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M9470072.TXT
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1994-07-02
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Document 0072
DOCN M9470072
TI Occupationally acquired tuberculosis: what's known.
DT 9409
AU Bowden KM; McDiarmid MA; National Naval Medical Center, Bethesda,
Maryland.
SO J Occup Med. 1994 Mar;36(3):320-5. Unique Identifier : AIDSLINE
MED/94253937
AB Tuberculosis (TB) morbidity and mortality have increased substantially
since the mid-1980s in areas with a high prevalence of medically
underserved populations, human immunodeficiency virus, foreign-born
persons, residents of long-term care facilities and crowded correctional
institutions, and alcoholics and intravenous-drug abusers. The
occupational risk has likewise increased for those exposed to these
high-risk people in the course of their work. The magnitude of the
occupational hazard is present unclear, although implications are
disturbing. We used available data bases containing occupational
exposure information, and telephone surveys, in an attempt to elucidate
the magnitude of risk of occupationally acquired TB. We obtained
up-to-date employee conversion rates at high-risk institutions,
identified changing rates of TB infection and disease over time,
documented high conversion rates following accidental exposures, and
revealed a relative lack of reported TB disease and deaths. Numerous
barriers to worker protection against TB are identified and
recommendations are made to reduce the risk of occupationally acquired
tuberculosis.
DE *Disease Transmission, Patient-to-Professional/PREVENTION &
CONTROL/STATISTICS & NUMER DATA Human Incidence Occupational
Diseases/*EPIDEMIOLOGY/PREVENTION & CONTROL *Personnel,
Hospital/STATISTICS & NUMER DATA Prevalence
Tuberculosis/*EPIDEMIOLOGY/PREVENTION & CONTROL/TRANSMISSION United
States/EPIDEMIOLOGY JOURNAL ARTICLE REVIEW REVIEW LITERATURE
SOURCE: National Library of Medicine. NOTICE: This material may be
protected by Copyright Law (Title 17, U.S.Code).