Evaluating OSHA's ethylene oxide standard: Employer exposure-monitoring activities in Massachusetts hospitals from 1985 through 1993

American Journal of Public Health

Volumn 87, Issue 7, 1997, Pages 1119-1125

  Lamonîagne, Anthony D ^a,b   Kelsey, Karl T ^b,c  

^a NEW ENGLAND RESEARCH INSTITUTES   (United States)

^b HARVARD SCHOOL OF PUBLIC HEALTH   (United States)

^c Occupational Health Program   (United States)

Author keywords

[No Author keywords available]

Indexed keywords

ETHYLENE OXIDE;

ARTICLE; EMERGENCY; EMPLOYER; HOSPITAL; MONITORING; OCCUPATIONAL EXPOSURE; STANDARD; UNITED STATES;

EID: 0030837694     PISSN: 00900036     EISSN: None     Source Type: Journal    
DOI: 10.2105/ajph.87.7.1119     Document Type: Article

References (34)

1. Occupational Safety and Health Administration. Advance notice of proposed rulemaking: generic standard for exposure monitoring. 53 Federal Register 37591-37595 (1988).
2. OSHA to combine rules on safety programs, medical surveillance, exposure assessment. Occup Safety Health Reporter. 1994;24:1021.
3. LaMontagne AD, Mangione TW, Christian! DC, Kelsey KT. The practice of medical surveillance for ethylene oxide exposure in Massachusetts hospitals. J Occup Environ Med. 1996;38:144-154.
4. LaMontagne AD, Rudd RE, Mangione TW, Kelsey KT. Determinants of providing ethylene oxide medical surveillance in Massachusetts hospitals. J Occup Environ Med. 1996:38:155-168.
5. LaMontagne AD, Kelsey KT. Medical surveillance under OSHA's ethylene oxide standard in hospitals: research findings and their implications for employee health practice. J Hasp Occup Health. 1995; 15( 1 ): 1-9.
6. LaMontagne AD, NeedlemanC. Overcoming practical challenges in intervention research in occupational health and safety. Am J Ind Med. 1996;29:367-372.
7. Steenland K, Stayner L, Greife A, et al. Mortality among workers exposed to ethylene oxide. N Engl J Med. 1991 ;324:1402-1407.
8. 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.
9. International Agency for Research on Cancer. Ethylene oxide. In: Some Industrial Compounds. Lyons, France: International Agency for Research on Cancer; 1994:73-159. IARC monographs, vol. 60.
10. Occupational Safety and Health Administration. Occupational exposure to ethylene oxide: final standard. 49 Federal Register 25734-25809(1984).
11. Occupational Safety and Health Administration. Occupational exposure to ethylene oxide; final standard. 53 Federal Register 11414-11438(1988).
12. Meridian Research Inc. Ethylene oxide: a case study in hazard identification, OSHA regulation, and market response. Silver Spring, Md: Meridian Research Inc; 1992.
13. Quazi AH, Ketchum NH. A new method for monitoring personal exposure to ethylene oxide in the occupational environment. Am Ind Hyg Assoc J. 1977;38:635-643.
14. Puskar MA, Hecker LH. Field validation of passive dosimeters for the determination of employee exposures to ethylene oxide in hospital product sterilization facilities. Am Ind Hyg Assoc J. 1989;50:30-36.
15. Elliot LJ, Ringenburg VL, Morelli-Schroth P, Halperin WE, Herrick RF. Ethylene oxide exposures in hospitals. Appl Ind Hyg. 1988:3:141-145.
16. Körnung RW, Greife AL, Stayner LT, et al. Statistical model for prediction of retrospective exposure to ethylene oxide in an occupational mortality study. Am J Ind Med. 1994;25:825-836.
17. Glaser ZR. Special Occupational Hazard Review with Control Recommendations for the Use of Ethylene Oxide as a Sterilant in Medical Facilities. Washington DC: National Institute for Occupational Safety and Health; 1977. DHEW publication NIOSH 77-200.
18. Mortimer VD, Kercher SL. Teclmical Report: Control Technology for Ethylene Oxide Sterilization in Hospitals. Washington, DC: National Institute for Occupational Safety and Health; 1989. DHHS publication NIOSH 89-120.
19. Goldenhar LM, Connally LB, Schulte PA, guest eds. Intervention research in occupational health and safety: science, skills, and strategies. Am J Ind Med. 1996;29(special issue)285-434.
20. Wegman DH. The potential impact of epidemiology on the prevention of occupational disease. Am J Public Health. 1992;82: 944-954.
21. Inconsistent enforcement of OSHA EtO emergency requirements can cause overspending. Plymouth Meeting, Pa: Center for Healthcare Environmental Management (5200 Butler Pike); 1990. CHEM Alert Special Notice, August 28.
22. "Design flaw" blamed for EtO gas leakage. Am Med News. July 21, 1978:11.
23. Ethylene Oxide Sterilizers in Health Care Facilities: Engineering Controls and Work Practices. Washington, DC: National Institute for Occupational Safety and Health; 1989. DHHS publication NIOSH 89-115. Current Intelligence Bulletin 52.
24. Gschwandtner GD, Kruger D, Harman P. Compliance with the EtO standard in the United States. J Healthcare Material Manage. November/December 1986:38-41.
25. Rappaport SM. Interpreting levels of exposures to chemical agents. In: Patty's Industrial Hygiene and Toxicology. Vol III, Part A: Theory and Rationale of Industrial Hygiene Practice. 3rd ed. New York, NY: John Wiley& Sons; 1994:349-403.
26. LaMontagne AD, Kelsey KT, Christiani DC, Plantamura D: Ethylene Oxide Health & Safety Manual: Training and Reference Materials on the Safe Use of Ethylene Oxide in Sterilizing Facilities. 2nd ed. Braintree, Mass: Center for Occupational and Environmental Medicine, Massachusetts Respiratory Hospital; 1990.
27. Generoso WM, Cain KT, Hughes LA, et al. Ethylene oxide dose and dose-rate effects in the mouse dominant-lethal test. Environ Mutas- 1986;8(l):l-7.
28. Mayer J, Warburton D, Jeffry AM, et al. Biological markers in ethylene oxideexposed workers and controls. Mutât Res. 1991:248:163-176.
29. Schulte PA, Boeniger MF, Walker JT, et al. Biological markers in hospital workers exposed to low levels of ethylene oxide. MutatRes. 1992;278:237-251.
30. Schulte PA, Walker JT, Boeniger MF, Tsuchiya Y, Halperin WE. Molecular, cytogenetic, and hématologie effects of ethylene oxide on female hospital workers. J Occup Environ Med. 1995;37: 313-320.
31. Bommer J, Ritz E. Ethylene oxide as a major cause of anaphylactoid reactions in dialysis (a review). Artif Organs. 1987;11: 111-117.
32. Deschamps D, Rosenberg N, Soler P, et al. Persistent asthma after accidental exposure to ethylene oxide. Br J Ind Med. 1992;49: 523-525.
33. Dugue P, Faraut C, Figueredo M, Bettendorf A, Salvador! JM. Asthme professionnel àl'oxyde d'éthylène chez une infirmière [Ethylene oxide-related occupational asthma in a nurse]. Presse Med. 1991;20: 1455.
34. Jacson F, Beaudouin E, Hotton J, MoneretVautrin DA. Allergie au formol, latex et oxyde d'éthylène: triple allergie professionelle chez une infirmière [Allergy to formaldehyde, latex, and ethylene oxide: triple occupational allergy in a nurse]. Rev FrAllergol. 1991;31:41-43.