{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,5,14]],"date-time":"2026-05-14T09:09:39Z","timestamp":1778749779280,"version":"3.51.4"},"reference-count":15,"publisher":"Oxford University Press (OUP)","issue":"4","license":[{"start":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T00:00:00Z","timestamp":1676592000000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100000125","name":"National Institute for Occupational Safety and Health","doi-asserted-by":"publisher","award":["5U60-OH008487"],"award-info":[{"award-number":["5U60-OH008487"]}],"id":[{"id":"10.13039\/100000125","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2023,5,18]]},"abstract":"<jats:title>Summary<\/jats:title>\n               <jats:p>Logistics workers who handle cargo containers are at risk of toxic inhalation injuries, although prevalence and severities of these injuries are not well characterized. We report on a previously healthy 37-year-old supervisor who was acutely exposed to sodium metabisulphite and its thermal degradation by-products during a routine inspection of a shipping container. The employee developed chemical pneumonitis with acute non-cardiogenic pulmonary oedema and subsequent severe reactive airway dysfunction syndrome.<\/jats:p>","DOI":"10.1093\/occmed\/kqad009","type":"journal-article","created":{"date-parts":[[2023,2,17]],"date-time":"2023-02-17T08:01:56Z","timestamp":1676620916000},"page":"219-222","source":"Crossref","is-referenced-by-count":4,"title":["Toxic inhalation of sodium metabisulphite by-products from a shipping container"],"prefix":"10.1093","volume":"73","author":[{"given":"C","family":"Sack","sequence":"first","affiliation":[{"name":"Department of Medicine and Department of Environmental and Occupational Health Sciences, The University of Washington , Seattle, WA 98195 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-9176-2013","authenticated-orcid":false,"given":"C K","family":"Reeb-Whitaker","sequence":"additional","affiliation":[{"name":"Washington State Department of Labor and Industries, Safety and Health Assessment and Research for Prevention (SHARP) Program , Olympia, WA 98501 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"D","family":"Todorov","sequence":"additional","affiliation":[{"name":"Washington State Department of Labor and Industries, Safety and Health Assessment and Research for Prevention (SHARP) Program , Olympia, WA 98501 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P S","family":"Darby","sequence":"additional","affiliation":[{"name":"Virginia Mason Franciscan Occupational Medicine Associates , Tacoma, WA 98003 , USA"},{"name":"Department of Environmental and Occupational Health Sciences, University of Washington , Seattle, WA 98195 , USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"286","published-online":{"date-parts":[[2023,2,17]]},"reference":[{"key":"2023051900442883300_CIT0001","doi-asserted-by":"crossref","first-page":"545","DOI":"10.1093\/occmed\/kqn130","article-title":"Sodium metabisulphite induced airways disease in the fishing and fish-processing industry","volume":"58","author":"Steiner","year":"2008","journal-title":"Occ Med (Lond)"},{"key":"2023051900442883300_CIT0002","doi-asserted-by":"crossref","first-page":"144","DOI":"10.5603\/IMH.2016.0027","article-title":"Occupational asthma in maritime environments: an update","volume":"67","author":"Lucus","year":"2016","journal-title":"Int Marit Health"},{"key":"2023051900442883300_CIT0003","first-page":"563","article-title":"Sodium metabisulfite and SO2 release: an under-recognized hazard among shrimp fisherman","volume":"71","author":"Atkinson","year":"1993","journal-title":"Ann Allergy"},{"key":"2023051900442883300_CIT0004","volume-title":"Integrated science assessment (ISA) for sulfur oxides \u2013 Health criteria","author":"US Environmental Protection Agency (EPA).","year":"2017"},{"key":"2023051900442883300_CIT0005","volume-title":"Acute Exposure Guideline Levels for Selected Airborne Chemicals: Volume 8","author":"National Research Council (US) Committee on Acute Exposure Guideline Levels.","year":"2010"},{"key":"2023051900442883300_CIT0006","first-page":"1","article-title":"Acute and chronic responses to toxic inhalations.","volume-title":"Fishman\u2019s Pulmonary Diseases and Disorders","author":"Jing","year":"2015","edition":"5"},{"key":"2023051900442883300_CIT0007","author":"Centers for Disease Control and Prevention.","year":"2007"},{"key":"2023051900442883300_CIT0008","doi-asserted-by":"crossref","first-page":"747","DOI":"10.1016\/j.iac.2011.07.002","article-title":"Irritant-induced airway disorders","volume":"31","author":"Brooks","year":"2011","journal-title":"Immunol Allergy Clin North Am"},{"key":"2023051900442883300_CIT0009","doi-asserted-by":"crossref","first-page":"191","DOI":"10.5271\/sjweh.130","article-title":"A thirteen-year follow-up of respiratory effects of acute exposure to sulfur dioxide","volume":"22","author":"Piirila","year":"1996","journal-title":"Scand J Work Environ Health"},{"key":"2023051900442883300_CIT0010","doi-asserted-by":"crossref","first-page":"1","DOI":"10.1186\/s12995-015-0059-4","article-title":"Health risks in international container and bulk cargo transport due to volatile toxic compounds","volume":"10","author":"Baur","year":"2015","journal-title":"J Occup Med Toxicol"},{"key":"2023051900442883300_CIT0011","author":"European Agency for Safety and Health at Work","year":"2019"},{"key":"2023051900442883300_CIT0012","first-page":"259","article-title":"Hazardous off-gassing of carbon monoxide and oxygen depletion during ocean transportation of wood pellets","volume":"52","author":"Svedberg","year":"2008","journal-title":"Ann Occup Hyg"},{"key":"2023051900442883300_CIT0013","doi-asserted-by":"crossref","first-page":"368","DOI":"10.1111\/j.1399-3038.2005.00295.x","article-title":"Isocyanates, polyurethane and childhood asthma","volume":"16","author":"Krone","year":"2005","journal-title":"Pediatr Allergy Immunol"},{"key":"2023051900442883300_CIT0014","article-title":"Chemical pollutants in closed environments of transportation and storage of non-dangerous goods\u2014insufficient legislation, low awareness, and poor practice in Hungary","author":"Lovas","journal-title":"Int J Env Health"},{"key":"2023051900442883300_CIT0015","doi-asserted-by":"crossref","first-page":"481","DOI":"10.1093\/annweh\/wxab090","article-title":"Airborne fumigants and residual chemicals in shipping containers arriving in New Zealand","volume":"66","author":"Hinz","year":"2022","journal-title":"Ann Work Exp and Health"}],"container-title":["Occupational Medicine"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/academic.oup.com\/occmed\/article-pdf\/73\/4\/219\/50388685\/kqad009.pdf","content-type":"application\/pdf","content-version":"vor","intended-application":"syndication"},{"URL":"https:\/\/academic.oup.com\/occmed\/article-pdf\/73\/4\/219\/50388685\/kqad009.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2023,5,19]],"date-time":"2023-05-19T00:44:50Z","timestamp":1684457090000},"score":1,"resource":{"primary":{"URL":"https:\/\/academic.oup.com\/occmed\/article\/73\/4\/219\/7043732"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2023,2,17]]},"references-count":15,"journal-issue":{"issue":"4","published-online":{"date-parts":[[2023,2,17]]},"published-print":{"date-parts":[[2023,5,18]]}},"URL":"https:\/\/doi.org\/10.1093\/occmed\/kqad009","relation":{},"ISSN":["0962-7480","1471-8405"],"issn-type":[{"value":"0962-7480","type":"print"},{"value":"1471-8405","type":"electronic"}],"subject":[],"published-other":{"date-parts":[[2023,5,1]]},"published":{"date-parts":[[2023,2,17]]}}}