The navy safety and occupational health program manual opnavinst 510023g states that spirometry must be performed in accordance with the nmcphc occupational and environmental medicine field operations manual nmcphc tm oem 626096 2 which requires all personnel administering spirometry tests to have successfully completed a niosh approved . Occupational and environmental medicine field operations manual nmcphc tm 62609a published by navy and marine corps public health center 620 john paul jones circle suite 1100. Occupational and environmental medicine field operations manual nehc6260 tm96 2 published by navy environmental health center 620 john paul jones circle suite 1100 portsmouth virginia 23708 2103 august 2006 as in the first edition this update of nehc tm90 1 occupational and environmental medicine. Links to essential components of a quality spirometry program the american thoracic society ats statements guidelines reports for pulmonary function testing external the american college of occupational and environmental medicines acoems occupational and environmental lung disorder committees statement external. Keywords emergency responders occupational health surveillance pulmonary function testing introduction airborne occupational exposures to irritants dusts and gases can cause pulmonary function pf impairment during high level acute conditions as well as prolonged periods of low dose exposure
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