[MCOH-EH] Return to work following travel to Ebola affected countries

[Adamo, Philip]

Hello all,
I noticed that the CDC has changed their position on the Interim Guidance for monitoring and movement document. They are now recommending that even asymptomatic individuals who have been in close contact as in health care facilities or community settings have a conditional release and controlled movement. Are you restricting a health care worker for direct contact with patients until 21 days after the last potential exposure? Does anyone have a policy yet that your med executive committee or policy committee has accepted for your institutions?

Thanks,
Phil Adamo

Philip Adamo, M.D., MPH, FACOEM

Associate Vice President and

Medical Director, Employee Health &

Occupational Injury Care and Wellness

UMass Memorial Medical Center

Hahnemann Campus Suite 201

291 Lincoln Street

Worcester, MA 01605

Phone: 508-334-6179

FAX: 508-334-6433

cell 508-713-3993

philip.adamo at umassmemorial.org






From: MCOH-EH [mailto:mcoh-eh-bounces+philip.adamo=umassmemorial.org at mylist.net] On Behalf Of Shea, Joann
Sent: Tuesday, October 07, 2014 9:37 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Return to work following travel to Ebola affected countries

Thank you Dr. Upfal.  I did use some of your info on our form.  I attached it..it is still in draft also.

[TGH_employee health serv-color]
JoAnn Shea, ARNP, MS, COHN-S
Director, Employee Health and Wellness
P.O. Box 1289, Tampa, FL 33601  Mobile: 813-789-3441   Work: 813-844-7692  FAX: 813-844-8144



From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Upfal, Mark
Sent: Tuesday, October 07, 2014 8:48 AM
To: 'MCOH/EH'
Subject: Re: [MCOH-EH] Return to work following travel to Ebola affected countries

Thanks, Deryl.  see attached

________________________________
From: MCOH-EH [mailto:mcoh-eh-bounces+mupfal=dmc.org at mylist.net] On Behalf Of Long, Deryl
Sent: Tuesday, October 07, 2014 6:11 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] Return to work following travel to Ebola affected countries
We are using the CDCs interim guidance a tool and basing our responses to the situation on this document.
Would love to see your screening tool. Also what PPE recommendations are you making?

Thank you,
Sent from my iPad

On Oct 6, 2014, at 18:35, Upfal, Mark <mupfal at dmc.org<mailto:mupfal at dmc.org>> wrote:
Is anyone facing decisions about return to work following travel to an Ebola affected country?  For example, travelers returning after visiting family, participating in mission work, medical care, humanitarian aid work?  Are you considering furlough of 21 days following return under certain circumstances? If so, what is the threshold for making the decision to put someone on furlough (assuming they are asymptomatic; obviously those with symptoms would be directed to medical care)?  What type of history are you collecting and how do you make that decision.  I can share a draft screening tool we are developing, but would be interested in any others and any guidance anyone can provide.

Thanks!

Mark

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<http://www.dmc.org/ohs>

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