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 measuresâ€"such as those recommended by the Centers for Disease Control and Preventionâ€"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.

This book discusses occupational health and safety, including occupational policies, legislative acts, and laws for protection of workers. Epidemiology and toxicology are examples of two fields that make contributions to exposure assessments and illuminate the adverse health effects associated with work-related exposures. Among the adverse health outcomes that have been linked with the work environment are cancer, respiratory illness, and reproductive abnormalities. Unintentional injuries are one of the leading causes of work-related morbidity and mortality, but the psychological and social environment can also affect the health of workers by influencing levels of stress and morale. Methods have been developed to reduce exposures to hazards and increase occupational safety through redesign of the work environment, introduction of engineering controls, and limiting exposures to physical, microbial, and chemical agents. --

Received document entitled: RESPONDENT'S SUPPLEMENTAL BRIEF