Abstract
To report the occurrence of persistent respiratory disorders, including irritant-induced asthma, among adults living and working near an environmental spill of the pesticide, metam sodium, after the derailment of a tank car. Retrospective clinical case series. California communities situated within one-half mile of the Sacramento River, from Mt. Shasta City to Shasta Lake. 197 adults referred to a university occupational/environmental health clinic or to a private occupational/environmental health practitioner for evaluation of health problems potentially related to the spill. History, physical examination, review of medical records, spirometry, and methacholine challenge testing revealed 20 cases of persistent irritant-induced asthma and 10 cases of persistent exacerbation of asthma. This is the first reported series of cases of persistent irritant-induced asthma involving both community residents and occupationally exposed individuals.
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