Employee occupational health programmes should promote a safe and healthy workplace. This is accomplished by minimizing any exposures, promptly detecting and treating exposures, and using information gained from laboratory incidents and accidents to enhance safety precautions. A baseline medical checkup and provision for regular follow-up should be considered for all staff prior to commencing work in the TB laboratory. The medical personnel providing occupational health services should be knowledgeable about the nature of potential health risks in TB laboratories and have access to experts for consultation. Medical services should be readily available to allow timely and appropriate evaluation and treatment.