Guide to Controlling Asthma at Work

Unlike at home, you may have less control at work over your exposure to certain irritants and allergens that can be harmful if inhaled and can cause asthma symptoms (coughing, wheezing, and shortness of breath).

Here are four steps to prevent asthma symptoms at work.

Step 1: Avoid exposure to allergens or irritants that cause asthma symptoms.

The best way to prevent asthma at work is to minimize the sources of indoor and outdoor air pollution. Identifying the sources, removing the sources, making sure the ventilation system is working properly and the airflow is not blocked are key steps to solving indoor air problems.

One of the most important steps you can take to prevent asthma symptoms is to identify what you are being exposed to at home and at work that may be causing your asthma to flare-up. Some exposures in the work environment have been associated with causing asthma symptoms.1 You may think of an industrial workplace or “dirty job” as a place where you may be exposed to things that could make your asthma worse. But, exposures to allergens and irritants in an indoor office spaces are equally as important to consider when you have asthma. Office buildings can be a threat to lung health if not properly maintained.

  • Identify your asthma triggers at work. Learn ways to limit your exposure to things that make your asthma worse or avoid them all together.

  • Eliminate sources of unhealthy air. Find out how building owners, managers and employees can work together to improve indoor air quality where you work.

Asthma triggers found in the workplace include:

  • mold
  • airborne dusts
  • gases, fumes, and vapors
  • secondhand smoke
  • cleaning chemicals and scented personal care products
  • pests (dust mites, cockroaches, mice)
  • stress

Outdoor workers who have asthma also face risks of breathing problems from exposures to outdoor air pollution, especially for jobs on the road and near roadways.

Common triggers for outdoor workers include:

  • Outdoor air (ozone, particle pollution, nitrogen oxides, sulfur dioxides)
  • Diesel
  • Vehicle exhaust
  • [1]: National Institute for Occupational Safety and Health (NIOSH). Work-related lung disease surveillance report 2002. DHHS (NIOSH) Publication No. 2003-111, 2003, p191. [link]

Step 2: Get help from your healthcare provider for your breathing problems.

Make sure to see your healthcare provider as soon as you start having symptoms. Asthma can be controlled but requires two things – limiting or avoiding exposure to an asthma triggers and using asthma medicines as prescribed by your doctor. An asthma action plan can help!

It is important to keep track of your symptoms and remember everything you need to share with your healthcare provider. Here are some tools that will help you give your doctor all the information he or she needs to properly link your workplace to your asthma symptoms.

  • Keep a log or diary of your symptoms and bring it into your physician.
  • Make sure to tell your provider about new symptoms and where you work. Download the Getting Ready for Your Office Visit form and complete the sections to improve the time that you have together.

Step 3: Report respiratory symptoms immediately as well as breakdowns in ventilation and other protective equipment to your employer. Your co-workers also may be at risk.

Unhealthy air? Breathing problems? Follow these 3 important steps:

  1. Let your supervisor and building management know there may be a problem. Follow the usual and proper steps to alert them, as you may need to document the steps you took later.
  2. Tell your health care provider about your symptoms. Report the symptoms to your company's health or safety officer. The state or local health department may also need to be informed. Ask the health or safety officer if you should do that yourself.
  3. Work with management as they investigate the problem. The process may take longer than anyone wants because the underlying problems may be difficult to identify.

Your employer is legally responsible for informing you of general and specific hazards connected with your job. Your employer is also responsible for providing you with a safe and healthful workplace. You can help by being alert for unsafe and unhealthful working conditions and reporting any problems.

  • Review the American Lung Association’s Signs of Potential Problems for more information on recognizing hazards and investigating the problem.
  • Request a Health Hazard Evaluation. If you suspect a health hazard at your workplace, employees, employee representatives, or employers can request an evaluation of possible health hazards associated with a job or workplace. The Centers for Disease Control and Prevention, National Institutes of Occupational Safety & Health can provide assistance and information by phone, in writing, or may visit the workplace to assess exposure and employee health.

Step 4: Take care of your asthma. See your healthcare provider regularly, take medications as directed, and avoid environmental exposures that worsen your asthma.

Asthma is a lung disease that makes breathing difficult for millions of Americans, both young and old. There is no cure for asthma, but the good news is it can be managed and treated so you can live a normal, healthy life. The American Lung Association has a number of resources to help.

  • Learn more about asthma. The better you and your loved ones can manage living with this disease, making the most of every day, and maintaining the quality of life that is important to you.
  • Participate in Asthma Basics. Asthma Basics is a 50-minute online learning module targeted to adults and caregivers interested in learning more about asthma. Participants that complete the course are able to recognize and manage asthma triggers, understand the value of an asthma action plan, and recognize and respond to a breathing emergency. This course is quick and easy and includes videos and downloadable documents.
  • Six action steps to keep your asthma under control. Once you have an understanding of what it means to have asthma, it’s time to find out what you can do to manage the disease.
  • Questions about your lung health? Talk to a lung health specialist at the Lung HelpLine. 1-800-586-4872 (1-800-LUNGUSA).

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Employers are responsible for providing safe work conditions, including healthy air. Although many laws have been passed to protect workers, problems with air quality on the job are often overlooked. Review the American Lung Association’s Preventing Problems page to find out what workers and employers can do to prevent dirty air from polluting the workplace and endangering their health.

If you are experiencing a breathing problem at work, encourage your employer to take steps to creating a lung-friendly workplace. Send your employer an email today!