Occupational Injuries and Illnesses Reported by Zoo Veterinarians in the United States
American Association of Zoo Veterinarians Conference 1998
David J. Hill1, MEM; Ricky L. Langley1, MD, MPH; W. Morgan Morrow2, BVSc, PhD
1Duke University, Durham, NC, USA; 2North Carolina State University, Raleigh, NC, USA

Abstract

This study was undertaken to identify the prevalence of occupational injuries and illnesses associated with the zoo veterinarian medical practice. A 14-page comprehensive survey was mailed to all 565 United States members of the American Association of Zoo Veterinarians (AAZV) to identify the frequency of physical injuries, radiation exposures, chemical exposures, allergic or irritant reactions, infections, and use of preventive measures. The response rate was 55.8% (315/565). Results are summarized in Tables 1–7 and Figure 1. Significant findings include major animal-related injury (61.8%, major animal-related injury is defined as one for which medical treatment was required either by a physician or self-administered, excluding those requiring only topical antibiotics), back injury (55%), necropsy injury (44.1%), adverse formalin exposure (40.2%), animal allergy (32.2%), zoonotic infection (30.2%), and insect allergy (14.2%). We also found that sex, length of experience, and practice type affected the number and type of incidents encountered in practice. Females were more likely than males to report a zoonotic infection, insect allergy, and an adverse exposure to anesthetic gas, formalin, and disinfectants/sterilants. Zoo veterinarians with more years of experience were more likely to receive a major animal-related injury and associated hospitalization, back injury and associated lost work time, adverse anesthetic gas exposure, and a positive skin test for tuberculosis. Full-time zoo veterinarians were more likely than other practice types to report back injury and inadequate knowledge of occupational hazards. Results are compared to hazards reported by veterinarians working in other fields. The frequency of injuries reported demonstrates a greater need for comprehensive health and safety programs for zoo veterinarians. In addition to the requirements mandated by the Occupational Safety and Health Administration in 29 Code of Federal Regulations Part 1910, summaries of prudent safety and industrial hygiene practices are provided.

Table 1. Percentage of respondents exposed to specific agents from needle sticks

Needle exposure agent

%

No injection of fluid

71.3

Animal blood

58.4

Antibiotics

52.3

Vaccines

51.6

Immobilizing agents

17.2

Othera

9.3

aTypes of other exposure agents were not reported.

Table 2. Percentage of respondents that reported major animal-related injuries

Animal-related injury

%

Animal bite

55.3

Kick

29.0

Scratch

22.9

Othera

16.4

Knocked over

14.9

Stepped on

12.0

Crushed

9.5

Horn wound

6.9

Insect bite

3.6

aOther injuries included talon punctures and lacerations, shoulder separation, finger dislocation, broken tooth, fractured wrist and nose, fractured hand, hand trauma, hernia, herniated disk, contusion from fluke, and cervical fracture.

Table 3. Percentage of respondents that reported a necropsy-related injury and the percentage that reported medical treatment for at least one of those injuries

Necropsy-related injury

Injuries/illnesses reported

Injuries/illnesses requiring medical treatment

Knife wound

87.0

46.7

Infection

18.7

78.3

Chemical exposure

9.8

33.3

Othera

8.9

72.7

aOther injuries/illnesses reported included bone splinters, serum sickness, injuries from incinerator explosion (injuries unknown), eye trauma, and zoonotic exposure (psittacosis, plague, M. bovis, and rabies).

Table 4. Prevalence of adverse exposures to specific pesticides

Pesticide

Skin reaction
(n=279)

Respiratory reaction
(n=279)

Other reaction
(n=279)

Pyrethrins

2.2%

2.9%

0.4%

Carbamates

1.1

1.1

0.7

Organophosphates

1.1

1.4

1.4

Other

0.7

0.4

0.4

Table 5. Prevalence of adverse exposures to specific disinfectants/sterilants

Disinfectant/sterilant

Skin reaction
(n=278)

Respiratory reaction
(n=278)

Other reaction
(n=278)

Formaldehyde/paraformaldehyde

4.3%

6.1%

4.3%

Phenolics

2.9

0.7

0.4

Chlorine bleach

4.0

5.0

1.4

Iodine complexes

3.2

0.4

0.4

Quaternary ammonium

2.5

1.8

0.4

Chlorhexidine

0.7

0

0

Ethylene oxide

0

0

0

Ozone

0

0

0

Ultraviolet radiation

0

0

0

Glutaraldehyde

4.3

0.7

1.4

Other

0.4

0.4

0

Table 6. Number of zoonotic infections reported among respondents

Zoonosis

Infection

Seropositive

Amoebiasis

4

-

Pinworms or hookworms

1

-

Strongyloides

-

-

Scabies

8

-

Ringworm or other superficial fungal infection

28

-

Cryptosporidium

-

-

Toxoplasmosis

-

1

Psittacosis

23

2

Campylobacter

4

0

Salmonella

4

-

Shigella

4

-

Erysipelas

2

-

Staphylococcosis

2

-

Tuberculosis

1

8

Hepatitis A, B, other

1

2

Herpesvirus B

1

-

Lyme disease

-

1

Rocky Mountain spotted fever

-

-

Giardia

4

-

Other

20

2

Table 7. Prevalence of vaccinations among zoo veterinarian respondents

Vaccination

(n=277)

Rabies

77.3%

Tetanus

93.9

Polio

62.5

Measles

46.9

Hepatitis B

25.3

Rocky Mountain spotted fever

0.7

Yellow fever

23.8

Typhoid fever

19.1

Other

9.7

 

Figure 1. Percentage of respondents who followed various hygiene practices

 

Speaker Information
(click the speaker's name to view other papers and abstracts submitted by this speaker)

Ricky L. Langley, MD, MPH
Duke University
Durham, NC, USA


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