[MCOH-EH] TB policy

[wendy thanassi]

Hello Darryl,

I agree with Melanie that MCOH is a great resource!
Being familiar with the CDC guidance and ACOEM's more in-depth Guidance
document can form the solid foundation for the background and policy
knowledge needed, as well as the really practical nuances needed for
writing a modern plan:

https://www.cdc.gov/mmwr/volumes/68/wr/mm6819a3.htm
"Tuberculosis Screening, Testing, and Treatment of U.S. Health Care
Personnel: Recommendations from the National Tuberculosis Controllers
Association and CDC, 2019"
and
https://acoem.org/acoem/media/PDF-Library/Publications/Tuberculosis_Screening,_Testing,_and_Treatment.pdf
"Tuberculosis Screening, Testing, and Treatment of US Health Care Personnel
ACOEM and NTCA Joint Task Force on Implementation of the 2019 MMWR
Recommendations"

Importantly, the nearly invisible tiny links to the appendices are KEY
elements of this document, with examples of declination forms and very
helpful charts and tables.

I hope that helps,
Wendy

Wendy Thanassi MA, MD, MRO
Palo Alto VA HCS


On Wed, Dec 13, 2023 at 3:44 PM Swift, Melanie D., M.D., M.P.H. via MCOH-EH
<mcoh-eh at mylist.net> wrote:

> Darryl I recently shared the ACOEM/NTCA guideance document and several
> useful appendices, in a discussion on the ACOEM MCOH Section Community. Are
> you a member of the MCOH section? If so, here’s the link to that post:
> https://community.acoem.org/discussion/annual-tb-testing-based-on-annual-risk-assessment
>
>
>
> (If not, please join!!! If you can’t access that detailed post please
> respond to me off list at swift.melanie at mayo.edu)
>
>
>
> We also cover this topic in depth at the MCOH Basics Course, which will be
> offered this year as a pre-course at AOHC in Orlando. May 17th is the
> MCOH course. (excuse the shameless plug)
>
>
>
>
>
> Melanie
>
>
>
> *Melanie Swift, MD, MPH*
>
> (she/her)
> Vice Chair, Division of Public Health, Infectious Diseases and
> Occupational Medicine
>
> Medical Director, Mayo Clinic Physician Health Center
> <https://www.mayoclinic.org/departments-centers/preventive-occupational-aerospace-medicine/physician-health-center/referrals>
>
> Associate Medical Director, Occupational Health Service
>
> _______________________________
> *Mayo Clinic*
> 200 First Street SW
> Rochester, MN 55905
>
>
>
> *From:* MCOH-EH <mcoh-eh-bounces at mylist.net> *On Behalf Of *Lesoski,
> Darryl via MCOH-EH
> *Sent:* Tuesday, December 12, 2023 6:47 AM
> *To:* MCOH/EH <mcoh-eh at mylist.net>
> *Cc:* Lesoski, Darryl <DLESOSKI at mhc.net>
> *Subject:* [EXTERNAL] [MCOH-EH] TB policy
>
>
>
> We are in the midst of updating our TB policy at our health care system
> within EH as well as within our Occ Med clinic.
>
>
>
> Any guidance for best resources without re-inventing the wheel?  Do most
> use CDC guidance or your State Health Department?
>
>
>
> Appreciate any feedback or suggestions.  THANK YOU.
>
>
>
> Darryl
>
>
>
>
>
> *Darryl Lesoski, MD, MPH, FACOEM*
>
>
>
> *System Medical Director – Occupational Health and Medicine, Employee
> Health*
>
> *Munson Medical Center*
>
> *Munson Occupational Health and Medicine*
>
> *Email: dlesoski at mhc.net <dlesoski at mhc.net>*
>
>
>
> *     TRAVERSE CITY*
>
> *Mailing**: 1105 Sixth Street, FFCHC, Occ Medicine 49684*
>
> *Physical**: 550 Munson Avenue, 1st Floor   49686*
>
> *Office 231-935-8590 | Fax 231-935-8597*
>
>      *CADILLAC*
>
> *Address**: 803 Lynn Street, Cadillac  49601*
>
> *Office 231-876-6180 | Fax 231-876-6080*
>
>      *GRAYLING*
>
> *Address**: 1100 East Michigan Ave, Grayling  49738*
>
> *Office 989-348-0368 | Fax 989-348-0773*
>
> *     ELMIRA*
>
> *Address**: 2572 US-131, Elmira   49730*
>
> *Office 989-731-7700 | Fax 231-231-8714*
>
>
>
> [image: Image result for munson healthcare logo]
> <http://www.google.com/url?sa=i&rct=j&q=&esrc=s&source=images&cd=&cad=rja&uact=8&ved=2ahUKEwiEob2OgNjZAhUH7IMKHTiWCXcQjRx6BAgAEAY&url=http://www.munsonhealthcare.org/&psig=AOvVaw0STo8ocwyhBdtsvMuO-Gh2&ust=1520436127440794>
>
> Ralph Waldo Emerson: “The purpose of life is not to be happy.  It is to be
> useful, to be honorable, to be compassionate, to have it make some
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>
>
>
> We do this by reaching out, by finding a need, however small, and filling
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