Monitoring the worker for exposure and disease : scientific, legal, and ethical considerations in the use of biomarkers

書誌事項

Monitoring the worker for exposure and disease : scientific, legal, and ethical considerations in the use of biomarkers

Nicholas A. Ashford ... [et al.]

(The Johns Hopkins series in environmental toxicology)

Johns Hopkins University Press, c1990

  • pbk. : alk. paper

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注記

Includes bibliographical references (p. 165-213) and index

内容説明・目次

巻冊次

ISBN 9780801839825

内容説明

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.

目次

About the Authors Introduction Part I. Definitions and Legal Authority Chapter 1. Overview and Definitions: Monitoring, Surveillance, and Screening Chapter 2. Legal Authority for Human Monitoring Part II. Scientific and Technical Concerns Chapter 3. Medical Surveillance Chapter 4. Genetic Monitoring Chapter 5. Biological Monitoring Chapter 6. Genetic and Other Sensitivity Screening Chapter 7. The Frequency and Timing of Examinations Part III. The Health Implications of Removing Workers on the Basis of Human Monitoring Tests Chapter 8. Human Variability and High-Risk Groups Chapter 9. Consequences to the Worker of Medical Removal Part IV. Legal and Ethical Considerations Chapter 10. Limitations on the Authority to Require Human Monitoring Chapter 11. The USe of Monitoring Results Chapter 12. Policy and Ethical Considerations Notes Index
巻冊次

pbk. : alk. paper ISBN 9780801839894

内容説明

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.

目次

About the Authors Introduction Part I. Definitions and Legal Authority Chapter 1. Overview and Definitions: Monitoring, Surveillance, and Screening Chapter 2. Legal Authority for Human Monitoring Part II. Scientific and Technical Concerns Chapter 3. Medical Surveillance Chapter 4. Genetic Monitoring Chapter 5. Biological Monitoring Chapter 6. Genetic and Other Sensitivity Screening Chapter 7. The Frequency and Timing of Examinations Part III. The Health Implications of Removing Workers on the Basis of Human Monitoring Tests Chapter 8. Human Variability and High-Risk Groups Chapter 9. Consequences to the Worker of Medical Removal Part IV. Legal and Ethical Considerations Chapter 10. Limitations on the Authority to Require Human Monitoring Chapter 11. The USe of Monitoring Results Chapter 12. Policy and Ethical Considerations Notes Index

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