Also, check with your state TB control program. Ours requires that negative tests be no longer than 3 months before the start date.

 

Melanie

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of Thanassi, Wendy
Sent: Wednesday, March 8, 2023 9:59 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] Re: TB screening question

 

In an ideal world it makes sense to base that a little on the risk factors of the applicant: with a grad student from India or a nurse from Philippines would be prudent to have a recent test; where someone with no risk factors could have one nearly a year old.

 

Many policies accept tests that are 3-6 months old (we use 6 months).

 

Best,

Wendy

 

Wendy Todaro Thanassi MD, MA, MRO

Medical Director, Workforce Health and Wellness

Clinical Professor, Primary Care and Population Health Science

 

Stanford Medicine

300 Pasteur Dr., H0124

Stanford, CA 94303

Cell: 650-380-1131

thanassi@stanford.edu

 

Veterans Affairs Palo Alto Health Care System

3801 Miranda Ave, MC 11-EH

Palo Alto, CA 94304

Wendy.thanassi@va.gov

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Anita McDowell via MCOH-EH <mcoh-eh@mylist.net>
Date: Wednesday, March 8, 2023 at 6:18 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Anita McDowell <AMcdowell@echd.org>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: TB screening question

[EXT]

Question? Are you requesting TB or QFT results within how many weeks month or year before they present to your facility 

Anita McDowell RN BSN
Employee Health Coordinator

PH:432-640-4160

FAx:432-640-1166

Office: 432-640-1154

Today will never come again:

Be a Blessing, ​Be a Friend.

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Eisenhauer, Julie (TCRHCC) via MCOH-EH <mcoh-eh@mylist.net>
Sent: Monday, March 6, 2023 3:52 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Eisenhauer, Julie (TCRHCC) <Julie.Eisenhauer@TCHEALTH.ORG>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: TB screening question

 

*[EXTERNAL] This email originated outside of the MCHS organization. DO NOT CLICK links or attachments unless you recognize the sender and know the content is safe.*

We require this to be completed prior to starting their first day at our facility. We also require anyone with a past or new positive test to have completed or start treatment before the first day.

 

If it is a current employee and they need one for school or due to post-exposure etc.… they may ask for one and we foot the bill. It is not costly for us as we obtain it at cost with a government rate.

 

Sincerely Your Employee Health Nurse.

 

Julie A. Eisenhauer BSN, RN, CCM

HR/Employee Health

Tuba City Regional Health Care Corporation

PO Box 600

Tuba City, AZ. 86045

PH#: 928-283-1437; or Mitel ext. 41544

Email: Julie.eisenhauer@tchealth.org

HR Email: TCRHCCHR@Tchealth.org

 

  • THREE W’s -  WEAR a mask, WASH your hands, WATCH your distance 😊

 

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> On Behalf Of ping gao via MCOH-EH
Sent: Thursday, February 16, 2023 4:54 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: ping gao <gaopg@yahoo.com>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: TB screening question

 

Caution: This email originated from outside of the organization. Do not click links or open attachments unless you recognize the sender and know the content is safe.

 

Our hospital covers the cost for its employee health services including TB testing and updating 

/administering other immunizations.

 

Ping Gao, MD, MPH, FACOEM

Medical Director 

Occupational Medicine & Employee Health 

AnMed

Anderson, SC 29621

Please excuse typo 

 

On Feb 16, 2023, at 1:19 PM, John Keogh <dr.jtkeogh@gmail.com> wrote:



Hi ,

In the US who pays for IGRA? In Canada the employee has to pay.

Regards,

Dr.Tom Keogh

 

On Thu, Feb 9, 2023 at 1:11 PM Warner Hudson <hudson.warner@gmail.com> wrote:

Yes me too; couldn’t say it better. 

Sent from my iPhone

 

On Feb 9, 2023, at 6:45 AM, wendy thanassi <wendy.thanassi@gmail.com> wrote:



Great summary by Dr. Swift and I also agree with Sally Foster-Chang’s baseline test.

 

So, I’m not adding anything to this conversation except support and endorsement!

 

Have a great day 😊,

Wendy

 

Wendy Todaro Thanassi MD, MA, MRO

Medical Director, Workforce Health and Wellness

Clinical Professor, Primary Care and Population Health Science

 

Stanford Medicine

300 Pasteur Dr., H0124

Stanford, CA 94303

Cell: 650-380-1131

thanassi@stanford.edu

 

Veterans Affairs Palo Alto Health Care System

3801 Miranda Ave, MC 11-EH

Palo Alto, CA 94304

Wendy.thanassi@va.gov

 

From: MCOH-EH <mcoh-eh-bounces@mylist.net> on behalf of Swift, Melanie D., M.D., M.P.H. via MCOH-EH <mcoh-eh@mylist.net>
Date: Wednesday, February 8, 2023 at 12:10 PM
To: MCOH-EH <mcoh-eh@mylist.net>
Cc: Swift, Melanie D., M.D., M.P.H. <Swift.Melanie@mayo.edu>
Subject: Re: [MCOH-EH] [EXTERNAL] Re: TB screening question

Dr. Thrasher, attached is the NTCA-ACOEM collaborative guidance document on TB testing and treatment in healthcare personnel. The preplacement evaluation recommendations for HCP with a prior positive TB test begin at the bottom of page e358.

 

Recommendations are essentially the same for prior treated LTBI and prior treated active TB. Document the dates and confirmation of completed treatment. For active TB they should have a clearance document from their public health department at the completion of therapy. A symptom screen would be recommended, but as long as she is asymptomatic and you have documentation of her prior positive IGRA and/or TST at the time of her original diagnosis, documentation of complete treatment and clearance of the active infection, then there really is no testing or imaging recommended. The key will be obtaining that documentation. If she has none, then as Sally recommends you could get an IGRA now (likely would be positive) and follow your usual clearance process. You can do a single view CXR with abdominal shielding, should records be unavailable and you need to exclude active TB. If you have the records though, no need to image her unless she is symptomatic or her treatment wasn’t complete.

 

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

Associate Medical Director, Occupational Health Service

_______________________________
Mayo Clinic
200 First Street SW
Rochester, MN 55905

 

From: MCOH-EH <mcoh-eh-bounces+swift.melanie=mayo.edu@mylist.net> On Behalf Of Sally Foster-Chang
Sent: Wednesday, February 8, 2023 11:20 AM
To: MCOH-EH <mcoh-eh@mylist.net>
Subject: [EXTERNAL] Re: [MCOH-EH] TB screening question

 

I’d do an IGRA. At least you would have a baseline. 

 

On Wed, Feb 8, 2023 at 12:02 PM dennis thrasher via MCOH-EH <mcoh-eh@mylist.net> wrote:

Any recommendations for a new-hire nurse applicant? She is pregnant and
has previously been treated for active TB.
Thanks.
Dennis Thrasher, MD, MPH
sunnyside@dakotacom.net
520 247 1397

---------------------------------------
The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
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
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.

--

Sent from Gmail Mobile

---------------------------------------
The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
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
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.

---------------------------------------
The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
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
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.



--

Dr. J. Thomas Keogh 

B.Sc., M.D., C.C.F.P., F.C.F.P., LM., C.C.B.O.M.,F.C.B.O.M., C.I.M.E., C.A.M.E

 

Occupational Medicine Consultant

Disability Case Management Consultant 

Civil Aviation Medical Examiner

Cell: 416-258-7394

Fax: 905-685-0939

---------------------------------------
The MCOH-EH List has always been moderated by members of the ACOEM Medical Center Occupational Health Section. It is currently moderated by Joe Fanucchi MD FACOEM.
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
---------------------------------------
When replying to a message, PLEASE delete all footers, and all messages to which you're NOT replying.

CONFIDENTIALITY NOTICE: This e-mail communication and any attachments may contain confidential and privileged information for the use of the designated recipients. If you are not the intended recipient, (or authorized to receive for the 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 its contents is prohibited. If you have received this communication in error, please destroy all copies of this communication and any attachments and contact the sender by reply e-mail or telephone.

CONFIDENTIALITY NOTICE: The documents accompanying this email transmission contain confidential information belonging to the sender that is legally privileged. This information is intended only for the use of the individual or entity named above. The authorized recipient of this information is prohibited from disclosing this information to any other party without permission of original user and is required to destroy the information after its stated need has been fulfilled. If you are not the intended recipient, you are hereby notified that any disclosure, copying, distribution, or action taken in reliance on the contents of these documents is strictly prohibited. If you have received this email in error, please notify the sender immediately to arrange for return of these documents.