Nursing, Health, and the Environment (1995) / Chapter Skim
Currently Skimming:
Appendix D: Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental Health Hazards
Appendix D: Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental Health Hazards
Pages 148-238
The Chapter Skim interface presents what we've algorithmically identified as the most significant single chunk of text within every page in the chapter.
Select key terms on the right to highlight them within pages of the chapter.
From page 148... ...
D Environmental Health Resources: Agencies, Organizations, Services, General References, and Tables of Environmental Health Hazards Contents INTRODUCTION GOVERNMENT AGENCIES Federal Agencies, 149 State Agencies, 162 ASSOCIATIONS AND ORGANIZATIONS SELECTED TOPICAL RESOURCES COMPUTERIZED INFORMATION SERVICES GENERAL REFERENCES TABLES OF ENVIRONMENTAL AGENTS AND HEALTH EFFECTS, WORK-RELATED DISEASES AND CONDITIONS, AND SELECTED JOB CATEGORIES AND ASSOCIATED DISEASES AND CONDITIONS Table D.1: Environmental Agents, Their Sources and Potential Exposures, and Adverse Health Effects, 212 Table D.2: Selected Work-Related Diseases, Disorders, and Conditions Associated with Various Agents, Industries, or Occupations, 230 Table D.3: Selected Job Categories, Exposures, and Associated WorkRelated Diseases and Conditions, 237 149 149 173 197 199 208 211 148
|
From page 149... ...
selected environmental agents and their associated sources and potential exposures, (2) selected work-related diseases, disorders, and conditions associated with various agents, and (3)
|
From page 150... ...
Several projects have also been developed and implemented to advance these goals. Some of the programs are described below: · State Cooperative Agreements offer funding and assistance to state health departments for developing educational materials and activities in environmental medicine for health care professionals; · National Association of County Health Officials Environmental Health Project is a cooperative agreement with ATSDR to conduct instructional sessions and develop supporting materials for local health officials and the medical community concerning the communication of health risks from exposure to hazardous substances; · Project EPOCH-Envi is co-sponsored by ATSDR and the National Institute for Occupational Safety and Health (NIOSH)
|
From page 151... ...
The Environment, Safety and Health Office of the DOE provides independent oversight of departmental execution of environmental, occupational safety and health, and nuclear/nonnuclear safety and security laws, regulations, and policies; ensures that departmental programs are in compliance with environmental, health, and nuclear/nonnuclear safety protection plans, regulations, and procedures; provides an independent overview and assessment of Department-controlled activities to ensure that safety-impacted programs receive management review; and carries
|
From page 152... ...
As a complement to its other activities, the Agency coordinates and supports research and antipollution activities by state and local governments, private and public groups, individuals, and educational institutions. It also reinforces efforts among other federal agencies with respect to the impact of their operations on the environment, and it is specifically charged with publishing its determinations when those hold that a proposal is unsatisfactory from the standpoint of public health or welfare or environmental quality.
|
From page 153... ...
is responsible for general health services and resource issues relating to issues of access, equity, quality, and cost of care. In order to accomplish this goal, the Administration supports states and communities in their efforts to deliver health care to underserved segments of the population; participates in the federal campaign against AIDS; provides leadership in improving the education, distribution, quality, and use of the health professionals needed to staff the nation's health care system; tracks the supply of and requirements for health professionals and addresses their competence through the development of a health practitioner data bank; and strengthens the public health system by working with state and local public health agencies.
|
From page 154... ...
was established by the Occupational Safety and Health Act of 1970 to conduct research on occupational diseases and injuries, respond to requests for assistance by investigating problems of health and safety in the workplace, recommend standards to the Occupational Safety and Health Administration (OSHA) and the Mine Safety and Health Administration (MSHA)
|
From page 155... ...
which conduct research and administer graduate training programs in occupational medicine, occupational health nursing, and industrial hygiene and safety. They also provide continuing education programs for safety and health professionals and outreach programs for the community.
|
From page 156... ...
738-2255 MICHIGAN University of Michigan School of Nursing Department of Community Health Nursing 400 N Ingalls, Room 3340 Ann Arbor, MI 48109 Sally Lusk, RN, Ph.D.
|
From page 157... ...
Box 20186 Houston, TX 77225 Mary Kay Garcia, RN, DrPH Director, Occupational Health for Nurses Program Degree: MPH (713) 792-7456 UTAH University of Utah RMCOEH, Building 512 Salt Lake City, UT 84119 Darlene Meservy, RN, MPH, DrPH Director, Occupational Health Nursing Degree: MSPH, Ph.D., MPH (801)
|
From page 158... ...
Some of the awards are described below: · The Environmental/Occupational Medicine Academic Award Program was established by the NIEHS to address the need for increased awareness by physicians of the impact of environmental and occupa
|
From page 159... ...
Environmental/Occupational Medicine Academic Awards Chief, Environmental Health Resources Branch Division of Extramural Research and Training National Institute of Environmental Health Services P.O. Box 12233 Research Triangle Park, NC 27709 (919)
|
From page 160... ...
541-3212 National Institute of Nursing Research The National Institute of Nursing Research (NINR) provides leadership for nursing research, supports and conducts research and training, and disseminates information to build a scientific base for nursing practice and patient care, and to promote health and improve the effects of illness on the general public.
|
From page 161... ...
OSHA encourages employers and employees to reduce workplace hazards, implements new or improved safety and health programs, provides research in occupational safety and health, requires a reporting and recording system to monitor job-related illnesses and injuries, training, develops mandatory job safety and health standards and enforces them effectively, and provides for the development, analysis, evaluation, and approval of state occupational safety and health programs. Occupational Safety and Health Administration Office of Administrative Services 200 Constitution Avenue, N.W.
|
From page 162... ...
478-4845 (907) 465-3019 Arizona Department of Health Services 1740 W
|
From page 163... ...
State Street Boise, ID 83720 (208) 334-5945 Radon: Boise (800)
|
From page 164... ...
256-2494 (504) 925-7042 Maine Bureau of Health Department of Human Services State House Station 11 Augusta, ME 04333 (207)
|
From page 165... ...
571-4141 North Dakota Department of Health and Consolidated Labs State Capitol Judicial Wing 600 E Boulevard Avenue Bismarck, ND 58505 (701)
|
From page 166... ...
Box 16700 Salt Lake City, UT 84116 (801) 538-6111 Radon: Salt Lake City (801)
|
From page 167... ...
ALABAMA John Smith Director Alabama Department of Environmental Management 1751 Congressman W.L. Dickinson Drive P.O.
|
From page 168... ...
Tulou Secretary Delaware Department of Natural Resources and Environmental Control P.O. Box 1401 Dover, DE 19903 (302)
|
From page 169... ...
Shepherd Secretary Kentucky Natural Resources and Environment Protection Cabinet Capital Plaza Tower, 5th Floor Frankfort, KY 40601 (502) 564-3350 LOUISIANA William Kucharski Secretary Louisiana Department of Environmental Quality P.O.
|
From page 170... ...
296-7301 MISSISSIPPI J.I. Palmer Executive Director Mississippi Department of Environmental Quality P.O.
|
From page 171... ...
State Street, CN 402 Trenton, N]
|
From page 172... ...
772-2724 PUERTO RICO Hector Russe Martinez Chairman Puerto Rico Environmental Quality Board P.O.
|
From page 173... ...
266-2121 WYOMING Dennis Hemmer Director Wyoming Department of Environmental Quality 122 W 25th Street Cheyenne, WY 82002 (307)
|
From page 174... ...
was originally established to help eliminate prejudice in nursing for men. Today, the AAMN provides a forum for discussion of common problems, provides incentives for continuing education and professional growth, while also furthering the need for all health professionals to be sensitive to various social needs in the pursuit of positive health care.
|
From page 175... ...
784-4666/362-7217 (202) 784-2530 FAX ALABAMA Birmingham Regional Poison Control Center The Children's Hospital of Alabama Emergency (205)
|
From page 176... ...
NURSING, HEALTH, AND THE ENVIRONMENT COLORADO Denver Rocky Mountain Poison and Drug Center Emergency (303) 629-1123 DISTRICT OF COLUMBIA Washington National Capital Poison Control Center Georgetown University Hospital Emergency (202)
|
From page 177... ...
NEW YORK Mineola Long Island Regional Poison Control Center Winthrop University Hospital Emergency (516) 542-2323 New York New York City Poison Control Center New York City Department of Health Emergency (212)
|
From page 178... ...
PENNSYLVANIA Philadelphia The Poison Control Center One Children's Center Emergency (215) 386-2100 Pittsburgh Pittsburgh Poison Center Emergency (412)
|
From page 179... ...
The Poison Center Emergency (402)
|
From page 180... ...
is an association of approximately 6,500 physicians attempting to educate members and other physicians, employers, other organizations, and the public-at-large about occupational and environmental health. The ACOEM has developed a continuing education course entitled Core Curriculum in Environmental Medicine in order to enhance physicians' critical thinking on environmental issues, improve their problemsolving skills, and make them more effective at decision-making about environmental concerns.
|
From page 181... ...
ANA seeks to promote the nursing profession through its sponsorship of the American Nurses Foundation (for research) , American Academy of Nursing, Center for Ethics and Human Rights, International Nursing Center, Ethnic/Racial Minority Fellowship Programs, and the American Nurses Credentialing Center.
|
From page 182... ...
However, every clinic does offer an on-site staff physician with either board-certification or demonstrated expertise in occupational medicine. Clinics must also have industrial hygienists and other professionals with expertise in occupational and/or environmental health such as nurses, social workers, and health educators either on staff or available through a pre-arranged referral network.
|
From page 183... ...
398-1520 CONNECTICUT Farmington University of Connecticut Occupational and Environmental Medicine Program Contact: Eileen Storey, MD, MPH (203) 679-2893 New Haven Yale University Occupational/ Environmental Medicine Program Yale School of Medicine Contact: Mark Cullen, MD, MPH (203)
|
From page 184... ...
996-1063 IOWA Iowa City University of Iowa Occupational Medicine Clinic Department of Internal Medicine College of Medicine Contact: David Schwartz, MD, DrPH Emma Rosenau, MPH (319) 356-8269 KENTUCKY Lexington University of Kentucky Occupational Medicine Program Contact: Terence R
|
From page 185... ...
498-1580 South Braintree Center for Occupational and Environmental Medicine Massachusetts Respiratory Hospital Contact: Diane Plantamura, MSW (617) 848-2600 Worcester Occupational Health Program Department of Family and Community Medicine, University of Massachusetts Contact: Glenn Pransky, MD, Occ.H.
|
From page 186... ...
Michael Kelly, MD, MPH (517) 377 0309 Southfield Center for Occupational and Environmental Medicine Contact: Margaret Green, MD, MPH Michael Harbut, MD, MPH (313)
|
From page 187... ...
275-1335 Stony Brook Center for Occupational and Environmental Medicine State University of NY School of Medicine Contact: Wajdy Hailoo, MD, MPH (516) 444-2167 187 Syracuse Central New York Occupational Health Clinical Center Contact: Michael B
|
From page 188... ...
627-4646 PENNSYLVANIA Philadelphia Occupational Health Service Department of Community and Preventive Medicine Medical College of Pennsylvania Contact: Eddy Bresnitz, MD, MS Harriet Rubenstein, ~D, MPH (215) 842-6540 NURSING, HEALTH, AND THE ENVIRONMENT Pittsburgh Occupational and Environmental Medicine Program University of Pittsburgh Contact: David Tollerud, MD, MPH (412)
|
From page 189... ...
223-3005 189 WEST VIRGINIA Huntington Division of Occupational and Environmental Health Department of Family and Community Medicine Marshall University School of Medicine Contact: Chris McGuffin, MS lames Becker, MD (304) 696-7045 CANADA Edmonton, Alberta Occupational Medicine Consultation Clinic University of Alberta Contact: Linda Cocchiarella, MD, MPH Tee Guidotti, MD, MPH (403)
|
From page 190... ...
advancing medical education; (2) developing instruction, scientific skills and knowledge in preventive medicine; and (3)
|
From page 191... ...
Committees throughout the states provide health and safety training, technical assistance, consultations and on-site evaluations, and contract language assistance. Committees on Occupational Safety and Health 275 Seventh Avenue New York, NY 10001 (212)
|
From page 192... ...
813-6780 National Association of Hispanic Nurses The National Association of Hispanic Nurses (NAHN) was founded in 1976 for nurses on all educational levels from all Hispanic subgroups and non-Hispanic nurses concerned about the health delivery needs of the Hispanic community and nursing students.
|
From page 193... ...
387-2477 National Association of School Nurses The National Association of School Nurses (NASN) is made up of school nurses throughout the country who conduct comprehensive school health programs in public and private schools.
|
From page 194... ...
NEHA also conducts national professional registration programs and offers continuing education opportunities for interested professionals. National Environmental Health Association 720 S
|
From page 195... ...
comprises students currently enrolled in state-approved nursing schools for the preparation of becoming registered nurses. NSNA seeks to aid in the development of the individual nursing student and urges students, as future health professionals, to be aware of and to contribute to improving the health care of all people.
|
From page 196... ...
STTI seeks to promote the profession of nursing as leaders, advocates, and pertinent players in the care of the individual and community's health. Sigma Theta Tau International 550 W
|
From page 197... ...
452-1999 SELECTED TOPICAL RESOURCES AIR POLLUTION American Lung Association (212) 315-8700 EPA Clean Air Act (202)
|
From page 198... ...
535-PEST National Pesticide Telecommunications Network (800) 858-7378 POISONING Poison Control Centers PREGNANCY CONCERNS MotherRisk Program (416)
|
From page 199... ...
535-0202 WATER EPA Safe Drinking Water Hotline (800) 426-4791 COMPUTERIZED INFORMATION SERVICES Computerized information services have become a valuable link in providing users with up-to-date information, resources, and opportunities for interaction with others interested in similar topics.
|
From page 200... ...
Medical List A Guide to On Line Medical Resources The Medical List provides a complete listing of Internet resources connected with health, disease, therapy, and clinical medicine. This resource list is offered in text form as The Medical List and as Medical
|
From page 201... ...
Medical Matrix is a project of the Internet Working Group of the American Medical Informatics Association. Medical Matrix uses icons and keyword searches to locate on line medical resources.
|
From page 202... ...
Nursing Internet Resources The Nursing Internet Resources provides a guide and link to nursing resources on-line. Access can be gained through: http: / /www.csv.warwick.ac.uk:8000/nurse-resources.html or gopher-plpapers/nurse.csv.warwick.ac.uk Nursing Network Forum The Nursing Network Forum is operated and managed by Mid-Atlantic Network Associates, Inc.
|
From page 203... ...
For more information, write: WHO GEENET, Environmental Epidemiology, World Health Organization, 1211 Geneva, Switzerland. List Servers Air Pollution and Biology The address is mailbase~mailbase.ac.uk; and you can join by sending the message join airpollution-biology Firstname Lastname and your address.
|
From page 204... ...
Occup-Env Med List Occupational and Environmental Medicine Listing on InternetJ Occupational and environmental medicine represents a growing clinical and public health discipline, seeking to evaluate and prevent the diseases and health effects that may be related to exposures at work and from other environments. The Occup-Env Med Mail-list provides a moderated forum for announcements, dissemination of text files and academic discussion.
|
From page 205... ...
Environmental Protection Agency gopher: / /gopher.rtpnc.epa.gov/ 1 Computer-Based Databases 205 The National Library of Medicine (NLM) is the world's largest research library in a single scientific or professional field.
|
From page 206... ...
Produced by Specialized Information Services of the National Library of Medicine. TOXNET (Toxicology Data Network)
|
From page 207... ...
Produced by Specialized Information Services of the National Library of Medicine, it runs on IBM-PC/XT/AT/PS/2 compatibles. CHEMLEARN is available from NTIS, product number PB88-218144.
|
From page 208... ...
1995. Environmental Medicine: Integrating a Missing Element into Medical Education.
|
From page 209... ...
1994. A Practical Approach to Occupational and Environmental Medicine.
|
From page 210... ...
1990. Community Health Nursing: Issues and Topics.
|
From page 211... ...
Tables of Environmental Agents and Health EFects/ ~rk-Related Diseases Id C~didons/ Id Selected job Categories and Associated Diseases and Condihons e
|
From page 212... ...
Entry Affected Metals and Metallic Compounds Arsenic Alloyed with lead and copper for hardness; manufacturing of pigments, glass, pharmaceuticals; byproduct in copper smelting; insecticides; fungicides; rodenticides; tanning Inhalation and Neuromuscular ingestion of dust and fumes Gastrointestinal Skin Pulmonary Arsine Accidental byproduct of reaction Inhalation of Hematopoietic of arsenic with acid; used in gas semi-conductor industry Beryllium Hardening agent in metal alloys; Inhalation of Pulmonary (and special use in nuclear energy fumes or dust other systems) production; metal refining or recovery Cadmium Electroplating; solder for Inhalation or aluminum; metal alloys, ingestion of process engraving; nickel- fumes or cadmium batteries dust Chromium In stainless and heat-resistant steel and alloy steel; metal plating; chemical and pigment manufacturing; photography Percutaneous absorption, inhalation, ingestion Pulmonary Renal Pulmonary Skin
|
From page 213... ...
may also be useful Urinary protein Urinary chromate (questionable value) Pulmonary changes virtually indistinguishable from sarcoid on chest x ray Also a respiratory tract carcinogen continued on next page
|
From page 214... ...
manufacturing; pharmaceutical production (Organic) Agricultural and industrial poisons Hem at o l o gic Renal Gastrointestinal Neuromuscular CNS Reproductive Inhalation of vapor; slight percutaneous absorption Some inhalation and GI and percutaneous absorption Efficient G1 absorption, percutaneous absorption, and inhalation Pulmonary CNS Pulmonary Renal CNS Skin CNS
|
From page 215... ...
The responses are difficult to quantify, so dose response data are generally unavailable. Classic tetrad of gingivitis, sialorrhea, irritability, and tremor is associated with both elemental and inorganic mercury poisoning; the four signs are not generally seen together.
|
From page 216... ...
Corrosion-resistant alloys; Inhalation of electroplating; catalyst dust or production; nickel-cadmium fumes batteries Welding byproduct; rubber manufacturing Skin Pulmonary Inhalation of dust or fumes that are freshly generated Manufacturing of organic Inhalation of CNS chemicals, detergents, pesticides, vapor; slight Hematopoietic solvents, paint removers; used percutaneous Skin as a solvent absorption Organic chemical manufacturing; Inhalation of CNS solvent; fuel component vapor, percutaneous absorption of liquid A wide variety of uses as a solvent; an ingredient of paints, lacquers, varnishes, inks, dyes, adhesives, cements; an intermediate in chemical manufacturing A wide variety of uses as solvents and intermediates in chemical manufacturing Skin Inhalation of Pulmonary vapor; slight percutaneous absorption of Eyes, nose, throat liquid CNS Inhalation of vapor, percutaneous absorption of liquid CNS PNS Skin
|
From page 217... ...
Acute CNS depression Urinary phenol Leukemia, aplastic anemia Dermatitis Acute CNS depression Chronic CNS problems such as memory loss Irritation dermatitis Note that benzene, as with toluene and other sc~lvents, can be monitored via its principal metabolite. Urinary hippuric acid Irritation, pneumonitis, acute Methylhippuric pulmonary edema acid in urine, (at high doses)
|
From page 218... ...
218 TABLE D-1: Continued NURSING, HEALTH, AND THE ENVIRONMENT Route of Systems(s) Agent Exposure Entry Affected Formaldehyde Widely used as a germicide and Inhalation a disinfectant in embalming and histopathology, for example, and in the manufacture of textiles, resins, and other products Skin Eye Pulmonary Trichloro- Solvent in metal degreasing, dry Inhalation, Nervous ethylene cleaning, food extraction; percutaneous (TCE)
|
From page 219... ...
Toxic hepatitis Expired air Carbon tetrachloride Oliguria or anuria and blood the prototype for a Acute CNS depression levels wide variety of Dermatitis solvents that cause hepatic and renal damage. This solvent, like trichloroethylene, acts synergistically with ethanol.
|
From page 220... ...
Ethylene oxide Dioxane Inhalation of Skin vapor, percutaneous CNS absorption of liquid Inhalation of vapor, percutaneous absorption of liquid Used in the sterilization of medical equipment, in the fumigation of spices and other foodstuffs, and as a chemical intermediate Inhalation Used as a solvent for a variety of Inhalation of CNS materials, including cellulose vapor, acetate, dyes, fats, greases, percutaneous resins, polyvinyl polymers, absorption of Renal varnishes, and waxes liquid Liver Reproductive, CNS, renal, liver Hematopoietic CNS Skin Eye Respiratory tract Nervous system
|
From page 221... ...
Dermatitis and frostbite Severe irritation; possibly cataracts with prolonged exposure Irritation Peripheral neuropathy Drowsiness, dizziness, anorexia, headaches, nausea, vomiting, coma Nephritis Chemical hepatitis A mixture of primarily aliphatic hydrocarbons, with some benzene derivatives and naphthenes. Ethylene glycol ethers, as a class of chemicals, have been shown in animals to have adverse reproductive effects, including reduced sperm count and spontaneous abortion, as well as CNS, renal, and liver effects.
|
From page 222... ...
and as a fire retardant coating on tiles and other products. absorption New uses were banned in 1976, but much of the electrical equipment currently used still contains PCBs Irritant GasesC Inhalation, ingestion, skin Skin Eye Liver Ammonia Refrigeration; petroleum refining; Inhalation of Upper manufacturing of nitrogen- gas containing chemicals, synthetic fibers, dyes, and optics respiratory tract Hydrochloric Chemical manufacturing; electro- Inhalation of Upper acid plating; tanning; metal gas or mist respiratory pickling; petroleum extraction; tract rubber, photographic, and textile industries Hydrofluoric Chemical and plastic manufactur- Inhalation of Upper acid ing; catalyst m petroleum gas or mist respiratory refining; aqueous solution for tract frosting, etching, and polishing glass Sulfur dioxide Manufacturing of sulfur containing chemicals; food and textile bleach; tanning; metal casting Inhalation of Middle gas, direct contact of tract gas or liquid phase on skin or mucosa respiratory Chlorine Paper and textile bleaching; Inhalation of Middle water disinfection; chemical gas respiratory manufacturing; metal fluxing; tract detinning and dezincing iron
|
From page 223... ...
function tested Tracheobronchitis, pulmonary Chest x ray, edema, pneumonitis pulmonary function tests Strong irritant of eyes, mucous membranes, and skin. Chlorine combines with body moisture to form acids, which irritate tissues from nose to alveoli.
|
From page 224... ...
224 TABLE D-1: ConUnued NURSING, HEALTH, AND THE ENVIRONMENT Agent Exposure Route of Systems(s) Entry Affected Ozone Inert gas-shielded arc welding; Inhalation of Lower food, water, and air purification; food and textile bleaching; emitted around high-voltage electrical equipment gas respiratory tract Nitrogen oxides Manufacturing of acids, nitrogen- Inhalation of Lower containing chemicals, explosives, and more; byproduct of many industrial processes Phosgene TDI (toluene diisocyanate)
|
From page 225... ...
pulmonary function tests Asthmatic reaction and Chest x ray, Isocyanates are both accelerated loss of pulmonary pulmonary respiratory tract "sens function function tests itizers" and irritants in the conventional sense. Anoxia O2 in No specific toxic effect; environmentacts by displacing O2.
|
From page 226... ...
226 TABLE D-1: ConUnued NURSING, HEALTH, AND THE ENVIRONMENT Agent Exposure Route of Systems(s) Entry Affected Chemical Asphyxiants Carbon Incomplete combustion in Inhalation of monoxide foundries, coke ovens, gas refineries, furnaces, and more Blood (hemoglobin)
|
From page 227... ...
APPENDIX D 227 Primary Aids in Manifestations Diagnosisa Remarks Headache; dizziness, double vision Respiratory center paralysis, PaO2 hypoventilation Respiratory tract irritation Carboxyhemoglobin Enzyme inhibition with SCN- in urine metabolic asphyxia and death Cholinesterase inhibition, Refractoriness As with many acute cholinergic symptoms: to atropine; toxins, rapid treatment nausea and vomiting, plasma or red of organophosphate salivation, diarrhea, headache, cell cholinesterase toxicity is imperative. seating, meiosis, muscle Thus, diagnosis is often fasciculations, seizures, made based on history unconsciousness, death and a high index of suspicion rather than on biochemical tests.
|
From page 228... ...
228 TABLE D-1: Continued NURSING, HEALTH, AND THE ENVIRONMENT Agent Exposure Route of Systems(s) Entry Affected Chlorinated hydrocarbons: chlordane, DDT, heptachlor, chlordecone (Kepone)
|
From page 229... ...
dPulmonary function tests are useful aids in diagnosis of irritant effects if the patient is subacutely or chronically ill. SOURCE: Reprinted, with permission, from Principles and Practice of Environmental Health, A.B.
|
From page 230... ...
230 NURSING, HEALTH, AND THE ENVIRONMENT TABLE D-2: Selected Work-Related Diseases, Disorders, and Conditions Associated with Nlarious Agents, Industries, or Occupations: Infections, Malignant Neoplasms, and Hematological, Cardiovascular, Pulmonary, Neurological, and Miscellaneous Disorders Diseases, Disorders, and Conditions Industry or Occupation Agent Infections Anthrax Shepherds, farmers, butchers, handlers Bacillus of imported hides or fibers, veterinarians anthraces veterinarian pathologists, weavers Brucellosis Farmers, shepherds, vets, lab and Brucella slaughterhouse workers Plague abortus, suds Shepherds, farmers, ranchers, hunters, Yersinia field geologists Testis Hepatitis A Day-care center, orphanage, and Hepatitis A mental retardation institution virus staff, medical personnel Hepatitis B Nurses and aides, anesthesiologists, Hepatitis B orphanage and mental institution staffs, virus medical lab workers, general dentists, oral surgeons, physicians Hepatitis C Same as hepatitis A and B Hepatitis C (formerly included virus in non-A, non-B) Ornithosis Psittacine bird breeders, pet shop and Chlamydia zoo workers, poultry producers, vets psittaci Rabies Veterinarians, game wardens, lab workers, Rabies virus farmers, ranchers, trappers Rubella Medical personnel Rubella virus Tetanus Farmers, ranchers Clostridium tetani Tuberculosis Physicians, medical personnel, medical Pulmonary lab workers Mycobacterium tuberculosis Tuberculosis Quarrymen, sandblasters, silica Silicon Silicotuberculosis processors, miners, foundry workers, dioxide ceramic industry (silica)
|
From page 231... ...
APPENDIX D TABLE D-2: ConUnued 231 Diseases, Disorders, and Conditions Industry or Occupation Agent Tularemia Hunters, fur handlers, sheep industry, FranciselZa cooks, veterinarians, ranchers, tuZarensis veterinarian pathologists Malignant Neoplasms Bladder Rubber and dye workers Benzidine, 1 and 2-naphthyl amine, auramine, magenta, 4-aminobiphenyl, 4-nitrophenyl Bone Dial painters, radium chemists and Radium processors Kidney and other Coke oven workers Coke oven urinary organs emissions Liver Vinyl chloride polymerization industry Vinyl chloride monomer Liver Vintners Arsenical hemangiosarcoma pesticides Lung, bronchial, Asbestos industry, users Asbestos tracheal Topside coke oven workers Coke oven emissions Uranium and fluorspar miners Radon daughters Chromium producers, processors, users Chromates Smelters Arsenic Mustard gas formulators Mustard gas Ion-exchange resin makers, chemists Bis(chloro methyl) -ether, chloromethyl methyl ether Woodworkers, furniture makers Boot and shoe industry Radium chemists and processors, dial painters Chromium producers, processors, users Nickel smelting and refining Hardwood dusts Unknown Radium Chromates Nickel Asbestos continued on next page
|
From page 232... ...
232 TABLE D-2: ConUnued NURSING, HEALTH, AND THE ENVIRONMENT Diseases, Disorders, and Conditions Industry or Occupation Agent Peritoneal, pleural Asbestos industry, users Asbestos mesothelioma Scrotal Automatic lathe operators, metalworkers Mineral, cutting oils Coke oven workers, petroleum refiners, Soots and tars, tar distillers tar distillates Hematological Disorders Agranulocytosis or Workers exposed to benzene neutropenia Explosives, pesticide industries Pesticide, pigment, pharmaceutical industries Benzene Phosphorus Inorganic arsenic Anemia Explosives manufacturing TNT Aplastic Workers exposed to benzene Benzene Radiologists, radium chemists, dial Ionizing painters radiation Anemia Whitewashing and leather industry Copper sulfate Hemolytic, Electrolytic processes, arsenical ore Arsine nonautoimmune smelting Plastics industry Trimellitic anhydride Dye, celluloid, resin industries Naphthalene Leukemia Rubber industry Unknown Acute Iymphoid Radiologists Ionizing radiation Leukemia Workers exposed to benzene Acute myeloid Radiologists Benzene IOmzlng radiation Leukemia Workers exposed to benzene Benzene Erythroleukemia Methemoglobinemia Explosives, dye industries Aromatic amino and nitro compounds (e.g., aniline, TNT, nitroglycerin)
|
From page 233... ...
lung,suberosis, maltworker's lung, mushroom worker's lung, maple bark disease, cheese-washer's lung, coffee worker's lung, fish-meal-worker's lung, furrier's lung, sequoiosis, woodworker's lung, miller's lung Asbestosis Asthma (extrinsic) Asbestos workers, users Jewelry, alloy, catalyst makers Polyurethane, adhesive, paint workers Alloy, catalyst, refinery workers Solderers Plastic, dye, insecticide makers Foam workers, latex makers, biologists Printing industry Nickel platers Bakers Plastics industry Woodworkers, furniture makers Detergent formulators Animal handlers Asbestos Platinum Isocyanates Chromium, cobalt Aluminum soldering flux Phthalic anhydride Formaldehyde Gum arabic Nickel sulfate Flour Trimellitic anhydride Red cedar, wood dusts Bacillus-derived exoenzymes Animal dander continued on next page
|
From page 234... ...
Silo fillers, arc welders, nitric acid workers Nitrogen oxides Paper, refrigeration, oil-refining industries Sulfur dioxide Cadmium smelters, processors Plastics industry Byssinosis Cotton industry Cadmium Trimellitic anhydride Cotton, flax, hemp, cottonsynthetic dusts Pneumoconiosis Coal miners, bauxite workers Coal dust, bauxite fumes Silicosis Mining, metal, and ceramic industries, Silica quarrymen, sand blasters, silica processors Talcosis Talc processors Talc Neurological Disorders Cerebellar ataxia Chemical industry Toluene Electrolytic chlorine production, Organic mercury battery manufacturing, fungicide formulators Encephalitis Battery, smelter, foundry workers Lead (toxic) Electrolytic chlorine production, Organic, inorganic battery manufacturing, fungicide mercury formulators Neuropathy Pesticide, pigment, pharmaceutical (toxic and industries inflammatory)
|
From page 235... ...
, allergens (nickel, epoxy resins, chromates, formaldehyde, dyes, rubber products) Headache Firefighters, foundry workers, wood Carbon monoxide, finishers, dry cleaners, traffic control, solvents driving in heavy traffic Hepatitis (toxic)
|
From page 236... ...
, manufacturing mercury, carbon disulfide Renal failure Battery manufacturing, plumbers, Inorganic lead (acute, chronic) solderers Electrolytic processes, arsenical ore smelting Battery manufacturing, jewelers, dentists Fluorocarbon, fire-extinguisher formulators Antifreeze manufacturing Arsine Inorganic mercury Carbon tetrachloride Ethylene glycol SOURCE: Reprinted, with permission, from Principles and Practice of Environmental Medicine, Tarcher, AB, ed.
|
From page 237... ...
APPENDIX D TABLE D-3: Selected lob Categories, Exposures, arid Associated WorkRelated Diseases and Conditions 237 Job Categories Exposures Work-Related Diseases and Conditions Agricultural Pesticides, infectious agents, gases, workers sunlight Anesthetists Anesthetic gases Animal handlers Infectious agents, allergens Pesticide poisoning, "farmer's lung," skin cancer Reproductive effects, cancer Asthma Automobile Asbestos, plastics, lead, solvents Asbestosis, dermatitis workers Bakers Flour Asthma Battery makers Lead, arsenic Vinyl plastic fumes Lead poisoning, cancer "Meat wrappers' asthma" Caisson workers Pressurized work environments "Caisson disease," "the bends" Carpenters Wood dust, wood preservatives, Nasopharyngeal cancer, adhesives dermatitis Cement workers Cement dust, metals Dermatitis, bronchitis Ceramic workers Talc, clays Pneumoconiosis Demolition Asbestos, wood dust Asbestosis workers Drug Hormones, nitroglycerin, etc. Reproductive effects manufacturers Dry cleaners Solvents Liver disease, dermatitis Dye workers Dyestuffs, metals, solvents Bladder cancer, dermatitis Embalmers Formaldehyde, infectious agents Dermatitis Felt makers Mercury, polycyclic hydrocarbons Mercuralism Foundry workers Silica, molten metals Glass workers Heat, solvents, metal powders Hospital workers Infectious agents, cleansers, radiation Insulators Asbestos, fibrous glass S'1 - IlICOSIS Cataracts Infections, accidents Asbestosis, lung cancer, mesothelioma
|
From page 238... ...
238 TABLE D-3: ConUnued NURSING, HEALTH, AND THE ENVIRONMENT Job Categories Exposures Work-Related Diseases and Conditions Jack hammer Vibration operators Raynaud phenomenon Lathe operators Metal dusts, cutting oils Lung disease, cancer Laundry workers Bleaches, soaps, alkalies Dermatitis Lead burners Lead Lead poisoning Miners (coal, Talc, radiation, metals, coal dust, Pneumoconiosis, lung hard rock, silica cancer metals, etc.) Natural gas Polycyclic hydrocarbons Lung cancer workers Nuclear workers Radiation, plutonium Metal poisoning, cancer Office workers Poor lighting, poorly designed Joint problems, eye equipment problems Painters Paints, solvents, speckling Neurologic problems compounds Paper makers Acids, alkalies, solvents, metals Lung disorders, dermatitis Petroleum workers zeolites Polycyclic hydrocarbons, catalysts, Cancer, pneumoconiosis Plumbers Lead, solvents, asbestos Lead poisoning Railroad workers Creosote, sunlight, oils, solvents Cancer, dermatitis Seamen Sunlight, asbestos Cancer, accidents Smelter workers Metals, heat, sulfur dioxide, arsenic Cancer Steel workers Heat, metals, silica Cataracts, heat stroke Stone cutters Silica Silicosis Textile workers Cotton dust, fabrics, finishers, Byssinosis, dermatitis, dyes, carbon disulfide psychosis Varnish makers Vineyard workers Solvents, waxes Arsenic, pesticides Welders Fumes, nonionizing radiation Dermatitis Cancer, dermatitis Lead poisoning, cataracts SOURCE: Reprinted, with permission, from Principles and Practice of Environmental Medicine, A.B.
|
Key Terms
This material may be derived from roughly machine-read images, and so is provided only to facilitate research.
More
information on Chapter Skim is available.