Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A: A Letter Report (2009)

Below is the uncorrected machine-read text of this chapter, intended to provide our own search engines and external engines with highly rich, chapter-representative searchable text of each book. Because it is UNCORRECTED material, please consider the following text as a useful but insufficient proxy for the authoritative book pages.

A Workshop Agenda INSTITUTE OF MEDICINE Board on Health Sciences Policy Respiratory Protection for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A August 11–13, 2009 National Academy of Sciences Building 2100 C Street, NW Washington, DC Tuesday, August 11, 2009 Lecture Room 3:30–5:00 p.m. OPEN SESSION SPONSOR CHARGE TO THE COMMITTEE 3:30–3:45 p.m. Welcome and Introductions Kenneth Shine, Chair Bonnie Rogers, Vice Chair 3:45–4:15 Charge to the Committee Dixie Snider, Centers for Disease Control and Prevention Jordan Barab, Occupational Safety and Health Administration 4:15–5:00 Discussion with the Sponsors 37 

38 RESPIRATORY PROTECTION FOR HEALTHCARE WORKERS Wednesday, August 12, 2009 Lecture Room 8:00 a.m.–5:00 p.m. INSTITUTE OF MEDICINE Workshop on Personal Protective Equipment for Healthcare Workers in the Workplace Against Novel H1N1 Influenza A Workshop Goals • Examine the emerging science and clinical experience base associated with nH1N1. • Discuss criteria used to delineate infection control guidelines. • Discuss criteria used to assess risk to the healthcare workforce. • Examine what’s known about the effectiveness of medical masks, respirators, gowns, gloves, and eye protection in preventing nH1N1 and seasonal influenza transmission. OPEN SESSION 7:30–8:00 a.m. Registration and Continental Breakfast 8:00–8:15 Welcome, Introductions, and Opening Remarks Kenneth Shine, Chair Bonnie Rogers, Vice Chair 8:15–8:45 Study Background and Current Guidelines Toby Merlin, Centers for Disease Control and Prevention Rosemary Sokas, Occupational Safety and Health Administration 8:45–10:00 Panel 1: nH1N1 Influenza A Current Findings, Unique Characteristics, and Potential Future Implications Moderator: Kenneth Shine 

APPENDIX A 39 Objectives: • Examine current criteria used to characterize the influenza virus including transmissibility, virulence, and lethality; discuss the potential for future changes in severity and virulence. • Discuss current clinical experience with nH1N1. 8:45–9:30 Panel Presentations • Overview of H1N1 Myron Levine, University of Maryland School of Medicine • Southern Hemisphere Perspective Sonja Olsen, Centers for Disease Control and Prevention • U.S. Clinical Experience Russell Miller, Intermountain Medical Center and University of Utah (via phone) 9:30–10:00 General Discussion 10:00–11:30 Panel 2: Influenza Transmission Moderator: Bonnie Rogers Objective: • Examine clinical and experimental research on influenza transmission. 10:00–11:00 Panel Presentations • Introduction—Donald Milton, University of Maryland • Peter Palese, Mount Sinai School of Medicine • Bill Lindsley, National Institute for Occupational Safety and Health • James McDevitt, Harvard University • Overview and Summary Donald Milton, University of Maryland 11:00–11:30 General Discussion 

40 RESPIRATORY PROTECTION FOR HEALTHCARE WORKERS 11:30 a.m.–12:15 p.m. LUNCH 12:15–2:00 Panel 3: Preventing Influenza Transmission with Personal Protective Equipment: Clinical and Community Studies Moderator: Tia Powell Objective: • Examine studies on use of personal protective equipment in preventing influenza transmission. 12:15–1:30 Panel Presentations • Allison Aiello, University of Michigan (via phone) • Raina MacIntyre, University of New South Wales • Ben Cowling, University of Hong Kong (via phone) • Paul Ananth Tambyah, University of Singapore (via phone) 1:30–2:00 General Discussion 2:00–2:15 BREAK 2:15–4:00 Panel 4: Understanding the Risks to Healthcare Workers Moderator: Bill Kojola Objective: • Examine influenza transmission risks in various healthcare settings. 2:15–3:30 Panel Presentations • Overview Bill Borwegen, Service Employees International Union 

APPENDIX A 41 • Hospital Workers Katherine Cox, American Federation of State, County, and Municipal Employees • Direct Care Workers/Home Setting Jane Lipscomb, University of Maryland • Emergency Response and Emergency Rooms Alex Isakov, Emory University 3:30–4:00 General Discussion 4:00–5:00 Public Comment (preregistered speakers—5 minutes each) 1. Laurel Alvarez, 3M 2. Rich Duffy, International Association of Fire Fighters 3. Ruth Carrico, Association for Professionals in Infection Control and Epidemiology 4. Bonnie Castillo, California Nurses Association 5. Enjoli DeGrasse, International Brotherhood of Teamsters 6. Lisa Maragakis, Society for Healthcare Epidemiology of America 7. James Melius, Laborers Health and Safety Fund of North America 8. Jan Rodolfo, California Nurses Association 9. Peg Seminario, American Federation of Labor and Congress of Industrial Organizations 10. Wava Truscott, Kimberly-Clark Health Care 11. Stan Weinberg, Wein Products 12. Gamunu Wijetunge, National Highway Traffic Safety Administration 5:00 p.m. ADJOURN 

42 RESPIRATORY PROTECTION FOR HEALTHCARE WORKERS Thursday, August 13, 2009 Lecture Room 8:00 a.m.–12:00 p.m. OPEN SESSION 7:30–8:00 a.m. Continental Breakfast 8:00–8:15 Welcome and Goals for the Morning Kenneth Shine, Chair 8:15–10:15 Panel 5: Personal Protective Equipment Moderator: Howard Cohen Objectives: • Examine research on the efficacy and effectiveness of medical masks, respirators, and other personal protective equipment in preventing the transmission of influenza. • Discuss issues regarding the effective use of personal protective equipment. 8:15–9:30 Panel Presentations Roland BerryAnn, National Institute for Occupational Safety and Health Lisa Brosseau, University of Minnesota Lewis Radonovich, Department of Veterans Affairs Werner Bischoff, Wake Forest University 9:30–10:15 General Discussion 10:15–11:45 Panel 6: Decision Criteria for Infection Control Measures Moderator: Sundaresan Jayaraman Objectives: • Discuss criteria for making decisions on infection control measures for nH1N1, specifically regarding personal protective equipment. • Compare decision criteria for H1N1, seasonal influenza, and SARS. 

APPENDIX A 43 10:15–11:15 Panel Presentations Bonnie Henry, British Columbia Centre for Disease Control Carmem Pessoa de Silva, World Health Organization (via phone) Leonard Mermel, Brown University Michael Hodgson, Department of Veterans Affairs 11:15–11:45 General Discussion 11:45 a.m.–12:00 p.m. Summary 12:00 p.m. ADJOURN