Medical surveillance mechanism

In an occupational setting, where prevention of work-related illness is a primary goal, analysis of employee medical information serves as a surveillance mechanism for early detettion of such illness. 

For the purposes of this section, the phrase final medical determination shall mean the outcome of the physician review mechanism used pursuant to the medical surveillance provisions of this section. 

The standard does not require that you participate in any of the medical procedures, tests, etc. which your employer is required to make available to you. Medical surveillance can, however, play a very important role in protecting your health. You are strongly encouraged, therefore, to participate in a meaningful fashion. The standard contains a multiple physician review mechanism which will give you a chance to have a physician of your choice directly participate in the medical surveillance program. If you are dissatisfied with an examination by a physician chosen by your employer, you can select a second... 

Details of the mechanism of action and clinical consequences of overexposure to OP and CM anti-ChEs arc given in other chapters of this book. However, the possible adverse effeets that may result from acute and repeated overexposure are briefly summarized here as a preliminary to the needs and requirements for surveillance of workers potentially exposed to OP.s and CMs. Although the objectives of medical, and indeed any, surveillance programs are to detect the early onset of adverse effect.s and to confirm that health and safety mea.sores are proceeding in a satisfactory, effective, objective, and planned manner, the ultimate goal is prevention of work-related morbidity and mortality (Schnitzer and Shannon, 1999). 

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