Description

The Centers for Disease Control and Prevention reported a matrix for classifying clinical findings following an exposure to a total release fogger.


 

Parameters:

(1) exposure

(2) health effects

(3) causal relationship

Exposure

Health Effects

Causality

Classification

objective

objective

consistent

definite

objective

subjective

consistent

probable

subjective

objective

consistent

probable

subjective

subjective

consistent

possible

objective or subjective

objective or subjective

insufficient

suspicious

 

where:

• Objective evidence of an exposure is based on clinical, laboratory or environmental evidence of a pesticide release.

• Subjective evidence of an exposure is based on a report of an exposure by a patient or witness.

• Objective health effects are >= 2 new post-exposure findings reported by a health professional.

• Subjective health effects are >= 2 new post-exposure findings reported by the patient or a witness.

• Consistent causality is the presence of clinical findings that would be expected based on the toxicity of the agent to which the person was reportedly exposed to.

 

This grid leaves gaps for other responses. A possible expansion of the grid might be.

 

Exposure

Health Effects

Causality

Classification

objective or subjective

objective or subjective

inconsistent

remote possibility (idiosyncratic)

none

objective or subjective

consistent

unrecognized exposure

objective or subjective

none

NA

nontoxic exposure

none

none

inconsistent

definitely not

 


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