Impairment and disability evaluation: II. Various legislations
2013
The various legislations that concern work-related asthma (WRA) are reviewed
and discussed in this chapter. Medicolegal compensation of WRA covers two
major aspects: (i) diagnosis, compensation, and readaptation of the worker
at the time of referral; and (ii) long-term compensation for impairment and
disability after the diagnosis. In some countries, the diagnosis relies on
the existence of tables that list all agents that are accepted in causing
occupational asthma (OA): for this, the fact of being exposed to one of
these agents and having symptoms, compatible immunological and functional
features is enough to accept a case of compensation. In other countries,
whatever the agent, the presence of symptoms and compatible immunological
and functional changes is sufficient. A detailed table presents for
different countries the following information: Identification of the
responsible administration, who submits the claim? Are immunologic
irritant-induced OA as well as asthma aggravated at work compensated? Who
examines claims? Is a positive specific inhalation challenge a prerequisite
to confirm the diagnosis? Information on the number of cases accepted on a
yearly basis and if permanent disability is awarded is also given.
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