Urban based police officers may be at high risk for the transmission o
f infectious disease. This study was undertaken to assess the incidenc
e of needlestick and human bites to police officers based in an urban
environment. A retrospective analysis of self-reported transcutaneous
exposures and demographic information of police officers in the New Yo
rk City Police Department (NYCPD) for 1992-93 was performed. Urine tox
icology results of arrested individuals for 1990-91 was also analyzed.
The transcutaneous exposure rate of NYCPD was 38.7 per 10,000. No dif
ferences occurred between males and females although officers between
20-29 years old had the highest incidence. The highest exposure rate o
ccurred between 4-10 years of service. Greater than 60% of arrested in
dividuals tested positive for potentially injectable drugs. Urban base
d police officers continue to have transcutaneous exposure incidents d
uring their career. Widespread vaccination and continued education on
universal precautions should be considered for ail officers.