Medical surveillance for ethylene oxide exposure : practices and clinical findings in Massachusetts hospitals

LaMontagne, Anthony D., Mangione, Thomas W., Christiani, David C. and Kelsey, Karl T. 1996, Medical surveillance for ethylene oxide exposure : practices and clinical findings in Massachusetts hospitals, Journal of occupational & environmental medicine, vol. 38, no. 2, pp. 144-154.

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Title Medical surveillance for ethylene oxide exposure : practices and clinical findings in Massachusetts hospitals
Author(s) LaMontagne, Anthony D.ORCID iD for LaMontagne, Anthony D.
Mangione, Thomas W.
Christiani, David C.
Kelsey, Karl T.
Journal name Journal of occupational & environmental medicine
Volume number 38
Issue number 2
Start page 144
End page 154
Total pages 10
Publisher Lippincott Williams and Wilkins
Place of publication Philadelphia, Pa.
Publication date 1996-02
ISSN 1470-7926
Summary The medical surveillance requirements of the Occupational Safety and Health Administration's (OSHA) ethylene oxide (EtO) standard became effective in 1985. However, little is known about the nature of the response of EtO users to this regulatory requirement. In an effort to begin to understand this, we conducted a survey of EtO health and safety in Massachusetts hospitals (n = 92). We determined the cumulative incidence of provision of EtO medical surveillance, the characteristics of the surveillance interventions provided, and the clinical findings of EtO medical surveillance efforts in Massachusetts hospitals. From 1985 to 1993, medical surveillance for EtO exposure was provided one or more times in 62% of EtO-using hospitals. Sixty-five percent of EtO medical surveillance providers reported performance of all five medical surveillance procedures required by OSHA's EtO standard. Medical surveillance provider certification in occupational medicine or nursing, and a greater extent of coverage of written medical surveillance policies, were related to higher likelihoods of fulfillment of OSHA-required procedures. Twenty-seven percent of medical surveillance providers reported detection of EtO-related symptoms or conditions, ranging from mucous membrane irritation to peripheral neuropathy. These findings reveal widespread implementation of OSHA-mandated EtO medical surveillance, with concomitant incomplete fulfillment of OSHA-specified procedures. From the provider-based survey, we estimate that one or more workers at 19% of EtO-using Massachusetts hospitals have experienced EtO-related health effects
Language eng
Field of Research 119999 Medical and Health Sciences not elsewhere classified
Socio Economic Objective 970111 Expanding Knowledge in the Medical and Health Sciences
HERDC Research category C1.1 Refereed article in a scholarly journal
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Document type: Journal Article
Collections: Faculty of Health
School of Health and Social Development
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