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June Fisher, MD, director of the Training for Development of Innovative Control Technologies (TDICT) Project in San Francisco, offers the following advise about establishing a sharps safety evaluation program.
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The Centers for Disease Control and Prevention (CDC) recommends varicella vaccination for susceptible health care workers, especially if they have close contact with patients who are at high risk for serious complications. That includes premature infants born to susceptible mothers, infants who are born at less than 28 weeks of gestation or who weigh less than 1,000 g at birth (regardless of maternal immune status), pregnant women, and immunocompromised people.
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Pressure is building on hospitals to obtain signed declination statements from health care workers who choose not to receive the influenza vaccine. Two federal advisory panels considered the declination policy as just another possible strategy to boost vaccination rates and monitor employee response to vaccination efforts. But some employee health professionals worry that it would become a de facto guideline and would create a new paperwork burden as they struggle to track down employees and verify their vaccination status.
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Periodic, not annual, fit-testing will continue to be the watchword in the tuberculosis guidelines that currently are being finalized by the Centers for Disease Control and Prevention (CDC). The CDC has declined to define periodic, leaving the decision to individual health care facilities.
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This is a copy of the letter Jonathan Snare, administrator for the Occupational Safety and Health Administration sent to Rep. Roger Wicker (R-MS) on the issue of annual fit-testing.
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When an injury occurs, its helpful to dissect the incident and figure out how to correct safety problems. But wouldnt it be better to prevent the injury in the first place?
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An undiagnosed surgical resident with active tuberculosis exposed patients and co-workers at four Boston-area hospitals. More than 3,700 patients and hospital employees received notices that they needed to be tested.
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