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Nosocomial TB Control Guidelines Debated; Will OSHA's Proposed Regulations Prevail?
Charles Marwick
JAMA. 2000;284:1637.
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Washington—Although the frightening resurgence of tuberculosis (TB) in the United States a decade ago has been followed by a welcome decline in incidence of infection, a debate continues about the need for regulatory measures to control the disease in hospitals and other health care facilities. While some experts see the decline as evidence that regulation is unnecessary, others say there is a need for an enforceable standard to protect health care workers and others from infection and prevent resurgence of the disease.
The ongoing debate was heightened this summer with two public hearings—in April and August—held by an ad hoc committee of the Institute of Medicine (IOM), chaired by Walter Hierholzer, MD, professor emeritus of internal medicine at Yale University.
The hearings were a response by the IOM to a congressional request to study to what extent health care workers are at greater risk from exposure to . . . [Full Text of this Article]
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