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).