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Acute antimicrobial pesticide-related illnesses among workers in health-care facilities - California, Louisiana, Michigan, and Texas, 2002-2007.

Authors
Mehler-L; Schwartz-A; Diebolt-Brown-B; Badakhsh-R; Calvert-GM; Lee-S-J
Source
JAMA J Am Med Assoc 2010 Jul; 304(2):152-154
NIOSHTIC No.
20037166
Abstract
Antimicrobial pesticides (e.g., sterilizers, disinfectants, and sanitizers) are chemicals used to destroy or suppress the growth of harmful microorganisms on inanimate objects and surfaces. Health-care facilities use antimicrobial pesticides to prevent pathogen transmission from contaminated environmental surfaces. Occupational exposures to antimicrobial pesticides are known to cause adverse health effects. To assess the nature and frequency of such exposures in health-care settings, CDC analyzed data from pesticide poisoning surveillance programs in California, Louisiana, Michigan, and Texas (the only four states that regularly collect data on antimicrobial pesticide-related illness) for the period 2002-2007. This report summarizes the results of that analysis, which identified 401 cases of work-related illness associated with antimicrobial pesticide exposures in health-care facilities. Most cases were identified through workers compensation systems (61%) and occurred among females (82%) and persons aged 25-54 years (73%). The most frequent occupations reported were janitors/housekeepers (24%) and nursing/medical assistants (16%). The reported mechanism of injury usually was splashes/spills (51%). The eyes were the most common organ/system affected (55%); only 15% of the 265 persons who had exposures while handling antimicrobial pesticides reported using eye protection. Reported symptoms were mostly mild and temporary. One fatality due to acute asthma and subsequent cardiopulmonary collapse was identified. Health-care facilities should educate workers about antimicrobial pesticide hazards, promote the use of personal protective equipment (PPE) as appropriate, and implement effective risk communication strategies for antimicrobial pesticide use to prevent bystander exposure. Improved design of handling equipment might prevent handler and bystander exposure.
Keywords
Antibacterial-agents; Microorganisms; Health-care-facilities; Pesticides; Disinfectants; Chemical-cleaning; Poisons; Surveillance-programs; Health-care-personnel; Health-hazards; Hazardous-materials; Personal-protective-equipment; Region-4; Region-5; Region-6; Region-9; Materials-handling; Training
CODEN
JAMAAP
Publication Date
20100714
Document Type
Journal Article; Academic/Scholarly
Funding Type
Cooperative Agreement
Fiscal Year
2010
NTIS Accession No.
NTIS Price
Identifying No.
Cooperative-Agreement-Number-U60-OH-008466; Cooperative-Agreement-Number-U60-OH-008473
Issue of Publication
2
ISSN
0098-7484
NIOSH Division
DSHEFS
Priority Area
Agriculture, Forestry and Fishing
Source Name
Journal of the American Medical Association
State
CA; GA; LA; MI; OH; TX
Performing Organization
Michigan State University
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