Medical surveillance is a term used to describe the periodic evaluation of individuals working in an environment where there is concern for potential endangerment of their health. There are many aims to this monitoring. First, and most important, is the moral, ethical, and legal responsibility to protect the health of the worker in the work environment. Second is the need to reassure the workers that they are exposed to no undue hazards. Third is the need of a program to help distinguish between hazard-induced lesions and pathology caused by other sources. The medical-legal implications of the latter are obvious as both preexisting pathology and unrelated pathological events may be attributed to workplace injuries in an attempt to obtain compensation or reimbursement of medical expenses and lost wages.
KeywordsLaser Exposure Health Care Personnel Medical Surveillance Retinal Lesion American National Standard Institute
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- 2.Hathaway JA. Medical surveillance requirements for nonionizing radiation workers. Ocular effects of nonionizing radiation. Proc SPIE 1980;229:36–40.Google Scholar
- 3.Pitts WG, Sliney DH, eds. Proceedings of the Symposium on Medical (Ophthalmic) Surveillance of Personnel Potentially Exposed to Laser Radiation, US Army Environmental Hygiene Agency, Aberdeen Proving Ground, MD, September 8–9, 1982. (Available from the National Technical Information Service, Springfield, VA.)Google Scholar
- 4.World Health Organization. Environmental Health Criteria Document #13, Lasers and Optical Sources. Geneva: WHO, 1982.Google Scholar
- 5.American National Standards Institute (ANSI). Safe Use of Lasers, Standard Z-136.1–1986. New York: ANSI, 1986.Google Scholar
- 6.American National Standards Institute (ANSI). Safe Use of Lasers in Health Care Facilities, Standard Z-136.3–1988. New York: ANSI, 1988.Google Scholar
- Sliney DH, Wolbarsht ML. Safety With Lasers and Other Optical Sources. New York: Plenum Publishing Corp, 1980: Chapter 25.Google Scholar
- Söderberg PG, Sliney DH. Medical surveillance in laser working sites. In: Rindi A, Grandolfo M, Sliney DH, eds. Optical Sources, Lasers and Synchrotron Radiation—Biological Effects and Hazard Potential. New York: Plenum Publishing Corp, 1990.Google Scholar