Workers in the health care industry—including pharmacists and pharmacy technicians, nursing personnel, physicians, operating room personnel, shipping and receiving personnel, waste handlers, maintenance and laundry workers, and workers in veterinary practices—who are exposed to hazardous drugs should be routinely monitored as part of a medical surveillance program, the Centers for Disease Control recommends. Workers may be exposed when they generate dust, clean up spills, or touch contaminated surfaces, the CDC says, and that the most likely ways are via inhalation or skin contact and absorption. Medical risks of exposure include skin rashes, cancer and reproductive disorders. At a minimum, the medical surveillance program should include reproductive and general health questionnaires, periodic laboratory testing, and physical exams and follow up, the CDC notes.