Conference on Medical Screening and Biological Monitoring for the Effects of Exposure in the Workplace, July 10-13, 1984, Cincinnati, Ohio, program and presentation abstracts, July 1984.
NIOSH, 1984 Jul; :1-73
Medical screening and biological monitoring are two techniques in a continuum of practices used to prevent occupational disease. Medical screening is the examination of workers for pathological conditions. Biological monitoring is the examination of the worker for the presence of an intoxicant or its metabolite. Thee techniques are common in industry, and frequently components of health standards recommended by NIOSH to OSHA. However, an underlying set of principles for medical screening and biological monitoring in the workplace has not been delineated. We propose a modification of the principles for screening in the community more appropriate for the workplace. These precepts include: (1) the disease to be prevented should be important; (2) the disease need not be treatable but must be preventable; (3) follow up care should be planned for participants of screening programs; (4) the condition sought must have a recognizable latent or early symptomatic stage; (5) the screening test need not be uncomplicated or inexpensive; (6) professionals who utilize the tests must be skilled in their interpretation; (7) screening tests should be targeted to specific job risks; (8) the timing of tests should be determined by the natural history of the disease; (9) the test should be effective; (10) normal values for screening test results for the workforce should not be assumed to be equivalent to those values in the community; (11) action levels for test results should be decided upon before the commencement of the screening program; (12) the program should be acceptable to the workforce; and, (13) the goals of the screening program, whether identification of individuals for treatment, or evaluation of more primary preventive measures, such as environmental monitoring, should be specified. This modified set of principles is not a statement of the policy of NIOSH on this important subject, but rather a presentation of the authors' views as a starting point to begin a dialogue on these issues at this conference.
Meetings; Industrial-medicine; Medical-screening; Preventive-medicine; Biological-monitoring; Speakers; Presentations
NTIS Accession No.
National Institute for Occupational Safety and Health