bbp aids office2012
TRANSCRIPT
02/16/12 DPH OSH Section 2
Training Goals
Potential Occupational Exposures HIV, HBV, HCV Exposure Prevention Hepatitis B Vaccination Post Exposure Follow-up Recordkeeping: Sharps Log &
Workers Comp Filing
02/16/12 DPH OSH Section 3
Exposure Risks on the Job?
Phlebotomy & Injections Sample Collection & Disposal Lab Work Minor Procedures First Aid CPR Assault
02/16/12 DPH OSH Section 5
Common Exposures: 800 K AnnuallyAmazingly This Number Still Holds Ten Plus Years Later
Needlesticks or Cuts82%
Contact With Non-intact Skin03%
Splashes to Mucous Membranes14%
Bites01%
02/16/12 DPH OSH Section 6
Human Immunodeficiency Virus (HIV)
Blood Semen Vaginal Secretions Tissue Cultures
02/16/12 DPH OSH Section 7
HIV: Occupational Transmission Risk
Percutaneous (Needlestick, Sharp) 0.3%
Mucous Membrane .09%
Non-Intact Skin .09%
02/16/12 DPH OSH Section 8
Hepatitis A: Fecal-Oral Transmission
Contaminated Food Contaminated Water Close Personal Contact
02/16/12 DPH OSH Section 9
Hepatitis B: Blood Transmission
1.25 Million Americans Chronically Infected Declining Rates (Aggressive Vaccination Policies) Needlestick Transmission Risk = 6% to 30% (UV) HBV Survives at Room Temperature X 2 Weeks Other Potential Sources?
02/16/12 DPH OSH Section 10
Hepatitis C: Blood Transmission
4 Million Americans Infected 3 Million Americans Chronically Infected No Vaccine Available No Post Exposure Prophylaxis 80% Asymptomatic 75%- 85% Chronically Infected Carriers Main Reason for Liver Transplants Chronic Liver Disease 70% for Chronically
Infected
02/16/12 DPH OSH Section 11
HCWs 1-2% 10 Times Lower That HBV Mucous Membrane Transmission Rare
Hepatitis C: Occupational Transmission Risk
02/16/12 DPH OSH Section 12
Protection On The Job?
Universal Precautions
Assume All Human Blood & Body Fluids Are Infectious
02/16/12 DPH OSH Section 15
Engineering Controls
Isolate or Remove the BBP Hazard From Workplace
Safety DevicesSharps ContainersTube HoldersSink ShieldsBiohazard Bags
02/16/12 DPH OSH Section 16
No Cost Available Right Size Employer Responsible
Personal Protective EquipmentClothing or Equipment Worn That Keeps Blood From Clothing, Skin, Eyes, Mouth, or Mucous Membranes
02/16/12 DPH OSH Section 17
Administrative Controls
Written Procedures Training Clear Communication Pathways
02/16/12 DPH OSH Section 18
Hazard Communication / Warning Labels
Regulated Waste Containers Refrigerators & Freezers Disposal, Shipping & Storage Containers Contaminated Laundry
02/16/12 DPH OSH Section 20
HBV Vaccine
95% - 99% Effective Prevention of HBV Infection Get It at San Francisco General OHS Clinic
Mild Soreness & Redness at Injection Site Fever, Nausea, Rash, Fatigue, Joint Pain (Rare)