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Health Hazard Evaluation Report 2006-0357-3041; Denver Sheriff's Department Denver, Colorado
"In September 2006, employees at the Denver Sheriff's Department, Denver, Colorado, requested that the National Institute for Occupational Safety and Health (NIOSH) evaluate potential employee exposures to infectious agents fro m inmates housed at the facility. The specific diseases listed in the employee request included tuberculosis (TB), methicillin-resistant staphylococcus aureus (MRSA), and Serratia marcescens (serratia). During the NIOSH visit in September 2006, employee and management representatives provided information about the Denver Sheriff's Department infection control procedures and ventilation system and participated with NIOSH representatives in a walk-through tour of the facility. Confidential employee requesters and Department medical providers were interviewed by phone at another time."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
Boudreau, Yvonne; Lee, Steven A.
2007-04
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Health Hazard Evaluation Report 95-0024-2518; U.S. Marshals Service Miami, Florida
"In December 1994 the National Institute for Occupational Safety and Health (NIOSH) conducted a health hazard evaluation (HHE) at the United States Marshals Service (USMS) facility in Miami, Florida. NIOSH was asked to evaluate the potential for tuberculosis (TB) transmission among USMS personnel who have contact with prisoners."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
Seitz, Teresa A.; Boudreau, Yvonne
1995-08
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Health Hazard Evaluation Report 96-0241-2634; Maricopa County Sheriff's Office Phoenix, Arizona
"In August 1996, the National Institute for Occupational Safety and Health (NIOSH) received a request from employees of the Maricopa County Sheriff's Office in Phoenix, Arizona, for a health hazard evaluation (HHE) of the evidence drying room. The HHE requesters expressed concern over employees' exposures to potential biological health hazards, including blood-borne pathogens, and odors related to the storage and handling of evidence for criminal investigations. In response, NIOSH personnel conducted a site visit at the Sheriff's Office on September 24 and 25, 19 96. A walk-through evaluation of the evidence drying room was conducted, and ventilation measurements were made using a thermoanemometer. Airflow patterns were visualized using smoke. Confidential interviews were conducted with three detectives."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
Burton, Nancy Clark; Boudreau, Yvonne
1997-04
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Evaluation of Fire Debris Cleanup Employees' Exposure to Silica, Asbestos, Metals, and Polyaromatic Hydrocarbons
From the Introduction: "In March 2018, an employer representative with a government agency for the state of California requested a health hazard evaluation concerning exposures to asbestos, heavy metals, respirable crystalline silica (respirable particles are 10 micrometers or less in diameter), and polyaromatic hydrocarbons during cleanup of structural debris and burn ash after wildfires spread into areas where homes and business were located. [...] In August 2018, we met with employee and employer representatives to get a better understanding of the processes and the challenges associated with fire debris cleanup work. We also reviewed environmental sampling records from previous exposure assessments during wildfire debris cleanup work."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
Eisenberg, Judith; Beaucham, Catherine
2019-08
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Preventing Worker Fatigue Among Ebola Healthcare Workers and Responders
From the Introduction: "The National Institute for Occupational Safety and Health (NIOSH) and the Occupational Safety and Health Administration (OSHA) recognize that healthcare workers and responders involved with cases related to Ebola in the United States may be required to work longer or unusual shifts. This can involve extended shifts (more than 8 hours long), rotating or irregular shifts, or consecutive shifts resulting in more than the typical 40-hour work week. Long work hours may increase the risk of injuries and accidents and can contribute to poor health and worker fatigue. Additionally, the personal protective equipment (PPE) required for working with Ebola patients can increase workers' core body temperature, contributing significantly to fatigue. Although these guidelines are geared toward workers responding in the United States, the same concepts apply to those working in other countries."
National Institute for Occupational Safety and Health; United States. Occupational Safety and Health Administration
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Storm, Flood, and Hurricane Response: Guidance on Health and Safety Issues Among Clean-Up Workers Involved with Handling and Burning Hurricane Debris
"The National Institute for Occupational Safety and Health (NIOSH) provides the following guidelines for preventing injury and illness among clean-up workers in the response to hurricanes. The large amounts of debris caused by hurricanes can lead to an extended clean-up involving many methods of debris disposal including burning. These recommendations will be reviewed on a regular basis and updated as needed."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-06
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Health Hazard Evaluation of Deepwater Horizon Response Workers [2011]
"On May 28, 2010, the National Institute for Occupational Safety and Health (NIOSH) received a request for a health hazard evaluation (HHE) from BP management concerning health effects experienced by responders to the oil release. The request was prompted by the May 26, 2010, hospitalization of seven fishermen who were working in BP's Vessels of Opportunity (VoO) program in the Gulf of Mexico. The fishermen had been hospitalized for symptoms that were initially believed to be related to exposures experienced during their response activities, particularly booming and skimming oil. [...] This final report summarizes our evaluations made during the course of the offshore and onshore HHE investigations and describes the conditions and characteristics encountered during the event. Overarching conclusions and recommendations drawing from the entirety of the HHE investigations are also presented."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
King, Bradley S.; Gibbins, John D.
2011-08
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Preventing Injuries and Deaths of Fire Fighters due to Structural Collapse
This alert document provides information on fire fighter risk mitigation during structural fire fighting, fire fighter occupational safety program and standard operating procedures, determining the structural integrity of burning buildings, properly equipped and trained fire fighters, and case report describing incidents involving fire fighter injuries and deaths due to structural collapse.
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
1999-08
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Preventing Injuries and Deaths of Fire Fighters
This document outlines precautions fire fighters should take to protect themselves from injury and/or death. The information should be brought to the attention of all U.S. fire fighters - including members of the largest metropolitan fire departments and the smallest rural volunteer fire departments. "The National Institute for Occupational Safety and Health (NIOSH) requests assistance in preventing injuries and deaths of U.S. fire fighters. A recent NIOSH investigation identified four factors essential to protecting fire fighters from injury and death: (1) following established fire-fighting policies and procedures, (2) implementing an adequate respirator maintenance program, (3) establishing fire fighter accountability at the fire scene, and (4) using personal alert safety system (PASS) devices at the fire scene. Deficiencies in any of these factors can create a life-threatening situation for fire fighters."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
1994-09
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Health Hazard Evaluation of Deepwater Horizon Response Workers -- Interim Report 4
"The Vessels of Opportunity (VoO) program was established by BP in response to the April 20, 2010, Deepwater Horizon explosion and resultant oil spill in the Gulf of Mexico. As part of this program, local vessel owners contracted their boats to conduct a variety of oil spill response activities including booming and skimming operations, supporting on‐site burning of surface oil, tar ball recovery, and providing transportation of supplies and personnel [BP 2010]. During June 10--20, 2010, NIOSH industrial hygienists conducted industrial hygiene assessments on six fishing and shrimping trawlers in the VoO program that were contracted by BP to remove surface oil by booming and skimming. These trawlers typically ranged in size from 20 feet to more than 65 feet in length. On days when oil was not present on the water surface in the areas to which these vessels were assigned, the vessel captains often directed their vessels through patches of foam (described by the crew as 'dispersant foam') found on the sea surface to break them up. The vessels were typically staffed by a captain and 1--2 deckhands who stayed on the boat and 1--2 responders responsible for doing oil clean‐up work on the VoOs. These responders were contract employees and were transported to the VoOs by crew boats on a daily basis."
United States. Department of Health and Human Services; National Institute for Occupational Safety and Health
2010-08-11
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Health Hazard Evaluation of Deepwater Horizon Response Workers, Interim Report 4 Summary
"On May 28, 2010, BP [British Petroleum] requested a health hazard evaluation of Deepwater Horizon Response workers. The fourth in a
series of interim reports from this health hazard evaluation was issued August 11, 2010. Below is a summary of the main
findings and recommendations from this report."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-09
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Health Hazard Evaluation of Deepwater Horizon Response Workers, Interim Report 3 Summary
"On May 28, 2010, BP requested a health hazard evaluation of Deepwater Horizon Response workers. The third in a
series of interim reports from this health hazard evaluation was issued July 22, 2010. Below is a summary of the main
findings and recommendations from this report."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-09
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Health Hazard Evaluation of Deepwater Horizon Response Workers -- Interim Report 3
"An industrial hygienist from the National Institute for Occupational Safety and Health (NIOSH) conducted an industrial hygiene survey during an offshore oil recovery mission involving the 234 foot M/V Queen Bee platform supply vessel on June 14--16, 2010. This vessel was retrofitted with a U.S. Coast Guard (USCG) operated weir skimmer, skimming control stand, high volume pumping unit (HVPU), boom system, three on-deck 500-barrel storage capacity tanks, and an industrial crane (to move boom and the skimmer). During this survey personnel on the Queen Bee who were skimming oil from the ocean surface included crew, contract personnel from Ameri-force, and the USCG. The USCG personnel were operating the skimming system and instructing and observing contract personnel's use of all components of the skimming system."
National Institute for Occupational Safety and Health; United States. Department of Health and Human Services
2010-07-22
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Health Hazard Evaluation of Deepwater Horizon Response Workers: Interim Report 8 Summary
"On May 28, 2010, BP requested a health hazard evaluation of Deepwater Horizon Response workers. The eighth in a
series of interim reports from this health hazard evaluation was issued October 26, 2010. In this report, NIOSH [National Institute for Occupational Safety and Health] presents
the findings of the evaluations of equipment and boat repair/decontamination and waste management work sites."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-11
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Story of Impact: NIOSH Research Leads to a Reduction in Safety Hazards Among Ambulance Service Workers and EMS Responders
"As part of the National Occupational Research Agenda (NORA), researchers at the National Institute for Occupational Safety and Health (NIOSH) set out to reduce ambulance crash--related injuries and deaths among EMS [emergency medical services] workers. The 'Ambulance Crash Survivability Improvement Project' addressed the layout and structural integrity of ambulance compartments, design of hardware, and occupant restraints. The project included an evaluation of both human and mechanical barriers to equipment access, as well as use of personal restraints."
National Institute for Occupational Safety and Health; United States. Department of Health and Human Services
2010
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Health Hazard Evaluation of Deepwater Horizon Response Workers: Interim Report 5: Evaluation of Wildlife Cleaning and Rehabilitation Workers; Alabama, Florida, Louisiana, and Mississippi, June and July 2010
"In June and July 2010, NIOSH [National Institute for Occupational Safety and Health] investigators made multiple site visits to on-shore worksites where Deepwater Horizon response activities were occurring. The broad categories of worksites evaluated included (1) shore clean-up; (2) wildlife cleaning and rehabilitation; and (3) equipment decontamination and waste management. This report presents the findings of the evaluations of wildlife cleaning and rehabilitation centers."
National Institute for Occupational Safety and Health; United States. Department of Health and Human Services
2010-08-26
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Health Hazard Evaluation of Deepwater Horizon Response Workers, Interim Report 6 Summary
"On May 28, 2010, BP [British Petroleum] requested a health hazard evaluation of Deepwater Horizon Response
workers. The sixth in a series of interim reports from this health hazard evaluation was
issued September 13, 2010.
NIOSH [National Institute for Occupational Safety and Health] completed a survey of 74 off-shore response workers and United States Coast Guard personnel. [...] Recommendations were made for workers with persistent symptoms to seek care from physicians
familiar with occupational medicine principles, and to provide workers with access to information and materials on
occupational health issues and exposures related to the oil spill."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-09
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Health Hazard Evaluation of Deepwater Horizon Response Workers, Interim Report 5 Summary
"On May 28, 2010, BP [British Petroleum] requested a health hazard evaluation of Deepwater Horizon Response workers. The fifth in a series
of interim reports from this health hazard evaluation was issued August 26, 2010. In this fifth interim report, NIOSH [National Institute for Occupational Safety and Health] presents the findings of the evaluations of wildlife cleaning and rehabilitation centers."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-09
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Reducing Occupational Exposures while Working with Dispersants during the Deepwater Horizon Response
"Dispersants are being used in the Deepwater Horizon (Gulf of Mexico) response to remove oil from the surface of water where it can be especially harmful to the environment. The National Institute for Occupational Safety and Health (NIOSH) has prepared this document to guide workers involved in these efforts on ways to protect themselves from potential exposures. This fact sheet will be updated as new information on the types of dispersants being used in the response is received."
National Institute for Occupational Safety and Health; United States. Department of Health and Human Services
2010-07-02
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Health Hazard Evaluation of Deepwater Horizon Response Workers - Interim Report 1A
"Initial investigations focused on exposure to dispersant based on patient reports. OSHA [National Institute for Occupational Safety and Health] and CTEH [Center for Toxicology & Environmental Health] reviewed dispersant application records from May 26, 2010; the patients' vessels were approximately 40‐60 miles from the area of dispersant use. When oil was observed by the fishermen, the description was most consistent with emulsified crude oil, which, according to the CTEH report, does not contain free dispersant. All but one of the hospitalized fishermen reported extremely unpleasant odors. The reported odors included 'concentrated soap' and 'bad Clorox' as well as unspecified 'chemical' odors. One patient reported a 'pinesol' taste. The sources of the unpleasant odors or taste could not be determined by investigators after the event. Captains of vessels from Task Forces 1, 2, 3, and 4 reported to a CTEH toxicologist that the symptoms began after Pentene Clean had been substituted for the usual citrus‐based cleaner but this could not be confirmed in the review of other reports and records. Several of the patients had reported symptoms 3 to 7 days before hospitalization and one reported symptoms approximately 20 days before hospitalization. The most frequent signs and symptoms reported by the hospitalized fishermen were headache, upper respiratory irritation or congestion, nausea, elevated self‐ monitored blood pressure, fatigue, and chest pain or pressure. Two of the fishermen were hospitalized for evaluation of potentially serious medical problems that are common in the United States. The rest were hospitalized for observation because of their reported exposure to chemicals. Six patients were discharged within 1 day of admission; one was discharged after an additional day of testing"
National Institute for Occupational Safety and Health; United States. Department of Health and Human Services
2010-06-23
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Reducing Illnesses at Indoor Waterparks
"Lifeguards and patrons in the rapidly growing indoor waterpark industry can be exposed to numerous disinfection byproducts (DBP) and microorganisms that can cause adverse health effects such as eye and respiratory irritation, skin rashes, and flu-like symptoms. NIOSH [National Institute for Occupational Safety and Health] provided technical assistance to a county health department to investigate the cause of symptoms reported by employees of a large indoor waterpark. This document addresses issues that pool managers, designers, and public health officials should consider to reduce illness at indoor water parks."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
2010-03
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Medical Pre-Placement Evaluation Indicators for Health Professionals
This guidance provides health professionals with important elements of a pre-placement evaluation for Deepwater Horizon response workers. It lists conditions that may indicate a need for further medical attention or for work restrictions or modifications. The evaluation should be used to provide information to the worker about his/her health status and its potential impact on health and safety.
National Institute for Occupational Safety and Health; United States. Department of Health and Human Services
2010-07-22?
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Chemical, Biological, Radiological, and Nuclear (CBRN) Respiratory Protection Handbook
"This handbook fills the critical need for authoritative technical information on CBRN RPDs [Chemical, Biological, Radiological, and Nuclear Respiratory Protective Devices]. The information presented will assist any user of CBRN respirators to improve selection, use, and maintenance, but it is particularly useful to those individuals responsible for administering respirator protection programs or developing training programs. The handbook is intended for organizations that use CBRN respirators in emergency response applications (e.g., fire service, law enforcement, emergency medical services, and corrections officers). It does not include information on how to conduct response activities. Others who use CBRN respirators in industrial, public works, construction, utility, and other non-emergency applications will also benefit from the information presented. The information in the following chapters can be used to develop a more effective CBRN respiratory protection program and establish effective training programs in support of other requirements such as relevant National Fire Protection Association (NFPA) and OSHA [Occupational Safety and Health Administration] standards."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
Metzler, Richard W.; Szalajda, Jonathan; Rehak, Timothy R. . . .
2018-07
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Evaluation of Respiratory Protection Practices for Employees at Federal Immigration and Customs Agency Workplaces - Nationwide
"NIOSH [National Institute for Occupational Safety and Health] and investigators assessed the respiratory protection program at federal immigration and customs agency workplaces nationwide. Overall the agency's respiratory protection program adequately protects employees from airborne infectious agents. However, several areas could be improved."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
King, Bradley S.; Mueller, Charles S.
2011-04
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Evaluation of Exposure to Tuberculosis Among Immigration Employees
"The National Institute for Occupational Safety and Health (NIOSH) received requests from the American Federation of Government Employees, Local 2718 for a health hazard evaluation (HHE) at the U.S. Immigration and Customs Enforcement (ICE) Broadview Service and Staging Area (BSSA) facility in Broadview, Illinois, and at the Chicago District Office (CDO) in Chicago, Illinois. The union submitted the HHE requests because of concerns about the potential for transmission of tuberculosis (TB)."
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
de Perio, Marie A.; Niemeier, R. Todd
2010-09
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NIOSH Emergency Response Card: Ricin
This National Institute for Occupational Safety and Health (NIOSH) response card provides chemical facts about ricin. The response card also outlines the different symptoms, treatment practices, and recommended personal protective equipment for various forms of ricin exposure
Centers for Disease Control and Prevention (U.S.); National Institute for Occupational Safety and Health
2007-10-02?
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Health Hazard Evaluation of Deepwater Horizon Response Workers: HETA 2010-0115
"To assess acute health symptoms among off‐shore response workers and United States Coast Guard (USCG) personnel, NIOSH investigators administered a health symptom survey at the June 18, 2010 safety and administrative meeting held at the Venice, Louisiana, Field Operations Branch (FOB). Meeting attendees were either USCG personnel providing safety oversight to off‐shore vessels or administrative/command services at the Venice FOB, or civilian contractors providing safety oversight for other responders working off‐shore. Topics typically covered at this meeting included safety procedures, weather and seas forecast, heat stress prevention, the daily plan of operations as outlined in the Branch Action Plan, and various administrative items related to active duty and reserve USCG service. Surveys were administered to attendees at the 0600 safety and administrative meeting on June 18, 2010. Respondents were asked to report symptoms they experienced while working during response activities, whether they had exposures to oil and dispersants, and whether they had skin contact with the oil during their response activities."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2010-09-13
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Interim Guidance for Protecting Deepwater Horizon Response Workers and Volunteers
"The specific recommendations provided in this Interim Guidance focus on issues specific to the Deepwater Horizon Response and do not address issues common to all disaster response work activities. […]The National Institute for Occupational Safety and Health (NIOSH) and the Occupational Safety and Health Administration (OSHA) recognize that many important and well-considered efforts to protect the health and safety of Deepwater Horizon Response workers and volunteers are currently being implemented. To ensure a comprehensive approach to safety and health, NIOSH and OSHA recommend that: 1. Exposures to toxic chemical and physical agents, heat, fatigue and psychological stress should be reduced by using engineering and administrative controls (including work-rest cycles, distance, location and barrier protection) and, where necessary, the use of personal protective equipment (PPE); 2. Exposures to toxic chemical and physical agents should be comprehensively and routinely assessed during work activities under varying conditions. Validated methods for area and personal breathing zone sampling should follow an approved, standardized and comprehensive Deepwater Horizon Response air sampling plan coordinated among all relevant government agencies and non-governmental organizations (and their contractors) that are conducting sampling activities; 3. Dermal exposures to crude oil and toxic chemical agents should be minimized for response activities in which the chance for dermal exposure is high and appropriate PPE should be worn."
National Institute for Occupational Safety and Health; United States. Occupational Safety and Health Administration
2010-06-25
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Ammonia Solution (UN 3318); Ammonia, Anhydrous (UN 1005): Lung Damaging Agent
This webpage from the Emergency Response Safety and Health Database, of the Centers for Disease Control and Prevention and the National Institute for Occupational Safety and Health, provides extensive information on ammonia. Some of the information provided on this page includes agent characteristics, methods of dissemination, routes of exposure, dangers for emergency responders, signs and symptoms of exposure, decontamination, and more.
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
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Components for Evaluation of Direct-Reading Monitors for Gases and Vapors
"The Occupational Safety and Health Act of 1970 (Public Law 91--596) charged the National Institute for Occupational Safety and Health (NIOSH) with the responsibility for the development and evaluation of sampling and analytical methods for workplace compliance determinations. Under that charge, NIOSH and the Occupational Safety and Health Administration jointly undertook the evaluation of sampling and analytical methods for airborne contaminants by contract in 1974 to determine if methods met the criterion to produce a result falling within 25% of the true concentration 95 times out of 100. The present document further expands the experiments used during the initial methods development and evaluation research to direct-reading monitors for gases and vapors. This document provides discussion of the physical, operational, and performance characteristics for direct-reading monitors. Guidance is provided for experiments to evaluate response time, calibration, stability, range, limit of measurement, impact of environmental effects, interferences, and reliability of direct-reading monitors. Also included are evaluation criteria for the experiments and details for the calculation of bias, precision and accuracy, and monitor uncertainty."
National Institute for Occupational Safety and Health; Centers for Disease Control and Prevention (U.S.)
2012-07
