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Couturier's Occupational and Environmental Infectious Diseases, Second Edition
William E. Wright, MD, MSPH, Editor
$235.00
Product Code: 23090

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Contributing Authors
About the Editor
Couturier's Occupational and Environmental Infectious Diseases is now available in an entirely updated new Second Edition! In this current era of
global connections and potential for the global spread of disease, practitioners need to be vigilant, aware, and educated about the infectious
disease risks to working populations. This book is a valuable resource to assist you in protecting employees in a wide variety of work environments.
Employee health, preventive services, threats of bioterrorism, sheltering in place, plans for emergency preparedness, business recovery plans, and
continuity of operations plans are just some of the topics covered. Expanded sections on employee education, travel issues,
migrant/immigrant health, as well as new appendices and resource lists will help support the reader in their practice, in employee education, and
in the planning of services.
Contributing authors from occupational health, infectious disease, and public health specialties have combined their experience and expertise
under the guidance of Editor William E. Wright, MD, MSPH to provide practical information on the evaluation, treatment, and prevention of
occupational and environmental infectious diseases. Use this new edition to address the important issues facing today's global workforce and to
customize plans for your medical practice, your clients, and the workers you serve.
Topics Covered Include:
• Epidemiology
• Legal issues
• Vaccination programs
• Approaches to employee education
• Occupations at risk
• Disease recognition and treatment
• Personal protective equipment
• Proper removal of ticks
• Applying and reading PPDs
• TB-gold information
• Disease reporting and data resources
• Pest and vermin abatement
• Indoor air quality
• Food and water issues
• Staying healthy during travel
• Bioterrorism
• Emerging infections
• International resources
Expanded Coverage of Specific Disease Topics:
• Influenza, Avian flu
• Monkeypox
• Malaria
• Dengue, West Nile virus
• Gonorrhea
• Strep suis meningitis
• Progressive inflammatory neuropathy (PIN)
• Leprosy
• MRSA, MDRTB, XDRTB, VRE
• Community acquired pneumonias
Expanded Coverage of Bioterrorism / Disaster Issues:
Up-to-date information on disaster preparedness planning, business plans for bioterrorism pandemics/disasters, resources regarding sheltering in
place, recovery plans, pandemic severity indices, administrative guidance, air travel issues, and related Web resources.
Pub. Date: October 2008 ISBN: 978-1-883595-45-6 Format: Hardcover, 825 pages.
$235.00
Product Code: 23090
Table of Contents
Contributing Authors xi
Foreword xv
Preface xvii
Acknowledgments xix
I. Fundamentals 1
1. History of Occupational Infectious Diseases 3
Jean Spencer Felton and William E.Wright
2. Clinical Laboratory Evaluation of Infectious Diseases 17
Gerri S. Hall and Lou Ellen Phillips-Smith
3. Epidemiology and Etiology of Occupational Infectious Diseases 39
Daymon Evans
4. Occupations at Risk 127
Marilyn S. Radke and Geoffrey A. Kelafant
5. Vaccine-Preventable Diseases in Occupational Medicine 135
Ellen R. Kessler
6. Legal Challenges 149
Susan O. Cassidy
7. Medical Surveillance of Workers 161
Victor S. Roth
8. Employee Education and Training 179
William E.Wright
II. Diseases 185
9. Occupational Tuberculosis 187
John D. Meyer and Douglas D'Andrea
10. Occupational Legionellosis 202
William E.Wright
11A. Occupational Influenza: Recent Update 212
William E.Wright
11B. Occupational Influenza 223
Daymon Evans
12. Occupational Chlamydial and Rickettsial Respiratory Infections 262
Daniel J. Martin
13. Fungal Pneumonias in the Occupational Setting 311
Mary Anne Morgan and David R. Trawick
14. Occupational Upper Respiratory Tract Infections 323
Paul C. Levy and Paul S. Graman
15. Occupational Plague 333
Shadaba Asad and Andrew W. Artenstein
16. Occupational Hantavirus Pulmonary Syndrome 344
Randall L. Updegrove
17. Occupational Hepatitis 359
Daniel A. Nackley and Ralph L. McLaury
18. Occupational Gastroenteritis 373
Alain J. Couturier,Wendell Perry, and William E.Wright
19. Occupational Tetanus 390
V.M. Voge, Philip E. Fisher, and William E.Wright
20. Occupational Rabies 396
Carl N. Zenz, Jr.
21. Occupational Infectious Diseases with Dermatologic Features 404
Dorothy J.Wawrose and Boris D. Lushniak
22. Occupational Slow Virus Infection 422
Jonathan S. Rutchik and John W. Kephart
23. Occupational Meningitis 429
William E.Wright and Alain J. Courturier
24. HIV in the Workplace 441
Alan L.Williams and Richard J. Thomas
25. Occupational Malaria 457
Bruce A. Barron and Mark J. Utell
26. Occupational Lyme Disease 474
William E.Wright
III. Occupational Travel 491
27. Occupational Travel and Prevention of Infectious Diseases 493
William E.Wright
28. Viral Travel-Related Infections 509
William E.Wright
29. Bacterial Travel-Related Infections 526
Karin E. Byers
30. Helminthic Travel-Related Infections 539
Jeffrey G. Jones
31. Protozoan Travel-Related Infections 569
John Ellis
32. Fungal Travel-Related Infections 584
Robert S. Rhodes
IV. Unique Problems and Settings 605
33. Occupational Infections in Pregnant Employees 607
Edward Seidel
34. Occupational Infections in Research Laboratory Workers 616
Gregg M. Stave
35. Occupational Infections in Health Care Workers 623
Marian Swinker
36. Occupational Zoonoses 662
Roy L. DeHart
37. Globally Emerging Occupational Infections 674
Marc Croteau and Marcia Trapé
38. Microbial Diseases of the Indoor Environment 705
Jeanne M. McGregor
39. Biological Agents Applied to Warfare and Terrorism 716
Tee L. Guidotti, Marina S. Moses, and Harold E. Hoffman
40. Occupational Infections in Sewage Workers 729
Robert P. Hurley
Appendices
A. General Resources,World, Regional and National 761
B. Specific Topics 766
C. Infectious Disease Issues Related to Blood Donations 772
Pub. Date: October 2008 ISBN: 978-1-883595-45-6 Format: Hardcover, 825 pages.
$235.00
Product Code: 23090
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Pub. Date: October 2008 ISBN: 978-1-883595-45-6 Format: Hardcover, 825 pages.
$235.00
Product Code: 23090
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Foreword
It is a pleasure and honor to prepare a foreword for my late friend and colleague, Dr.
Alain Couturier, for the new edition of his text on occupational and environmental
infectious diseases. Alain and I became acquainted nearly 25 years ago when he applied
for a residency position in occupational medicine at Boston University Medical
Center. Alain performed extremely well in the residency and then went on to his career
in occupational medicine. I will always cherish the conversations we had and the
enthusiasm and compassion with which he conducted his professional responsibilities.
His sense of humor, warmth, and dedication are personal qualities that made
our work a pleasure. I am pleased that he developed an interest in writing and publishing
and am very proud of his accomplishments, especially the extraordinary effort
involved in editing a major textbook. Fortunately, Dr. Will Wright, a former
classmate of mine at the Harvard School of Public Health, has stepped in admirably
for Alain and has done an excellent job in editing the text and writing a few new
chapters as well.Having served as an editor of a number of texts, I realize the amount
of work and dedication necessary to develop a successful text such as this one. Dr.
Wright should be commended for the accomplishment.
This text should be of great value for infectious disease specialists and occupational
physicians with responsibilities for preventing infectious diseases in occupational
settings such as medical centers and research operations and in providing
advice to travelers to regions of the world in which they may be exposed to infectious
agents not customary in the western world. This text offers summaries of infectious
diseases—from common types, such as upper respiratory infections, to the esoteric,
such as occupational plague—that are not readily available in other sources. Along
with fundamentals on epidemiology and immunizations, the text addresses legal
challenges, medical surveillance, and influenza, among other topics.What I find particularly
valuable in this text is the extensive discussion of infectious diseases associated
with business travel. This information is both presented in practical terms and
is current. This text will serve as a valuable resource to libraries and physicians who
are called upon to evaluate treat and prevent infectious diseases in the occupational
setting.
Robert J. McCunney, MD
Boston, MA
August, 2008
Pub. Date: October 2008 ISBN: 978-1-883595-45-6 Format: Hardcover, 825 pages.
$235.00
Product Code: 23090
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Preface to Second Edition
It is an honor and pleasure for me to present this book to you. I came to work on it
in gradual, unexpected steps, initially thanks to the editor of the first edition, Dr.
Alain Couturier, a friend and colleague. He first asked me to write a chapter, taking
a different perspective than was taken in the first edition. Having received that chapter
from me and having not found authors for some other chapters, he asked me to
do several more.We discussed and carried out some plans for chapter revisions, including
expansion of the book's coverage of travel topics. I had a particular interest
in this, having traveled to 44 countries on seven continents and overseen workers'
health in remote jungle areas worldwide.Unfortunately, during this period,Alain became
ill, so he asked me to be a coeditor and help to find additional authors to complete
the book. After I took on this activity in early 2007, Alain died suddenly, and I
became a coeditor without an editor.
The publisher asked me to carry on as editor and offered to support the project to
completion; Alain's family also encouraged me. In picking up the pieces, given the
time that had passed during Alain's illness, I asked authors who had submitted chapters
in 2005–2006 to provide further updates. They graciously agreed to do this.
Since the first edition was published in 2000, besides Alain's untimely death, to my
knowledge, three other first edition contributors have died: Dr. Jean S. Felton, Dr.
Geoffrey A. Kelafant, and Dr. Wendell H. Perry. In Alain's draft of a preface, he expressed
his sorrow for the loss of these fine colleagues and appreciation for their contributions
to the first edition and to our profession. I second Alain's sentiments and
extend them to Alain himself, who conceived the first edition and oversaw its creation.
In its second edition, this book has been renamed Couturier's Occupational and
Environmental Infectious Diseases in honor of Dr. Couturier; I have arranged for a
proportion of the second edition royalties to go to his school-age children.
The second edition has been entirely updated and has many revisions and additions.
There is a greater emphasis on information and resources that the primary care
physician, generalist, or occupational health practitioner can use for recognition and
management of infectious diseases and their risks and for coworker and employee
education. Hence there is an expanded chapter on employer education, a completely
new chapter on general travel medicine and prevention of illness, expanded coverage
of employee education issues in many chapters, and listings of more Web resources
in the chapters and appendices. The book is designed to support the physician
reader's own continuing medical education, to help plan education programs and
briefings, and to assist with occupational health programs' clinical, preventive, and
administrative mandates.
Some readers may use this book as a reference source to look up specific items
about diseases. I encourage spending time examining the chapters and resources in
depth. The chapters on fundamentals, particularly laboratory methods (Chapter 2),
epidemiology (Chapter 3), vaccines (Chapter 5), and legal issues (Chapter 6), are
intended to be illuminating and practical. The epidemiology chapter includes important
definitions of terms, information on transmission of infectious diseases, explanations
of approaches to infectious disease epidemiology and prevention, and
background on general principles of infectious diseases. Occupational physicians
who are responsible for training employees regarding infectious disease issues will
find that these and other chapters have a wealth of well-thought-out, relevant information
and useful tools for carrying out their job. The epidemiology chapter is an
excellent adjunct to other standard materials used to prepare for the American Board
of Preventive Medicine examinations in public health and occupational medicine.
The chapters in the other sections also have been fully updated and enhanced with
an eye toward providing well-organized, practical information and education materials
rather than emphasizing theory. The travel-related chapters now have their own
section in the book, and information on how to stay healthy while traveling is consolidated
into an entirely new chapter. Chapter 27 includes new sections related to
migrant, immigrant, and refugee health issues, which are becoming increasingly important
for travel medicine and occupational health professionals. The sections on
diseases and unique problems and settings have an expanded emphasis on globally
emerging infections and international health issues, including bioterrorism and disaster
preparedness, and resources for sheltering in place, quarantine issues, continuation
of operations plans, and business recovery. I've found many of these chapters
to be very insightful, and some are downright scary.When one describes what pathogenic
microorganisms can do to people, the topics related to pandemics and plagues
(e.g., influenza, plague, leprosy, and smallpox) and to topics such as anthrax, protozoans,
helminths, rabies, human immunodeficiency virus (HIV), methicillinresistant
Staphylococcus aureus with P-VL, hemorrhagic fevers (e.g., Marburg and
Ebola), extensively drug-resistant tuberculosis, and others are not for the squeamish.
One comes away from immersion in these topics with a deep admiration and even
awe for the simplicity, power, and elegance of these opportunistic microorganisms
and their abilities to adapt in order to remain successful opportunists.
The emphasis also has been expanded to include more recognition that many infectious
diseases are international or global problems and that population pressures;
migrations of people, vectors, and germs; human encroachment into previously less
settled areas; and climate changes are powerful forces related to infection risks. These
perspectives and relevant resources are noted in many chapters, including the travel
chapters and those on influenza, globally emerging infections, biological warfare and
terrorism, specific disease chapters, and the expanded appendices. The approach is
meant to be consistent with the World Health Organization's statement, quoted in
several places in this book: "The phenomenon of globalization has altered the traditional
distinction between national and international health. Very few urgent public
health risks stay solely within national boundaries."
This textbook has been written with this perspective in mind and to remind medical
practitioners and the patients, employees, and others we serve of the interrelatedness
of humans, our shared interests, and our shared fate.
William E.Wright, MD, MSPH, MS Physiology (Occupational Medicine)
President and Medical Director, WorkWright, Inc.
Fellow, American College of Physicians
Fellow, American College of Occupational and Environmental Medicine
July, 2008
Pub. Date: October 2008 ISBN: 978-1-883595-45-6 Format: Hardcover, 825 pages.
$235.00
Product Code: 23090
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Contributing Authors
* = deceased
Andrew W. Artenstein, MD
Physician-in-Chief
Department of Medicine
Director, Center for Biodefense and Emerging Pathogens Memorial Hospital of Rhode Island
Associate Professor of Medicine and Community Health
The Warren Alpert Medical School of Brown University
Providence, Rhode Island
Chapter 15
Shadaba Asad, MD
Clinical Assistant Professor
The Warren Alpert School of Medicine of Brown University
Providence, Rhode Island
Chapter 15
Bruce A. Barron, MD, MS
Associate Professor of Environmental Medicine
University of Rochester Medical Center
Rochester, New York
Chapter 25
Karin E. Byers, MD, MS
Assistant Professor of Medicine
University of Pittsburgh Medical Center
Chapter 29
Susan O. Cassidy, MD, JD
CEO, ContourMed
McLean,Virginia
Chapter 6
Marc Croteau, MD, MPH
Assistant Professor of Medicine
Division of Public Health and Population Sciences
University of Connecticut School of Medicine
Farmington, Connecticut
Chapter 37
Alain J. Couturier *
Chapter 18, 23
Douglas D'Andrea, MD, MPH
Assistant Professor
Director, Hospitalist Program
University of Connecticut School of Medicine
Farmington, Connecticut
Chapter 8
Roy L. DeHart, MD, MPH
Vanderbilt University Medical Center
Nashville, Tennessee
Chapter 36
John Ellis, MD, MPH
Business Health Solutions
Gainesville, Virginia
Chapter 31
Daymon Evans, MD, MPH
Chief of Occupational Medicine
Preventive Medicine
U.S. Army MEDDAC Headquarters
Fort Knox, Kentucky
Chapter 3, 11B
Jean Spencer Felton *
Chapter 1
Philip E. Fisher, MD
Chapter 19
Paul S. Graman, MD
Professor of Medicine
Infectious Disease Division
University of Rochester Medical Center
Rochester, New York
Chapter 14
Tee L. Guidotti, MD, MPH
Professor of Occupational and Environmental Medicine
Department of Medicine
School of Medicine and Public Health
George Washington University
Washington, DC
Chapter 39
Gerri S. Hall, Ph.D.
Cleveland Clinic
Cleveland, Ohio
Chapter 2
Harold E. Hoffman, MD, FRCPC, FACOEM
University of Alberta
Edmonton, Alberta, Canada
Chapter 39
Robert P. Hurley, MD, MPH
Medical Director
General Dynamics/Electric Boat Corporation
Groton, Connecticut
Chapter 40
Jeffrey G. Jones, MD, MPH, MS
St. Francis Traveler's Health Center
Indianapolis, Indiana
Chapter 30
Geoffrey A, Kelafant *
Chapter 4
John W. Kephart, MSPH
Research Associate
NEOMA, Inc.
Mill Valley, California
Chapter 22
Ellen R. Kessler, MD, MPH
Associate Medical Director
Comprehensive Health Services, Inc.
Reston, Virginia
Chapter 5
Boris D. Lushniak, MD, MPH
Rear Admiral, USPHS
Assistant Commissioner
US Food and Drug Administration
Rockville, Maryland
Chapter 21
Paul C. Levy, MD
Professor and Vice Chairman
Department of Medicine
University of Rochester Medical Center
Rochester, New York
Chapter 14
Daniel J. Martin, MD
Director ICU/CCU
St Luke's Hospital
New Bedford, Massachusetts
Chapter 12
Jeanne M. McGregor, MD, MPH
Medical Director
Bay Health Center
Plant City, Florida
Assistant Professor and Clinical Instructor
University of South Florida, U.S.F. Health
Chapter 38
Ralph L. McLaury, MD, MPH
OEM\MMSInc.
Baton Rouge, Louisiana
Chapter 17
John D. Meyer, MD, MPH
Associate Professor
Section of Occupational/Environmental Medicine
Division of Public Health and Population Sciences
University of Connecticut School of Medicine
Farmington, Connecticut
Chapter 9
Mary Anne Morgan, MD
Senior Instructor
University of Rochester School of Medicine
Department of Pulmonary and Critical Care
Rochester, New York
Chapter 13
Marina S. Moses, DrPH, MS
Doctoral Program Director and Practicum
Coordinator
Assistant Professor
The George Washington University School of Public Health and Health Services
Washington, DC
Chapter 39
Daniel A. Nackley, MD, MSc
Altoona, Pennsylvania
Chapter 17
Wendell Perry *
Chapter 18
Lou Ellen Phillips-Smith, PhD
Regulatory and Compliance Consulting Services
(RCCS), Inc.
Vero Beach, Florida
Chapter 2
Marilyn S. Radke, MD, MPH
Director, Office of Scientific Regulatory Services
Centers for Disease Control and Prevention
Atlanta, Georgia
Chapter 4
Robert S. Rhodes, MD
CEO
Global Health Associates
West Bloomfield,Michigan
Chapter 32
Victor S. Roth, MD, MPH
Medical Director
General Motors Powertrain
Toledo, Ohio
Assistant Professor (Adjunct)
Occupational Health
University of Michigan Hospital
Ann Arbor, Michigan
Chapter 7
Jonathan S. Rutchik, MD, MPH
UCSF Division of Occupational Medicine
Private Practice
Occupational/Environmental Neurology
NEOMA.com
Mill Valley, California
Chapter 22
Edward Allen Seidel, MD
The Seidel Group
Ellicott, Maryland
Chapter 33
Gregg M. Stave, MD, JD, MP
Consultant, Occupational Medicine and Corporate Health
Assistant Consulting Professor
Department of Community and Family Medicine
Division of Occupational and Environmental Medicine
Duke University Medical Center
Durham, North Carolina
Chapter 34
Marian Swinker, MD, MPH
Director of Prospective Health
East Carolina University
Brody School of Medicine
Greenville, North Carolina
Chapter 35
Richard J. Thomas, MD, MPH
Occupational Medicine Physician
National Naval Medical Center
Bethesda, Maryland
Associate Professor Uniformed
Services University of the Health Sciences
Department off Preventive Medicine and Biometrics
Bethesda, Maryland
Chapter 24
Marcia Trapé, MD, FACP, FACOEM
Associate Professor of Clinical Medicine
Medical Director
Employee Health Service
Section of Occupational and Environmental Medicine
Division of Public Health and Population Sciences Department of Medicine
University of Connecticut Health Center
Farmington, Connecticut
Chapter 37
David R. Trawick, MD, PhD
Associate Professor of Medicine
Division of Pulmonary and Critical Care Medicine
University of Rochester School of Medicine and Dentistry
Rochester, New York
Chapter 13
Randall L. Updegrove, MD
Warren Alpert School of Medicine
Brown University
Providence, Rhode Island
Chapter 16
Mark J. Utell, MD
Professor of Medicine and Environmental Medicine
University of Rochester Medical Center
Rochester, New York
Chapter 25
V.M. Voge, MD, MPH
Gonzales, Texas
Chapter 19
Dorothy J. Wawrose, MD
Medical Officer
US Food and Drug Administration
Rockville, Maryland
Chapter 21
Alan L. Williams, MD
National Institute of Health
Occupational Medical Service
Bethesda, Maryland
Chapter 24
William E. Wright
President,WorkWright, Inc.
McLean, Virginia
Chapters 1, 8, 10, 11A, 18, 19, 23, 26, 27, 28
Carl N. Zenz, Jr., MD
Medical Director
U.O.P. LLC
Des Plaines, Illinois
Chapter 20
Pub. Date: October 2008 ISBN: 978-1-883595-45-6 Format: Hardcover, 825 pages.
$235.00
Product Code: 23090
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About the Editor
William E. Wright, MD, MSPH, MSPhysiology, FACP, FACOEM is president and Medical
Director, WorkWright, Inc. McLean, VA.
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2012 Exam Dates:
MROCC Onsite Exams:
Apr 1, 2012 - Philadelphia
Apr 29, 2012 - Los Angeles
Jun 10, 2012 - Chicago
Jul 22, 2012 - Chicago
Nov 11, 2012 - TBD (In the Southeast)
Dec 2, 2012 - Washington DC
For complete information on 2012 course dates and registration details CLICK HERE
Study Aides:
MRO Certification:
Medical Review Officer's Manual
Medical Review Officer Team Manual
MRO Re-Certification:
Medical Review Officer Team Manual
COHN:
Occupational and Environmental Health: Recognizing and Preventing Disease and Injury
Core Curriculum for Occupational and Environmental Health Nursing
Bates' Guide to Physical Examination and History Taking
Occupational Health Nursing Guidelines for Primary Clinical Conditions
Casarett & Doull's Toxicology
COHN-S:
All COHN books plus
Effective Management of Health and Safety Programs
Preventive Medicine
Epidemiology, Biostatistics, and Preventive Medicine
Maxcy-Rosenau-Last Public Health and Preventive Medicine
Study Guide to Epidemiology & Biostatistics
Effective Management of Health and Safety Programs
Preventive Medicine and Public Health
Occupational Medicine
Occupational & Environmental Medicine Self Assessment and Review
Proctor & Hughes' Chemical Hazards of the Workplace
Current Occupational and Environmental Medicine
Effective Management of Health and Safety Programs
Clinical Environmental Health and Toxic Exposures
Physical and Biological Hazards of the Workplace
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