99-16291. Occupational Exposure to Tuberculosis

[Federal Register Volume 64, Number 123 (Monday, June 28, 1999)]
[Proposed Rules]
[Pages 34625-34626]
From the Federal Register Online via the Government Publishing Office [www.gpo.gov]
[FR Doc No: 99-16291]


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DEPARTMENT OF LABOR

Occupational Safety and Health Administration

29 CFR Part 1910

[Docket No. H-371]
RIN 1218-AB46


Occupational Exposure to Tuberculosis

AGENCY: Occupational Safety and Health Administration (OSHA), 
Department of Labor.

ACTION: Notice of limited reopening of rulemaking record on preliminary 
risk assessment.

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SUMMARY: On October 17, 1997, OSHA published its proposed standard to 
regulate occupational exposure to tuberculosis (TB) (62 FR 54160). 
Public hearings on the proposal were held in Washington, DC, Los 
Angeles, CA, New York City, NY, and Chicago, IL between April 7 and 
June 4, 1998. The post-hearing comment period closed on October 5, 
1998. OSHA re-opened the rulemaking record on June 17, 1999 (64 FR 
32447) to submit to the record the Agency's report on practices to 
protect workers from TB in homeless shelter settings and several other 
studies that had become available after the close of the rulemaking 
record and to request comments on these studies. In addition to the 
information requested in the record re-opening published on June 17, 
1999, OSHA now requests additional comment and information on issues 
related to the Agency's preliminary risk assessment for occupational 
exposure to tuberculosis.

DATES: Comments and data from interested parties should be postmarked 
no later than August 2, 1999.

ADDRESSES: Send two copies of your comments to: Docket Office, Docket 
H-371, Room N2625, Occupational Safety and Health Administration, U.S. 
Department of Labor, 200 Constitution Avenue, NW, Washington, DC 20210. 
Comments limited to 10 pages or fewer may also be transmitted by FAX 
to: 202-693-1648, provided that the original and one copy of the 
comment are sent to the Docket Office immediately thereafter.
    Comments may also be submitted electronically through OSHA's 
Internet

[[Page 34626]]

site at URL, http://www/osha-slc.gov/e-comments/e-comments-tb2.html. 
Information such as studies and journal articles cannot be attached to 
electronic submissions and must be submitted in duplicate to the above 
address. Such attachments must clearly identify the respondent's 
electronic submission by name, date, and subject, so that they can be 
attached to the correct submission.
    The entire record for the TB rulemaking is available for inspection 
and copying in the Docket Office, Docket H-371, telephone [phone].

FOR FURTHER INFORMATION CONTACT: Bonnie Friedman, Office of Information 
and Consumer Affairs, Occupational Safety and Health Administration, 
Room N-3647, U.S. Department of Labor, 200 Constitution Avenue, NW, 
Washington, DC 20210, Telephone [phone], FAX [phone].

SUPPLEMENTARY INFORMATION:

Background

    On October 17, 1997, OSHA published its proposed standard for 
occupational exposure to TB (62 FR 54160). Based on a review of the 
data, OSHA made a preliminary determination that workers in hospitals, 
nursing homes, hospices, correctional facilities, homeless shelters, 
and certain other work settings are at significant risk of incurring TB 
infection while performing certain procedures or caring for their 
patients and clients. OSHA proposed a standard that would require 
employers to protect TB-exposed workers by means of infection 
prevention and control measures that have been demonstrated to be 
highly effective in reducing or eliminating job-related TB infections.
    During the comment period and the public hearing, several 
commenters suggested that OSHA's estimates of the risk of TB infection, 
activation to TB disease, and subsequent deaths for health care workers 
were too high. Although OSHA's risk assessment methodology received 
little challenge, some commenters objected to OSHA's use of studies 
showing increased risk to workers in both hospitals and long-term care 
facilities for the elderly.

Request for Comments

    In order to obtain the best, most recent data for the purpose of 
providing the most accurate risk estimates, OSHA requests public 
comment on any new data or studies that will assist the Agency in 
determining occupational risk and the reasons why a particular study or 
set of data should be used. OSHA especially wishes to obtain studies 
that could provide estimates of TB infection rates for workers in 
hospitals, long-term care facilities, in-home health care operations, 
homeless shelters, and correctional facilities.
    This document was prepared under the direction of Charles N. 
Jeffress, Assistant Secretary of Labor for Occupational Safety and 
Health, U.S. Department of Labor, 200 Constitution Avenue, NW, 
Washington, DC 20210.
    It is issued under section 6(b) of the Occupational Safety and 
Health Act of 1970 (29 U.S.C. 655), Secretary of Labor's Order No. 1-90 
(55 FR 9033) and 29 CFR part 1911.

    Signed at Washington, DC, this 22nd day of June, 1999.
Charles N. Jeffress,
Assistant Secretary of Labor.
[FR Doc. 99-16291 Filed 6-25-99; 8:45 am]
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