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Health hazard evaluation report: HETA-91-0187-2544, Jackson Memorial Hospital, Miami, Florida.
Boudreau Y; Decker JA; Burton N
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 91-0187-2544, 1995 Nov; :1-58
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; Author Keywords: General Medical and Surgical Hospitals; Mycobacterium tuberculosis; tuberculosis; TB; pentamidine isethionate; aerosolized pharmaceuticals; respirators; ventilation system; aerosol containment system; health care workers; ultraviolet radiation; germicidal lamps
Field Studies; Hazard Evaluation and Technical Assistance
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National Institute for Occupational Safety and Health
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