If one or more answers arouse suspicion, a full occupational health history should be taken. Self-administered occupational history forms can be an efficient way to obtain this information and are available online at http://www.atsdr.cdc.gov/csem/exphistory/docs/CSEMExposHist-26-29.pdf.

Occupational lung diseases, pesticide and heavy metal poisonings are required to be reported to the New York State Department of Health (NYSDOH). To report one of these conditions, medical personnel should contact the NYSDOH Bureau of Occupational Health and Injury Prevention at 518-402-7900. NYSDOH’s authority enables it to obtain this information in accordance with the requirements of the Health Insurance Portability and Accountability Act of 1996 (HIPAA). Staff are available to assist with appropriate diagnosis and treatment tools.

The NYSDOH provides information to health care providers and their patients and, with a patient’s permission, will work with employers to identify and correct hazardous workplace conditions. Patients’ interests are always put first, and their confidentiality is maintained. Providers in New York State can also utilize a statewide network of occupational health clinics for consultation and referral: www.health.state.ny.us/nysdoh/environ/occupate.htm.