronic obstructive pulmonary disease in chlorine gas workers","volume":"99","author":"Chester EH","year":"1969","journal-title":"Am Rev Respir Dis"},{"key":"e_1_2_1_7_1","doi-asserted-by":"publisher","DOI":"10.1080\/00039896.1984.10545858"},{"key":"e_1_2_1_8_1","first-page":"26","article-title":"Prevalence of chronic respiratory disease in a pulpmill and paper mill in the United States","volume":"24","author":"Ferns BG","year":"1967","journal-title":"Br J Ind Med"},{"key":"e_1_2_1_9_1","first-page":"127","article-title":"Mortality and morbidity in a pulp and paper mill in the United States: A ten\u2010year follow\u2010up","volume":"36","author":"Ferris BG","year":"1979","journal-title":"Br J Ind Med"},{"key":"e_1_2_1_10_1","doi-asserted-by":"publisher","DOI":"10.1080\/00039896.1983.10543984"},{"key":"e_1_2_1_11_1","first-page":"765","article-title":"Pulmonary function among pulp and paper workersin Berlin, New Hampshire","volume":"46","author":"Henneberger PK","year":"1989","journal-title":"Br J Ind Med"},{"key":"e_1_2_1_12_1","first-page":"1190","article-title":"Lung function after acute chlorine exposure","volume":"134","author":"Jones RN","year":"1986","journal-title":"Am Rev Respir Dis"},{"key":"e_1_2_1_13_1","doi-asserted-by":"publisher","DOI":"10.1080\/00039896.1971.10665950"},{"key":"e_1_2_1_14_1","unstructured":"KennedySM EnarsonDA JanssenRG Chan\u2010Yeung M. (1990):Lung health consequences of accidental chlorine gas exposures among pulp mill workers. Am Rev Respir Dis 142."},{"key":"e_1_2_1_15_1","doi-asserted-by":"publisher","DOI":"10.1097\/00007611-198201000-00007"},{"key":"e_1_2_1_16_1","doi-asserted-by":"publisher","DOI":"10.1378\/chest.97.4.820"},{"key":"e_1_2_1_17_1","first-page":"69","article-title":"Long\u2010term effects of sulfur dioxide exposure in pulpmills","volume":"21","author":"Skalpe IO","year":"1964","journal-title":"Br J Ind Med"},{"key":"e_1_2_1_18_1","volume-title":"Industrial First Aid Regulations Article 1.20.","author":"WorkerS' Compensation Board of British Columbia","year":"1979"}],"container-title":["American Journal of Industrial Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/api.wiley.com\/onlinelibrary\/tdm\/v1\/articles\/10.1002%2Fajim.4700200107","content-type":"unspecified","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1002\/ajim.4700200107","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,10,23]],"date-time":"2023-10-23T03:52:06Z","timestamp":1698033126000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1002\/ajim.4700200107"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1991,1]]},"references-count":17,"journal-issue":{"issue":"1","published-print":{"date-parts":[[1991,1]]}},"alternative-id":["10.1002\/ajim.4700200107"],"URL":"https:\/\/doi.org\/10.1002\/ajim.4700200107","archive":["Portico"],"relation":{},"ISSN":["0271-3586","1097-0274"],"issn-type":[{"value":"0271-3586","type":"print"},{"value":"1097-0274","type":"electronic"}],"subject":[],"published":{"date-parts":[[1991,1]]}}}