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PubMed1994

Organization and targets of the prior informed consent notification scheme. Part I. Development and implementation.

The concern about the trade in chemicals has led to the development and adoption of the International code of conduct on the distribution and use of pesticides by the Food and Agriculture Organization of the United Nations (FAO) and the London guidelines for the exchange of information on chemicals in international trade by the United Nations Environment Programme (UNEP). Both codes are voluntary, are addressed largely to governments and industry, and incorporate both practical guidelines and ethical considerations. To ensure the implementation of this principle a prior informed consent (PIC) procedure has been established, which operates in addition to the broader information exchange and export notification provisions. The goal of PIC is to create an international system whereby participating importing countries will obtain information concerning chemicals whose use has been banned or severely restricted in other countries, decide whether to allow, restrict or prohibit future import of such chemicals, and notify other countries on a formal basis of their decision concerning such imports. Exporting countries are then expected to inform their export industry of these decisions and take steps within their authority to ensure that their export industry does not make shipments contrary to the decisions of participating importing countries. A Joint FAO/UNEP group of experts on PIC has been established to develop and provide guidance on the implementation of the PIC procedure.

Chemical Industry↗
PubMed1995

Notification of syringe-sharing and sex partners of HIV-infected persons--Pennsylvania, 1993-1994.

In April 1993, a man incarcerated in a prison in Berks County in eastern Pennsylvania voluntarily requested testing for human immunodeficiency virus (HIV) antibody and was diagnosed with HIV infection. Following an interview and counseling by Pennsylvania Department of Health HIV Prevention Program (HIVPP) staff (1), he provided contact information about four persons with whom he had shared syringes to inject drugs before incarceration. As a result of follow-up investigation, HIV infection was diagnosed in two of these four persons. One of these two persons provided contact information about 47 partners, including 41 partners with whom he had shared syringes only and six with whom he had had sex and shared syringes. By May 1994, partner notification follow-up of the four partners of the index patient and all subsequently identified partners of HIV-infected persons identified a social network of 124 persons linked by syringe-sharing and/or sex. This report describes the findings of the investigation of this network during April 1993-May 1994 and limited additional information from June-September 1994.

AIDS Serodiagnosis↗
PubMed1993

Workplace toxic incident notification: results of a survey of 16 factory sites in western Sydney.

Workers in the chemical industry are often employed where there is a potential for significant exposure to hazardous materials. Many of these events go unrecorded and are not notified to agencies charged with the responsibility of regulating the workplace. Therefore, a survey was conducted of factories covering a range of activities where poisonous chemicals are in use, aimed at proactively reviewing toxic incident reporting, including (i) underlying principles of notification, (ii) any relevant criteria used in the reporting of incidents, and (ii) compliance with existing legislation. Sixteen factories in the Western Sydney area were inspected by a government safety inspector over a 4-month period. Forty-eight employees were interviewed and data describing 46 exposure events were obtained covering a 12-month period. In all, 10 incidents were identified as significant exposure events, with 5 events (11% of total) at 5 different factories (31% of sites inspected) involving 8 workers (17% of workers interviewed) being definite breaches of statutory accident reporting requirements. The survey revealed a failure by employers to notify significant toxic exposure events due to reluctance or ignorance and or lack of clarity of occupational health and safety regulations. It also revealed that substantial numbers of workers are exposed to incidents involving poisonous materials, and that with this nonnotification, regulatory agencies are largely unaware of their magnitude.

Australia↗
PubMedDate not supplied

Partner notification for sexually transmitted diseases: proposed practice guidelines.

Using the results of an analysis of available scientific evidence and a survey of current practice in Canada, as well as expert opinion, these guidelines attempt to consider current partner notification practice in Canada and recommend an approach to determining practice which is flexible enough to address local circumstances. Priority areas for future research were also identified.

Advisory Committees↗
PubMed1993

Human immunodeficiency virus counseling, testing, referral, and partner notification services. A cost-benefit analysis.

BACKGROUND: The Centers for Disease Control and Prevention (Atlanta, Ga) annually provides more than +100 million in funding to states, territories, and cities for the provision of human immunodeficiency virus (HIV) counseling, testing, referral, and partner notification (CTRPN) services. Given the size of this expenditure, it is important to consider the net benefits of this program activity. We compared the economic costs and benefits of publicly funded HIV CTRPN services. METHODS: Standard methods for cost-benefit analysis were used. A societal perspective was employed. Major assumptions used in the base-case analysis included the following: (1) without public funding, the HIV CTRPN services would not be provided; (2) for every 100 HIV-seropositive persons identified and reached by CTRPN services, at least 20 new HIV infections are averted; and (3) for every +100 spent on direct and indirect costs of CTRPN services, approximately another +60 is spent on the ancillary costs of alerting people to HIV issues and CTRPN service availability. Sensitivity analyses were performed to explore the robustness of base-case results to these and other changes in model assumptions. RESULTS: Under base-case assumptions, the combined direct, indirect, and ancillary costs of the CTRPN program in 1990 dollars were +188,217,600. At a 6% discount rate, the estimated economic benefits of this expenditure are +3,781,918,000. The resultant benefit-cost ratio is 20.09. Sensitivity analyses showed that the benefit-cost ratio is greater than 1 for all considered cases. CONCLUSIONS: This cost-benefit analysis strongly suggests that publicly funded CTRPN services result in a net economic gain to society.

AIDS Serodiagnosis↗
PubMed1995

[National notification of incidence of chronic occupational poisoning during 1984-1993].

Incidence and distribution of chronic occupational poisoning caused by toxic chemicals during 1984 to 1993 throughout the country were summarized and analyzed. Totally, 28,901 cases of chronic occupational poisoning were notified during this period. Lead, benzene and trinitrotoluene were three major toxic chemicals which caused poisoning, with chronic lead poisoning listed the first place, accounting for 47.5% of the total cases. Most of the cases distributed in Laioning, Hunan and Jiangsu Provinces, and 75.4% of the cases occurred in machinery, chemical, metallurgical, non-ferrous, light industries, etc. Incidence of poisoning presented a decreased trend during the past 10 years and the reason of it was described in the paper. The authors indicated that quality assurance in notification of occupational diseases depended on regular implementation of the work in prevention and treatment of occupational diseases.

Benzene↗
PubMed1996

Patient notification and follow-up of abnormal test results. A physician survey.

OBJECTIVE: To investigate physician practices in the handling of patients' test results from the time the test was ordered until the time any required follow-up was completed. METHODS: Survey of 161 attending physicians and 101 residents in family practice and internal medicine practicing at a large urban teaching hospital and 21 suburban primary care practices in Southeastern Michigan. The survey included questions about physician demographics, and whether physicians have methods for ensuring that (1) the results of all tests ordered are received, (2) all patients are notified of results, (3) all patient notification is documented, and (4) all required follow-up is done. Physicians were also asked to self-rate the reliability of their methods and the importance of various steps in the handling of patients' test results. RESULTS: The response rate was 79% for both attending physicians and residents. Approximately 17% to 32% of physicians reported having no reliable method to make sure that the results of all tests ordered are received. One third of physicians do not always notify patients of abnormal results. The most common reasons reported for not notifying patients were that the results were trivial and that the patient was expected to return to the clinic soon. Residents were significantly less likely to document notifying patients of abnormal results (P < .001). Only 23% of physicians reported having a reliable method for identifying patients overdue for follow-up. CONCLUSIONS: Lack of methods to ensure that the results of tests ordered were received, dependence on follow-up visits to inform patients of results, and lack of documentation were relatively common among physicians surveyed. These could lead to an increased risk of malpractice litigation and suboptimal patient care.

Diagnostic Tests, Routine↗
PubMed1996

Food poisoning: notifications, laboratory reports, and outbreaks--where do the statistics come from and what do they mean?

Three main routine sources of data on food poisoning are used in England and Wales. The first is the statutory notification system, in which clinicians notify the 'proper officer' of their local authorities of cases or suspected cases of food poisoning, and the data are collated by the Office for National Statistics. Second and third are the reporting schemes for laboratory confirmed infections and general outbreaks of infectious intestinal disease, both of which are coordinated by the PHLS Communicable Disease Surveillance Centre. This review discusses the strengths and weaknesses of the three sources.

Communicable Disease Control↗
PubMed1998

Adolescent abortion and parental notification: evidence for the importance of family functioning on the perceived quality of parental involvement in U.S. families.

This study was an investigation of the relationship between family variables and the perceived quality of parental involvement following parental notification of an adolescent's decision to have an abortion. Demographics, family religiosity, and family functioning variables were examined. Pregnant adolescent clients from seven abortion clinics in three states completed a survey assessing their perception of the quality of parental involvement and the family variables. Only family functioning variables were significantly related to the perceived quality of parental involvement. Family adaptability (the family's ability to change its power structure, role relationships, and relationship rules in response to situational and developmental stress) was the most predictive. Adolescents from adaptable families had a more positive experience with parental involvement than adolescents from less adaptable families.

Abortion, Legal↗
PubMed2001

Surveillance of work-related carpal tunnel syndrome in Massachusetts, 1992-1997: a report from the Massachusetts Sentinel Event Notification System for Occupational Risks (SENSOR).

BACKGROUND: This surveillance study was undertaken to target efforts to prevent work-related carpal tunnel syndrome (WR-CTS) and to assess physician case-reports as a source of surveillance data. METHODS: Physician case-reports and workers' compensation disability claims were used to document patterns of WR-CTS in Massachusetts from March 1992 to June 1997 by age, gender, industry, occupation, and calendar year. Characteristics of cases identified through the two data sources were compared. RESULTS: 4,836 cases of WR-CTS were ascertained; 6% were identified by both data sources. Whereas the two sets of cases were similar with respect to age and occupation categories, physician-reported cases were more likely male and employed in manufacturing. The number of compensation claims filed by women declined over time, and a substantial number of cases under age 25 years were identified. Manufacturing workers had the highest rates; the highest numbers of cases were employed in hospitals, grocery stores, and the insurance industry. Several technical/administrative support occupations likely to use video display terminals had both high rates and frequencies. CONCLUSION: WR-CTS is a significant public health problem. Physician reports are useful in understanding problem magnitude and targeting specific establishments for intervention but are currently of limited use in targeting specific industries and occupations.

Administrative Personnel↗