Tuberculosis among health care workers

Article Abstract:

The rise in the incidence of tuberculosis (TB) among health care workers may be due to relaxation or neglect of infection control practices in hospitals and to the emergence of multidrug-resistant strains of TB. Estimates of the risk of getting TB and of the risk of being infected may be difficult to obtain. TB may be transmitted in hospitals when TB bacteria get into the air, where they can remain for several days. The chance of TB spreading in hospitals may increase when the diagnosis of TB patients is delayed, when ventilation is poor, and when face masks to protect health care workers from infected patients are not worn. Although the risk of health care workers getting TB cannot be eliminated, it can be reduced to a level close to that of the general population. HIV-infected health care workers may need to take special precautions to avoid becoming infected, as TB could kill them because of their weakened immune systems. Confirmed TB patients should be treated only in hospitals that practice measures to limit hospital-based transmission.

Health aspects, Risk factors, Medical personnel, Disease transmission, Nosocomial infections, Cross infection

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Building-related illnesses

Article Abstract:

Up to 60% of employees have complained of symptoms which they associate with their workplace in what has been called sick building syndrome. Buildings can harbor and spread microbes, noxious fumes, allergens and chemicals that may cause illness and disease outbreaks. However, many complaints of headaches, irritation and other symptoms cannot be traced to any specific building-related cause. Occupational and public health officials can help in evaluating cases. Adequate ventilation, careful choice of building materials and furnishings, and moving affected employees are possible remedies.

Analysis, Occupational diseases, Sick building syndrome

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Domestic returns from investment in the control of tuberculosis in other countries

Article Abstract:

Decision analysis helped to assess morbidity, deaths and costs associated with tuberculosis among various legal immigrants, refugees and visitors from Mexico after their arrival in the United States. The attempt to increase the directly observed treatment, short course (DOTS) program in Mexico, Haiti and the Dominican Republic through US funding was observed to decrease tuberculosis-related morbidity and deaths among migrants to the US and result in net cost savings.

Management dynamics, Mexico, Haiti, Management, Medical care, Cost of, Health care costs, Control, Company business management, Federal aid to community health services, Government aid to community health services, Directly observed therapy

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