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

Journal of Occupational and Environmental Medicine

Volumn 38, Issue 2, 1996, Pages 144-154

  LaMontagne, Anthony D ^a   Mangione, Thomas W ^b   Christiani, David C ^a,c   Kelsey, Karl T ^a  

^a HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^b JOHN SNOW INC   (United States)

^c MASSACHUSETTS GENERAL HOSPITAL   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ETHYLENE OXIDE;

ARTICLE; CLINICAL FEATURE; CLINICAL PROTOCOL; HOSPITAL PERSONNEL; HUMAN; MUCOSA INFLAMMATION; OCCUPATIONAL EXPOSURE; PERIODIC MEDICAL EXAMINATION; PERIPHERAL NEUROPATHY;

ADULT; ENVIRONMENTAL MONITORING; ETHYLENE OXIDE; FEMALE; HOSPITAL RECORDS; HOUSEKEEPING, HOSPITAL; HUMANS; MALE; MASSACHUSETTS; MAXIMUM ALLOWABLE CONCENTRATION; MIDDLE AGED; MUCOUS MEMBRANE; OCCUPATIONAL DISEASES; OCCUPATIONAL EXPOSURE; PERIPHERAL NERVOUS SYSTEM DISEASES; PERSONNEL, HOSPITAL; STERILIZATION; UNITED STATES; UNITED STATES OCCUPATIONAL SAFETY AND HEALTH ADMINISTRATION;

LIGUSTICUM PORTERI;

EID: 0029917175     PISSN: 10762752     EISSN: None     Source Type: Journal    
DOI: 10.1097/00043764-199602000-00012     Document Type: Article

References (52)

1. Halperin WE, Ratcliffe J, Frazier TM, Wilson L, Becker SP, Schulte PA. Medical screening in the workplace: proposed principles. J Occup Med. 1986;28:547-552.
2. Shilling RSF. The role of medical examination in protecting worker health. J Occup Med. 1986;28:553-557.
3. Matte TD, Fine L, Meinhardt TJ, Baker EL. Guidelines for medical screening in the workplace. Occup Med State of the Art Rev. 1990;5:439-456.
4. Silverstein MA. Medical screening, surveillance, and the prevention of occupational disease. J Occup Med. 1990;32: 1032-1036.
5. National Institute for Occupational Safety and Health/Occupational Safety and Health Administration. Occupational Health Guidelines for Chemical Hazards. US Department of Health and Human Services (NIOSH) Publication No. 81-123. Washington, DC: Government Printing Office; 1981.
6. National Institute for Occupational Safety and Health/Occupational Safety and Health Administration. Occupational Health Guidelines for Chemical Hazards. US Department of Health and Human Services (NIOSH) Publication No. 88-118, Supplement I-OHG. Washington, DC: Government Printing Office; 1988.
7. National Institute for Occupational Safety and Health/Occupational Safety and Health Administration. Occupational Health Guidelines for Chemical Hazards. US Department of Health and Human Services (NIOSH) Publication No. 89-104, Supplement II-OHG. Washington, DC: Government Printing Office; 1988.
8. Occupational Safety and Health Administration. Advance notice of proposed rulemaking: medical surveillance programs for employees. Fed Regist. Tuesday, September 27, 1988;53:37595-37598.
9. National Institute for Occupational Safety and Health/Occupational Safety and Health Administration. Comments of the National Institute for Occupational Safety and Health on the Occupational Safety and Health Administration's Advance Notice of Proposed Rulemaking on Generic Standard for Medical Surveillance Programs for Employees. 29 CFR Part 1910, Docket No. H-031; 1988.
10. Ratcliffe JM, Halperin WE, Frazier TM, et al. The prevalence of screening in industry: report from the National Institute of Occupational Safety and Health National Occupational Hazard Survey. J Occup Med. 1986;28:906-912.
11. Conway H, Simmons J, Talbert T. The Occupational Safety and Health Administration's 1990-1991 survey of occupational medical surveillance prevalence and type of current practice. J Occup Med. 1993;35:659-669.
12. Conway H, Simmons J, Talbert T. The purposes of occupational medical surveillance in US industry and related health findings. J Occup Med. 1993;35:670-686.
13. Conway H, Simmons J, Talbert T. Effects of occupational medical surveillance programs as perceived by respondents to the OSHA 1990-1991 survey. J Occup Med. 1993;35:687-697.
14. Hathaway JA. Medical surveillance: extent and effectiveness? J Occup Med. 1993;35:698-700.
15. Steenland K, Stayner L, Greife A, et al. Mortality among workers exposed to ethylene oxide. N Engl J Med. 1991;324: 1402-1407.
16. Landrigan PJ, Meinhardt TJ, Gordon J, et al. Ethylene oxide: an overview of toxicologie and epidemiologic research. Am J Ind Med. 1984;6:103-115.
17. International Agency for Research on Cancer. Ethylene oxide. In: Some Industrial Compounds: IARC Monographs, Volume 60. Lyons, France: International Agency for Research on Cancer: 1994: 73-159.
18. Zampollo A, Zacherti O, Pisati G. On ethylene oxide neurotoxicity: report of two cases of peripheral neuropathy. Ital J Neurol Sci. 1984;5:59-62.
19. Gross JA, Hass ML, Swift TR. Ethylene oxide neurotoxicity: report of four cases and review of the literature. Neurology. 1979;29:978-983.
20. Kuzuhara S, Kanazawa I, Nakanishi T, Egash T. Ethylene oxide polyneuropathy. Neurology. 1983;33:377-380.
21. Finelli PF, Morgan TF, Yaar I, Granger CV. Ethylene oxide-induced polyneuropathy. Arch Neurol. 1983;40:419-421.
22. Fukushima T, Abe K, Nakagawa A, et al. Chronic ethylene oxide poisoning in a factory manufacturing medical appliances. J Soc Occup Med. 1986;36:118-123.
23. Estrin WJ, Cavalieri SA, Wald P, et al. Evidence of neurological dysfunction related to long-term ethylene oxide exposure. Arch Neurol. 1987;44:1283-1286.
24. Estrin WJ, Bowler RM, Lash A, Becker CE. Neurotoxicological evaluation of hospital sterilizer workers exposed to ethylene oxide. Clin Toxicol. 1990;28:1-20.
25. Klees JE, Lash A, Bowler RM. et al. Neuropsychologic "impairment" in a cohort of hospital workers chronically exposed to ethylene oxide. Clin Toxicol. 1990;28:21-28.
26. Grober E, Crystal H, Lipton RB, Schaumberg H. EtO is associated with cognitive dysfunction. J Occup Med. 1992;34:1114-1116.
27. Dretchen KL, Balter NJ, Schwartz SL, et al. Cognitive dysfunction in a patient with long-term exposure to ethylene oxide: role of ethylene oxide as a causal factor. J Occup Med. 1992;34:1106-1113.
28. Katzenstein A. Ethylene oxide and CNS dysfunction (letter). Clin Toxicol. 1991; 29:285-288.
29. Hogstedt C, Aringer L, Gustavsson A. Epidemiologic support for ethylene oxide as a cancer-causing agent. JAMA. 1986; 255:1575-1578.
30. Stayner L, Steenland K, Greife A, et al. Exposure-response analysis of cancer mortality in a cohort of workers exposed to ethylene oxide. Am J Epidemiol. 1993; 138:787-798.
31. Hemminke R, Mutanen P, Soloniemi I, et al. Spontaneous abortion in hospital staff engaged in sterilizing instruments with chemical agents. Brit Med J. 1982;285: 1461-1463.
32. Yakubova AN, Samova NA, Miftakhova FA, Shilova LF. Gynecological disorders in workers engaged in ethylene oxide production. Kazan Med Zh. 1976;57: 558-560.
33. Occupational Safety and Health Administration. Occupational exposure to ethylene oxide: final standard. Fed Regist. Friday, June 22, 1984;49:25734-25809.
34. Occupational Safety and Health Administration. Ethylene oxide standard, 1984. 29 CFR 1910.1047.
35. LaMontagne AD, Christiani DC, Kelsey KT. The utility of the complete blood count in medical surveillance for ethylene oxide exposure. Am J Ind Med. 1993; 24:191-206.
36. LaMontagne AD, Rudd RE, Mangione TW, Kelsey KT. Determinants of the provision of ethylene oxide medical surveillance in Massachusetts hospitals. J Occup Environ Med. 1996;38:155-168.
37. LaMontagne AD, Kelsey K, Christiani D, Plantamura D. Ethylene Oxide Health and Safety Manual: Training and Reference Materials on the Safe Use of Ethylene Oxide in Sterilizing Facilities. Second Edition. Braintree, MA: Occupational Health Service, Massachusetts Respiratory Hospital; 1990.
38. Fowler FJ. Survey Research Methods. Newbury Park, CA: Sage Publications; 1988:66.
39. Institute of Medicine. Role of the Primary Care Physician in Occupational and Environmental Medicine. Washington, DC: National Academy Press; 1988.
40. Institute of Medicine. Environmental Medicine and the Medical School Curriculum. Washington, DC: National Academy Press; 1993.
41. Goldman RH, Peters JM. The occupational and environmental health history. JAMA. 1981;246:2831-2836.
42. Kipen HM, Craner J. Sentinel pathophysiologic conditions: an adjunct to teaching occupational and environmental disease recognition and history taking. Environ Res. 1992;59:93-100.
43. Lipscomb J, Burgel B, McGill LW, Blanc P. Preventing occupational illness and injury: nurse practitioners as primary care providers. Am J Public Health. 1994;84:643-645.
44. Institute of Medicine. Addressing the Physician Shortage in Occupational and Environmental Medicine. Washington, DC: National Academy Press; 1991.
45. Rosenstock L, Rest KM, Benson JA, et al. Occupational and environmental medicine: meeting the growing need for clinical services. N Engl J Med. 1991;325: 924-927.
46. Weil D. Enforcing OSHA: the role of labor unions. Industrial Relations. 1991; 30:20-36.
47. Weil D. Building safety: the role of construction unions in enforcement of OSHA. J Labor Res. 1992;13:121-132.
48. Rempel D. Medical surveillance in the workplace: overview. Occup Med State of the Art Rev. 1990;5:435-438.
49. Anonymous. OSHA seeks to issue compliance materials simultaneously with standards, Dear tells BNA. Occup Safety Health Reporter. 1994;24:475-476.
50. Cone JE, Rosenberg J. Medical surveillance and biomonitoring for occupational cancer endpoints. Occup Med State of the Art Rev. 1990;5:563-581.
51. LaMontagne AD, Kelsey KT, Ryan CM, Christiani DC. A participatory workplace health and safety training program for ethylene oxide. Am J Ind Med. 1992;22: 651-664.
52. Meridian Research, Inc. Ethylene Oxide: A Case Study in Hazard Identification, OSHA Regulation, and Market Response. Silver Spring, MD: Meridian Research, Inc.; 1992.