Planning for Occupational Health Needs in a Health Service Area.
Garofalo A; Wegman DH; Robbins A; Noren J
NIOSH 1977 Oct:251 pages
Development of general approaches to reduce occupational health problems is reviewed. Central focus is on control and prevention. Five general approaches to the problems are recommended and experimental data are given in support. Surveillance programs should be those that seek out disease patterns and functional changes associated with specific exposures. This would include evaluation of specific functions for exposure to known occupational hazards. Environmental monitoring entails setting standards for materials and systematically conducting sampling sessions to determine that those exposures which occur are within the accepted limits. If these limits are exceeded, control measures must be instituted in the form of general and personal protection. Biologic monitoring entails sampling of body fluids for signs of increased blood enzymes and blood concentrations and presence of metabolites in blood, expired air, or urine. Disease or impairment monitoring entails routine measurement of organ function such as pulmonary function tests and hemoglobin or hematocrit tests. Major types of impairment screening tests are presented. Changes in reporting systems would include establishment of hot lines and tapping into the Utilization Review System and Workers' Compensation reporting system. Establishment of a high risk patient protection plan should involve a close association between workers and the attendant physician and health staff. Educational and manpower strategies should be based on use of public service funds using Health Service area priorities with planned extension of existing training programs to serve occupational health needs. The authors conclude that ultimate worker protection will be best achieved through a combination of approaches and services.
NIOSH-Contract; Safety-research; Occupational-health; Biochemical-analysis; Biological-monitoring; Blood-sampling; Urinalysis; Blood-plasma; Physiological-testing; Contract-210-76-0190;
NTIS Accession No.
NIOSH, Public Health Service, U.S. Department of Health, Education, and Welfare, Cincinnati, Ohio, NTIS PB-274-077