Epidemiology and occupational health information system.
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Biomedical subjects
Publications and source records attributed to I R Tabershaw.
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Deaths for a 31-year period (1948-1978) were analyzed in a historical prospective cohort study of 655 white male talc workers. Death rates from all causes, from cancer of the respiratory system, and from nonmalignant respiratory disease were not significantly different from those of the U.S. white male population. However, significant differences for these causes of death were found among workers who had previous occupational histories. An analysis of the latency periods of the observed lung cancer suggests that exposure to an etiologic agent during previous work experience may play a role in the development of lung cancer.
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The determination of risk at work is a shared responsibility of the employer and the employee, but objective evaluation of determining risk may be outweighed by economic considerations. Who and in what instances a person shall work is further modified by legal, social, and cultural restraints. The physician, as the agent of the employer, is often a key factor in deciding the real risk inherent in working in a specific environment, in informing management of the risk, and in determining which worker will accept the risk. The conscientiousness, competence, and ethical character of the physician are challenged by these responsibilities and circumstances, and a code of behavior is outlined for professional conduct of the occupational physician.
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