A Review of Occupational Health Acute Chemical Exposure Surveillance Systems for the First Responder Population
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Date
2019-05
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Abstract
First responders, defined in this review as law enforcement officers, firefighters, and emergency
medical services, are a population at risk for occupational exposures to chemical substances.
This review aimed to identify acute chemical exposure surveillance systems at the federal, state,
and local levels with relevance to the first responder population. Both white and gray literature
searches were conducted to understand existing surveillance systems and to formulate
recommendations for first responder acute chemical exposure surveillance design. No consistent
surveillance system design could be determined from the search. Nor was an adequate state or
federal surveillance system identified to understand acute chemical exposures among first
responders. However, a conceptual model for public health surveillance systems, a
recommended set of data inputs, and relevant occupational health indicators were determined.
These were combined into a framework to inform first responder acute chemical exposure
surveillance design.
