- D3.503 - Occupational Respiratory Allergies in Tunisia: Professional Outcomes and Risk Factors Among Workers

Occupational respiratory allergies (ORA), including asthma and rhinitis, are underdiagnosed causes of work disability in Tunisia, particularly in textile and food industries.

A cross-sectional study (2020–2022) included all ORA patients diagnosed at the Occupational Medicine Department in Sousse. Data on exposure, diagnosis, and outcomes were extracted from records and verified by phone interview.

Of 43 patients (mean age 46.2 ± 8 years; 63.4% machine operators), 43.9% worked in textiles. Allergic rhinitis (54.5%) and occupational asthma (38.6%) predominated. Main agents: vegetable textile dust (34.8%) and flour (18.2%). At follow-up, 47.3% remained in their original job (with adjustments), 22.9% were reassigned, and 29.8% lost employment. Older age (p < 0.001) and longer exposure predicted job loss.

ORA leads to significant workforce attrition in Tunisia. Early diagnosis, workplace modifications, and reassignment policies are urgently needed to preserve employment in high-risk sectors.