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Volume 25, Number 3—March 2019

Case Investigations of Infectious Diseases Occurring in Workplaces, United States, 2006–2015

Chia-ping Su1, Marie A. de Perio, Kristin J. Cummings, Anna-Binney McCague2, Sara E. LuckhauptComments to Author , and Marie Haring Sweeney
Author affiliations: National Institute for Occupational Safety and Health, Cincinnati, Ohio, USA (C.-P. Su, M.A. de Perio, S.E. Luckhaupt, M.H. Sweeney); Centers for Disease Control and Prevention, Atlanta, Georgia, USA (C.-P. Su, A.-B. McCague); National Institute for Occupational Safety and Health, Morgantown, West Virginia, USA (K.J. Cummings, A.-B. McCague)

Main Article

Table 1

Reported case investigations of infectious disease occurring in workplaces, by industry categories, occupations, and diseases, United States, 2006–2015*

Industry category (NAICS code) Occupations Infectious diseases References†
Agriculture, forestry, fishing, and hunting (11) Hunter Brucellosis (61)
Farmer Variant influenza A(H3N2); Escherichia coli infection (83); (71)

Rodent breeder
LCMV infection
Construction (23)
Manufacturing (31–33) Drum maker Anthrax (2)
Poultry vaccine production worker Salmonellosis (29)
Poultry-processing worker Campylobacteriosis (17)
Furniture company worker Tuberculosis (54)
Slaughterhouse inspector Q fever (65)

Automobile manufacturing worker
Legionnaires’ disease
Transportation (48) Truck driver Streptococcus suis infection; cryptosporidiosis (79); (88)

Pilot, flight attendant
Professional, scientific, and technical services (54)
Laboratory worker
Vaccinia virus infection, HIV infection, plague, cowpox, meningococcal disease, brucellosis
Administrative support and waste management and remediation services (56)
Education services (61)
School employee, teacher
Healthcare and social assistance (62) Healthcare worker (security guard, nurse, nursing aide, physician, volunteer, environmental services) Mumps; MRSA skin infection; norovirus gastroenteritis; adenovirus 14 infection; RSV infection; Trichophyton tonsurans skin infection; meningococcal disease; influenza; salmonellosis; Ebola virus disease; measles; TB (51); (52); (56); (57); (62); (64); (66); (11,68); (87); 
(14); (92); (12,77)

Childcare worker
E. coli infection
Arts, entertainment, and recreation (71) Wildlife biologist Plague (59)
Animal caretaker MRSA skin infection (63)
Adult film performer HIV infection (36)
Spa maintenance worker MAC infection (22)
Filmmaker Coccidioidomycosis (24)

Day camp counselor
Food services (72)
Cook, food server
Norovirus gastroenteritis; salmonellosis; E. coli infection
(20); (19); 
Other services except public administration (81) Embalmer TB (16)
Animal refugee worker Tuberculosis; sealpox virus infection (28); (18)
Pet store worker Salmonellosis (74)

Missionary worker
Melioidosis; dengue fever
(75); (70)
Public administration (92) US Customs officer Measles (9,10)
Police officer Meningococcal disease (66)
Firefighter Cryptosporidiosis (88)
Correctional officer Cryptosporidiosis; Shiga toxin–producing E. coli infection; TB; coccidioidomycosis; (78); (71); (12); (90)
Military Legionellosis; TB (73); (53)

*An expanded version of this table showing complete details on all cases is available online ( HIV, human immunodeficiency virus; LCMV, lymphocytic choriomeningitis virus; MAC, Mycobacterium avium complex; MRSA, methicillin-resistant Staphylococcus aureus; RSV, respiratory syncytial virus; TB, tuberculosis. NAICS, 2012 North American Industry Classification System (
†Reference numbers >50 and additional details on the literature search are available in the Appendix.

Main Article

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Main Article

1Current affiliation: Taiwan Centers for Disease Control, Taipei, Taiwan, and Institute of Epidemiology and Preventive Medicine, National Taiwan University, Taipei, Taiwan.

2Current affiliation: Washington Family Medicine Residency Program, Washington Hospital System, Washington, Pennsylvania, USA.

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Page updated: February 19, 2019
Page reviewed: February 19, 2019
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