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Instant Medical Surveillance: The Evaluation of Biological and Chemical Dangers, 2nd Edition

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Frank L. Mitchell, DO, MPH

This Second Edition contains completely new sections on:

• Smoking, Obesity, and Lifestyles in the Workplace
• Disaster Management including general principles and specific suggestions for both made-made and natural disasters.
• A number of chemicals have been added including cobalt, hydrogen sulfide, mercaptans, and a discussion of the recent OSHA standard for Chromium (6)
• Wherever possible, Internet addresses have been added to simplify searches for further information.
• Reviews have been added of the current status of such issues as Avian flu, West Nile Virus, and food flavoring issues.

Also exclusive to this edition is an extensive Appendix that contains all relevant OSHA forms and required questionnaires for such subjects as:

• Asbestos
• 1,3-Butadiene
• Bloodborne Pathogens Standard Model Exposure Control Plan
• Cadmium
• Cotton Dust
• Formaldehyde
• Methylene Chloride
• Respiratory Protection Standard

All that is built on top of the already packed pages of the first edition that provides the latest information on medical surveillance for chemical and other toxic substances, infectious and allergenic agents, and physical hazards found in the workplace.

Throughout, Instant Medical Surveillance presents the essential information in a way that is easy to understand, not only for those who are trained in medicine, nursing, or industrial hygiene, but also for other professionals such as human resources personnel and attorneys.

With this completely updated pocket guide you can quickly locate the latest information about a broad range of occupational safety and public health issues you may encounter on the job. Conveniently sized to go wherever your work takes you, it's organized for quick reference and ease of use, with documented source materials and internet addresses supplied wherever possible.

In these pages you'll find such essentials as summaries of chemicals which may be found in the workplace and in the environment; management of physical hazards such as heat, cold, and radiation; hazardous waste issues; many OSHA and environmentally related regulations; how to determine whether a true cluster of illness may be present; controlling infection in the workplace; and responding to naturally occurring and man-made disasters.

An extensive Appendix contains all relevant OSHA forms and required questionnaires for a variety of topics including asbestos, bloodborne pathogens, formaldehyde, respiratory protection, and more.

Concise and compact, this indispensable guide is the tool physicians, occupational and public health personnel, attorneys, and other related professionals need to rapidly familiarize themselves with topics of urgent occupational, environmental, and public health importance.

Table of Contents


Section I. Overview of Medical Surveillance

The Doctor-Patient Relationship in Medical Surveillance
Exposure Limits
Preplacement Examination
Periodic Surveillance
Respiratory Evaluation and Chest Radiography
Respiratory Protection

Section II. Federally Mandated Surveillance

Arsenic (Inorganic)
Bloodborne Pathogens
Chromium (VI)
Cotton Dust
Diesel Exhaust
Equal Employment Opportunity Commission (EEOC) and the Americans with Disabilities Act (ADA)
Ethylene Oxide
Methylene Chloride
Respiratory Protection
Vinyl Chloride

Section III. Other Chemicals and Substances

Acetic Acid
Asphalt and Asphalt Fume
Carbon Disulfide
Carbon Monoxide
Ceramic Fibers
Cholinesterase-Inhibiting Substances (Pesticides)
Cytotoxic Drugs
Hydrofluoric Acid
Hydrogen Chloride
Hydrogen Peroxide
Hydrogen Sulfide
Manganese and Manganese Fume
Mercury (Inorganic)
Metalworking Fluids
Nickel (Metallic and Inorganic)
Nitrogen Dioxide
Peracetic Acid
Phenol and Phenolic Compounds
Proteolytic Enzymes
Silica (Crystalline)
Sodium Hydroxide
Soldering (Rosin-Based)
Sulfur Dioxide
Toluene and Xylene
Trimellitic Anhydride
Zinc Oxide Fume (Metal Fume Fever)

Section IV. Smoking, Obesity and Wellness in the Workplace


Section V. Disaster Management

General Considerations
General Precautions Applicable to All Disaster Situations
Specific Considerations
Natural Disasters
Man-Made Disasters

Section VI. Physical Hazards

Cold Work Environments
Confined Spaces
Electromagnetic Fields
Hot Work Environments
Sunlight and Skin Cancer
Whole-Body Vibration

Section VII: Substance Abuse Testing

Overview and Basic Principles
Establishing a Company Drug-Testing Program

Section VIII. Department of Transportation (DOT) Driver Surveillance

Overview and Basic Principles

Section IX. Infectious and Allergenic Exposures

Animal Feces and Urine
Animal Handling
Avian Influenza (Bird Flu)
Human Immunodeficiency Virus (HIV)
Latex Exposure
Lyme Disease
Molds and Mildew
Occupational Asthma
West Nile Virus
Resource 3: Latex Allergy Questionnaire

Section X. Special Topics

Back Problems
Cluster Investigations
Difficult Medical Conditions of Unknown Etiology
Environmental Medicine
Flavorings in Food Products (Diacetyl)
Hazardous Waste and Other Hazardous Materials

Appendix: Websites for OSHA Forms

About the Author:
Frank L. Mitchell, DO, MPH is board-certified in occupational medicine by the American Board of Preventive Medicine. He served for 30 years as a medical officer in the U.S. Public Health Service. During his service, he was a senior reviewer at the National Institute for Occupational Safety and Health (NIOSH), and was, for 13 years, Chief Medical Officer for the Agency for Toxic Substances and Disease Registry(ATSDR). Since his retirement from the Public Health Service, Dr. Mitchell has been a consultant in occupational and environmental medicine in Atlanta and Medical Director of Qualisys, a medical surveillance and drug-testing firm.
Publication Date 2007
Format Softcover, 428 pages
ISBN 978-1-883595-47-0
Product Code 23094