Consider an incoming resident who was living in Syria, and is just now coming to the US for training.  Or anyone who recently spent more than 4 weeks in one of the affected countries (Afghanistan, Equatorial Guinea, Ethiopia, Iraq, Israel, Somalia, Nigeria, Cameroon, Pakistan, and Syria).  Per CDC, they should be boosted with IPV 4-52 weeks before leaving the departure country.  However, that may or may not happen, so perhaps we should be screening? 
 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Swift, Melanie
Sent: Wednesday, June 04, 2014 2:36 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Polio

Mark, if they are working in the US is there any increased risk from being a HCW? Or are you thinking they might be traveling back and forth to their home country?

 

Melanie Swift, MD

Director, Vanderbilt Occupational Health Clinic

http://occupationalhealth.vanderbilt.edu

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Upfal, Mark
Sent: Wednesday, June 04, 2014 10:38 AM
To: 'MCOH/EH'
Subject: [MCOH-EH] Polio

 

Any thoughts about screening HCWs who are arriving from endemic countries (e.g. starting residents, new faculty, other immigrants) for proof of polio immunization? 

 

Mark Upfal, MD, MPH

Corp Medical Director, DMC Occupational Health Services

4201 Saint Antoine, UHC 4G-3

Detroit, MI 48201

(313) 993-0509

www.dmc.org/ohs

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