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Health hazard evaluation report: HETA-92-215-2268, A.G. Holley State Hospital, Lantana, Florida.

Tubbs RL; Bresler FT
Cincinnati, OH: U.S. Department of Health and Human Services, Public Health Service, Centers for Disease Control and Prevention, National Institute for Occupational Safety and Health, HETA 92-215-2268, 1992 Nov; :1-34
In response to a request from the Department of Health and Rehabilitative Services of the State of Florida, an investigation was begun into possible hazardous working conditions at the A. G. Holley State Tuberculosis Hospital (SIC-8069), Lantana, Florida. The adequacy of the ventilation system in place at the hospital for control of nosocomial transmission of tuberculosis was evaluated. Measurements were taken of the air flow from supply and exhaust diffusers in patient rooms along with temperature and humidity readings. Air flow was examined between patient rooms and hallways and between hospital wards. Current employee infection control practices were reviewed. The results indicated that the ventilation systems did not provide adequate fresh air to all of the rooms located on the second and third floors. The authors conclude that deficiencies noted in the ventilation systems could contribute to the transmission of tuberculosis bacilli from infectious patients to other patients and staff. The authors recommend specific measures, including the redesigning of some patient rooms, a restructuring of part of the ventilation system, adequate inspection of the ventilation equipment, institution of a respirator policy, instruction in proper usage of germicidal ultraviolet lamps, consistency in the skin testing protocol, and upgrading of the record keeping system.
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; NIOSH-Technical-Assistance-Report; HETA-92-215-2268; Hazard-Confirmed; Health-care-personnel; Disease-transmission; Health-care-facilities; Infectious-diseases; Bacterial-infections; Ultraviolet-radiation; Region-4; Author Keywords: Specialty Hospitals, Except Psychiatric; Tuberculosis; TB; state hospital; ventilation; infection control
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Field Studies; Hazard Evaluation and Technical Assistance
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National Institute for Occupational Safety and Health
Page last reviewed: September 2, 2020
Content source: National Institute for Occupational Safety and Health Education and Information Division