[MCOH-EH] papilloma vaccine for physicians working with lasers

[Maher, Kathy]

Thanks Mary!

 

Kathy Maher RN MSN, Manager

Employee Health Services UW Medicine Harborview Medical Center

325 9th Ave   MS 359855

Seattle WA 98104

Ph: 206-744-3081  Fax: 206-744-4886   Cell: 206-484-9128

 

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Employee Health Services

 

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From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Spangler,
Mary
Sent: Friday, July 07, 2017 9:39 AM
To: MCOH/EH
Subject: Re: [MCOH-EH] papilloma vaccine for physicians working with lasers

 

I wanted to give everyone an update. Several large institutions are offering
it to ENT specialists for prevention purposes. From my investigations with
CDC vaccination experts, there is simply a lack of data regarding efficacy
in individuals over 26 years of age. Recently an ENT specialist received
funds from Merck to study this exact question.  More to come.

 

Regards,

Mary 

 

 

 

Take 3 minutes to watch this doodle on sharps safety.
https://www.youtube.com/watch?v=mpm_7pNn5GM
<https://www.youtube.com/watch?v=mpm_7pNn5GM&feature=youtu.be>
&feature=youtu.be

 

Mary Spangler, M.S., N.P., COHN-S

Administrative Director, Occupational Health Services

Stanford Health Care & Stanford Children's Health Care

300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513

Office: (650) 725-9583 Fax: (650) 498-7748 (fax)

mspangler at stanfordhealthcare.org

Administrative Assistant Michelle Fitch 650-725-2529
mfitch at stanfordhealthcare.org 

logo sig.png                        Stanford Children Health

Confidential Information: This communication and any attachments may contain
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attachments is strictly prohibited. If you have received this communication
in error, please contact me and destroy all copies of the communication and
attachments. Thank you. 

 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Swift,
Melanie, M.D.
Sent: Tuesday, June 20, 2017 3:07 PM
To: mcoh-eh at mylist.net
Subject: Re: [MCOH-EH] papilloma vaccine for physicians working with lasers

 

Ugh - that is a tough one. There is a paucity of data on efficacy in groups
over age 26, and what is there suggests that it's less effective. Probably
there is some benefit for someone age 29, unless they are previously
infected, but probably there is not much benefit for someone who is 60. It
just only can protect against the 9 strains in the vaccine, and duration of
protection is unknown for this type of occupational setting. How often would
you boost them? Never? So much is undefined. But no reason to think it's
unsafe. Given all the unknowns I think it would be hard to say that it's
something employers should be expected to provide. 

 

However, all other protections should be provided, such as a vacuum to
evacuate the laser plume, and respirators to protect the user from airborne
particles. If you are doing all of that then I really believe that you've
satisfied the employer's obligation. If you wanted to start a program to
provide vaccination off label over age 26 there is nothing wrong with doing
that, but administering it will be problematic as the data on efficacy,
schedule, boostering, and durability in older age groups are just not there
to guide you. 

 

Wish I knew an easier answer! Has anyone else explored this data more?

 

Melanie

 

Melanie Swift, MD
Senior Associate Consultant

Division of Preventive, Occupational, and Aerospace Medicine

Phone 507.284.2560

_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905
www.mayoclinic.org <http://www.mayoclinic.org/> 

 

From: MCOH-EH [mailto:mcoh-eh-bounces at mylist.net] On Behalf Of Spangler,
Mary
Sent: Tuesday, June 20, 2017 1:36 PM
To: mcoh-eh at mylist.net
Subject: [MCOH-EH] papilloma vaccine for physicians working with lasers

 

Have any of you given Gardasil (Papilloma vaccine) to physicians working
with lasers?  We just had one ENT resident report that her institution
provided it and one of her colleagues is requesting it. He is 29 so outside
the guidelines.  Would like to hear from others. 

 

Thank you,

 

Mary

 

Take 3 minutes to watch this doodle on sharps safety.
https://www.youtube.com/watch?v=mpm_7pNn5GM
<https://www.youtube.com/watch?v=mpm_7pNn5GM&feature=youtu.be>
&feature=youtu.be

 

Mary Spangler, M.S., N.P., COHN-S

Administrative Director, Occupational Health Services

Stanford Health Care & Stanford Children's Health Care

300 Pasteur Drive, M/C 5205, Stanford, CA 94305-5513

Office: (650) 725-9583 Fax: (650) 498-7748 (fax)

mspangler at stanfordhealthcare.org

Administrative Assistant Michelle Fitch 650-725-2529
mfitch at stanfordhealthcare.org 

logo sig.png                        Stanford Children Health

Confidential Information: This communication and any attachments may contain
confidential or privileged information for the use by the designated
recipient(s) named above. If you are not the intended recipient, you are
hereby notified that you have received this communication in error and that
any review, disclosure, dissemination, distribution or copying of it or the
attachments is strictly prohibited. If you have received this communication
in error, please contact me and destroy all copies of the communication and
attachments. Thank you. 

 

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