[MCOH-EH] HPV exposure

[Lowe, William]

We have a handful of GYNs that requested it and we did vaccinate.

Yes on N95 and LEEPS

From: MCOH-EH <mcoh-eh-bounces+wlowe=northwell.edu at mylist.net> On Behalf Of Olson, Amelia
Sent: Friday, February 5, 2021 11:48 AM
To: MCOH-EH <mcoh-eh at mylist.net>
Subject: [EXTERNAL] [MCOH-EH] HPV exposure


External Email. Do not click links or open attachments unless you trust the sender and content. Report suspicious emails using Report Phishing button or forward email to phish at northwell.edu<mailto:phish at northwell.edu>
Happy Friday colleagues,
I had a question asked of me regarding provider exposure to HPV. Do you provide HPV vaccination to workers that have potential occupational exposure to HPV? Do you use N95 when performing LEEPS in the clinic environment?

I have received the following from a provider from Up to Date:
Health care workers at risk for occupational exposure — There is evidence that upper aerodigestive (nasal and oropharyngeal) HPV infection may be transmitted through exposure to HPV in vapors generated during surgical excision or ablation of HPV-associated lesions, although the magnitude of this risk is unknown [52<https://urldefense.com/v3/__https:/www.uptodate.com/contents/human-papillomavirus-vaccination/abstract/52__;!!BWcElQ!gezMK3Lz-ApGivKysT60OVOM2k5lryPOzi8RkDw2iqTlhxqDoOGMXkBI4JTEO7_KOnM$>] (see "Human papillomavirus infections: Epidemiology and disease associations", section on 'Epidemiology of oropharyngeal infection'<https://urldefense.com/v3/__https:/www.uptodate.com/contents/human-papillomavirus-infections-epidemiology-and-disease-associations?sectionName=EPIDEMIOLOGY*OF*OROPHARYNGEAL*INFECTION&search=HPV*provider*vaccine&topicRef=8325&anchor=H3550551442&source=see_link*H3550551442__;KysrKysj!!BWcElQ!gezMK3Lz-ApGivKysT60OVOM2k5lryPOzi8RkDw2iqTlhxqDoOGMXkBI4JTEIxtgALg$>). We agree with recommendations from the American Society for Colposcopy and Cervical Pathology (ASCCP) that health care workers who may be routinely exposed to HPV in this way receive HPV vaccination. This recommendation includes health care providers and operating room and office staff in the fields of gynecology, dermatology, and family practice. Insurance providers or other payers may not cover HPV vaccination for individuals older than 26 years, and this may affect the decision to vaccinate. (See 'Indications and age range'<https://urldefense.com/v3/__https:/www.uptodate.com/contents/human-papillomavirus-vaccination?search=HPV*20provider*20vaccine&source=search_result&selectedTitle=1*150&usage_type=default&display_rank=1*H4094871935__;JSV-Iw!!BWcElQ!gezMK3Lz-ApGivKysT60OVOM2k5lryPOzi8RkDw2iqTlhxqDoOGMXkBI4JTEXkfp6g0$> above.)

As always, I thank you in advance for your responses.

Amelia Olson, BSN, MS, COHN-S
Director Occupational Health
Centura Health
9100 E. Mineral Circle
Centennial, CO 80112
303.673.7460

ameliaolson at centura.org<mailto:ameliaolson at centura.org>


[Image]

centura.org<https://urldefense.com/v3/__https:/www.centura.org/__;!!BWcElQ!gezMK3Lz-ApGivKysT60OVOM2k5lryPOzi8RkDw2iqTlhxqDoOGMXkBI4JTE1WG9SNc$>

I’m on a mission to ensure the health and safety of every associate.



*******************************************************************************
This communication is for the use of the intended recipient only. It may contain information that
is privileged and confidential. If you are not the intended recipient of this communication, any
disclosure, copying, further distribution or use thereof is prohibited. If you have received this
communication in error, please advise me by return e-mail or by telephone and delete/destroy it.
*******************************************************************************


The information contained in this electronic e-mail transmission and any attachments are intended only for the use of the individual or entity to whom or to which it is addressed, and may contain information that is privileged, confidential and exempt from disclosure under applicable law. If the reader of this communication is not the intended recipient, or the employee or agent responsible for delivering this communication to the intended recipient, you are hereby notified that any dissemination, distribution, copying or disclosure of this communication and any attachment is strictly prohibited. If you have received this transmission in error, please notify the sender immediately by telephone and electronic mail, and delete the original communication and any attachment from any computer, server or other electronic recording or storage device or medium. Receipt by anyone other than the intended recipient is not a waiver of any attorney-client, physician-patient or other privilege.
-------------- next part --------------
An HTML attachment was scrubbed...
URL: <https://mylist.net/archives/mcoh-eh/attachments/20210206/92e4544f/attachment.htm>
-------------- next part --------------
A non-text attachment was scrubbed...
Name: image001.png
Type: image/png
Size: 11634 bytes
Desc: image001.png
URL: <https://mylist.net/archives/mcoh-eh/attachments/20210206/92e4544f/attachment.png>