HHE Report No. HETA-93-0365-2421, Spectrum Health Care, Inc., Newark, New Jersey.
NIOSH 1994 May:19 pages
In response to a request from the management at Spectrum Health Care Inc. (SIC-8093), Newark, New Jersey, an investigation was begun into the potential for tuberculosis transmission resulting from contact with the client population. Administrative and engineering controls used to reduce worker exposures to Mycobacterium-tuberculosis were examined. Spectrum was a nonprofit organization, operating as an outpatient methadone maintenance and detoxification center. Treatment was provided for cocaine and heroin addicts. About 700 clients used the facility over the past year. The center employed physicians, social workers, nurses, and clerical staff. At least 67 tuberculin skin tests on clients yielding positive results. Of the 55 employees, eight had a positive skin test prior to employment, and three others tested positive on the initial skin test. Of the remaining 44, three employees converted to a positive skin test during their work at the center. These three performed different job tasks, and converted at different times. Air mixing occurred among all areas of the center, and 100% of the air was recirculated. The authors conclude that a potential hazard existed for workers exposed to clients who have active tuberculosis. The author recommends that the ventilation systems, the use of personal protective equipment and the skin testing program should be improved.
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; NIOSH-Technical-Assistance-Report; HETA-93-0365-2421; Hazard-Confirmed; Region-2; Infectious-diseases; Health-care-personnel; Bacterial-infections; Health-care-facilities; Infection-control;
Hazard Evaluation and Technical Assistance;
NTIS Accession No.
Hazard Evaluations and Technical Assistance Branch, NIOSH, U.S. Department of Health and Human Services, Cincinnati, Ohio, Report No. HETA-93-0365-2421, 19 pages, 24 references