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Occupational Medicine in Time of Crisis
Author            : Tee L. Guidotti, MD, MPH
Designation    :Proffesor
Company        : The George Washington University Medical Center
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Synopsis

The new urgency placed on continuity of operations and the security of personnel since “9/11” has drawn attention to a substantial resource already in place in many organizations: their occupational health services. Occupational health services are most familiar in the manufacturing sector and in the setting of plant medical clinic. Occupational health services and the physicians who staff them are already commonly engaged in disaster planning in addition to their primary mission of health protection for employees. They already have in place systems for monitoring the health of workers, documenting their health, documenting hazards, and responding to emergencies. A trained, well-informed, well-integrated and pre-qualified medical resource provides the additional capability for managing incidents on site, the consequences of widespread business disruption due to major threats, liability, the sychological consequences of an assault, suspicious outbreaks of disease, and decisions such as determining when eentry is possible in contaminated facilities. The ccupational physician can add value in the management of catastrophic consequencies by increasing the likelihood of survival of key personnel, continuity of business, instant connectivity to community health resources for assistance, surveillance of the workforce and the early detection of an outbreak, integration of emergency response with public health agencies, surge capacity, vaccination programs and other protective measures. Adaptation of the existing occupational health service is cost-effective, especially compared to developing a new corporate consequence-management system. Measures for preparing the occupational health service to assume this role are described. A wise organization, faced with an extraordinary threat, may look within to build its salvation on a functioning system that already serves its interests.

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