{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,16]],"date-time":"2026-09-16T20:12:08Z","timestamp":1789589528133,"version":"build-2803163510"},"reference-count":30,"publisher":"Oxford University Press (OUP)","issue":"2","license":[{"start":{"date-parts":[[2021,12,17]],"date-time":"2021-12-17T00:00:00Z","timestamp":1639699200000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/academic.oup.com\/journals\/pages\/open_access\/funder_policies\/chorus\/standard_publication_model"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2022,2,22]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Firefighter applicants (FFAs) with a history of asthma may be refused entry to the fire service because of potentially putting themselves and others at risk.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aims<\/jats:title>\n                    <jats:p>We undertook a service evaluation to identify respiratory and employment outcomes of FFAs with a history of asthma who had undergone additional respiratory assessment at our specialist occupational lung disease clinic during 2005\u201319.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>We reviewed FFA medical records and categorized them as having either no current asthma or definite\/probable asthma at the time of clinic assessment. \u2018No current asthma\u2019 was defined as negative non-specific bronchial hyper-responsiveness (BHR) to histamine\/methacholine, and no symptoms or treatment within the 2 years before clinic. \u2018Definite\/probable current asthma\u2019 was defined as either positive BHR, or negative BHR with symptoms and\/or treatment within the previous 2 years. Around 1 year later, we contacted FFAs to enquire about their application outcome and current respiratory symptoms.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Data were available on 116 applicants; of whom, 45% (n = 52) had definite\/probable current asthma and were significantly more likely to be older, atopic to common aeroallergens, report atopic disease and have a lower forced expiratory volume in one second\/forced vital capacity ratio compared with applicants with no current asthma. Only two individuals\u2019 applications were rejected due to asthma. At follow-up, just 2 (2%) of the 90 operational firefighters reported any recent trouble with asthma.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>A history of asthma alone is not sufficient to determine current asthma in FFAs. Even with a diagnosis of current asthma, FFAs are mostly successful in their application to join the fire service.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1093\/occmed\/kqab162","type":"journal-article","created":{"date-parts":[[2021,10,29]],"date-time":"2021-10-29T15:11:00Z","timestamp":1635520260000},"page":"118-124","source":"Crossref","is-referenced-by-count":4,"title":["Assessment and outcomes of firefighter applicants with possible asthma"],"prefix":"10.1093","volume":"72","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5373-580X","authenticated-orcid":false,"given":"T","family":"Kabir","sequence":"first","affiliation":[{"name":"National Heart & Lung Institute, Imperial College London, Emmanuel Kaye Building, 1b Manresa Road, London SW3 6LR, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"S","family":"Schofield","sequence":"additional","affiliation":[{"name":"National Heart & Lung Institute, Imperial College London, Emmanuel Kaye Building, 1b Manresa Road, London SW3 6LR, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"B","family":"Fitzgerald","sequence":"additional","affiliation":[{"name":"Royal Brompton and Harefield Hospitals, part of Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London SW3 6NP, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Cannon","sequence":"additional","affiliation":[{"name":"Royal Brompton and Harefield Hospitals, part of Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London SW3 6NP, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Szram","sequence":"additional","affiliation":[{"name":"Royal Brompton and Harefield Hospitals, part of Guy\u2019s and St Thomas\u2019 NHS Foundation Trust, London SW3 6NP, UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J","family":"Feary","sequence":"additional","affiliation":[{"name":"National Heart & Lung Institute, Imperial College London, Emmanuel 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