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Tables of Contents for Tuberculosis in the Workplace
Chapter/Section Title
Page #
Page Count
Summary
1
12
Introduction
13
11
Risks to Health Care and Other Workers
15
1
Overview of Report
16
1
Responses to Resurgent Tuberculosis
17
4
The Broader Public Health Context: Eliminating Tuberculosis in the United States and Worldwide
21
2
Conclusion
23
1
Basics of Tuberculosis
24
19
Transmission and Development of Latent Tuberculosis Infection and Active Tuberculosis
25
3
Detection and Treatment of Latent Tuberculosis Infection
28
9
Diagnosis and Treatment of Active Tuberculosis
37
4
Conclusion
41
2
Occupational Safety and Health Regulation in Context
43
13
Strategies for Reducing Workplace Hazards
43
2
The Occupational Safety and Health Act of 1970 and Its Administration
45
10
Conclusion
55
1
Comparison of CDC Guidelines and Proposed OSHA Rule
56
25
CDC Guidelines on Preventing Transmission of Tuberculosis in Health Care Facilities
57
2
Proposed OSHA Rule on Occupational Exposure to Tuberculosis
59
4
Comparison of Guidelines and Proposed Rule: Administrative Controls
63
11
Comparison of Guidelines and Proposed Rule: Engineering Controls
74
2
Comparison of Guidelines and Proposed Rule: Personal Respiratory Protections
76
4
Conclusion
80
1
Occupational Risk of Tuberculosis
81
27
Concepts and Definitions
82
3
Historical Perspectives on the Occupational Risk of Tuberculosis
85
1
More Recent Information on the Community and Occupational Risk of Tuberculosis
86
18
Committee Conclusions
104
3
Summary
107
1
Implementation and Effects of CDC Guidelines
108
29
Implementation of Tuberculosis Control Guidelines
109
13
Effects of Implementing Tuberculosis Control Measures
122
9
Committee Conclusions
131
4
Summary
135
2
Regulation and the Future of Tuberculosis in the Workplace
137
20
Potential Effects of an OSHA Standard on Occupational Tuberculosis
138
16
The Workplace and the Community
154
3
References
157
162
Appendixes
A Study Origins and Activities
173
6
B The Tuberculin Skin Test
179
10
C The Occupational Tuberculosis Risk of Health Care Workers
189
41
D Effects of CDC Guidelines on Tuberculosis Control in Health Care Facilities
230
41
E OSHA in a Health Care Context
271
22
F Respiratory Protection and Control of Tuberculosis in Health Care and Other Facilities
293
16
G Recommendations of the Institute of Medicine Committee on Eliminating Tuberculosis in the United States
309
5
H Committee Biographies
314
5
Index
319