Hunter's Diseases of Occupations

Contributors

About the Editors

Preface

Acknowledgement

List of abbreviations

PART ONE - GENERAL CONSIDERATIONS

Section One: Diagnosis of Occupational Disease: Steve Nimmo

1: The occupational history

Raymond Agius and Anli Yue Zhou

2: Occupational exposure to hazardous substances

David I Mcbride and Moazzam A Zaidi

3: Human Biomonitoring

Craig Sams And Kate Jones

Section Two: Extent and Attribution of Occupational Disease: Steve Nimmo

4: Epidemiological methods and evidence-based occupational medicine

David Coggon And Damien Mcelvenny

5: Attribution of Disease

Anthony Newman Taylor and David Coggon

Section Three: Legal Issues: Steve Nimmo

6: Compensation Schemes

Anthony Newman Taylor and David Walters

7: Medicolegal reports and the role of the expert witness

Diana M Kloss

8: Assessment and reporting when malingering is suspected

Derek K Tracy and Skye Blackshaw

PART TWO – DISEASES ASSOCIATED WITH CHEMICAL AGENTS:

Section One: Occupational Toxicology: Steve Nimmo

9: Occupational toxicology: general principles

Craig Sams

10: Hazards and risks in occupational and environmental exposures

Ruth J Bevan and Paul T C Harrison

Section Two: Metals: Steve Nimmo

11: Antimony

Malcolm R Sim Am

12: Arsenic

Malcolm R Sim Am

13: Cadmium

Christopher J Martin and Sandy Brundage

14: Chromium

Christopher J Martin and Sandy Brundage

15: Cobalt

Christopher J Martin and Sandy Brundage

16: Gold

Candace Tannis

17: Lead

Hideki Igisu

18: Mercury

Rabeea F. Khan

19: Molybdenum

Malcolm R Sim

20: Nickel

Brie H. Blackley

21: Phosphorus

Malcolm R Sim

22: Silver

Candace Tannis

23: Tungsten

Marcus S Cervantes and Timothy Bruehwiler

24: Silicon

R. Reid Harvey and Alyson Fortner

25: Lithium

Lisa Kobos

26: Aluminium

Perrine Hoet and Martin Hogan

27: Beryllium

Lee S Newman, Holly M Christensen and Martin Hogan

28: Copper

Martin Hogan

29: Iron

Martin Hogan

30: Magnesium

Martin Hogan

31: Manganese

Grant McMillan, Finlay D Dick and Martin Hogan

32: Platinum Group Elements

Ivo Iavicoli and Veruscka Leso

33: Polonium

 Martin Hogan

34: Thallium

Ivo Iavicoli and Veruscka Leso

35: Tin

Ivo Iavicoli and Veruscka Leso

36: Uranium

Martin Hogan

37: Vanadium

Finlay D Dick and Martin Hogan

38: Zinc

Martin Hogan

Sction Three: Gases: Johanna Feary

39: Gases

Huda Badri and Jennifer Hoyle

40: Deliberate release of nerve agents in warfare and by terrorists

Allister Vale

Section Four: Other Chemical Exposures: Peter Noone

41: Organic Chemicals

Tiina Santonen and Katri Suuronen

42: Pesticides and other agrochemicals

Ian Brown, Rosemary Waring, Steve Mitchell and Claudio Colosio

43: Welding

Karen S. Galea and Chris Stenton

44: The semiconductor industry

David Koh and Ro-Ting Lin

PART THREE – DISEASES ASSOCIATED WITH PHYSICAL AGENTS:

Section One: Noise: John Hobson

45: Sound, noise and the ear

Azhar M Shaida, Richard T Ramsden and Shakeel R Saeed

Section Two: Vibration: John Hobson

46: Hand-arm vibration syndrome

Roger Cooke and Ian J Lawson

47: Whole body vibration

Massimo Bovenzi

Section Three: Heat and Cold: John Hobson

48: Cold and Heat

Clare Eglin and Michael Tipton

Section Four: Barometric Pressure: John Hobson

49: Diving and work at increased pressure

John Colvin, Mark Glover and Andrew Colvin

50: Working at high altitude

Emma Wallace

51: Aviation and Space Medicine

Catherine Wayne, Peter Hodkinson and Dan Ashdown

Section Five: Radiation: John Hobson

52: Radiation Medicine

Sarah Jackson, David Brown, Jonathan Peters, Graham Nicholson and one other

53: Non-ionizing radiation - Electromagnetic fields: static, extremely low frequency and radiofrequency fields

Fabriziomaria Gobba and Alberto Modenese

54: Optical radiation: IR, visible and UV radiation

Fabriziomaria Gobba and Alberto Modenese

PART FOUR – DISEASES RELATED TO ERGONOMIC AND MECHANICAL FACTORS:

Section One: The Musculoskeletal System: John Hobson

55: Musculoskeletal Disorders

Karen Walker-Bone

PART FIVE – OCCUPATION AND TRANSMISSIBLE DISEASES:

Section One: Occupational Infections: Dipti Patel

56: Occupational Infections

Dipti Patel and Kirsten Macgregor

57: Zoonoses

Jacob Asplin, Katherine Russell, Hilary Kirkbride and Lesley Larkin

58: Emerging Infections and Pandemics

Thomas Waite, Kirsten Macgregor and Beth Smout

Section Two: Bioterrorism: Dipti Patel

59: Bioterrorism

Ruth Milton and Rohan Mehra

PART SIX – WORK AND MENTAL HEALTH:

Section One: Work and Stress: Neil Greenberg

60: Work and health

Gail Kinman

61: Primary prevention of mental health problems in the workplace

Samantha K Brooks and Neil Greenberg

62: Early detection and intervention for mental health problems in workplace

Elizabeth Stratton and Nick Glozier

63: Mental Healthcare Provision for Workers

Darren Minshall

64: Addictions and the workplace

Derek K Tracy, Lisa Lloyd, Nina Singh, Mark Tarn and Neil Greenberg

65: Medically unexplained physical symptoms

Christoffel Grobler

PART SEVEN – RESPIRATORY DISORDERS:

Section One: General Issues: Anthony Newman-Taylor and Johanna Feary

66: Occupational lung diseases: a global perspective

André Amaral and Paul Cullinan

67: Chronic airflow limitation, chronic bronchitis and emphysema

Nicola Murgia, Paul D. Blanc and David Fishwick

68: Health effects related to non-industrial workplace indoor environments

Jouni J.K. Jaakkola and Maritta S. Jaakkola

Section Two: Organic Dust Diseases: Anthony Newman-Taylor and Johanna Feary

69: Occupational asthma

Johanna Feary and Paul Cullinan

70: Acute Inhalation Injuries

Peter Reid and Paul Cullinan

71: Byssinosis and other Cotton Related Conditions

Asaad Ahmed Nafees and David Fishwick

72: Hypersensitivity pneumonitis

Chris Barber, Gareth Walters and Paul Cullinan

Section Three: Inorganic Dust Diseases: Anthony Newman-Taylor and Johanna Feary

73: Asbestos and asbestos-related disease

 Ruth Wiggans and Chris Warburton

74: Epidemiology of asbestos-related diseases

Robin M Rudd

75: Silica exposure and silicosis

Patrick Howlett, Christopher C. Huntley and Deborah H Yates

76: Diseases caused by mineral dusts, other than asbestos, silica, beryllium, metals and coal

Jennifer Hoyle

77: Metal Dust and Fumes

Steven Ronsmans and Benoit Nemery

78: Beryllium and beryllium-related disease

Maeve MacMurdo, Margaret Mroz and Lisa Maier

79: Coal Workers’ Lung Disease

Anthony Seaton

PART EIGHT – OTHER EFFECTS OF WORKPLACE EXPOSURES:

Section One: Occupational Diseases of the Skin: Dipti Patel

80: Occupational diseases of the skin

Catriona Wootton

Section Two: Occupational Cancers: Dipti Patel

81: Occupational cancer: epidemiology, biological mechanisms and biomarkers

Hannah Thompson, Stephanie Tuminello, Pakhi Goel and Emanuela Taioli

Section Three: Other Systemic Effects: Dipti Patel

82: Nephrotoxic effects of workplace exposures

Rema Saxena and Simon Williams

83: Neurotoxic effects of workplace exposures

Frederick W. Vonberg

84: Hepatotoxic effects of workplace exposure

Martin Hogan

85: Workplace exposures and reproductive health

Jens Peter Ellekilde Bonde and Luise Mølenberg Begtrup

86: Haematologic and haemopoietic effects of workplace exposures: anaemias, leukaemias and lymphomas

John D Meyer

Section Four: Shift Work: Dipti Patel

87: Shiftwork and long working hours

Philip Tucker, Mikko Härmä and Göran Kecklund

Biography

Professor Steve Nimmo is a clinical academic and consultant in occupational medicine. He was editor of the journal Occupational Medicine for 7 years. He is the immediate past president of the Faculty of Occupational Medicine of the Royal College of Physicians. He served in the Royal Navy for 10 years and worked in the National Health for 20 years.  He currently works as Chief Medical Officer for a multinational company.

Dr Johanna Feary is a clinical academic in occupational lung disease at Imperial College London and the Royal Brompton Hospital. She has published research, book chapters and clinical guidelines on a range of occupational lung diseases and was editor of the European Respiratory Society Monograph on Occupational and Environmental Lung Disease published in 2020. She is a past chair of the British Thoracic Society Specialist Advisory Group on Occupational and Environmental Lung Disease (2022-2025).

Professor Neil Greenberg is a consultant academic, occupational and forensic psychiatrist based at King’s College London. He is the current (2026) President of the Society of Occupational Medicine. Neil served in the United Kingdom Military for more than 23 years and has published more than 400 scientific papers and book chapters. 

John Hobson is a retired consultant occupational physician and former lecturer in occupational medicine at the Universities of Keele, Manchester and Birmingham. He was the editor of The Society of Occupational Medicine’s journal, Occupational Medicine, between 2002 and 2018 and co-editor of the fifth and sixth editions of Fitness For Work, published by OUP.

Professor Sir Anthony Newman Taylor was Professor of Occupational and Environmental Medicine at National Heart and Lung Institute and consultant physician at Brompton Hospital, London, where he was Head of a joint Department of Occupational and Environmental Medicine between 1982 and 2012. He was Chair of Industrial Injuries Advisory Council between 1996 and 2008, of Independent Medical Expert Group of Armed Forces Compensation Scheme between 2010 and 2019 and of HSE Workplace Health Expert Committee between 2016 and 2025. He is currently chair of the Colt Foundation and Emeritus Professor of Occupational and Environmental Medicine at Imperial College, London.

Peter Noone is a consultant in occupational medicine and member of the occupational medicine faculty of the Royal College of Physicians of London, UK. He's deputy editor of Occupational Medicine Journal OUP and an Assistant Editor since 2008. He had 30 years experience in occupational medicine working in the NHS and the Irish Health service. He's a past president of the Travel Medicine Society of Ireland and ISOM. He's current a Medical Director for Ireland for Health Partners Group UK.

Dr Dipti Patel is a consultant in occupational medicine and travel medicine. She is the Director of the National Travel Health Network and Centre (NaTHNaC), the Chief Medical Officer at the Foreign, Commonwealth, and Development Office (FCDO), and an honorary lecturer in Population Health, Health Services Research, and Primary Care within the School of Health Sciences at Manchester University.  Dipti is a Counsellor of the International Society of Travel Medicine.  She is a member of the UK Malaria Expert Advisory Group, the Travel Subcommittee of the Joint Committee on Vaccination and Immunisation, and the WHO International Travel and Health Guideline Development Group.