HHE Report No. HETA-91-0187-2544, Jackson Memorial Hospital, Miami, Florida.
Boudreau-Y; Decker-JA; Burton-N
NIOSH 1995 Nov:58 pages
In response to a request from an employee, an investigation was begun into possible hazardous working conditions at the Jackson Memorial Hospital (SIC-8062), Miami, Florida. Concern was expressed regarding exposure to tuberculosis hazards, ventilation systems, exposure to aerosolized pentamidine-isethionate (140647) (AP) and to Mycobacterium-tuberculosis, and potential exposure to ultraviolet (UV) irradiation from UV lamps which had been purchased but not activated. Employees who worked on wards with infectious tuberculosis patients had a higher 4 year rate of conversion on the tuberculin skin test than other workers, 14.5% versus 1.4%. Significantly higher rates of TST conversion were noted for exposed workers for 1989, 1990, and 1991, but not for 1992. Nurses had an 18.2% conversion rate and ward clerks, 15.6%. No greater symptom prevalence was found among workers who administered AP treatments. Similarly, their TST conversion was no different from other workers. The ventilation system in the urgent care clinic was found to be inadequate for the isolation of patients. Ultraviolet radiation from installed UV lamps exceeded the NIOSH recommended levels for 8 hour exposures. The authors recommend specific measures which pertain to each of these potential hazards.
NIOSH-Author; NIOSH-Health-Hazard-Evaluation; NIOSH-Technical-Assistance-Report; HETA-91-0187-2544; Region-4; Hazard-Confirmed; Health-care-personnel; Infectious-diseases; Disease-transmission; Bacterial-infections; Ultraviolet-radiation; Occupational-exposure;
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-91-0187-2544, 58 pages, 72 references