Monitoring the Worker for Exposure and Disease: Scientific, Legal, and Ethical Considerations in the Use of Biomarkers

Monitoring the Worker for Exposure and Disease: Scientific, Legal, and Ethical Considerations in the Use of Biomarkers

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

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… See more details below

Overview

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.

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Editorial Reviews

American Journal of Epidemiology

Highly recommended for people working in the field of occupational health. Its 'state of the art' descriptions of methods used in monitoring exposures, diseases, and early signs of pathology are very informative.

Booknews
Characterization of the types of monitoring now in use and an account of OSHA monitoring requirements are followed by delineation of the (sometimes conflicting) medical, legal, and ethical concerns. Policy recommendations conclude the study. Annotation c. Book News, Inc., Portland, OR (booknews.com)

Product Details

ISBN-13:
9780801839894
Publisher:
Johns Hopkins University Press
Publication date:
07/01/1990
Series:
The Johns Hopkins Series in Environmental Toxicology
Pages:
240
Product dimensions:
6.00(w) x 9.00(h) x 0.55(d)
Age Range:
18 Years

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