Müller H E
Gesundheitswesen. 1997 Aug-Sep;59(8-9):523-6.
The acknowledgment of tuberculosis as an infection due to employment (i.e. as an occupational disease) in medical service applies only to few infected persons. Most of them must prove how they contracted the disease. Since this is largely impossible, many claims for damage, due to tuberculosis are not entertained. The negative decisions by the Occupational Co-Operative Society of Medical Service (BGW) against its own members are based on: 1. a doubtful judgment by the Federal Social Court of Justice (document no. 7 RU 34/72, 28.9.1972) and 2. untenable statements by occupational physicians on the epidemiology of infectious diseases. To substantiate such sentences, it is stated that tuberculosis is very rare and that therefore the probability of an infection during the job in medical service would not be higher than during leisure hours. However, this is an incorrect conclusion for several reasons. Notwithstanding that the time of working on the job is only 27% and leisure time 73%, nevertheless the risk of contracting tuberculosis during the job in medical service is 10 to 40 times higher than during leisure hours. Furthermore, still unpublished statistics by the Co-Operative Society show that the risk of an infection was higher for medical service jobs by a factor 22 compared to all other jobs during 1976 to 1994.
在医疗服务领域，将结核病认定为因工作导致的感染（即职业病）仅适用于少数感染者。大多数感染者必须证明他们是如何感染该疾病的。由于这在很大程度上是不可能的，许多因结核病提出的损害赔偿索赔未被受理。医疗服务职业合作社协会（BGW）对其自身成员作出的否定性决定基于：1. 联邦社会法院的一项有疑问的判决（文件编号7 RU 34/72，1972年9月28日）以及2. 职业医生关于传染病流行病学的站不住脚的陈述。为了证实此类判决，有人指出结核病非常罕见，因此在医疗服务工作期间感染的概率不会高于在休闲时间。然而，出于几个原因，这是一个错误的结论。尽管工作时间仅占27%，休闲时间占73%，但在医疗服务工作期间感染结核病的风险仍比休闲时间高10至40倍。此外，该合作社尚未公布的统计数据表明，在1976年至1994年期间，与所有其他工作相比，医疗服务工作的感染风险高出22倍。
