Literature DB >> 15333324

Long-term ethylene oxide exposure trends in US hospitals: relationship with OSHA regulatory and enforcement actions.

Anthony D LaMontagne1, J Michael Oakes, Ruth N Lopez Turley.   

Abstract

OBJECTIVES: We assessed long-term trends in ethylene oxide (EtO) worker exposures for the purposes of exposure surveillance and evaluation of the impacts of the Occupational Safety and Health Administration (OSHA) 1984 and 1988 EtO standards.
METHODS: We obtained exposure data from a large commercial vendor and processor of EtO passive dosimeters. Personal samples (87,582 workshift [8-hr] and 46,097 short-term [15-min] samples) from 2265 US hospitals were analyzed for time trends from 1984 through 2001 and compared with OSHA enforcement data.
RESULTS: Exposures declined steadily for the first several years after the OSHA standards were set. Workshift exposures continued to taper off and have remained low and constant through 2001. However, since 1996, the probability of exceeding the short-term excursion limit has increased. This trend coincides with a decline in enforcement of the EtO standard.
CONCLUSIONS: Results indicate the need for renewed intervention efforts to preserve gains made following the passage and implementation of the 1984 and 1988 EtO standards.

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Year:  2004        PMID: 15333324      PMCID: PMC1448503          DOI: 10.2105/ajph.94.9.1614

Source DB:  PubMed          Journal:  Am J Public Health        ISSN: 0090-0036            Impact factor:   9.308


  19 in total

1.  Exposure assessment must stop being local.

Authors:  M R Gómez
Journal:  Appl Occup Environ Hyg       Date:  2000-01

2.  Evaluating OSHA's ethylene oxide standard: exposure determinants in Massachusetts hospitals.

Authors:  A D LaMontagne; K T Kelsey
Journal:  Am J Public Health       Date:  2001-03       Impact factor: 9.308

3.  Time trends in exposure measurements from OSHA compliance inspections of the pulp and paper industry.

Authors:  J B Coble; P S Lees; G Matanoski
Journal:  Appl Occup Environ Hyg       Date:  2001-02

Review 4.  Surveillance and occupational health.

Authors:  L J Fine
Journal:  Int J Occup Environ Health       Date:  1999 Jan-Mar

5.  The intervention research process in occupational safety and health: an overview from the National Occupational Research Agenda Intervention Effectiveness Research team.

Authors:  L M Goldenhar; A D LaMontagne; T Katz; C Heaney; P Landsbergis
Journal:  J Occup Environ Med       Date:  2001-07       Impact factor: 2.162

6.  Exposure databases and exposure surveillance: promise and practice.

Authors:  Anthony D LaMontagne; Robert F Herrick; Michael V Van Dyke; John W Martyny; A James Ruttenber
Journal:  AIHA J (Fairfax, Va)       Date:  2002 Mar-Apr

7.  Occupational exposure to ethylene oxide--OSHA. Final standard.

Authors: 
Journal:  Fed Regist       Date:  1984-06-22

8.  Effect of engineering controls and work practices in reducing ethylene-oxide exposure during the sterilization of hospital supplies.

Authors:  L Elliott; V Mortimer; V Ringenburg; S Kercher; D O'Brien
Journal:  Scand J Work Environ Health       Date:  1988       Impact factor: 5.024

9.  Field validation of three passive dosimeters for excursion limit monitoring of ethylene oxide.

Authors:  F G Szopinski; M A Puskar; L H Hecker
Journal:  Am Ind Hyg Assoc J       Date:  1991-04

10.  Mortality among workers exposed to ethylene oxide.

Authors:  K Steenland; L Stayner; A Greife; W Halperin; R Hayes; R Hornung; S Nowlin
Journal:  N Engl J Med       Date:  1991-05-16       Impact factor: 91.245

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  2 in total

Review 1.  Interventions to prevent injuries in construction workers.

Authors:  Henk F van der Molen; Prativa Basnet; Peter Lt Hoonakker; Marika M Lehtola; Jorma Lappalainen; Monique Hw Frings-Dresen; Roger Haslam; Jos H Verbeek
Journal:  Cochrane Database Syst Rev       Date:  2018-02-05

2.  Interventions to Reduce Exposures in the Workplace: A Systematic Review of Intervention Studies Over Six Decades, 1960-2019.

Authors:  Johan Ohlander; Hans Kromhout; Martie van Tongeren
Journal:  Front Public Health       Date:  2020-03-09
  2 in total

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