{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,9,4]],"date-time":"2024-09-04T06:38:19Z","timestamp":1725431899035},"reference-count":15,"publisher":"American Public Health Association","issue":"8","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Am J Public Health"],"published-print":{"date-parts":[[1989,8]]},"abstract":"<jats:p> Following an explosion in a machine shop and temporary plant closure, on the day the plant returned to full operations a degreaser malfunctioned. Workers in the assembly room were exposed to trichloroethylene levels later estimated to have exceeded 220 ppm (OSHA PEL 100 ppm). The plant was evacuated and the degreaser taken out of operation. Blood testing for carbon monoxide (CO) on five employees found carboxyhemoglobin levels in excess of normal. The plant reopened the following morning. Over the next two weeks, 15 employees were seen by the plant nurses for similar complaints; although all returned to work, their carboxyhemoglobin levels, later found to be inaccurate, were reported by a local medical clinic to range from 13.7 to 20.0 percent. At the end of the second week, another outbreak of illness occurred, but carboxyhemoglobin, trichloroethylene, fluorocarbons, and methylene chloride were not elevated in all 17 persons tested; plant-wide monitoring for CO found no elevated levels. During the first outbreak of illness, cases were 2.26 times as likely to have entered the assembly room as noncases. During the second outbreak, cases were no more likely than noncases to have entered the assembly room. We believe the explosion, earlier toxic exposures and illness, and the misleading blood test results led to plant-wide anxiety which culminated in a collective stress reaction and the second outbreak. An open meeting with all employees, informing them of our findings, provided reassurance and no further episodes of illness occurred in this workforce. <\/jats:p>","DOI":"10.2105\/ajph.79.8.1024","type":"journal-article","created":{"date-parts":[[2008,11,29]],"date-time":"2008-11-29T13:03:17Z","timestamp":1227963797000},"page":"1024-1028","source":"Crossref","is-referenced-by-count":11,"title":["Two episodes of acute illness in a machine shop."],"prefix":"10.2105","volume":"79","author":[{"given":"T","family":"Sinks","sequence":"first","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"P R","family":"Kerndt","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"K M","family":"Wallingford","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"844","reference":[{"key":"p_1","unstructured":"Kemdt PR, Sinks TH, Wallingford KM: Health Hazard Evaluation Report 86-206-1744. Cincinnati: Hazard Evaluations and Technical Assistance Branch, DSHEFS, NIOSH, US Dept of Health and Human Services, October 1986."},{"key":"p_2","unstructured":"Occupational Safety and Health Administration: OSHA Safety and Health Standards. 29 CFR 1910.1000. Washington, DC: Occupational Safety and Health Administration, revised 1983."},{"key":"p_3","unstructured":"American Conference of Governmental Industrial Hygienists: Threshold limit values for chemical substances and physical agents in the workroom environment and biological exposure indices with intended changes for 1985-86. Cincinnati, OH: ACGIH, 1985."},{"key":"p_4","unstructured":"National Institute for Occupational Safety and Health: Criteria for a recommended standard: Occupational exposure to carbon monoxide. DHEW publ. no. (NIOSH) 73-11000. Cincinnati, OH: National Institute for Occupational Safety and Health, 1973."},{"key":"p_5","unstructured":"National Institute for Occupational Safety and Health: Special Occupational Hazard Review with Control Recommendations-Trichloroethylene. DHHS pub. no. (NIOSH) 78-130. Cincinnati, OH: National Institute for Occupational Safety and Health, 1978."},{"key":"p_6","first-page":"165","author":"Dreisbach RH","year":"1983","journal-title":"CA: Lange Publications"},{"key":"p_7","first-page":"867","volume":"27","author":"Boxer PA","year":"1985","journal-title":"JOM"},{"key":"p_8","doi-asserted-by":"publisher","DOI":"10.1001\/archinte.1984.04400010053009"},{"key":"p_9","doi-asserted-by":"publisher","DOI":"10.1001\/jama.1978.03280410043015"},{"key":"p_10","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-198405000-00013"},{"key":"p_11","doi-asserted-by":"publisher","DOI":"10.1007\/BF00844926"},{"key":"p_12","first-page":"399400","volume":"20","author":"Smith MJ","year":"1978","journal-title":"JOM"},{"key":"p_13","doi-asserted-by":"publisher","DOI":"10.1097\/00043764-198101000-00013"},{"key":"p_14","first-page":"148","volume":"29","author":"Guidotti TL","year":"1987","journal-title":"JOM"},{"key":"p_15","unstructured":"Schlesselman JJ: Case-Control Studies. New York: Oxford University Press, 1982; 203-206."}],"container-title":["American Journal of Public Health"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/ajph.aphapublications.org\/doi\/pdf\/10.2105\/AJPH.79.8.1024","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2022,5,9]],"date-time":"2022-05-09T19:34:33Z","timestamp":1652124873000},"score":1,"resource":{"primary":{"URL":"https:\/\/ajph.aphapublications.org\/doi\/full\/10.2105\/AJPH.79.8.1024"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[1989,8]]},"references-count":15,"journal-issue":{"issue":"8","published-print":{"date-parts":[[1989,8]]}},"alternative-id":["10.2105\/AJPH.79.8.1024"],"URL":"https:\/\/doi.org\/10.2105\/ajph.79.8.1024","relation":{},"ISSN":["0090-0036","1541-0048"],"issn-type":[{"value":"0090-0036","type":"print"},{"value":"1541-0048","type":"electronic"}],"subject":[],"published":{"date-parts":[[1989,8]]}}}