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Pulmonary function changes among fire fighters were evaluated by re-examining 632 Baltimore city fire fighters six to ten years after a baseline examination. Spirometry was used to determine forced expiratory volume in 1 second (FEV1). Information about exposures was obtained by questionnaire and by combining data from fire department records regarding the number of fires fought by fire fighting units with individual work histories. Men who never wore a mask while extinguishing fires experienced a 1.7 times greater rate of FEV1 decline than mask wearers. Men with ammonia exposure experienced a rate of decline 1.7 times greater than non-exposed men. Neither length of time spent in exposed jobs nor number of responses were associated with the rate of decline. Active fire fighters experienced a rate of decline 2.5 times greater than those who had retired or resigned. Some effects differed between men who were able to perform repeatable pulmonary function tests and those who were not.

Background Nosocomial transmission of Mycobacterium tuberculosis among workers at a 1000‐bed inner‐city hospital led to an extensive evaluation of this risk among workers with potential exposure to TB patients or laboratory specimens. Methods Retrospective cohort study to determine the incidence and risk of tuberculin skin test (TST) conversions among workers employed 1/1/90 to 9/30/92. Results Personal, community, and occupational risk factors were evaluated in 2,362 workers with potential M. tuberculosis exposure and 886 workers with no known exposure. The 33‐month cumulative rate of TST conversion was 5.8% for potentially exposed workers and 2.0% for controls (RR 3.6; 95% CI; 2.2–5.8). Among workers with potential M. tuberculosis exposure, statistically significantly elevated risks were found for nurses, laboratory technicians, pharmacy workers, phlebotomists, housekeepers, clerks, emergency room workers, and emergency responders. Conclusions Workers with patient contact and those employed in certain occupational groups were at increased risk for occupational M. tuberculosis infection. Am. J. Ind. Med. 42:228–235, 2002. Published 2002 Wiley‐Liss, Inc.

A cross-sectional study was conducted to evaluate the association between work-related musculoskeletal disorders (WRMDs) and work conditions, perceived exhaustion, job dissatisfaction, and job-stress issues at two teleservice centers (TSCs). The study covered teleservice representatives who respond to toll-free calls for assistance. The work involves a computer or manual search for information, and data entry using keyboards. One facility had upgraded the furniture at the workstations; the other facility had not. A questionnaire survey among 114 teleservice representatives and an ergonomic evaluation were conducted to determine WRMDs and their risk factors and perceived job stress. A high prevalence of symptoms of WRMDs was found at both TSCs. Suboptimal ergonomic conditions were associated with neck, shoulder, elbow, and back WRMDs, as well as with Edward J. increased job dissatisfaction. Perceived increased workload variability and lack of job control were associated with the occurrence of neck and back WRMDs, respectively. WRMDs were more frequently reported by teleservice representatives at the center with older furniture and suboptimal ergonomic conditions. WRMDs may be prevented by improving ergonomic conditions at workstations and addressing work-organization elements.

We found a small effect of blood lead on diastolic blood pressure, particularly for a cumulative measure of exposure, but no convincing evidence of associations between lead and other blood-pressure-related outcomes. Published 2001 Wiley-Liss, Inc.

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We compared urinary levels of the metabolite methyl-5-hydroxy-2-benzimidazole carbamate (5-HBC) among nursery workers exposed to the fungicide benomyl (specifically Benlate 50 DF [DuPont, Wilmington, DE]) and workers not exposed to benomyl. Environmental exposures were quantitated from gloves, body patches, and air samples collected with area and personal monitors. The median concentration of 5-HBC in the urine of benomyl-exposed workers was 23.8 mumol of 5-HBC per mole of creatinine. No 5-HBC was detected in the reference group. Industrial hygiene results and biological monitoring findings indicate that use of Benlate 50 DF in the ornamental industry can lead to absorption of the active ingredient, benomyl. Weighing, mixing, and application activities involved the highest exposures. Dermal contact appeared to be the primary route of exposure.