Del 0 - The Johns Hopkins Series in Environmental Toxicology

Monitoring the Worker for Exposure and Disease

Scientific, Legal, and Ethical Considerations in the Use of Biomarkers

Häftad, Engelska, 1990

AvNicholas A. Ashford,Christine J. Spadafor,Dale B. Hattis,Charles C. Caldart

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Human monitoring as a supplement to or replacement for environmental monitoring of toxic substances in the workplace has become an increasingly important issue within the last decade, leading to Congressional hearings, governmental studies, and scientific conferences around the world. Just as the purposes for undertaking human monitoring are diverse and sometimes conflicting, so too are the concerns-- medical, legal, and ethical-- such testing has generated. The authors begin by providing precise characterizations of the types of monitoring now in use and a clear account of the legal basis for OSHA monitoring requirements. They then turn to scientific and technical concerns that have evolved around monitoring, including the frequency and timing of examinations, human variability, and the distinctions that exist between high-risk and sensitive groups. Specific legal and ethical problems of conducting monitoring tests on workers are then covered in full, including the consequences for the worker of medical removal from the workplace, the conflict between human monitoring and personal privacy, access to medical records, and the use and possible misuse of test results.The volume concludes with policy recommendations for the use of human monitoring, recommendations for the use of human monitoring, recommendations that would achieve the goal of reducing occupational disease and injury while remaining within the bounds of a supportable ethical framework.

Produktinformation

Utgivningsdatum1990-11-26
Mått149 x 229 x 15 mm
Vikt397 g
FormatHäftad
SpråkEngelska
SerieThe Johns Hopkins Series in Environmental Toxicology
Antal sidor240
FörlagJohns Hopkins University Press
ISBN9780801839894

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Nicholas A. Ashford is associate professor of technology and policy at the Massachusetts Institute of Technology. He is the author of Crisis in the Workplace and co-author of Technology, Law and the Working Environment. Christine J. Spadafor is an attorny with Hill and Barlow in Boston. Dale B. Hattis is a principal research associate and Charles C. Caldart is a research associate at the Center for Technology, Policy, and Industrial Development, Massachusetts Institute of Technology.

About the AuthorsIntroductionPart I. Definitions and Legal AuthorityChapter 1. Overview and Definitions: Monitoring, Surveillance, and ScreeningChapter 2. Legal Authority for Human MonitoringPart II. Scientific and Technical ConcernsChapter 3. Medical SurveillanceChapter 4. Genetic MonitoringChapter 5. Biological MonitoringChapter 6. Genetic and Other Sensitivity ScreeningChapter 7. The Frequency and Timing of ExaminationsPart III. The Health Implications of Removing Workers on the Basis of Human Monitoring TestsChapter 8. Human Variability and High-Risk GroupsChapter 9. Consequences to the Worker of Medical RemovalPart IV. Legal and Ethical ConsiderationsChapter 10. Limitations on the Authority to Require Human MonitoringChapter 11. The USe of Monitoring ResultsChapter 12. Policy and Ethical ConsiderationsNotesIndex