The high-risk occupational disease notification and prevention act. From primary to secondary prevention - from paternalism to autonomy

Details

• Personal Author:
  Brandt-Rauf PW ; Brandt-Rauf SI
• Description:
  The High Risk Occupational Disease Notification and Prevention Bill was discussed. The bill represented a dramatic break with past efforts in the area of occupational health. Rather than attempting to eradicate disease through primary prevention, it placed the onus on exposed workers to act to protect themselves. In so doing, it created a more significant and responsible role for employees than that recognized by prior legislation. These moves toward secondary prevention and worker autonomy constituted major changes in the way the federal government approaches workplace health, moves that require thorough thought and analysis. The basic mechanism of the bill was one of identifying occupational health risks and then notifying the workers who are at risk. On the basis of the information provided them, workers can then decide on an appropriate course of action for detection and, if necessary, treatment for the disease in question. Problems of interpretation may arise in cases in which the process diverges from the prototypical one such as the treatment of subclinical pathophysiologic changes in which the relation between the change and the risk of disease is not clear. A second difficulty concerned establishing which exposures trigger notification. Another difficulty concerned the ability of the system to deal with damage from paraoccupational exposures, injury or disease occurring in family members who may be considered in privity of employment with their exposed relative who brings the hazard home. [Description provided by NIOSH]
• Subjects:
  Manufacturing And Industrial Facilities Occupational Diseases Occupational Exposure Occupational Health Risk Assessment Safety Staff Development
• Keywords:
  Industrial-hazards Legislation NIOSH-Publication Occupational-diseases Occupational-exposure Occupational-health-programs Regulations Risk-analysis Worker-health
• ISBN:
  9780897665230
• ISSN:
  0077-8923
• Document Type:
  Text
• Genre:
  Journal Article
• Place as Subject:
  New York ; OSHA Region 2
• CIO:
  National Institute for Occupational Safety and Health (NIOSH)
• Topic:
  Workplace Safety & Health
• Location:
  North America
• Pages in Document:
  151-154
• Volume:
  572
• NIOSHTIC Number:
  nn:00202341
• Citation:
  Ann NY Acad Sci 1989 Dec; 572:151-154
• Federal Fiscal Year:
  1990
• Peer Reviewed:
  True
• Source Full Name:
  Annals of the New York Academy of Sciences
• Collection(s):
  National Institute for Occupational Safety and Health
• Main Document Checksum:
  urn:sha-512:54a3661ab0fb7625a2ff5f82e5d9e771e1105481eb94711e1684e65c84429dc27b41d64335b900280048691019ff44ec379829fb9e3913c7372329f90ca75bda
• Download URL:
  https://stacks.cdc.gov/view/cdc/205729/cdc_205729_DS1.pdf
• File Type:
  [PDF - 277.93 KB ]