Guidance and Position Statements

Guidance and Position Statements

ACOEM provides recommendations for occupational health professionals on managing various situations which may arise in their practice or state the College’s position on a particular subject. These documents may be based upon the scientific literature or consensus opinion.
Legalization of Cannabis - Implications for Workplace Safety

ACOEM has revised it 2019 position statement on cannabis use, advocating for increased research and collaboration between all stakeholders in defining and/or measuring the impairment risks of cannabis products use as it relates to the workplace. This includes the development and implementation of scientifically based methods for monitoring and testing for impairment from any of the myriad of substances that can cause it. Workplace policies that employers should establish are addressed.


Guidance for the Prevention and Treatment of Monkeypox (Mpox)

ACOEM provides this guidance on monkeypox (mpox) for occupational and environmental medicine (OEM) physicians and other health professionals responsible for preventing and treating monkeypox among health care workers and those workers who may have skin-to-skin contact with others (e.g., schools, correctional facilities, laboratories, veterinary settings, sex workers, etc.). This document is also intended to address some of the associated work-related issues.

ACOEM Statement on Adult Immunization

ACOEM recommends that adults follow immunization recommendations from the U.S. Centers for Disease Control and Prevention (CDC) to reduce their risks from vaccine‐preventable illnesses. ACOEM believes that staying current with immunization recommendations will help protect the health of the American workforce, avoid needless work absences, and ultimately promote a healthy economy.

Travelers' Health and Vaccination

As occupational and environmental medicine (OEM) physicians are responsible for developing and implementing a travelers’ health program in the workplace, ACOEM has developed this guidance to provide up-to-date information on what vaccines, and the timing thereof, are necessary for employees who travel.

Occupational and Environmental Hazards of Correctional Settings: A Scoping Literature Review from ACOEM's Presidential Task Force on Correctional Institutions

Maintaining healthful, safe, and productive work environments for workers in correctional settings is a matter of deep consequence to the workers and the incarcerated individuals with whom they share space. The Task Force hypothesized that an examination of the academic literature would reveal opportunities for an improved approach to research in these settings. A scoping literature review using search terms related to the occupational and environmental health of workers in correctional environments, limited to studies performed in the US was therefore conducted.

Prevention of Occupational Heat-Related Illnesses

This statement by the American College of Occupational and Environmental Medicine provides guidance for OEM providers who serve workers and employers in industries where heat exposure occurs.

The Future of Occupational and Environmental Medicine

This guidance document addresses the current state of OEM practice and education, and the challenges faced regarding the training of future OEM physicians. This Board-approved article has been submitted to JOEM for publication. However, due to the importance of the material contained in this paper, ACOEM is releasing it prior to its publication in JOEM.

Proposed Mitigation and Adaptation Strategies Related to Climate Change: Guidance for OEM Professionals

This guidance statement from ACOEM focuses on the different strategies that OEM health professionals can implement to protect workers from health impacts associated with climate change hazards, foster workplace resilience in the face of rapidly changing environments, and take the necessary steps to mitigate the effects of global climate change.

Occupational Spirometry and Fit Testing in the COVID-19 Era: 2021 Interim Recommendations from the American College of Occupational and Environmental Medicine

Though the COVID-19 pandemic persists, and the impact of viral mutation-driven variants remains uncertain, ACOEM is updating its guidance for performing more widespread spirometry. The guidance remains interim due to the rapidly evolving understanding of how SARS-CoV-2 can be best controlled. This ACOEM guidance document is intended to help occupational health clinical service providers minimize risks to patients and health care personnel.