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Tuberculosis risk in funeral home employees.

Authors
Gershon-RR; Vlahov-D; Escamilla-Cejudo-JA; Badawi-M; McDiarmid-M; Karkashian-C; Grimes-M; Comstock-GW
Source
J Occup Environ Med 1998 May; 40(5):497-503
NIOSHTIC No.
20024591
Abstract
In order to estimate the risk of tuberculosis infection among employees in the funeral service industry, we conducted a risk-assessment study of a convenience sample of funeral home employees. Study participants completed a risk-assessment questionnaire and underwent tuberculin skin testing. Of 864 employees tested, 101 (11.7%) had a reactive tuberculin skin test. Reactivity to the tuberculin skin test was significantly associated with job category; funeral home employees with a present or past history of embalming deceased-human remains were twice as likely to be reactive as were non-embalming personnel (14.9% versus 7.2%, P < 0.01). Reactivity was also associated with age, gender, race, past history of close contact with a person diagnosed with tuberculosis, and work history. After controlling for age and other factors, tuberculin reactivity was found to be associated in embalming personnel with the number of years spent performing embalmings (> or = 20), and, in non-embalming personnel, with a history of close contact with infected individuals. Based on these results, it is recommended that funeral home employees who routinely embalm cadavers undergo annual tuberculin skin testing, receive initial training on tuberculosis prevention, and wear respiratory protection when preparing known tuberculosis cases.
Keywords
Risk-factors; Work-environment; Occupational-diseases; Occupational-exposure; Occupational-health; Sampling; Demographic-characteristics; Age-factors; Racial-factors; Sex-factors; Risk-analysis; Respiratory-protective-equipment; Respiratory-protection; Respiratory-system-disorders; Pulmonary-system-disorders
Contact
Robyn R.M. Gershon, MHS, DrPH, The Johns Hopkins University School of Public Health, 615 N. Wolfe St, Rm 8503, Baltimore, MD 21205
CODEN
JOEMFM
Publication Date
19980501
Document Type
Journal Article
Funding Amount
148530
Funding Type
Grant
Fiscal Year
1998
NTIS Accession No.
NTIS Price
Identifying No.
Grant-Number-R01-OH-003459
Issue of Publication
5
ISSN
1076-2752
Source Name
Journal of Occupational and Environmental Medicine
State
MD
Performing Organization
Johns Hopkins University, Baltimore, Maryland
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