AOHP ONLINE EDUCATION PROGRAM WEB016-2016

1. AOHP ONLINE EDUCATION PROGRAM WEB016-2016 THANK YOU FOR JOINING US, THE WEBINAR WILL BE STARTED MOMENTARILY.

2. Preventing Occupational Exposures to Bloodborne & Biological Hazards: We Have Only Just Begun Amber Hogan Mitchell, DrPH, MPH, CPH

3. Step 1 Step 2

4. DisclosureThank you for participating in this continuing educational activity.Goals/Purpose : To improve knowledge that promotes professional development and enhance the learners contribution of quality health care in Employee/Occupational Health.Successful Completion of this CNEIn order to receive full contact-hour credit for this CNE activity, you must:Attend the full session  Complete an evaluationConflict of Interest (or lack thereof) for Planners & Presenter(s) A conflict of interest occurs when an individual has opportunity to affect or impact educational content with which he or she may have a commercial interest or a potentially biasing relationship of a financial, professional or personal nature. All planner and faculty/content specialist(s) must disclose the presence or absence of a conflict of interest relative to this activity. All potential conflicts are resolved prior to the planning, implementation or evaluation of the continuing nursing education activity. All activity planning committee members and faculty/content specialist have submitted conflict of interest disclosure forms. The planning committee members and faculty/content specialist of this CNE activity have disclosed no relevant professional, personal or financial relationships related to the planning or implementation of the CE activity.

5. Disclosure (Continued)Commercial or Sponsor support: UL, EHS Sustainability is providing commercial support for this education activity.   AOHP declares that this activity is for educational purposes only and will not promote any proprietary interest of any commercial interest organization providing financial or in-kind support. • In accordance with the policies on disclosure of the Accreditation Council for the American Nurses Credentialing Center’s Commission on Accreditation (ANCC), AOHP is responsible for all decisions related to the educational activity. UL, EHS doesn’t participate in any component of the planning process of an educational activity, including: • Assessment of learning needs • Determination of objectives • Selection or development of content • Selection of planners, presenters, faculty, authors and/or content reviewers • Selection of teaching/learning strategies • Evaluation methodsNon-endorsement of productsThe approved provider status of AOHP (Association of Occupational Health Professionals) refers only to the continuing nursing education activity and does not imply a real or implied endorsement by AOHP or the American Nurses Credentialing Center (ANCC) of any commercial product, service or company referred to or displayed in conjunction with this activity, nor any company subsidizing costs related to this activity.Reporting of Perceived BiasBias is defined by the American Nurses Credentialing Center’s Commission on Accreditation (ANCC COA) a preferential influence that causes a distortion of opinion or of facts. Commercial bias may occur when a CNE activity promotes one or more products(s)( drugs, devices, serviced, software, hardware, etc,). This definition is not all inclusive and participants may use their own interpretation in deciding if a presentation is biased.The Association of Occupational Health Professionals in Healthcare is accredited as a provider of continuing nursing education by the American Nurses Credentialing Center’s Commission on Accreditation.

6. THE PRESENTER Amber Hogan Mitchell, DrPH, MPH, CPH

7. Disclosure International Safety Center is funded through charitable contributions from medical device and PPE manufacturers, institutions, and societies so that EPINet can be offered to healthcare facilities around the world for free.

8. Objectives Provide background about the current prevalence of bloodborne and pathogenic disease Refresher on policy impact at a national level and growing focus around the world Provide the latest International Safety Center EPINet summary data on occupational sharps injuries and BBFEs Describe how to use occupational surveillance data to paint a picture of what could be happening in your facility Create targeted approaches to reduce risk and decrease overall occupational illness and infection Reinforce the need to be methodical about surveillance approaches to have the greatest positive impact long term

9. Current Prevalence of Bloodborne & Biological Pathogen Risks: Occupational Impact

10. The Significance of Public Health in America: 64% Increase in Average Life Expectancy Over 100 Year Period Increased years due to medical care advances: 5 yrs Increased years due to public health advances: 25 yrs Courtesy Dr. S Patlovich Source: Ten Great Public Health Achievements -- United States, 1900-1999 MMWR, April 02, 1999 / 48(12);241-243 http://www.cdc.gov/mmwr/preview/mmwrhtml/00056796.htm

11. Vaccinations Motor-vehicle safety Safer workplaces Control of infectious disease Decline in deaths from coronary heart diseases and stroke Safer and healthier foods Healthier mothers and babies Family planning Fluoridation of drinking water Recognition of tobacco use as a health hazard Ten Great Public Health Achievements in the United States, 1900 to 1999 Source: Ten Great Public Health Achievements -- United States, 1900-1999 MMWR, April 02, 1999 / 48(12);241-243 http://www.cdc.gov/mmwr/preview/mmwrhtml/00056796.htm Courtesy Dr. S Patlovich

12. Infectious & Biological Threats are More Prevalent than Ever… and More People are Accessing Healthcare Systems Around the World

13. PATHOGENS TRANSMITTED THROUGH OCCUPATIONAL EXPOSURE • Blastomycosis dermatitidis • Brucellosis abortus • Corynebacterium diphteriae • Creutzfeldt-Jakob disease • Cryptococcosis neoformans • Dengue virus • Ebola • Hepatitis B • Hepatitis C • Hepatitis G • Herpes Simplex virus • Herpes Zoster virus • HIV • Leptospira icterohaemorrhaglae • Malaria • Mycobacterioum marinum • Mycobacterium tuberculosis • Mycoplasma caviae • Necrotizing casciitis • Plasmodium falciparum • Rickettsia rickettsii • Sporotrichum schenkii • Streptococcus pyogenes • Staphylococcus aureus • Syphilis • Treponema pallidum • Toxoplasma gondii • Tuberculosis

14. Courtesy Dr. J Jagger

15. Hepatitis B Globally: 2 BILLION People 3 MILLION Refugees Thanks for Slides from Elise Handelman & Elayne Phillips. BD & McKesson

16. Hepatitis C “CDC Warns on Rising Cases of Hepatitis C” WSJ, May 8, 2015

17. “Hepatitis C killed almost 20,000 Americans in 2013. More of us died from hepatitis C than from 60 other infectious diseases combined, including HIV and TB, with ‘baby boomers’ at greatest risk.” Summary source: Preidt, R. Hepatitis C Now Leading Infectious Disease Killer in U.S. HealthDay; 2016 May 4 Available from: https://www.nlm.nih.gov/medlineplus/news/fullstory_158651.html

18. Courtesy Dr. J Jagger

19. HIV • Today, 1.2 Million People in the US are living with HIV. • 1 in 5 don’t know they are infected and can pass the virus to others. CDC 2011

21. Emerging and Re-emerging Pathogens • Ebola • Zika • Diseases in Conflict Countries • Measles • New occupational cases depending on level of immunity • Co-Morbidities with Multidrug Resistant Organisms like MRSA • Patients with now chronic disease like HCV, HIV with increased prevalence of MRSA • Healthcare worker colonization

22. Thank you, Dr. K Reynolds

23. Courtesy Dr. J Jagger

24. US Policy Impact of National Regulations

32. Growing Body of Additional Standards for Biological Hazards

33. OSHA Infectious Disease Standard • For non-Bloodborne Pathogens • CalOSHA Aerosol Transmissible Disease Standard • Occupational exposure during “direct patient care” • Worker Infection Control Plan • Infectious Agent Hazard Analysis

34. Respiratory Protection Standard Aerosol transmissible disease (ATD) or aerosol transmissible disease pathogen—Any disease or pathogen requiring Airborne Precautions and/ or Droplet Precautions. Includes Fit Testing for Biological Hazards like TB, Flu Available online: https://www.osha.gov/Publications/OSHA3767.pdf

35. OSHA Personal Protective Equipment Standard https://www.osha.gov/SLTC/personalprotectiveequipment/

36. http://www.nytimes.com/2016/06/11/science/lab-worker-in-pittsburgh-is-accidentally-infected-with-zika-virus.html?_r=0http://www.nytimes.com/2016/06/11/science/lab-worker-in-pittsburgh-is-accidentally-infected-with-zika-virus.html?_r=0

38. Expanding Internationally…Collaborations from Around the Globe

43. Surveillance Today: International Safety Center & EPINet

44. Safety Center Overview • Free Standing 501c3 Non-Profit Research and Education Center • Originally at University of Virginia, led by Dr. Janine Jagger • Since 1992 • Network of US Hospitals, Contributing Aggregate Data • Summary Data Reported Annually • Reports Used to Drive Policy and Practice

45. Global Distribution Model

46. EPINet Distribution Around the World Color-Coded by Language 96 Countries, 24 Languages

47. US Distribution Model & Hospital Network

48. ~30 U.S. Hospitals & Health Systems ____________ Many Reporting to Aggregate since mid-1990s; Needlestick Safety & Prevention Act / OSHA BPS Champion Hospitals

49. Since 1992, acquired for 1,500 U.S. Hospitals and 96 countries!