Attached is the CDC health advisory which states:

"The May 5 WHO statement names 10 such countries, three designated as "exporting wild poliovirus" (Cameroon, Pakistan and Syria [Syrian Arab Republic]) that should "ensure" recent (4 to 52 weeks before travel) polio boosters among all departing residents and long-term travelers (of more than 4 weeks), and an additional seven countries "infected with wild poliovirus" (Afghanistan, Equatorial Guinea, Ethiopia, Iraq, Israel, Somalia and Nigeria) that should "encourage" recent polio vaccination boosters among residents and long-term travelers."

 

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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From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Hudson, T. Warner
Sent: Wednesday, June 04, 2014 2:56 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] Polio

Agree with Mark as we often see with incoming house staff who  they have spent the summer in Africa doing all sorts of interesting medical work, for example.  This in addition to our researchers who go to these countries for >1 month as I mentioned before.

 

T. Warner Hudson, MD FACOEM, FAAFP

Medical Director, Occupational and Employee Health

UCLA Health System and Campus

Office 310.825.9146

Fax 310.206.4585

Pager 800.233.7231  ID 27132

E-mail twhudson@mednet.ucla.edu

Website www.ohs.uclahealth.org

 

From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Upfal, Mark
Sent: Wednesday, June 04, 2014 11:40 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Polio

 

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

__________________________________________ 

This e-mail message and any attachments may be privileged and confidential and protected information. If you are not the intended recipient, or an employee or agent responsible for delivering this message to the intended recipient, you are hereby notified that any review, use, disclosure, dissemination, distribution or copying of this communication may be a violation of the law. Please contact the sender immediately by replying to the message and delete it from your computer. Thank You. 

 


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