Health hazard evaluation report: HETA-92-0232-2767, Grady Memorial Hospital, Atlanta, Georgia.
Miller A; Tepper A; Sieber K; Decker J
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 92-0232-2767, 1999 Nov; :1-52
On April 16, 1992, the National Institute for Occupational Safety and Health (NIOSH) received a request from the American Federation of State, County, and Municipal Employees (AFSCME) for a Health Hazard Evaluation (HHE) at Grady Memorial Hospital (GMH) in Atlanta, Georgia. The request concerned the risk of transmission of Mycobacterium tuberculosis (MTB) to hospital workers. Additionally, the hospital requested NIOSH assistance in evaluating aerosol control and containment efforts (i.e., fan systems in patient rooms, new isolation rooms) to reduce the potential for nosocomial MTB infection. In response to these requests, NIOSH investigators conducted numerous site visits to GMH throughout the fall and winter of 1992, and spring of 1993. Information from the evaluation of the hospital environment is described in letters sent to hospital management and union representatives. These letters are included as Appendices to this report. The remainder of this report focuses on the epidemiologic study of the risk of MTB transmission (as defined by tuberculin skin test (TST) conversions) among hospital workers with 'patient contact' compared to workers with 'no patient contact'. This information was described in a letter that was sent to the hospital and union in February 1998.
Infectious-diseases; Risk-factors; Respiratory-infections; Ventilation-systems; Hazard-Confirmed; Region-4;
Author Keywords: General medical and surgical hospitals; tuberculosis; hospital workers; occupational exposure; nosocomial transmission; tuberculin skin test
Field Studies; Hazard Evaluation and Technical Assistance
NTIS Accession No.
National Institute for Occupational Safety and Health