Before effective treatments were introduced in the 1950s, tuberculosis was a leading cause of death and disability in the United States. Health care workers were at particular risk. Although the occupational risk of tuberculosis has been declining in recent years, this new book from the Institute of Medicine concludes that vigilance in tuberculosis control is still needed in workplaces and communities. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measures—such as those recommended by the Centers for Disease Control and Prevention—intended to prevent transmission of tuberculosis in health care and other workplaces. It discusses whether proposed regulations from the Occupational Safety and Health Administration would likely increase or sustain compliance with effective control measures and would allow adequate flexibility to adapt measures to the degree of risk facing workers.
Table of Contents
|2 Basics of Tuberculosis||24-42|
|3 Occupational Safety and Health Regulation in Context||43-55|
|4 Comparison of CDC Guidelines and Proposed OSHA Rule||56-80|
|5 Occupational Risk of Tuberculosis||81-107|
|6 Implementation and Effects of CDC Guidelines||108-136|
|7 Regulation and the Future of Tuberculosis in the Workplace||137-156|
|Appendix A Study Origins and Activities||173-178|
|Appendix B The Tuberculin Skin Test||179-188|
|Appendix C The Occupational Tuberculosis Risk of Health Care Workers||189-229|
|Appendix D Effects of CDC Guidelines on Tuberculosis Control in Health Care Facilities||230-270|
|Appendix E OSHA in a Health Care Context||271-292|
|Appendix F Respiratory Protection and Control of Tuberculosis in Health Care and Other Facilities||293-308|
|Appendix G Recommendations of the Institute of Medicine Committee||309-313|
|Appendix H Committee Biographies||314-318|
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