Clinicians 3
Clinicians 3 : Medical Screening and Surveillance Medical evaluations in occupational health practice range from clearances for specific job duties, such as using a respirator, to screening and surveillance programs for workers exposed to hazards, such as lead and asbestos. The goal of medical screening is to detect disease or clinical abnormality before an individual would normally seek medical care, particularly if early treatment may benefit the individual. Medical surveillance is the analysis of health information to look for problems that may be occurring in the workplace that require targeted prevention. Surveillance may be based on a single case or sentinel event, but more typically uses screening results from the group of employees being evaluated to look for abnormal trends in health status. Biological monitoring, which may be part of screening or surveillance examinations, is the assessment of chemical exposures through analysis of blood, urine or, in some cases, exhaled breath. OSHA requires medical surveillance and in some cases biological monitoring in some standards. OSHA's 2009 publication,
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