Tuberculosis in the Workplace

Front Cover
National Academies Press, May 15, 2001 - Medical - 356 pages
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Before effective treatments were introduced in the 1950s, tuberculosis was a leading cause of death and disability in the United States. Health care workers were at particular risk. Although the occupational risk of tuberculosis has been declining in recent years, this new book from the Institute of Medicine concludes that vigilance in tuberculosis control is still needed in workplaces and communities. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measures‚€"such as those recommended by the Centers for Disease Control and Prevention‚€"intended to prevent transmission of tuberculosis in health care and other workplaces. It discusses whether proposed regulations from the Occupational Safety and Health Administration would likely increase or sustain compliance with effective control measures and would allow adequate flexibility to adapt measures to the degree of risk facing workers.

 

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Contents

Summary
1
1 Introduction
13
2 Basics of Tuberculosis
24
3 Occupational Safety and Health Regulation in Context
43
4 Comparison of CDC Guidelines and Proposed OSHA Rule
56
5 Occupational Risk of Tuberculosis
81
6 Implementation and Effects of CDC Guidelines
108
7 Regulation and the Future of Tuberculosis in the Workplace
137
A Study Origins and Activities
173
B The Tuberculin Skin Test
179
C The Occupational Tuberculosis Risk of Health Care Workers
189
D Effects of CDC Guidelines on Tuberculosis Control in Health Care Facilities
230
E OSHA in a Health Care Context
271
F Respiratory Protection and Control of Tuberculosis in Health Care and Other Facilities
293
G Recommendations of the Institute of Medicine Committee on Eliminating Tuberculosis in the United States
309
H Committee Biographies
314

References
157

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