Couturier's Occupational and Environmental Infectious Diseases,
Second Edition

William E. Wright, MD, MSPH, Editor

Price: $150.00

Occupational and Environmental Infectious Diseases, edited by William E. Wright, MD, MPH, provides a comprehensive overview of the recognition, management, and prevention of infectious diseases in the workplace.

The Second Edition of this popular reference has been entirely updated and revised throughout. The addition of new material includes a completely new chapter on general travel medicine and prevention of illness, and includes expanded coverage of employee education issues and listings of Web resources. Rather than emphasizing theory, all chapters have been fully updated and enhanced to provide well-organized, practical, and relevant information. The emphasis has also been expanded to include more recognition that many infectious diseases are international or global problems.

An ideal resource for occupational health practitioners, the primary care physician, and the generalist, this new edition is a valuable tool in the ongoing effort to provide a safe and healthy workplace.



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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
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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
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Format: Hardcover, 825 pages.
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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.
$150.00
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.
$150.00
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, MS Physiology, FACP, FACOEM is president and Medical Director, WorkWright, Inc. McLean, VA.
Publication Date 2009
Format Hardcover, 825 pages
ISBN 978-1-883595-45-6
Product Code 23090
Price: $150.00
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