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Guidelines for medical screening in the workplace.
Matte-TD; Fine-L; Meinhardt-TJ; Baker-EL
Occup Med: State of the Art Rev 1990 Sep; 5(3):439-456
The general principles of conducting medical examinations to detect adverse health effects of workplace exposures and thereby prevent occupational disease or slow its progression were reviewed. These medical examinations were not exposure specific, but rather are applicable to all medical programs. Much of the discussion is most relevant to screening for effects of chemical hazards, but many of the principles apply also to biological hazards and physical hazards as well. Specific topics addressed included: the purposes of workplace examinations (screening of individual workers, establishing work relatedness of previously diagnosed conditions, surveillance of groups of workers, and supplemental exposure monitoring); designing and implementing medical testing programs (assessment of hazards, potential end organ toxicities for each exposure, characteristics of screening tests, baseline examinations, periodic examinations, exit examinations, interpretation of and action based on individual test results, interpretation and action based on group test results); and administrative aspects of screening programs (voluntary and informed consent, information employers should provide to the examining physician, maintenance of medical records, maintenance of other records, confidentiality, and quality assurance).
NIOSH-Author; Physical-examination; Medical-screening; Occupational-health-programs; Industrial-health-programs; Worker-health; Medical-monitoring
Issue of Publication
Occupational Medicine: State of the Art Reviews. Medical Surveillance in the Workplace
Page last reviewed: April 12, 2019
Content source: National Institute for Occupational Safety and Health Education and Information Division