The Role Of The Pathologist In Environmental and Occupational Disease.
The role of the pathologist in environmental and occupational disease and prevention is reviewed. Methods used for detecting, limiting, and controlling environmental hazards are discussed. These methods include technology control, biological monitoring, environmental monitoring, medical surveillance, and epidemiological studies. The problem of too few occupational medical practitioners in the United States is examined. Consideration is given to the need for developing more awareness among physicians and pathologists. The current role of the research and service pathologist is discussed. This chiefly consists of providing or confirming a physician's diagnosis and possibly participating in clinical discussions. New interdisciplinary alliances and new equipment are necessary to properly study environmental and occupational diseases. Toxicologists should be included as regular members of hospital medical and diagnostic teams. Clinical laboratory equipment should include chromatography, scanning microscopy, spectrometry, and spectroscopy. The pathologist should insist on occupational and environmental work histories for all cases. Programs such as the NIOSH Education Resource Center, the American Pathology Registry, and the Registry of Environmental Pathology are mentioned. The author concludes that the role of the pathologists needs to be better defined.
NIOSH-Author; Occupational-medicine; Industrial-medicine; Clinical-diagnosis; Epidemiology; Pathology; Diagnostic-techniques; Medical-personnel;
Office of Extramural Coordination and Special Projects, NIOSH, Public Health Service, U.S. Department of Health, Education, and Welfare, 11 pages, 6 references