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OCR for page 173
Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers
A
Workshop Agenda
Institute of Medicine
Workshop on Personal Protective Equipment for Healthcare Workers in the Event of Pandemic Influenza: Next Steps and Research Directions
Thursday, February 22, 2007
Lecture Room
National Academy of Sciences
2100 C Street, NW
Washington, D.C.
Purpose:
Examine research directions for personal protective equipment for healthcare workers in the event of pandemic influenza.
7:30-8:00
Continental Breakfast, Lecture Room
8:00-8:10
Welcome
Lewis Goldfrank, Chair
8:10-9:15
Panel 1: Understanding the Threat for Healthcare Workers
What is known about the transmission of influenza to healthcare workers? What is known about the relative magnitude of the various infection modes?
What are the key challenges to research on influenza transmission (technical, economic, operational, and other challenges)?
What research is needed? What are the models for research?
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Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers
Donald Low, moderator
8:10-8:25
Transmission of Influenza
Michael Gardam, University Health Network, Toronto
8:25-8:40
Exposure Modeling
Mark Nicas, University of California, Berkeley
8:40-8:55
Epidemiology of Influenza in Hospital and Long-Term Care Settings
Keith Woeltje, Washington University
8:55-9:15
Discussion
9:15-10:30
Panel 2: Understanding the Risks to Healthcare Workers in Various Settings
Do the influenza transmission risks differ between various healthcare settings and types of care?
What are the key challenges for research in this area, particularly “real-time” research?
What research is needed?
Trish Perl, moderator
9:15-9:25
Hospital Workers
Leonard Mermel, Rhode Island Hospital.
9:25-9:35
Emergency Response Workers and Emergency Departments
Allan Morrison, INOVA Fairfax Hospital
9:35-9:45
Home Healthcare Workers
Bill Borwegen, Service Employees International Union
9:45-9:55
Public Health Workers
Debra Berg, New York City Department of Health
9:55-10:30
Discussion
10:30-10:45
Break
OCR for page 175
Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers
10:45-12:00
Panel 3: Designing and Engineering PPE: Next Steps
What are the state-of-the-art technologies for personal protective equipment for healthcare workers?
What design and engineering breakthroughs are on the horizon?
What are the key technical challenges that must be addressed in the design and development of PPE for healthcare workers over the short term (1-3 years), medium term (3-5 years), and long term (5-10 years)?
What research is needed?
Sundaresan Jayaraman, moderator
10:45-11:05
Next Steps and Challenges in Respirator Design and Engineering
Alan Hack, Los Alamos National Laboratory (retired)
Daniel Japuntich, 3M
11:05-11:25
Next Steps and Challenges for Medical Fabrics and Gowns
Stephanie Pasko, Medline Industries
11:25-11:35
Next Steps in Materials Engineering
Zane Frund, MSA
11:35-12:00
Discussion
12:00-12:45
Lunch
12:45-1:45
Panel 4: Using Personal Protective Equipment: Individual and Institutional Issues
What is known about the key factors influencing individual use of PPE by healthcare workers?
What are the next steps and research needs regarding training and supervision issues?
What are the key challenges to research in this area?
What research is needed?
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Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers
Bonnie Rogers, moderator
12:45-12:55
Healthcare Workers and PPE: Lessons from SARS
Allison McGeer, University of Toronto
12:55-1:05
The Influence of Safety Culture and Climate on Compliance with PPE
Robyn Gershon, Columbia University
1:05-1:15
Wearability and Tolerability of PPE Research Study
Lewis Radonovich, Department of Veterans Affairs
1:15-1:25
Compliance and Training
Elizabeth Bryce, University of British Columbia
1:25-1:45
Discussion
1:45-2:50
Panel 5: Certifying and Regulating Effective PPE— Next Steps
What are the next steps in improving standards and certification? What are the key challenges to these next steps?
What type of post-certification surveillance should be performed? What are the key challenges?
Given that some healthcare workers may purchase respirators and other PPE at retail stores, what type of controls are necessary to ensure that these workers are properly protected?
Are there requirements for risk assessments to be performed for healthcare workers prior to using PPE so that the equipment selection matches the risk? If so, are risk assessments standardized and/or are records required to be maintained?
Howard Cohen, moderator
1:45-1:55
National Personal Protective Technology Laboratory, NIOSH
Roland Berry Ann, NPPTL
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Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers
1:55-2:05
Consumer Product Safety Commission
Rik Khanna, CPSC
2:05-2:15
Food and Drug Administration
Miriam Provost, FDA
2:15-2:25
Occupational Safety and Health Administration
Amanda Edens, OSHA
2:25-2:35
American National Standards Institute
Jim Johnson, JSJ and Associates
2:35-2:50
Discussion
2:50-3:00
Break
3:00-4:00
Breakout Sessions—Research Priorities (Participants can choose which breakout session to attend)
What are the major challenges for moving forward on research in each area (technical, economic, operational challenges)?
What are the short-term (1-3 years), medium-term (3-5 years), and long-term (5-10 years) research priorities?
Room 150: Transmission of Influenza in Healthcare Settings
Janine Jagger, moderator
Room 180: Engineering and Designing PPE
Kent Oestenstad, moderator
Lecture Room: Using PPE—Behavioral and Compliance Issues
David Prezant and Sharon Marable, moderators
Room 148: Certifying and Regulating Effective PPE
Lewis Goldfrank and Howard Cohen, moderators
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Preparing for an Influenza Pandemic: Personal Protective Equipment for Healthcare Workers
4:00-4:15
Break
4:15
Return to Lecture Room
4:15-4:45
Reports from Discussion Sessions
Lewis Goldfrank, moderator
4:45-5:45
Public Forum—Registered Speakers
Darryl Alexander, American Federation of Teachers
Judene Bartley, Association for Professionals in Infection Control and Epidemiology
David Calfee, Society for Healthcare Epidemiology of America
Richard Duffy, International Association of Fire Fighters
Larry Green, Syntech Intl.
Suzanne Haynes, Department of Health and Human Services Office on Women’s Health
Daryl Kauffman, Kirk U.S. Army Health Clinic
Bill Kojola, AFL-CIO
Glenn Paulson, New Jersey Center for Public Health Preparedness, University of Medicine and Dentistry of New Jersey
5:45
Adjourn