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Vibration White Finger: Implications for Occupational Health Nurses

Although there have been at least 550 international publications concerning the association of Vibration White Finger disease (VWF or vibration syndrome) and hand-held vibration tools, very little has been written until more recently about this disease in the United States (Taylor, 1974). Part of the tendency to deny its existence was due to the results of an early 1960 study, which concluded that the vibration syndrome is an uncommon occupational disease approaching extinction in this country (Pecora, Udel & Christman, 1960).This finding wasfound to be inconsistent with researchers from many other countries (Ashe, Code & Old, 1962; Brubaker, 1983; Pyykko, 1974; Taylor, 1982), and most recently these investigators involved with the 1980 National Institute for Occupational Health and Safety (NIOSH) epidemiological studies in U.S. workers (Taylor, 1981; Wasserman, 1982). What was once considered a trivial complaint by many health professionals is now gaining national recognition as one of the most highly under-reported diseases in the United States. NIOSH has estimated that as many as 1.2 million workers who are exposed to hand-vibratory tools face the potential risk of developing VWF (Altman, 1976; NIOSH, 1983; Wasserman, 1974).