Episode 169 focuses on occupational asthma as a serious but often overlooked respiratory condition caused or worsened by workplace exposures. Dr. Ayers emphasizes that leaders frequently miss early warning signs, normalize symptoms, or underestimate the long‑term impact. The episode pushes leaders to treat respiratory complaints as exposure indicators, not personal health issues.
Workers develop asthma symptoms from exposure to:
Dusts
Fumes
Vapors
Chemicals
Cleaning agents
Isocyanates
Flour, wood dust, welding fumes, and more
Many cases go undiagnosed because symptoms appear gradually.
Early signs include:
Coughing
Wheezing
Shortness of breath
Chest tightness
Symptoms improving on weekends or days off
Workers often assume it’s allergies, age, or “just a cold,” and leaders miss the pattern.
Dr. Ayers stresses that occupational asthma is:
A workplace exposure problem, not a personal health flaw
A sign that controls are failing
A preventable condition when hazards are addressed
Blaming the worker is unethical and ineffective.
Supervisors should watch for:
Workers avoiding certain tasks
Increased use of inhalers
More breaks or slower pace
Complaints about odors or irritation
Symptoms that worsen during specific operations
These are early indicators of exposure‑related asthma.
Effective prevention includes:
Ventilation improvements
Substituting safer chemicals
Enclosing processes
Ensuring PPE is used correctly
Rotating workers
Monitoring air quality
Asthma symptoms are a lagging indicator — controls must address the source.
Workers often hide symptoms because they:
Don’t want to be removed from the job
Think symptoms are “normal”
Fear being blamed
Don’t connect symptoms to exposure
Leaders must encourage reporting and treat symptoms as exposure data.
Episode 169 reinforces that occupational asthma is preventable, but only when leaders take respiratory symptoms seriously, investigate exposures, and strengthen controls. Ignoring early signs allows a reversible condition to become permanent — and that’s a leadership failure, not a worker issue.