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A national survey of laboratory animal workers concerning occupational risks for zoonotic diseases

机译：全国实验室动物工作者关于人畜共患疾病职业风险的调查

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In this cross-sectional survey of laboratory animal workers in the United States, 23 of 1367 persons reported 28 cases of infection with zoonotic agents from research animals at their workplace during the past 5 years, with six persons indicating that their infections were medically confirmed. Based on these data, the annualized incidence rate for work-related transmission of zoonotic agents from laboratory animals was 45 cases per 10,000 worker-years at risk (95% confidence interval, 30 to 65 cases), approximating the rate for nonfatal occupational illnesses in the agricultural production-livestock industry and for those employed in the health services during 2002. Logistic regression analysis found various characteristics of persons and their employers that were significantly associated with the likelihood of having been medically evaluated for exposure to a zoonotic agent from laboratory animals. Most (95.595% +/- 1.1%) persons working with laboratory animals or their tissues indicated that they knew whom to talk to at their institution for medical evaluation and care should they be concerned about the possibility of an occupationally acquired zoonotic disease in future. However, occupational illnesses and exposures among laboratory animal workers was underreported, as 10 of the 28 (36%) alleged zoonotic disease cases were not communicated to the employee's supervisor. Lack of concern about the potential significance to their health and the perception of punitive consequences to the employee were some of the reasons cited for underreporting, an issue which must be vigorously addressed in the interests of continuing progress toward zoonotic disease prevention in this field.
机译：在这项对美国实验动物工作者的横断面调查中，在过去5年中，有1367人中的23人报告了28例来自研究动物的动物源性人畜共患病感染的案例，其中有6人表明其感染得到了医学证实。根据这些数据，实验室动物中与工作有关的人畜共患病药物传播的年发生率是每10,000工人年有风险的45例（95％置信区间为30至65例），近似于非致命性职业病的发病率。 Logistic回归分析发现了人员及其雇主的各种特征，这些特征与接受医学评估的实验动物暴露于人畜共患病的可能性密切相关。大多数（95.595％+/- 1.1％）的与实验动物或其组织打交道的人表示，如果他们担心将来可能会职业感染人畜共患疾病，他们知道该与谁进行医疗评估和护理。但是，实验动物工作者的职业病和接触率低报，因为在28例所谓的人畜共患病病例中，有10例未与员工的主管沟通。举报不足的原因有一些，它们对健康对潜在健康的重要性以及对员工的惩罚性后果的感知缺乏关注，这是必须大力解决的一个问题，以便在该领域人畜共患疾病预防方面不断取得进展。

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