For clarity in presenting its analysis, the committee slightly edited the questions as follows. (1) Are health care and selected other categories of workers at greater risk of infection, disease, and mortality due to tuberculosis than others in the community within which they reside? If so, what is the excess risk due to occupational exposure? Can the risk be quantified for different work environments and different job classifications? (2) What is known about the implementation and effects of CDC guidelines to control worker exposure to tuberculosis in hospitals, correctional facilities, and other work settings? (3) Given what is known about the CDC guidelines, what will be the likely effects on tuberculosis infection, disease, or mortality of an OSHA rule to protect workers from occupational exposure to tuberculosis?
Although the revised questions broadened the scope of the committee’s work beyond health care workers, most of the information identified by the committee focused on health care workers, mainly hospital employees. The committee arranged for five background papers that appear as Appendixes B, C, D, E, and G in this report. It also conducted a 1-day workshop and a half-day public meeting to solicit oral and written statements from interested organizations. Both these meetings were open to the public. The agendas are listed below.
INSTITUTE OF MEDICINE COMMITTEE ON REGULATING OCCUPATIONAL EXPOSURE TO TUBERCULOSIS
Public Meeting Lecture Room, National Academy of Sciences 2101 Constitution Avenue NW, Washington, DC. Monday, August 7, 2000
Welcome and Overview of Meeting
Walter Hierholzer, M.D., Committee Chair
Service Employees International Union, AFL-CIO
William Borwegen, M.P.H.
Occupational Health and Safety Director
American Federation of State, County, and Municipal Employees
James August, M.P.H.
Assistant Director for Research and Health Services