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   Source To Surgery - January 1993, Vol. 1 Issue

Latex Allergy - Why Not?
A number of theories are evolving as to why there are continually increasing reports of latex allergy, according to Dr. Jay Slater, National Children's Hospital, Washington D.C., editorial J. Allergy Clinical Immunology, September 1992.

"If latex allergy is a new phenomenon, why is it happening now? Many speculative explanations exist. It is most likely that changes in latex manufacturing methods or usage patterns have been important factors. If so, then occupational health officials, epidemiologists, allergists and basic scientists have a unique opportunity to collaborate in the study of the evolution of this disorder. The lessons that we learn may help us to prevent future outbreaks of hypersensitivity to materials that we currently consider to be biologically inert."

Another theory maintains we are now suffering a "down stream effect" from the latex glove shortages in 1987-89. During that period, latex gloves were in short supply due to the U.S. HIV reaction and CDC recommendations prior to issuing of OSHA Universal Precautions. In this shortage period, many new Asian glove manufacturers suddenly appeared on the market. These inexperienced manufacturers were probably unaware of the benefits of proper leaching during the manufacturing process. Fresh water leaching and after process washing are responsible for removal of most of the water soluble latex proteins some of which are currently felt to be causing latex allergy. Should this theory be valid, then it is likely that many health care workers and patients exposed to unleached gloves may have been sensitized by latex allergens.


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