Wendy:
When do you anticipate that the CDC will issue this new guidance? You indicated that an MMWR update will address this issue.
Thanks
Pat Hartley
 
Patrick G. Hartley, M.B., B.Ch., B.A.O., M.P.H.
Professor (Clinical) of Internal Medicine
Division of Pulmonary Diseases, Critical Care and Occupational Medicine
Medical Director: University Employee Health Clinic & Occupational Medicine Clinic
Carver College of Medicine
University of Iowa
Iowa City, IA 52242-1009
319-353-7072 (Office)
319-353-6406 (Fax)
patrick-hartley@uiowa.edu
 
 
 
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Thanassi, Wendy
Sent: Thursday, July 14, 2016 1:44 PM
To: MCOH/EH
Subject: Re: [MCOH-EH] [EXTERNAL] Re: PPDs
 
This is the direction the MMWR update will go- toward less annual screening and more risk-based assessments.
 
That said, would someone kindly send me some copies of your " annual updates a TB History, Risk Assessment and/or Symptom Screen" and we'll see if we can adapt them for our setting?
 
Thank you!
Wendy
 
Wendy.thanassi@va.gov
 
Palo Alto VA, California
 
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Deborah S. Camp
Sent: Thursday, July 14, 2016 10:43 AM
To: MCOH/EH
Subject: [EXTERNAL] Re: [MCOH-EH] PPDs
 
We do QFT's on new hires.  On annual updates a TB History, Risk Assessment and Symptom Screen is done.  With no red flags, employee is cleared for a year.  This is based on the 2005 CDC guidelines. 
 
Thanks
 
Newberry County Memorial Hospital
Newberry, SC
Deb Camp, RN, EH
Office:  803-405-7257
Fax:  803-405-7516
 
-----Original Message-----
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Patti Vomish
Sent: Wednesday, July 13, 2016 7:18 AM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] PPDs
 
Good Morning!
 
My hospital administrators are requesting that we stop our tuberculosis program. They would like to only place PPDs on new employees. This makes me a little nervous.
I know this has had to come on this site.
Is there anyway I can find what I am looking for here?
 
Thank you,
 
Patti Vomish
 
 
 
 
Patricia L. Vomish  RN COHN
Employee Health & Safety Nurse
 
401 E. Murphy Ave.
Connellsville, PA. 15601
 
Phone  724-626-2444
Fax     724-626-2445
 
email - pvomish@highlandshospital.org
________________________________________
From: MCOH-EH [mcoh-eh-bounces+pvomish=highlandshospital.org@mylist.net]
On Behalf Of mcoh-eh-request@mylist.net [mcoh-eh-request@mylist.net]
Sent: Tuesday, July 12, 2016 3:00 PM
To: mcoh-eh@mylist.net
Subject: MCOH-EH Digest, Vol 251, Issue 158
 
Send MCOH-EH mailing list submissions to
        mcoh-eh@mylist.net
 
To subscribe or unsubscribe via the World Wide Web, visit
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When replying, please edit your Subject line so it is more specific than
"Re: Contents of MCOH-EH digest..."
 
 
Today's Topics:
 
   1. Re:  Should pregnant health care workers be restricted from
      caring for patients with active Shingles? (arlen rollins)
   2. Re:  Should pregnant health care workers be restricted from
      caring for patients with active Shingles?
      (Michael A. Sauri, MD, MPH&TM, FACP, FACPM)
   3. Re:  Should pregnant health care workers be restricted from
      caring for patients with active Shingles? (Hudson, T. Warner)
 
 
----------------------------------------------------------------------
 
Message: 1
Date: Tue, 12 Jul 2016 08:08:11 -0700
From: arlen rollins <arlenrollins@gmail.com>
To: "MCOH/EH" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Should pregnant health care workers be
        restricted from caring for patients with active Shingles?
Message-ID:
 
<CAHaiO641Usq3XhGYEkm1KeC9d_fPpLNZ+VqF-QEMMhnSsS5kGA@mail.gmail.com>
Content-Type: text/plain; charset="utf-8"
 
Sounds like a good idea, I would defer to the CDC Arlen
 
On Tue, Jul 12, 2016 at 7:17 AM, Craig Thorne <Craig.Thorne@erickson.com>
wrote:
 
> Everyone, a question came up today from one of our nursing homes that
> I could use your help with, if you have a reference:
>
>
>
> *Should pregnant health care workers be restricted from caring for
> patients with active Shingles?*
>
>
>
> Thank you.
>
>
>
> Craig Thorne
>
>
>
> Craig D. Thorne, M.D., MPH, MBA
>
> Vice President and Medical Director
>
> Employee Health and Wellness
>
> Erickson Living
>
> 813 Maiden Choice Lane, Catonsville, MD. 21228-3679
>
> 443-257-0903 cell (preferred)
>
> 410-402-2224
>
> 410-469-3007 fax
>
> http://www.ericksonliving.com
>
>
>
>
>
> The information in this email is intended only for the person or
> entity to which it is addressed and may contain confidential and/or
> privileged material. Any review, retransmissions, dissemination or
> other use of or taking of any action in reliance upon this information
 
> by persons or entities other than the intended recipient is
> prohibited. If you receive this email in error, please contact the
> sender and delete the material from any computer.
>
> ---------------------------------------
> The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band
DO.
> List membership is free, but only subscribers may post to the list.
> To post send messages to: mcoh-eh@mylist.net To become a subscriber,
> or to change your subscription options (turn off
> email while you're on vacation, etc):   http://www.mcoh-eh.net
> MediTrax / Occupational Health Systems, Inc. provides financial
> support to ensure the list remains a free resource for the
> occupational health community.
> ---------------------------------------
> List archives (public): http://mylist.net/archives/mcoh-eh/
> ---------------------------------------
> Send administrative requests to: drjoe@meditrax.com
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>
 
 
 
--
Dr. Arlen J. Rollins
Tel:216 410 4970
Fax: 480 247 2821
arlenrollins@gmail.com
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Message: 2
Date: Tue, 12 Jul 2016 11:33:53 -0400
From: "Michael A. Sauri, MD, MPH&TM, FACP, FACPM" <msauri@ohcmd.com>
To: "'MCOH/EH'" <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Should pregnant health care workers be
        restricted from caring for patients with active Shingles?
Message-ID: <000d01d1dc52$ccc86850$665938f0$@ohcmd.com>
Content-Type: text/plain; charset="us-ascii"
 
Craig,
 
The majority of Hospital Infection Control Varicella Prevention policies are based on the 2007 MMWR ACIP's Recommendations for the Prevention of
Varicella (MMWR Vol 56, 6-22-07, RR04, 1-40).   Most OB-Gyne will
serosurvey
their pregnant patient for evidence of immunity to Varicella in the peri-natal period.  Most hospitals will require a Varicella titer on their new hire HCWs as a means to document their immunity prior to working with patients.  In my hospital, it is their policy that any HCW (including pregnant HCW) without documented immunity be reassigned away from Varicella patients and active Shingles patients.  If a pregnant HCW with no documentation of immunity has already been exposed, they are referred to their OB-Gyne for counselling, to validate their susceptibility to varicella, and for consideration for the administration of VariZIG or VZIG.
Information on VariZIG (which is replacing VZIG) can be found in MMWR
3-3-2006 and MMWR 7-19-13.   Since varicella vaccine is not 100%
protective,
the ACIP (2007) also recommends that the exposed HCW's with documented immunity monitor themselves for any evidence of varicella infection for
21 weeks (28 days if they received VariZIG or VZIG) following an exposure and report this to Infection Control in their Healthcare facility (ACIP 2007).
I hope this is helpful.
 
 
 
Best wishes,
 
Michael
 
 
 
Michael  A. Sauri, MD, MPH&TM, FACP,
 
FACPM, FACOEM, FRSTM&H, CTropMed
 
Medical Director
 
Occupational Health Consultants
 
15005 Shady Grove Road, Suite 450
 
Rockville, MD 20850
 
301-738-6420
 
Fax 301-738-2215
 
<mailto:msauri@ohcmd.com> msauri@ohcmd.com
 
<http://www.ohcmd.com> www.ohcmd.com
 
 
 
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Craig Thorne
Sent: Tuesday, July 12, 2016 10:18 AM
To: mcoh-eh@mylist.net
Subject: [MCOH-EH] Should pregnant health care workers be restricted from caring for patients with active Shingles?
 
 
 
Everyone, a question came up today from one of our nursing homes that I could use your help with, if you have a reference:
 
 
 
Should pregnant health care workers be restricted from caring for patients with active Shingles?
 
 
 
Thank you.
 
 
 
Craig Thorne
 
 
 
Craig D. Thorne, M.D., MPH, MBA
 
Vice President and Medical Director
 
Employee Health and Wellness
 
Erickson Living
 
813 Maiden Choice Lane, Catonsville, MD. 21228-3679
 
443-257-0903 cell (preferred)
 
410-402-2224
 
410-469-3007 fax
 
 
 
http://www.ericksonliving.com
 
 
 
 
 
The information in this email is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmissions, dissemination or other use of or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.
 
 
This incoming email was seamlessly encrypted by Paubox <https://www.paubox.com> Learn about Paubox <https://www.paubox.com> today
 
 
 
 
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Message: 3
Date: Tue, 12 Jul 2016 18:11:10 +0000
From: "Hudson, T. Warner" <TWHudson@mednet.ucla.edu>
To: MCOH/EH <mcoh-eh@mylist.net>
Subject: Re: [MCOH-EH] Should pregnant health care workers be
        restricted from caring for patients with active Shingles?
Message-ID:
 
<2134A5387858914BBE80D079ECF6880C7554B4BE@SOPEXMB3.ad.medctr.ucla.edu>
Content-Type: text/plain; charset="us-ascii"
 
We are same as Melanie.  Warner
 
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<mailto:twhudson@mednet.ucla.edu>
Website www.ohs.uclahealth.org<http://www.ohs.uclahealth.org>
 
From: MCOH-EH
[mailto:mcoh-eh-bounces+twhudson=mednet.ucla.edu@mylist.net] On Behalf Of Swift, Melanie
Sent: Tuesday, July 12, 2016 7:24 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Should pregnant health care workers be restricted from caring for patients with active Shingles?
 
Hi Craig,
I'm assuming you have a policy to confirm varicella immunity or vaccination at hire.
If a worker has immunity then they should not be restricted, regardless of pregnancy status.
If a worker lacks immunity and can't be vaccinated, then they should be restricted from caring for patients on airborne precautions for disseminated zoster or primary chickenpox, and from direct contact with vesicles.
 
 
Melanie Swift, MD
Director, Vanderbilt Occupational Health Clinic http://occupationalhealth.vanderbilt.edu
 
From: MCOH-EH [mailto:mcoh-eh-bounces@mylist.net] On Behalf Of Craig Thorne
Sent: Tuesday, July 12, 2016 9:18 AM
To: mcoh-eh@mylist.net<mailto:mcoh-eh@mylist.net>
Subject: [MCOH-EH] Should pregnant health care workers be restricted from caring for patients with active Shingles?
 
Everyone, a question came up today from one of our nursing homes that I could use your help with, if you have a reference:
 
Should pregnant health care workers be restricted from caring for patients with active Shingles?
 
Thank you.
 
Craig Thorne
 
Craig D. Thorne, M.D., MPH, MBA
Vice President and Medical Director
Employee Health and Wellness
Erickson Living
813 Maiden Choice Lane, Catonsville, MD. 21228-3679
443-257-0903 cell (preferred)
410-402-2224
410-469-3007 fax
 
http://www.ericksonliving.com
 
 
 
The information in this email is intended only for the person or entity to which it is addressed and may contain confidential and/or privileged material. Any review, retransmissions, dissemination or other use of or taking of any action in reliance upon this information by persons or entities other than the intended recipient is prohibited. If you receive this email in error, please contact the sender and delete the material from any computer.
 
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The MCOH-EH List is moderated by Joe Fanucchi MD FACOEM and Mike Band DO.
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List membership is free, but only subscribers may post to the list.
To post send messages to: mcoh-eh@mylist.net
To become a subscriber, or to change your subscription options (turn off email while you're on vacation, etc):   http://www.mcoh-eh.net
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