{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,10]],"date-time":"2026-05-10T07:08:55Z","timestamp":1778396935817,"version":"3.51.4"},"reference-count":33,"publisher":"Wiley","issue":"6","license":[{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,4,6]],"date-time":"2026-04-06T00:00:00Z","timestamp":1775433600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000125","name":"National Institute for Occupational Safety and Health","doi-asserted-by":"publisher","award":["U60OH008466"],"award-info":[{"award-number":["U60OH008466"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["American J Industrial Med"],"published-print":{"date-parts":[[2026,6]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>We assess the contribution of cardboard dust exposure to the development of work\u2010related asthma (WRA). Prior studies on paper\u2010dust\u2010related breathing problems have focused on exposures in the paper milling and pulp industries. There have been no reports of asthma linked to workplace exposure to cardboard dust.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>From 1988 to 2022, all cases of asthma associated with paper and cardboard\u00a0dust exposure reported to the Michigan\u00a0statewide surveillance system were identified. We summarize the characteristics of these workers.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Eight cases of paper\u2010dust\u2010related asthma were identified. Seven of the cases were attributed to cardboard dust, and one to paper dust exposure. Half were exposed to cardboard dust while packaging and shipping products in cardboard containers. Five of the cases were new\u2010onset asthma; the other three were work\u2010aggravated asthma. No exposures were reported from paper milling or pulp industries.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Cardboard dust was identified as a major contributor to the incidence of asthma associated with paper products. No cases were identified from the paper milling or pulping industry, despite most research studies reporting respiratory disease in that industry. Cardboard dust within manufacturing industries disproportionately contributed to cases of WRA in the state of Michigan, which is not reflected in the medical literature.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1002\/ajim.70080","type":"journal-article","created":{"date-parts":[[2026,4,7]],"date-time":"2026-04-07T02:59:20Z","timestamp":1775530760000},"page":"482-488","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Work\u2010Related Asthma From Exposure to Cardboard and Paper Products"],"prefix":"10.1002","volume":"69","author":[{"ORCID":"https:\/\/orcid.org\/0009-0008-5802-1740","authenticated-orcid":false,"given":"Mason E.","family":"Glanville","sequence":"first","affiliation":[{"name":"College of Osteopathic Medicine Michigan State University East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7267-9409","authenticated-orcid":false,"given":"Mary Jo","family":"Reilly","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine, College of Human Medicine Michigan State University East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-2053-4849","authenticated-orcid":false,"given":"Kenneth D.","family":"Rosenman","sequence":"additional","affiliation":[{"name":"Division of Occupational and Environmental Medicine, College of Human Medicine Michigan State University East Lansing Michigan USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2026,4,6]]},"reference":[{"key":"e_1_2_9_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rmed.2015.03.004"},{"key":"e_1_2_9_3_1","doi-asserted-by":"publisher","DOI":"10.1186\/1745-6673-719"},{"key":"e_1_2_9_4_1","doi-asserted-by":"publisher","DOI":"10.1007\/s00420-019-01469-6"},{"key":"e_1_2_9_5_1","doi-asserted-by":"publisher","DOI":"10.1002\/(sici)1097-0274(199602)29:2"},{"key":"e_1_2_9_6_1","doi-asserted-by":"publisher","DOI":"10.1136\/oemed-2019-106394"},{"key":"e_1_2_9_7_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12890-023-02338-2"},{"key":"e_1_2_9_8_1","doi-asserted-by":"publisher","DOI":"10.1289\/ehp.9875"},{"key":"e_1_2_9_9_1","doi-asserted-by":"publisher","DOI":"10.1002\/ajim.22904"},{"key":"e_1_2_9_10_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1988.03720130029025"},{"key":"e_1_2_9_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jclepro.2020.124314"},{"key":"e_1_2_9_12_1","doi-asserted-by":"publisher","DOI":"10.1513\/annalsats.201905-401oc"},{"issue":"3","key":"e_1_2_9_13_1","first-page":"1","article-title":"Surveillance of Work\u2010Related Asthma in Selected U.S. States Using Surveillance Guidelines for State Health Departments \u2013 California, Massachusetts, Michigan and New Jersey, 1993 \u2212 1995","volume":"48","author":"Jajosky R. 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