Health, Safety and Wellbeing Presentation Infection Control Minimising the spread of infectious disease in the workplace

1. Health, Safety and WellbeingPresentationInfection ControlMinimising the spread of infectious disease in the workplace Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

2. Introduction / Aims Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • Module 1 – Legislation and DETE Procedures • Provide legislative and procedural information • Module 2 - DETE Workplaces • Health and safety relevant to departmental workplaces • Module 3 - Infection Control • Practices to prevent infection transmission • Module 4 - Your Health and Wellbeing • Individual responsibilities and protecting your health • Module 5 - Vaccination Information • Information relevant to DETE Workplaces • Module 6 – Take Home Message and Further Resources

3. Module 1 Legislation and DETE Procedures Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

4. Legislation Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • Work Health and Safety Act 2011 • General duty to protect workers and others from harm. • Public Health Act 2005 • Duty of schools and parents to minimise the risk of vaccine preventable contagious conditions in schools.

5. Departmental Documents Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Departmental Procedures • Infection Control • Management of Prescribed Contagious Conditions Guideline • Infection Control Fact Sheets / Safety Alerts

6. Infection Control Guideline – Contents Infection Control Cleaning and Disinfecting Infectious Waste Contagious Conditions Pregnancy and Infection Control CPR Training Immunisation Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

7. Module 2DETE Workplaces Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

8. Module 2 - DETE Workplaces Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Why are DETE Workplaces Common Sites for Infectious Disease Transmission? • Large numbers of people in close contact on a daily basis • e.g. classrooms • Culture of attendance (staff/students/others) • infectious/contagious people at the workplace • Possible contact with asymptomatic carriers • disease is contagious before symptoms are present • Non-vaccinated populations • lack of immunity e.g. to childhood illnesses • Hygiene issues • young children / poor cough & sneeze etiquette

9. Risk Factors in DETE Workplaces Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • High risk behaviours (injury/contact sports/special ed.) • Contact sports / special education / first aid • Duties • (special ed / first aid / cleaning & maintenance) • DETE workplaces cover the length and breadth of the state • most populations are represented within our staff and student base • There is no state-wide record of staff and student vaccination • Unknown vaccination/immunity status of workers and others as they move between locations • Workplaces such as schools are community locations • Visitors and volunteers may be accompanied by young children or babies • Large percentage of female staff and students • Diseases that may impact on pregnancy or the unborn child

10. Risk Factors … continued … Special school environments and other integrated learning environments Staff and students who may have compromised health/immune systems Conscientious Objectors to Childhood Vaccination Some students / parents / staff are not immune to common childhood illnesses Childhood illnesses in children vs adults Common childhood illnesses are often more severe when seen in adult patients e.g. chickenpox. No requirement to disclose the nature of an illnesses * Infectious/potentially contagious people at work *HLS-PR-004: Management of Prescribed Contagious Conditions - has requirements regarding the notification of “contagious conditions” as defined by the Public Health Act and Regulation. Due to their nature, DETE workplaces are often natural amplifiers of infectious disease Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

11. Module 3Infection Control Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

12. Effective Infection Control Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. There are many elements to effective infection control • Develop and implement local infection control practices • Promote infection control practices within the workplace • Allocate funds to implement infection control practices; and • Work with your local Queensland Health Public Health Unit to manage and contain an outbreak of a contagious condition at the workplace.

13. Standard Precautions Training (recorded) Immunisation / Vaccination Infection Control Hand / Respiratory Hygiene Waste Management Cleaning & Disinfection Personal Protective Equipment Safe use of Sharps e.g.syringes Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Module 3 – Infection Control

14. Standard Precautions Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Standard Precautions aim to eliminate exposure. The underlying principle: Assume all blood and bodily fluids/substances are potentially infectious and therefore apply: • Good hygiene including hand washing • Use of personal protective equipment • Appropriate waste disposal • Cleaning and sanitation. Infectious diseases may be: • Blood borne • Airborne / droplet • Transferred via contact

15. Hand Washing – Infection Control Hand Washingis one of the most important measures in preventing transmission of infection. Hands should be washed using soap, water and then dried: before handling, preparing or eating food before and after assisting students with eating/meals assisting students with toileting providing first aid or medication contact with an ill or injured person after contact with blood or body fluids (this includes your own e.g. Sneezing/coughing) removal of protective gloves using the toilet; and after contact with animals. Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

16. This poster can be downloaded and displayed near hand washing sinks. Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

17. General Hygiene Adhere to good hygiene practices, including hand washing Avoid sharing of utensils or drinking cups/bottles Cover any open wounds with water proof dressing Use personal protective equipment (PPE) e.g. disposable gloves Handle and dispose of sharps and other infectious waste appropriately Clean / disinfect any contaminated items Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

18. Personal Protective Equipment Personal Protective Equipment (PPE) All workers should wear personal protective equipment e.g. disposable gloves for all contact with blood and body fluids/substances. Examples: Rendering first aid Toileting (e.g. special education facilities) Picking up rubbish/waste. Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

19. Module 4Your Health Safety and Wellbeing Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

20. Module 4 – Your Health, Safety and Wellbeing Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. What infectious diseases/conditions can be encountered in your workplace? How are these diseases/conditions spread? What can you expect from your workplace? Risk Management approach to infection control What can you do to protect yourself and others against transmission? What are your responsibilities?

21. Infectious Diseases vs Vaccine Preventable Diseases in RED are relevant to pregnancy Diseases with a green tick  are vaccine preventable Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. The diseases below are relevant to DETE workplaces. Fact sheets are available from Queensland Health •  Whooping Cough (Pertussis) • Measles • Mumps •  Rubella • Hepatitis A •  Hepatitis B • Influenza (Including “swine flu) • Chickenpox (Varicella) • Cytomegalovirus (CMV) • Parvovirus •  Japanese Encephalitis •  Q Fever

22. Route of Transmission Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

23. What to Expect From Your Worplace Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. If there is an outbreak of an infectious disease at a DETE workplace • Contact the local Queensland Health Public Health Unit for advice. • Liaise with the Public Health Unit to manage and contain any outbreak of a contagious condition. e.g. measles, and prevent it from entering the broader community. • Work caused illnesses (infectious disease contracted at work) must be notified to Workplace Health and Safety Queensland

24. Protecting Yourself – Risk Assessment Be familiar with relevant departmental procedures and guidelines as well as your local practices. e.g. Infection Control Guideline Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Protecting Yourself • Step 1 – Be aware of the hazardsBe aware of likely diseases in your workplace / how can they been transferred from person to person. • Step 2 - Decide who might be harmed and howWhat is the harm? How likely is this harm? • Step 3 - Decide on control measures e.g. Awareness training • Step 4 - Put controls in placee.g. Run training sessions • Step 5 - Review the controlsAre the controls working?

25. Protecting Yourself – what to do Adopt and promote The Infection Control Guideline Standard Precautions for Infection Control Safe use of Sharps Safe Waste Management Cleaning and Disinfection Use of Personal Protective Equipment Hand and Respiratory Hygiene Attend training on a regular basis Consider vaccination and know your immunity status. Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

26. Pregnancy Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • If possible, ensure that you have your immunisations up-to-date before you become pregnant or at least be aware of your immunisation status. • If you are pregnant, discuss your work requirements with your treating doctor to determine if you need to take any special precautions when in the workplace. • Refer to the procedure WFR-PR-011: Pregnancy in the Workplace • Any issues with regard to work placement or leave should be discussed with your Officer-in-Charge. • This information is also important to all who may have a pregnant contact e.g. spouse.

27. Diseases Relevant to Pregnancy Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • Measles • Mumps • Rubella • Influenza (including “swine flu”) • Chickenpox (Varicella) • Cytomegalovirus (CMV) • Parvovirus

28. Your Responsibilities Know your immunisation status Store this information in a location that can be readily accessed if needed. Stay home when unwell Students should not be at school/college when they are unwell. Parents should be requested to collect unwell school students. Staff are expected to stay home when they are unwell. Refer to: minimum exclusion periods. Refer to: contagious conditions procedure. Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

29. Module 5Information on Vaccination Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

30. Information on Vaccination Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. The Australian Immunisation Handbook 9th edition provides vaccination recommendations for specific occupational groups.

31. Information on Vaccination Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. Source: Australian Immunisation Handbook 9th Edition

32. What is a vaccination and how does it work? Vaccinations protect you from specific diseases. They boost your body's immune system and create immunity that protects you from an infection without causing the suffering of the disease itself.   Most vaccines contain a little bit of the disease germ that is weak or dead. Vaccines do NOT contain the type of germ that makes you sick. Having this little bit of the weak or dead germ makes your body's defense system build antibodies to fight a real infection in the future. Your body can make antibodies in two ways: by getting the disease or by getting the vaccine. Getting the vaccine is a much safer way to make antibodies without having to suffer the disease itself and the risk of becoming disabled or even dying. The Australian Immunisation Handbook 9th Edition contains a table that compares the effects of disease vs the side effect of the vaccine. This has been made into a handout and can also be viewed at: http://www.health.gov.au/internet/immunise/publishing.nsf/Content/Handbook-quickguides-sideeffects. Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

33. Module 5 – Information on Vaccination Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

34. Module 6Take Home Message &Further Resources Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.

35. Take Home Message Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • Be aware of your immunity status to common infectious diseases – especially childhood illnesses. • DETE workplaces harbour infectious diseases some of which can be harmful during pregnancy. • Prevent the spread of infectious disease through STANDARD PRECAUTIONS and IMMUNISATION. • Seek advice from Qld Health Population Health Units as required.

36. Further Resources Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document. • Queensland Health – 13HEALTH • Departmental Policy: Infection Control • Departmental Policy: Management of Prescribed Contagious Conditions http://education.qld.gov.au/strategic/eppr/health/index.html • Infection Control Guideline http://education.qld.gov.au/health/pdfs/healthsafety/infection_control_guideline.pdf • Creating Healthier Workplaces – Infection Control http://education.qld.gov.au/health/safety/hazards/infection.html • Your Regional Senior Health and Safety Consultant http://education.qld.gov.au/health/contacts/hscontacts.html • Key Health and Safety Tips for Teachers http://www.deir.qld.gov.au/workplace/documents/showDoc.html?WHS%20Fast%20Facts/healthcommunity%20-%20teacher • Local Qld Health Public Health Unit http://www.health.qld.gov.au/healthyschools/contactus.asp

37. Infection Control Animation Uncontrolled copy. Refer to the Department of Education, Training and Employment Policy and Procedure Register at http://ppr.det.qld.gov.au to ensure you have the most current version of this document.