Committee on Personal Protective Equipment for Healthcare Workers During an Influenza Pandemic's Books

Preparing for an Influenza Pandemic

Personal Protective Equipment for Healthcare Workers

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Personal Protective Equipment for Healthcare Workers During an Influenza Pandemic

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Preparing for an Influenza Pandemic

Personal Protective Equipment for Healthcare Workers

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Personal Protective Equipment for Healthcare Workers During an Influenza Pandemic

During an influenza pandemic, healthcare workers will be on the front lines delivering care to patients and preventing further spread of the disease. As the nation prepares for pandemic influenza, multiple avenues for protecting the health of the public are being carefully considered, ranging from rapid development of appropriate vaccines to quarantine plans should the need arise for their implementation. One vital aspect of pandemic influenza planning is the use of personal protective equipment (PPE)-the respirators, gowns, gloves, face shields, eye protection, and other equipment that will be used by healthcare workers and others in their day-to-day patient care responsibilities. However, efforts to appropriately protect healthcare workers from illness or from infecting their families and their patients are greatly hindered by the paucity of data on the transmission of influenza and the challenges associated with training and equipping healthcare workers with effective personal protective equipment. Due to this lack of knowledge on influenza transmission, it is not possible at the present time to definitively inform healthcare workers about what PPE is critical and what level of protection this equipment will provide in a pandemic. The outbreaks of severe acute respiratory syndrome (SARS) in 2003 have underscored the importance of protecting healthcare workers from infectious agents. The surge capacity that will be required to reduce mortality from a pandemic cannot be met if healthcare workers are themselves ill or are absent due to concerns about PPE efficacy. The IOM committee determined that there is an urgent need to address the lack of preparedness regarding effective PPE for use in an influenza pandemic. Preparing for an Influenza Pandemic : Personal Protective Equipment for Healthcare Workers identifies that require expeditious research and policy action: (1) Influenza transmission research should become an immediate and short-term research priority so that effective prevention and control strategies can be developed and refined. The current paucity of knowledge significantly hinders prevention efforts. (2) Employer and employee commitment to worker safety and appropriate use of PPE should be strengthened. Healthcare facilities should establish and promote a culture of safety. (3) An integrated effort is needed to understand the PPE requirements of the worker and to develop and utilize innovative materials and technologies to create the next generation of PPE capable of meeting these needs.

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206

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National Academies Press

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ISBN 10

0309177944

ISBN 13

9780309177948

Preparing for an Influenza Pandemic

Personal Protective Equipment for Healthcare Workers

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Personal Protective Equipment for Healthcare Workers During an Influenza Pandemic

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Preparing for an Influenza Pandemic

Personal Protective Equipment for Healthcare Workers

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Personal Protective Equipment for Healthcare Workers During an Influenza Pandemic

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206

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ISBN 10

0309177944

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9780309177948

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

A Letter Report

By: Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A,Institute of Medicine

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Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

A Letter Report

By: Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A,Institute of Medicine

In the event that the H1N1 virus creates a surge of patients during the upcoming flu season, it will be critical to protect health care workers from infection, given their central role in treating sick people and lessening the pandemic's overall impact. This new report from the Institute of Medicine recommends strategies for health care organizations and employees to prepare for the H1N1 virus. These recommendations include wearing fitted N95 respirators to guard against respiratory infection by the virus, and establishing policies for innovative triage processes, handwashing, disinfection, and more. The report also calls for a boost in research to answer questions about how the flu viruses can be spread, and to design and develop better protective equipment that would enhance workers' comfort, safety, and ability to do their jobs.

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National Academies Press

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ISBN 10

0309144604

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9780309144605

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

A Letter Report

By: Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A,Institute of Medicine

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Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

A Letter Report

By: Committee on Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A,Institute of Medicine

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National Academies Press

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ISBN 10

0309144604

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9780309144605

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Personal Protective Equipment for Healthcare Personnel: Update 2010

By: Institute of Medicine,Board on Health Sciences Policy,Committee on Personal Protective Equipment for Healthcare Personnel to Prevent Transmission of Pandemic Influenza and Other Viral Respiratory Infections: Current Research Issues

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Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Personal Protective Equipment for Healthcare Personnel: Update 2010

In 2009, the H1N1 influenza pandemic brought to the forefront the many unknowns about the virulence, spread, and nature of the virus, as well as questions regarding personal protective equipment (PPE) for healthcare personnel. In this book, the Institute of Medicine assesses the progress of PPE research and identifies future directions for PPE for healthcare personnel.

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200

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National Academies Press

Published Date

ISBN 10

0309214297

ISBN 13

9780309214292

Occupational Health Nurses and Respiratory Protection

Improving Education and Training: Letter Report

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Respiratory Protection Curriculum for Occupational Health Nursing Programs

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Occupational Health Nurses and Respiratory Protection

Improving Education and Training: Letter Report

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Respiratory Protection Curriculum for Occupational Health Nursing Programs

Occupational health nurses (OHNs) are front-line advocates for preventing illness and injury and protecting health in a variety of workplace settings, including the areas of agriculture, construction, health care, manufacturing, and public safety. OHNs need education and training in respiratory protection in order to ensure both their safety and the safety of America's workers. At the request of the National Personal Protective Technology Laboratory of the National Institute for Occupational Safety and Health, the Institute of Medicine (IOM) examined existing respiratory protection curricula and made recommendations to improve education and training in respiratory protection for OHNs. The IOM finds that current respiratory protection education receives varying amounts of dedicated time and resources and is taught using a variety of approaches. Several recommendations are made to improve the respiratory protection education and training of OHNs.

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ISBN 10

030921548X

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9780309215480

Reusable Elastomeric Respirators in Health Care

Considerations for Routine and Surge Use

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on the Use of Elastomeric Respirators in Health Care

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Reusable Elastomeric Respirators in Health Care

Considerations for Routine and Surge Use

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on the Use of Elastomeric Respirators in Health Care

Protecting the health and safety of health care workers is vital to the health of each of us. Preparing for and responding to a future influenza pandemic or to a sustained outbreak of an airborne transmissible disease requires a high-level commitment to respiratory protection for health care workers across the wide range of settings in which they work and the jobs that they perform. Keeping health care workers healthy is an ethical commitment both in terms of addressing the occupational risks faced by health care workers and of providing for the continuity of patient care and services needed to maintain the health of individuals and communities. During a public health emergency, challenges will arise concerning the availability of respiratory protective devices (i.e., respirators). Reusable respirators (specifically, reusable half-facepiece elastomeric respirators) are the standard respiratory protection device used in many industries, and they provide an option for use in health care that has to date not been fully explored. The durability and reusability of elastomeric respirators make them desirable for stockpiling for emergencies, where the need for large volumes of respirators can be anticipated. However, they are used infrequently in health care. Reusable Elastomeric Respirators in Health Care explores the potential for the use of elastomeric respirators in the U.S. health care system with a focus on the economic, policy, and implementation challenges and opportunities. This report examines the practicability of elastomeric use in health care on a routine basis and during an influenza pandemic or other large aerosol-transmissible outbreak, when demand for respiratory protective devices by U.S. health care personnel may be larger than domestic supplies. The report also addresses the issues regarding emergency stockpile management of elastomeric respiratory protective devices.

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227

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National Academies Press

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ISBN 10

0309485185

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9780309485180

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Personal Protective Equipment for Healthcare Personnel: Update 2010

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Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Personal Protective Equipment for Healthcare Personnel: Update 2010

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National Academies Press

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ISBN 10

0309214297

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9780309214292

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Personal Protective Equipment for Healthcare Personnel: Update 2010

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Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Personal Protective Equipment for Healthcare Personnel: Update 2010

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National Academies Press

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ISBN 10

0309162548

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9780309162548

The Personal Protective Technology Program at NIOSH

Reviews of Research Programs of the National Institute for Occupational Safety and Health

By: National Research Council,Institute of Medicine,Board on Health Sciences Policy,Committee to Review the NIOSH Personal Protective Technology Program

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The Personal Protective Technology Program at NIOSH

Reviews of Research Programs of the National Institute for Occupational Safety and Health

By: National Research Council,Institute of Medicine,Board on Health Sciences Policy,Committee to Review the NIOSH Personal Protective Technology Program

Maintaining the health and safety of workers in the United States and globally is accomplished in part by reducing hazardous exposures through the use of personal protective equipment. Personal protective technologies (PPT) include respirators worn by construction workers and miners; protective clothing, respirators, and gloves worn by firefighters and mine rescue workers; and respirators and protective clothing worn by healthcare workers. An estimated 5 million workers are required to wear respirators in 1.3 million U.S. workplaces. For some occupations, such as firefighting, the worker's protective equipment is the only form of protection against life-threatening hazards; for other workers, the PPT is a supplement to ventilation and other environmental, engineering, or administrative hazard controls. In the United States, federal responsibility for civilian worker PPT is integral to the mission of the National Institute for Occupational Safety and Health (NIOSH). This book examines the NIOSH Personal Protective Technology Program (PPT Program) and specifically focuses on the relevance and impact of this program in reducing hazardous exposures and improving worker health and safety.

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214

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National Academies Press

Published Date

ISBN 10

0309177979

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9780309177979

Reusability of Facemasks During an Influenza Pandemic

Facing the Flu

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Development of Reusable Facemasks for Use During an Influenza Pandemic

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Reusability of Facemasks During an Influenza Pandemic

Facing the Flu

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Development of Reusable Facemasks for Use During an Influenza Pandemic

Any strategy to cope with an influenza pandemic must be based on the knowledge and tools that are available at the time an epidemic may occur. In the near term, when we lack an adequate supply of vaccine and antiviral medication, strategies that rely on social distancing and physical barriers will be relatively more prominent as means to prevent spread of disease. The use of respirators and facemasks is one key part of a larger strategy to establish barriers and increase distance between infected and uninfected individuals. Respirators and facemasks may have a role in both clinical care and community settings. Reusability of Facemasks During an Influenza Pandemic: Facing the Flu answers a specific question about the role of respirators and facemasks to reduce the spread of flu: Can respirators and facemasks that are designed to be disposable be reused safely and effectively? The committee-assisted by outstanding staff-worked intensively to review the pertinent literature; consult with manufacturers, researchers, and medical specialists; and apply their expert judgment. This report offers findings and recommendations based on the evidence, pointing to actions that are appropriate now and to lines of research that can better inform future decisions.

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106

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National Academies Press

Published Date

ISBN 10

0309101824

ISBN 13

9780309101820

Reusable Elastomeric Respirators in Health Care

Considerations for Routine and Surge Use

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on the Use of Elastomeric Respirators in Health Care

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Reusable Elastomeric Respirators in Health Care

Considerations for Routine and Surge Use

By: National Academies of Sciences, Engineering, and Medicine,Health and Medicine Division,Board on Health Sciences Policy,Committee on the Use of Elastomeric Respirators in Health Care

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227

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0309485185

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9780309485180

Antivirals for Pandemic Influenza

Guidance on Developing a Distribution and Dispensing Program

By: Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Implementation of Antiviral Medication Strategies for an Influenza Pandemic

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Antivirals for Pandemic Influenza

Guidance on Developing a Distribution and Dispensing Program

By: Institute of Medicine,Board on Population Health and Public Health Practice,Committee on Implementation of Antiviral Medication Strategies for an Influenza Pandemic

Planning for an influenza pandemic, whether it occurs in the near or distant future, will need to take into account many constantly evolving factors. The Institute of Medicine (IOM) Committee on Implementation of Antiviral Medication Strategies for an Influenza Pandemic was asked by the Department of Health and Human Services, (DHHS) to consider best practices and policies for providing antiviral treatment and prophylaxis during a pandemic event. The committee's report, entitled Antivirals for Pandemic Influenza: Guidance on Developing a Distribution and Dispensing Program, calls for a national and public process of creating an ethical framework for antiviral use within the context of uncertainty and scarcity. It is unclear whether antivirals will work against a pandemic strain as well as they work against seasonal influenza. Also, government stockpiles may not be sufficient for all possible uses in part because antivirals are costly and public health agencies must invest in other important activities, including other medical resources for pandemic influenza. Furthermore, the report identifies the lack of a science-based advisory body to guide decision making during the pandemic, including guidance on all dimensions of antiviral dispensing (for example, prioritization, drug safety, and antiviral resistance). The report also acknowledges the need for diverse methods and sites of dispensing, and discusses their advantages and disadvantages.

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132

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National Academies Press

Published Date

ISBN 10

0309118662

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9780309118668

Occupational Health Nurses and Respiratory Protection

Improving Education and Training: Letter Report

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Respiratory Protection Curriculum for Occupational Health Nursing Programs

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Occupational Health Nurses and Respiratory Protection

Improving Education and Training: Letter Report

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Respiratory Protection Curriculum for Occupational Health Nursing Programs

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030921548X

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Certifying Personal Protective Technologies

Improving Worker Safety

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Certification of Personal Protective Technologies

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Certifying Personal Protective Technologies

Improving Worker Safety

By: Institute of Medicine,Board on Health Sciences Policy,Committee on the Certification of Personal Protective Technologies

When you purchase a product, you expect it to work. Construction workers on high-rise buildings need to be confident that their safety harnesses will arrest a fall. Firefighters need to know that their gloves and other protective equipment can withstand high temperatures. Healthcare workers administering highly toxic chemotherapy agents need to know that their gloves will withstand penetration. For personal protective technologies (PPT)-where the major purpose of the product is to protect the wearer against a hazard-a deficit in product effectiveness can mean injury, illness, or death. Examining the extent to which products meet specific performance or design criteria is the focus of conformity assessment efforts. For PPT conformity assessment, the ultimate goal is preventing worker illness, injury, or death from hazardous working conditions. Certifying Personal Protective Technologies focuses on conformity assessment for occupational PPT-ensuring that PPT are effective in preventing or reducing hazardous exposures or situations that workers face in their jobs. Because respirators already have an extensive testing and conformity assessment process in place, this book specifically addresses conformity assessment processes for other types of PPT, including eye and face protection, gloves, hearing protectors, and protective clothing.

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166

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0309158559

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9780309158558

Book's by Committee on Personal Protective Equipment for Healthcare Workers During an Influenza Pandemic

Preparing for an Influenza Pandemic

Preparing for an Influenza Pandemic

Preparing for an Influenza Pandemic

Preparing for an Influenza Pandemic

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Occupational Health Nurses and Respiratory Protection

Occupational Health Nurses and Respiratory Protection

Reusable Elastomeric Respirators in Health Care

Reusable Elastomeric Respirators in Health Care

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

Preventing Transmission of Pandemic Influenza and Other Viral Respiratory Diseases

The Personal Protective Technology Program at NIOSH

The Personal Protective Technology Program at NIOSH

Reusability of Facemasks During an Influenza Pandemic

Reusability of Facemasks During an Influenza Pandemic

Reusable Elastomeric Respirators in Health Care

Reusable Elastomeric Respirators in Health Care

Antivirals for Pandemic Influenza

Antivirals for Pandemic Influenza

Occupational Health Nurses and Respiratory Protection

Occupational Health Nurses and Respiratory Protection

Certifying Personal Protective Technologies

Certifying Personal Protective Technologies

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