Page 7 - OOHNA Spring-Summer 2017
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Occupational Health Services: Communicable Disease Prevention and Management n Practice



veillance Network (cNSSN, 2013) ies of medical doctors (specifically Meningococcal Disease: channing
reported that 16 unvaccinated surgeons and dentists) found the reported a fatal case of meningo-
workers were exposed to HBV prevalence to be 0.9-1.8% (chak, coccal disease in a microbiologist in
positive source patients (2008-talal, Sherman, Schiff, Saab, 2011). cdc MMWr (2012). Sejvar, John-
son, Popovic, Miller, downes,
2012), and 2 were infected as a HIV: Between 1985 and 2013,
Somsel, Weyant, Stephens, Perkins,
result of needlestick exposures. cdc MMWr (2015) reported
and rosenstein (2005) reported
HCV: in 2011 over 461,000 canadi- 58 confirmed and 150 possible
16 cases of probable laboratory-
ans were estimated to be infected cases of occupationally acquired acquired meningococcal disease
with HcV with 44% of those chron- HiV infection among HcWs, with between 1985 and 2001, includ-
ically infected (220,000 to 246,000) one confirmed case since 1999 (a ing six u.S. cases between 1996
unaware of their infection status. needlestick injury in a lab tech in
PHac (2013) reported 12,997 HcV 2008). and 2000. Eight cases (50%) were
cases in 2005 (40.3 per 100,000), PHac (2013) reported 9 cases fatal. all cases occurred among
clinical microbiologists. in 15 cases
declining by 26.7% to 10,379 cases of occupationally acquired HiV- (94%), manipulation of isolates was
(29.6 per 100,000) in 2013. the aidS infection between 1979
performed outside of biosafety cab-
cNSSN final report in 2013 report- and 2012, with 7 cases occurring inets (BScs). Vaccination of high risk
ed no HcV seroconversions for before 2006. the setting for trans- groups should be a priority.
HcW occupational exposures to missions was not reported. No
HcV between 2008 and 2012. seroconversions were reported by Measles, mumps, rubella, vari-
the overall prevalence of HcV cNSSN 2013. cella, pertussis, and influenza: all
infection in HcWs in the u.S. is Although safety engineered have been reported as oais, usu-
similar to the general popula- needles have been legislated in ally in the unvaccinated. Norovirus
tion estimated by cdc National many Canadian provinces, the and scabies are other common
Health and Nutrition Examination CNSSN (2013) reported 79.8% but less serious reported illnesses.
Survey (NHaNES), ranging from of 277 exposed HCWs did not (Note: tB will be discussed in
0.7 to 3.2%. Seroprevalence stud- activate the safety mechanism. more detail in Part 2.)


















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