Below are the first 10 and last 10 pages of uncorrected machine-read text (when available) of this chapter, followed by the top 30 algorithmically extracted key phrases from the chapter as a whole.
Intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text on the opening pages of each chapter.
Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.
Do not use for reproduction, copying, pasting, or reading; exclusively for search engines.
OCR for page R1
Role of the
Primp Care Physician
in Occupabon~1 and
Environments Medians
OCR for page R2
Not only in antiquity
hut irz our own times also laws have been passed in
well-ordered cities to secure good conditions for the
workers; so it is only right that the art of medictrze
should con~trz~rute its portion for the benefit and relief of
those for whom the law has shown such foresight;
indeed we ought to show peculiar zeal, though so far we
have neglected to do so, in taking precautions for their
safety, so that as far as possible they may work at their
chosen calling without loss of health.
OCR for page R3
Role f the
Primary Care Physician
in Occupational and
Environmental Medicine
DIVISION OF HE'S PROMOTION AND DISEASE ~~ION
INSTITUTE OF MEDICINE
NATIONAL ACADEMYPRESS
Washington, D.C. 19~38
OCR for page R4
NOTICE: The project that is the subject of this report was approved by the Governing Board of
the National Research Council, whose members are drawn from the councils of the National
Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine. The
members of the committee responsible for the report were chosen for their special competencies
and with regard for appropriate balance.
This report has been reviewed by a group other than the authors according to procedures
approved by a Report Review Committee appointed by the members of the National Academy of
Sciences, the National Academy of Engineering, and the Institute of Medicine.
The Institute of Medicine was chartered in 1970 by the National Academy of Sciences to enlist
distinguished members of the appropriate professions in the examination of policy matters
pertaining to the health of the public. In this, the Institute acts under both the Academy's 1863
congressional charter responsibility to be an adviser to the federal government and its own
initiative in identifying issues of medical care, research, and education.
The study was supported under contracts with the Environmental Protection Agency (Grant
Nos. R813648~1 and R813648-01-0~; the National Institute for Occupational Safety and Health,
Centers for Disease Control; the National Institute of Environmental Health Sciences, National
Institutes of Health; and a grant from the Charles A. Dana Foundation Incorporated (OPVT~658-
001~. Additional support was provided by the National Research Council (NRC) Fund (ALOC-
8897-001 ), a pool of private, discretionary, nonfederal funds that is used to support a program of
Academy-initiated studies of national issues in which science and technology figure significantly.
The NRC Fund consists of contributions from a consortium of private foundations including the
Carnegie Corporation of New York, the Charles E. Culpeper Foundation, the William and Flora
Hewlett Foundation, and the John D. and Catherine T. MacArthur Foundation, the Andrew W.
Mellon Foundation, the Rockefeller Foundation, and the Alfred P. Sloan Foundation; the
Academy Industry Program, which seeks annual contributions from companies that are concerned
with the health of United States science and technology and with public policy issues with
technological content; and the National Academy of Sciences and the National Academy of
Engineering endowments.
Translated excerpts from De Morbis Dzatnba (Diseases of Workers) by Bernardino R:unazzini are
reprinted in this report with the permission of the Classics of Medicine Library O1983 Special
Edition copyright. A reprint ofthe Latin text ofthe 1713 revised edition, with translation end noses
by Wilmer Cave Wright, published by the University of Chicago Press, 1940, copyright 1940, by the
New York Academy of Medicine.
Woodcuts from The Book of Trades (Standebuch) by lost Amman and Hans Sachs (New York:
Dover Publications, 1973, with an Introduction by Benjamin A. Rifkin) are reprinted in this report
with the permission ofthe publisher. The woodcutswere originally published in Frankfurt am Main
in 1568.
Publication No. IOM-88{)5
Available from:
National Academy Press
2101 Constitution Avenue, N.W.
Washington, D.C. 20418
A charge of $3. DO for postage and handling is required.
Printed in the United States of America
OCR for page R5
coMMIrrEE ON THE ROLE OF THE PHYSICIAN IN OCCUPATIONALAND
ENVIRONMENTAL MEDICINES
Bernard D. Goldstein (Chair), Professor and Chairperson, Department of
Environmental and Community Medicine, UMDN{/Robert Wood Johnson
Medical School, Piscataway, New~ersey
Joseph M. Cannella, Corporate Medical Director, Mobil Oil Company, New York, New
York
David S. Citron, Director of Medical Education, Charlotte Memorial Hospital and
Medical Center, Charlotte, North Carolina
Molly Joel Coye, State Commissioner of Health, New Jersey Department of Health,
Trenton, New Jersey
Neil I. Elgee, Clinical Professor of Medicine, Summit Madison Medical Group,
Seattle, Washington
Robert A. Fried, Luther L. Terry Preventive Medicine Fellow, Association of Teachers
of Preventive Medicine, Washington, D.C.
Peter B. Mutt, Partner, Covington and Burling, Washington, D.C.
George W. Jackson, Director of Employee Occupational Health and Chief of the
Division of Occupational Medicine, Duke University Medical Center, Durham,
North Carolina
Alan A. McLean, Clinical/Associate Professor, Department of Psychiatry, Cornell
University Medical College, Westport, Connecticut
Clifford S. Mitchell, Resident Physician, Department of Medicine, Francis Scott Key
Medical Center, Baltimore, Maryland
Linda Rosenstock, Director of Occupational Medicine, Universiny of Washington,
Seattle, Washington
James L. Weeks, Deputy Administrator for Occupational Health, United Mine
Workers of America, Washington, D.C.
David H. Wegman, Professor and Head, Department of Work Environmen. ~ College
of Engineering, Lowell, Massachusetts
Stanford Wessler, Associate Dean of Postgraduate Programs, New York University
School of Medicine, New York, New York
Consultant
Kathleen M. Rest, Pew Health Policy Fellow, Boston University, Boston, Massachusetts
*See Appendix B for further information on committee members and the consultant.
v
OCR for page R6
Institute of Medians Stab
James V. Warren, Study Director
Enriqueta C. Bond, Director, Division of Health Promotion and Disease Prevention
Kyung-Sook Lee, Research Associate
Wallace K Waterfall, Editor
Linda DePugh, Administrative Assistant
Contributors of Commissioned Paperer
Nicholas Ashford, Associate Professor of Technology and Poliq, Center for
Technology, Policy, and Industrial Development, Massachusetts Institute of
Technology, Cambridge, Massachusetts
Edward Baker, Deputy Director, Centers for Disease Control/National Institute for
Occupational Safepr and Health, Atlanta, Georgia
Leslie I. Boden, Associate Professor of Public Health, Environmental Health Section,
Boston University, Boston, Massachusetts
Mark Cullen, Associate Professor, Medicine/Epidemiology, Yale Occupational
Medicine Program, New Haven, Connecticut
Ray Demers, Associate Professor, Wayne State University, Department of Family
Medicine, Center for Occupational Health, University Health Center, Detroit,
Michigan
Frank Goldsmith, Dean, Harry Van Arsdale School of L abor Studies, Empire State
College, State University of New York, New York, New York
Warren Heffron, Professor and Chairman, Department of Family, Community and
Emergenq Medicine, University of New Mexico School of Medicine, Albuquerque,
New Mexico
Patricia Honchar, Chief, Surveillance Coordinating Activity, Office of Director,
Centers for Disease Control/National Institute for Occupational Safety and
Health, Atlanta, Georgia
Thomas Kottke, Assistant Professor, Department of Cardiology, University of
Minnesota, Minneapolis, Minnesota
Bany Kelly, Director, Occupational Health Program, Department of Family and
Community Medicine, University of M~chusetts Medical Center, Worcester,
Massachusetts
Daniel Masys, Director, Lister Hill Center, National Library of Medicine, Bethesda,
Maryland
Raymond Neutra, Chief of Epidemiology, State of California Deparunent of Health
Services, Berkeley, California
*See Appendix A for abstracts of the commissioned papers.
v'
OCR for page R7
David Parkinson, Chief of Occupational Medicine, Department of Community and
Preventive Medicine, Health Science Center, State University of New York at Stony
Brook, Stony Brook, New York
Graham Ward, Assistant Research Professor of Medicine, The Cardiovascular
Institute, Boston, Massachusetts
Other Contributors
Norbert I. Berberich, Chief, Curriculum Development Group, National Institute for
Occupational Health and Safety, Cincinnati, Ohio
Henry Falk, Director, Division of Environmental Hazards and Health Effects, Centers
for Environmental Health and Injury Control, Centers for Disease Control,
Atlanta, Georgia
Barry Johnson, Associate Administrator, Agency for Toxic Substance and Disease
Registry, Atlanta, Georgia
Kathryn Kahler, National Correspondent for Newhouse Newspapers, Washington,
D.C.
Marvin Kuschner, Dean of the Medical School, Health Science Center, State
University of New York at Stony Brook, Stony Brook, New York
Frank Mitchell, Chief Medical Officer, Agency for Toxic Substance and Disease
Registry, Atlanta, Georgia
Anthony Robbins, Professor and Director of Vaccine Project, School of Public Health
in the School of Medicine, Boston University, Boston, Massachusetts
August Swanson, Vice President, Division of Academic Affairs, American Association
of Medical Colleges, Washington, D.C.
Ralph Yodaiken, Director of the Office of Occupational Medicine, Occupational
Safety and Health Administration, Department of Labor, Washington, D.C.
Sponsors ' Representatives
Scott R. Baker, Special Assistant to the Assistant Administrator, Office of Research
and Development, Environmental Protection Agency, Washington, D.C.
Stephen Foster, Program Officer, The Charles A. Dana Foundation, New York, New
York
Carl Keller, Epidemiologist, National Institutes of Health, Bethesda, Maryland
Max Lum, Health Educational Specialist, Agency for Toxic Substance and Disease
Registry, Atlanta, Georgia
Melvin L. Myers, Deputy Assistant Director, Centers for Disease Control/National
Institute for Occupational Safety and Health, Atlanta, Georgia
. .
v::
