Before effective treatments were introduced in the 1950s, tuberculosis was a leading cause of death and disability in the United States. Health care workers were at particular risk. Although the occupational risk of tuberculosis has been declining in recent years, this new book from the Institute of Medicine concludes that vigilance in tuberculosis control is still needed in workplaces and communities. Tuberculosis in the Workplace reviews evidence about the effectiveness of control measuresâ€"such as those recommended by the Centers for Disease Control and Preventionâ€"intended to prevent transmission of tuberculosis in health care and other workplaces. It discusses whether proposed regulations from the Occupational Safety and Health Administration would likely increase or sustain compliance with effective control measures and would allow adequate flexibility to adapt measures to the degree of risk facing workers.

The costs of failure to manage health and safety successfully are high. This manual was prepared by HSE's Accident Prevention Advisory Unit as a practical guide for directors, managers and health and safety professionals intent on improving health and safety performance. The advice given here will be increasingly used by HSE inspectors as a basis for testing the performance of organizations against the general duties of the Health and Safety at Work etc Act 1974.

v. 1. Research findings -- v. 2. Concepts and methodology -- v. 3. Implementation issues -- v. 4. Programs, tools and products.

In 1998, the Occupational Safety and Health Administration (OSHA) began developing a standard that would have required all workplaces to establish a safety and health program. By 1999, it had abandoned its rulemaking process, partly due to intense criticism of the proposed standard. This report assesses the standard and studies of its potential effects, concluding with recommendations should federal or state authorities revisit the initiative.