Section I (Chapters 1, 2, 3, 4 5) defines the practice of occupational and environmental medicine and introduces the health care provider to the diagnosis of occupational injuries and illnesses. These chapters offer guidance for identifying workplace and community exposures to toxic materials—putting this information to immediate clinical use and applying it toward better health and safety practices in the workplace. This section presents a comprehensive discussion of disability management and prevention. An understanding of workers' compensation law and the physician's critical role in determining care and benefits can be gained from these chapters.
Section II (Chapters 6, 7, 8, 9, 10, 11, 12, 13) concisely discusses common occupational injuries and their treatments. Noise-induced hearing loss and the impact of other physical hazards, such as heat, cold, and radiation, are examined. This section also discusses how ergonomic principles can be instituted in the workplace to minimize work loss associated with injury and illness. The chapter on management of chronic pain is a guide to the use of pain medication and to the prevention of misuse of therapeutics.
Section III (Chapters 14, 15, 16, 17, 18, 19, 20, 21, 22, 23, 24, 25, 26, 27, 28) is a comprehensive discussion of clinical toxicology arranged by organ system, with special emphasis on the environmental as well as workplace origins of toxic exposure. It thoroughly reviews commonly recognized environmental and occupational illnesses and highlights many clinical problems not often thought to be work related. A new chapter on genetic toxicology accompanies a review of occupational cancer.
Section IV (Chapters 29, 30, 31, 32, 33) presents the most common toxic materials encountered in the workplace and community with diagnostic and treatment recommendations. This section is designed to serve as an immediate reference source and clinical guide for the practicing health care professional. The discussion on pesticides emphasizes the environmental as well as occupational exposures that may lead to illness.
Section V (Chapters 34, 35, 36, 37, 38, 39, 40, 41, 42, 43, 44, 45) presents chapters on occupational mental health and workplace violence, and substance use disorders present programs for controlling and treating these problems. It adds new chapters on sleep disorders and total worker health. These chapters present the roles and responsibilities of the industrial hygienist and the safety professional and serves as a guide for health care professionals to work with them.
Section VI (Chapters 46, 47, 48, 49, 50, 51, 52, 53, 54, 55) provides a comprehensive discussion of environmental medicine and some of the complex societal issues that accompany industrialization and technologic advances throughout the world. Emphasis is placed on recognizing that some common "occupational" exposures are found also in homes and public locations and require the same high index of suspicion that is assumed when encountered in the workplace. A vital new chapter on climate change completes the discussion.
The Appendix A reviews biostatistics and epidemiology. These topics are important not only in research but also in clinical practice. Ultimately, all occupational and environmental physicians serve as clinical epidemiologists.
A quiz follows each chapter to allow readers to test their retention of key elements of the book. Answers to quiz questions are presented in Appendix B as true statements from the text.