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Updated: Aug 10, 2026

Conjunctival Commensal Isolation and Identification in Mice
Published on: May 1, 2021
An outbreak of infectious conjunctivitis spread by microscopes
L Doyle1, K Gallagher, B S Heath
1Greater Boston Occupational Health Nurses Association, Massachusetts Department of Public Health, Jamaica Plain 02130.
Abstract:
Among the potential occupational hazards of microscope use is the transmission of infectious agents among employees. We report a large (145 cases) and costly (+647,000) epidemic of viral conjunctivitis in a microelectronics factory. Spread of the illness appeared to be through sharing of microscopes among employees. Routine handwashing instructions and safety glasses failed to prevent spread of the epidemic. Mandatory screening prior to work and temporary plant shut-down were finally successful. We discuss efforts to control this outbreak and make recommendations to prevent similar epidemics in other workplaces.
Insights
Microscope use can spread infectious diseases like viral conjunctivitis in workplaces. Mandatory screening and plant shutdowns were effective in controlling a large factory outbreak.
Area of Science:
- Occupational health
- Epidemiology
- Infectious disease transmission
Background:
- Microscope use presents potential occupational hazards.
- Infectious agents can transmit among employees in shared workspaces.
- Viral conjunctivitis outbreaks pose significant risks in industrial settings.
Purpose of the Study:
- To report a large epidemic of viral conjunctivitis in a microelectronics factory.
- To identify the transmission route of the viral conjunctivitis outbreak.
- To evaluate control measures for infectious disease spread in the workplace.
Main Methods:
- Retrospective case analysis of 145 viral conjunctivitis cases.
- Investigation of microscope sharing as a transmission vector.
- Evaluation of interventions including handwashing, safety glasses, screening, and plant shutdown.
Main Results:
- A large epidemic of viral conjunctivitis (145 cases) occurred, costing over $647,000.
- Sharing of microscopes was identified as the primary mode of transmission.
- Standard precautions (handwashing, safety glasses) were insufficient.
- Mandatory pre-work screening and temporary plant closure successfully controlled the outbreak.
Conclusions:
- Microscope-associated transmission of viral conjunctivitis is a significant occupational hazard.
- Effective control requires stringent measures beyond standard hygiene protocols.
- Workplace policies should include screening and potential shutdowns to prevent widespread infectious outbreaks.
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