Integration of FDA and NIOSH Processes Used to Evaluate Respiratory Protective Devices for Health Care Workers

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Author :
Publisher : National Academies Press
ISBN 13 : 0309451272
Total Pages : 77 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Integration of FDA and NIOSH Processes Used to Evaluate Respiratory Protective Devices for Health Care Workers by : National Academies of Sciences, Engineering, and Medicine

Download or read book Integration of FDA and NIOSH Processes Used to Evaluate Respiratory Protective Devices for Health Care Workers written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2017-04-06 with total page 77 pages. Available in PDF, EPUB and Kindle. Book excerpt: Both the Food and Drug Administration (FDA) and the National Institute for Occupational Safety and Health (NIOSH) have responsibilities for evaluating and regulating respiratory protective devices ("respirators") for health care workers. Respirators protect the user from respiratory hazards by either removing contaminants from the air (air-purifying respirators) or by supplying clean air from another source (air-supplying respirators). Respirators that are used in workplaces in the United States must be approved by NIOSH and meet standards and test results specified by regulation. Respirators used by health care workers are air-purifying respirators that generally fall into three types: (1) disposable particulate filtering facepiece respirators (also termed N95s); (2) elastomeric respirators, also known as reusable respirators because they use a replaceable filter; or (3) powered air-purifying air respirators. To provide input to NIOSH and FDA and to discuss potential next steps to integrate the two agencies' processes to certify and approve N95 respirators for use in health care settings, a workshop was held by the National Academies of Sciences, Engineering, and Medicine in August 2016. The workshop was focused on exploring the strengths and limitations of several current test methods for N95 respirators as well as identifying ongoing research and research needs. This publication summarizes the presentations and discussions from the workshop.

The Personal Protective Technology Program at NIOSH

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Author :
Publisher : National Academies Press
ISBN 13 : 0309120187
Total Pages : 214 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis The Personal Protective Technology Program at NIOSH by : National Research Council

Download or read book The Personal Protective Technology Program at NIOSH written by National Research Council and published by National Academies Press. This book was released on 2008-10-25 with total page 214 pages. Available in PDF, EPUB and Kindle. Book excerpt: Maintaining the health and safety of workers in the United States and globally is accomplished in part by reducing hazardous exposures through the use of personal protective equipment. Personal protective technologies (PPT) include respirators worn by construction workers and miners; protective clothing, respirators, and gloves worn by firefighters and mine rescue workers; and respirators and protective clothing worn by healthcare workers. An estimated 5 million workers are required to wear respirators in 1.3 million U.S. workplaces. For some occupations, such as firefighting, the worker's protective equipment is the only form of protection against life-threatening hazards; for other workers, the PPT is a supplement to ventilation and other environmental, engineering, or administrative hazard controls. In the United States, federal responsibility for civilian worker PPT is integral to the mission of the National Institute for Occupational Safety and Health (NIOSH). This book examines the NIOSH Personal Protective Technology Program (PPT Program) and specifically focuses on the relevance and impact of this program in reducing hazardous exposures and improving worker health and safety.

Current Issues in the Assessment of Respiratory Protective Devices for Occupational and Non-Occupational Uses

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Publisher : National Academies Press
ISBN 13 : 030968384X
Total Pages : 153 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Current Issues in the Assessment of Respiratory Protective Devices for Occupational and Non-Occupational Uses by : National Academies of Sciences, Engineering, and Medicine

Download or read book Current Issues in the Assessment of Respiratory Protective Devices for Occupational and Non-Occupational Uses written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2021-01-13 with total page 153 pages. Available in PDF, EPUB and Kindle. Book excerpt: To address approaches to the respirator approval process in the current landscape for both occupational and non-occupational use of respirators, the National Academies of Sciences, Engineering, and Medicine's Standing Committee on Personal Protective Equipment for Workplace Safety and Health convened a virtual workshop, Current Issues in the Assessment of Respiratory Protective Devices: Nontraditional Workers and Public Use on August 4â€"5, 2020. Additionally, the workshop considered gaps in respiratory protection for outdoor workers and the general public. This publication summarizes the presentation and discussion of the workshop.

Reusable Elastomeric Respirators in Health Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309485150
Total Pages : 227 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Reusable Elastomeric Respirators in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Reusable Elastomeric Respirators in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-04-15 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care workers across the wide range of settings in which they work and the jobs that they perform. Keeping health care workers healthy is an ethical commitment both in terms of addressing the occupational risks faced by health care workers and of providing for the continuity of patient care and services needed to maintain the health of individuals and communities. During a public health emergency, challenges will arise concerning the availability of respiratory protective devices (i.e., respirators). Reusable respirators (specifically, reusable half-facepiece elastomeric respirators) are the standard respiratory protection device used in many industries, and they provide an option for use in health care that has to date not been fully explored. The durability and reusability of elastomeric respirators make them desirable for stockpiling for emergencies, where the need for large volumes of respirators can be anticipated. However, they are used infrequently in health care. Reusable Elastomeric Respirators in Health Care explores the potential for the use of elastomeric respirators in the U.S. health care system with a focus on the economic, policy, and implementation challenges and opportunities. This report examines the practicability of elastomeric use in health care on a routine basis and during an influenza pandemic or other large aerosol-transmissible outbreak, when demand for respiratory protective devices by U.S. health care personnel may be larger than domestic supplies. The report also addresses the issues regarding emergency stockpile management of elastomeric respiratory protective devices.

Reusable Elastomeric Respirators in Health Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309485185
Total Pages : 227 pages
Book Rating : 4.3/5 (94 download)

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Book Synopsis Reusable Elastomeric Respirators in Health Care by : National Academies of Sciences, Engineering, and Medicine

Download or read book Reusable Elastomeric Respirators in Health Care written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2019-03-15 with total page 227 pages. Available in PDF, EPUB and Kindle. Book excerpt: Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care workers across the wide range of settings in which they work and the jobs that they perform. Keeping health care workers healthy is an ethical commitment both in terms of addressing the occupational risks faced by health care workers and of providing for the continuity of patient care and services needed to maintain the health of individuals and communities. During a public health emergency, challenges will arise concerning the availability of respiratory protective devices (i.e., respirators). Reusable respirators (specifically, reusable half-facepiece elastomeric respirators) are the standard respiratory protection device used in many industries, and they provide an option for use in health care that has to date not been fully explored. The durability and reusability of elastomeric respirators make them desirable for stockpiling for emergencies, where the need for large volumes of respirators can be anticipated. However, they are used infrequently in health care. Reusable Elastomeric Respirators in Health Care explores the potential for the use of elastomeric respirators in the U.S. health care system with a focus on the economic, policy, and implementation challenges and opportunities. This report examines the practicability of elastomeric use in health care on a routine basis and during an influenza pandemic or other large aerosol-transmissible outbreak, when demand for respiratory protective devices by U.S. health care personnel may be larger than domestic supplies. The report also addresses the issues regarding emergency stockpile management of elastomeric respiratory protective devices.

The Use and Effectiveness of Powered Air Purifying Respirators in Health Care

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Author :
Publisher : National Academies Press
ISBN 13 : 0309315980
Total Pages : 106 pages
Book Rating : 4.3/5 (93 download)

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Book Synopsis The Use and Effectiveness of Powered Air Purifying Respirators in Health Care by : Institute of Medicine

Download or read book The Use and Effectiveness of Powered Air Purifying Respirators in Health Care written by Institute of Medicine and published by National Academies Press. This book was released on 2015-05-07 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Protecting 18 million United States health care workers from infectious agents - known and unknown - involves a range of occupational safety and health measures that include identifying and using appropriate protective equipment. The 2009 H1N1 influenza pandemic and the 2014 Ebola virus outbreak in West Africa have called raised questions about how best to ensure appropriate and effective use of different kinds of personal protective equipment such as respirators, not only to promote occupational safety but also to reduce disease transmission. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care is the summary of a workshop convened by the Institute of Medicine Standing Committee on Personal Protective Equipment for Workplace Safety and Health to explore the current state of practices and research related to powered air purifying respirator (PAPRs) and potential updates to performance requirements. Presentations and discussions highlighted current health care practices using PAPRs and outlined the research to date on the use and effectiveness of PAPRs in health care settings with a focus on the performance requirements. The Use and Effectiveness of Powered Air Purifying Respirators in Health Care focuses on efficacy, current training, maintenance, supplies, and possible enhancements and barriers to use in inpatient, clinic, nursing home, and community (home) settings. This report also explores the strengths and weaknesses of using various approaches to health care PAPR standards.

NIOSH Guide to Industrial Respiratory Protection

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Publisher :
ISBN 13 :
Total Pages : 308 pages
Book Rating : 4.3/5 ( download)

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Book Synopsis NIOSH Guide to Industrial Respiratory Protection by : Nancy J. Bollinger

Download or read book NIOSH Guide to Industrial Respiratory Protection written by Nancy J. Bollinger and published by . This book was released on 1987 with total page 308 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Respiratory Health Effects of Airborne Hazards Exposures in the Southwest Asia Theater of Military Operations

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Author :
Publisher : National Academies Press
ISBN 13 : 0309679109
Total Pages : 271 pages
Book Rating : 4.3/5 (96 download)

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Book Synopsis Respiratory Health Effects of Airborne Hazards Exposures in the Southwest Asia Theater of Military Operations by : National Academies of Sciences, Engineering, and Medicine

Download or read book Respiratory Health Effects of Airborne Hazards Exposures in the Southwest Asia Theater of Military Operations written by National Academies of Sciences, Engineering, and Medicine and published by National Academies Press. This book was released on 2020-10-23 with total page 271 pages. Available in PDF, EPUB and Kindle. Book excerpt: More than 3.7 million U.S. service members have participated in operations taking place in the Southwest Asia Theater of Military Operations since 1990. These operations include the 1990-1991 Persian Gulf War, a post-war stabilization period spanning 1992 through September 2001, and the campaigns undertaken in the wake of the September 11, 2001, attacks. Deployment to Iraq, Kuwait, Saudi Arabia, Bahrain, Gulf of Aden, Gulf of Oman, Oman, Qatar, the United Arab Emirates, and Afghanistan exposed service members to a number of airborne hazards, including oil-well fire smoke, emissions from open burn pits, dust and sand suspended in the air, and exhaust from diesel vehicles. The effects of these were compounded by stressors like excessive heat and noise that are inevitable attributes of service in a combat environment. Respiratory Health Effects of Airborne Hazards Exposures in the Southwest Asia Theater of Military Operations reviews the scientific evidence regarding respiratory health outcomes in veterans of the Southwest Asia conflicts and identifies research that could feasibly be conducted to address outstanding questions and generate answers, newly emerging technologies that could aid in these efforts, and organizations that the Veterans Administration might partner with to accomplish this work.

Practical Guide to Respirator Usage in Industry

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Author :
Publisher : Elsevier
ISBN 13 : 0080514316
Total Pages : 190 pages
Book Rating : 4.0/5 (85 download)

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Book Synopsis Practical Guide to Respirator Usage in Industry by : Gyan Rajhans

Download or read book Practical Guide to Respirator Usage in Industry written by Gyan Rajhans and published by Elsevier. This book was released on 2002-11-18 with total page 190 pages. Available in PDF, EPUB and Kindle. Book excerpt: This new edition outlines the design and implementation of an effective respiratory protective equipment program for industries in which workers are at risk from inhaled particulates, toxins and other hazardous materials. The book is intended for managers, health and safety committees, safety specialists and occupational health professionals who need the most up-to-date and practical advice in a concise and easy to read step-by-step form rather than an abstract and theoretical reference on the subject. As in the first edition, the authors present individual components of a respiratory protection program by including chapters on the respiratory tract and how toxic substances affect the lung, different respirator types and their limitations, the criteria for selection, fitting, supervision, training, cleaning, administration and medical assessment, advice on how to set up an RPE (respiratory protection equipment) program, and case studies to illustrate the need of an effective RPE program in the workplace. An impressive number of new research and application related publications have been reviewed since the publication of the first edition. The references (including relevant web sites) and abstracts of these publications have been included to help the reader select appropriate resources for further reading. Experts guide you through the complex data presented to industries by OSHA, NIOSH, ANSI, BSI and other health and safety standards setting organizations and equipment manufacturers Saves time and effort in searching official OEM literatureSeveral case studies to illustrate the improper respirator selections and resulting detrimental effects

NIOSH Respirator Decision Logic

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Publisher :
ISBN 13 :
Total Pages : 68 pages
Book Rating : 4.:/5 (318 download)

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Book Synopsis NIOSH Respirator Decision Logic by : National Institute for Occupational Safety and Health. Division of Standards Development and Technology Transfer

Download or read book NIOSH Respirator Decision Logic written by National Institute for Occupational Safety and Health. Division of Standards Development and Technology Transfer and published by . This book was released on 1987 with total page 68 pages. Available in PDF, EPUB and Kindle. Book excerpt:

Assessment of the NIOSH Head-and-Face Anthropometric Survey of U.S. Respirator Users

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Author :
Publisher : National Academies Press
ISBN 13 : 0309103983
Total Pages : 122 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Assessment of the NIOSH Head-and-Face Anthropometric Survey of U.S. Respirator Users by : Institute of Medicine

Download or read book Assessment of the NIOSH Head-and-Face Anthropometric Survey of U.S. Respirator Users written by Institute of Medicine and published by National Academies Press. This book was released on 2007-04-30 with total page 122 pages. Available in PDF, EPUB and Kindle. Book excerpt: NIOSH and the Occupational Safety and Health Administration (OSHA) share responsibility for overseeing respiratory protection in the workplace and have established regulations for this purpose. Specifically, NIOSH has issued regulations which define respirator testing and certification. OSHA has issued regulations which define conditions under which employers are required to maintain respiratory protection programs in general industry, shipyards, marine terminals, and construction. In 2005, NIOSH contracted with the Institute of Medicine (IOM) to study the NIOSH-sponsored Anthrotech study along with its supporting information and reports, and to examine and report on the adequacy and relevance of the study protocol, the analyses conducted, the resulting anthropometric dataset, and the appropriateness of the respirator fit-test panels derived from the new dataset. Assessment of the NIOSH Head-and-Face Anthropometric Survey of U.S. Respirator Users focuses on the establishment of the scientific base required for certification standards of respirators, not their use in the workplace. This report describes and analyzes the anthropometric measurements performed by Anthrotech for its NIOSH-sponsored study. This report looks at the survey methods used by Anthrotech in the study, and examines how Anthrotech analyzed its data to derive fit-test panels and suggests some ways that analysis could be improved. This report discusses future directions, pointing toward further analyses of the data and offers suggestions for moving from research to practice.

Handbook of Respiratory Protection

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Author :
Publisher : CRC Press
ISBN 13 : 1351109057
Total Pages : 566 pages
Book Rating : 4.3/5 (511 download)

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Book Synopsis Handbook of Respiratory Protection by : LeeAnn Racz

Download or read book Handbook of Respiratory Protection written by LeeAnn Racz and published by CRC Press. This book was released on 2017-11-22 with total page 566 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respiratory protection includes devices and management techniques for keeping people safe from hazardous materials. This handbook presents the state-of-the-art in respiratory protection technology as well as best management practices for work centers. Included are topics relevant to industry, government, and healthcare that provide guidance and tools for ensuring the best possible protection for workers. Most books on this topic are at least 20 years old. Research, technology and management techniques have advanced over the past two decades. This new handbook is needed to provide updated information relevant to today's occupational needs for industrial hygiene and safety professionals.

Reusability of Facemasks During an Influenza Pandemic

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Author :
Publisher : National Academies Press
ISBN 13 : 0309101824
Total Pages : 106 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Reusability of Facemasks During an Influenza Pandemic by : Institute of Medicine

Download or read book Reusability of Facemasks During an Influenza Pandemic written by Institute of Medicine and published by National Academies Press. This book was released on 2006-08-24 with total page 106 pages. Available in PDF, EPUB and Kindle. Book excerpt: Any strategy to cope with an influenza pandemic must be based on the knowledge and tools that are available at the time an epidemic may occur. In the near term, when we lack an adequate supply of vaccine and antiviral medication, strategies that rely on social distancing and physical barriers will be relatively more prominent as means to prevent spread of disease. The use of respirators and facemasks is one key part of a larger strategy to establish barriers and increase distance between infected and uninfected individuals. Respirators and facemasks may have a role in both clinical care and community settings. Reusability of Facemasks During an Influenza Pandemic: Facing the Flu answers a specific question about the role of respirators and facemasks to reduce the spread of flu: Can respirators and facemasks that are designed to be disposable be reused safely and effectively? The committee-assisted by outstanding staff-worked intensively to review the pertinent literature; consult with manufacturers, researchers, and medical specialists; and apply their expert judgment. This report offers findings and recommendations based on the evidence, pointing to actions that are appropriate now and to lines of research that can better inform future decisions.

Evaluation of Respiratory Protection Practices for Employees at Federal Immigration and Customs Agency Workplaces - Nationwide

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Publisher :
ISBN 13 :
Total Pages : 43 pages
Book Rating : 4.:/5 (78 download)

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Book Synopsis Evaluation of Respiratory Protection Practices for Employees at Federal Immigration and Customs Agency Workplaces - Nationwide by : Marie A. De Perio

Download or read book Evaluation of Respiratory Protection Practices for Employees at Federal Immigration and Customs Agency Workplaces - Nationwide written by Marie A. De Perio and published by . This book was released on 2011 with total page 43 pages. Available in PDF, EPUB and Kindle. Book excerpt: "In July 2009, NIOSH received an HHE request from the American Federation of Government Employees. The union was concerned about respiratory protection for federal immigration and customs agency employees during the pH1N1 pandemic. NIOSH investigators reviewed the agency's written respiratory protection procedures, observed a respirator fit-testing session for employees at agency headquarters, and surveyed employees nationwide about respiratory protection practices. We found that the agency's respiratory protection policy, the respirator medical evaluation questionnaire, the qualitative fit-testing protocol, and the slide presentation serving as training for fit testers were comprehensive. The quality of the observed respirator fit-testing procedures was good. However, we identified several areas that needed improvement. Though the response rate for our survey was suboptimal with 2,218 responding employees, we found that that most respondents, particularly those from DRO and OI, have face-to-face contact with immigrants in their current job. This contact places them at risk for exposure to airborne infectious agents, including Mycobacterium tuberculosis, influenza virus, rubeola virus, and varicella zoster virus. Most respondents completed all of the steps required for respirator use (medical clearance, respirator training, respirator fit testing). However, some gaps between medical clearance and respirator training existed. We also found low employee compliance with respirator usage and annual tuberculosis screening. The written respiratory protection programs were not readily available in some workplaces. The agency should maintain a written respiratory protection program for all workplaces to protect against airborne infectious agents and other respiratory hazards. The agency should require and arrange fit testing for employees at least annually and verify medical clearance prior to the fit test. Clear written procedures for the use of respirators should be developed and maintained, and specific indications for respirator usage should be included in training. Annual evaluations of the workplaces to ensure that the written respiratory protection program is being properly implemented should be conducted. Training provided to employees and fit testers should be improved to include more information on the technical capabilities of respirators and more specific instructions for performing face seal checks and for donning and doffing respirators. Employees who should undergo routine tuberculosis screening should be identified and informed. Finally, annual influenza vaccination should be recommended to all employees."--NIOSHTIC-2.

Measuring Respirator Use in the Workplace

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Author :
Publisher : National Academies Press
ISBN 13 : 030910288X
Total Pages : 94 pages
Book Rating : 4.3/5 (91 download)

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Book Synopsis Measuring Respirator Use in the Workplace by : National Research Council

Download or read book Measuring Respirator Use in the Workplace written by National Research Council and published by National Academies Press. This book was released on 2007-06-21 with total page 94 pages. Available in PDF, EPUB and Kindle. Book excerpt: Respirators are used in a variety of workplaces including emergency response, mining operations, construction, manufacturing, and hospitals. In 2001, National Institute of Occupational Safety and Health (NIOSH) and Bureau of Labor Statistics commissioned a nationwide survey of respirator use in the workplace, the results of which were published in the 2003 report Respirator Usage in Private Sector Firms. The purpose of the survey was to evaluate respirator use and practices, including training practices and the value of respirator manufacturer's instruction, in order to help guide NIOSH respirator certification and research. This National Research Council (NRC) report evaluates the survey in terms of several measures such as the adequacy and appropriateness of the survey instrument, the survey methodology, data analysis, and the conclusions drawn from the data. The NRC report finds that the survey was an important first step in collecting respiratory protection data from a probability sample but that several improvements could be made in survey design and analysis. Based on the review of the survey, the NRC report concludes that data on respirator use would be best provided by employers and employees in the context of the work setting.

Frameworks for Protecting Workers and the Public from Inhalation Hazards

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Author :
Publisher : National Academies Press
ISBN 13 : 9780309271370
Total Pages : pages
Book Rating : 4.2/5 (713 download)

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Book Synopsis Frameworks for Protecting Workers and the Public from Inhalation Hazards by : National Academies Of Sciences Engineeri

Download or read book Frameworks for Protecting Workers and the Public from Inhalation Hazards written by National Academies Of Sciences Engineeri and published by National Academies Press. This book was released on 2022-11-10 with total page pages. Available in PDF, EPUB and Kindle. Book excerpt: Individuals in the United States and Americans abroad are exposed to inhalation hazards from a variety of sources, and these hazards can have both short- and long-term adverse effects on health. For example, exposure to wildfire smoke, which contains particulate matter and toxic chemicals, can lead to respiratory problems, increased risk for heart attacks, and other adverse health outcomes. Individuals also may be exposed to airborne infectious agents through aerosol or droplet transmission, and as demonstrated by the COVID-19 pandemic, the individual and public health consequences of these exposures can be severe. Storms, floods, and hurricanes can increase exposure to moisture-driven hazards, such as mold, and to accidental releases from production facilities or transport vehicles that may result in chemical exposures. The current regulatory system is focused primarily on ensuring access to respiratory protection in occupational settings characterized by well-defined hazards and employer-employee relationships. With this narrow regulatory focus, the respiratory protection needs of the public and many workers are not being met. As climate change increases the incidence and severity of wildfires, hurricanes, floods, infectious disease outbreaks, and other phenomena that impact air quality and human health, it is imperative that the United States ensure that the respiratory protection needs of the public and all workers are met. Recognizing the urgent need to address the gaps in the nation's ability to meet the respiratory protection needs of the public and workers without workplace respiratory protection programs, this report makes recommendations for a framework of responsibilities and authorities that would provide a unified and authoritative source of information and effective oversight for the development, approval, and use of respiratory protection.

NIOSH-DOD-OSHA Sponsored Chemical and Biological Respiratory Protection Workshop Report

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Author :
Publisher :
ISBN 13 :
Total Pages : 76 pages
Book Rating : 4.:/5 (11 download)

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Book Synopsis NIOSH-DOD-OSHA Sponsored Chemical and Biological Respiratory Protection Workshop Report by :

Download or read book NIOSH-DOD-OSHA Sponsored Chemical and Biological Respiratory Protection Workshop Report written by and published by . This book was released on 2000 with total page 76 pages. Available in PDF, EPUB and Kindle. Book excerpt: Since publication of Presidential Initiative 62, municipal, state, and national guard responder groups have been developing response plans and establishing the procedural and equipment infrastructures to capably respond to chemical and/or biological terrorism and other crisis situations. The National Institute for Occupational Safety and Health (NIOSH) co-sponsored this technical Workshop together with the Department of Defense (DOD) - US Army Soldier and Biological Chemical Command (SBCCOM) and the Occupational Safety and Health Administration (OSHA). Workshop objectives were to: 1) identily and understand the hazards associated with chemical and/or biological incidents, 2) identify the different responders and their respiratory protection needs, 3) determine which respirators and selection criteria are currently being utilized for response to these types of incidents, and 4) determine public health and medical community concerns which must be considered in developing a standard for chemical and/or biological respiratory protective devices. This Workshop provided a forum for over 140 representatives from 63 different emergency responder, fire fighter, domestic preparedness, equipment manufacturing, federal research, and state and federal regulatory organizations. Participants openly discussed issues, exchanged information, and learned about current respiratory protection issues associated with incidents involving chemical and biological agents. The attendees were subject-matter experts, stakeholders, and partners with a common interest of assuring proper respiratory protection for emergency responders and other worker groups faced with the responsibility of responding to incidents involving chemical and/or biological threats.