Tuesday, November 27, 2012

NIOSHA Recommended Medical Surveillance For Some Healthcare Workers

National Institute for Occupational Safety and Health (NIOSH) is recommending addition protections for healthcare workers who prepare, administer, or transport hazardous drugs or dispose of hazardous drug waste  To minimize or prevent exposure to chemical hazards, NIOSH is recommending that employers establish a medical surveillance program as part of a comprehensive prevention program that utilizes engineering controls, good work practices, personal protective equipment (PPE), and training to protect workers.

Medical surveillance involves collecting and interpreting data to detect changes in the health status of working populations potentially exposed to hazardous substances.The elements of a medical surveillance program are used to establish an initial baseline of workers' health and then monitor future health as it relates to their potential exposure to hazardous agents. This information can be used to identify and correct prevention failures leading to disease. In particular, an effective surveillance program begins with a hazard identification program that is integrated with surveillance for disease or illness.

NIOSH has indicated that for workers exposed to hazardous drugs, the medical surveillance program should include:

  • Reproductive and general health questionnaires completed at the time of hire and periodically thereafter.
  • History of drug handling as an estimate of prior and current exposure, including dates of duty assignment related to hazardous drugs and similar types of information.
  • A plan to provide initial baseline clinical evaluation, including appropriately targeted medical history, physical examination, and laboratory testing for workers identified as being potentially exposed to hazardous drugs that anticipates their potential toxicities.
  • A follow-up plan as needed for workers who have shown health changes suggesting toxicity or who have experienced an acute exposure (substantial skin contact or inhalation exposure, cleaning a large spill [a broken IV bag, leaking IV line], etc.).

Caltha LLP provides expert consulting services to public and private sector clients nationwide to address Environmental Review and Environmental Impact Assessment.

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Thursday, November 15, 2012

Information Request For Hydraulic Fracturing Study

EPA has published a request for information in the Federal Register asking the public to submit data and scientific literature on the potential impacts of hydraulic fracturing on drinking water resources. Congress has requested that EPA to conduct scientific research to examine the relationship between hydraulic fracturing and drinking water resources, in response to public concern.

The Agency is undertaking a study to understand the potential impacts of hydraulic fracturing on drinking water resources, if any, and to identify the factors that may affect the severity and frequency of such impacts. The scope of the study includes the full hydraulic fracturing water lifecycle, from water acquisition, through the mixing of chemicals and injection of fracturing fluids, to the post-fracturing stage (including the management of flowback and produced water), to its ultimate treatment and disposal. The study will include a review of the published literature, analysis of existing data, scenario evaluation and modeling, laboratory studies, and case studies.

Interested persons are requested to submit scientific analyses, studies, and other pertinent scientific information. The agency will accept data literature until April 30, 2013.

Caltha LLP provides expert consulting services to public and private sector clients nationwide to address Environmental Review and Environmental Impact Assessment.

Caltha Environmental Review Website