The Use and Effectiveness of
Powered Air Purifying
in Health Care
Catharyn T. Liverman, Sarah B. Domnitz, and
Margaret A. McCoy, Rapporteurs
Board on Health Sciences Policy
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
THE NATIONAL ACADEMIES PRESS
THE NATIONAL ACADEMIES PRESS • 500 Fifth Street, NW • Washington, DC 20001
NOTICE: The workshop that is the subject of this workshop summary was approved by the Governing Board of the National Research Council, whose members are drawn from the councils of the National Academy of Sciences, the National Academy of Engineering, and the Institute of Medicine.
This project was supported by Award #10002141 between the National Academy of Sciences and the United States Department of Health and Human Services Centers for Disease Control and Prevention. The views presented in this publication are those of the author(s) and do not necessarily reflect the view of the organizations or agencies that provided support for this project.
International Standard Book Number-13: 978-0-309-31595-1
International Standard Book Number-10: 0-309-31595-6
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Copyright 2015 by the National Academy of Sciences. All rights reserved.
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Suggested citation: IOM (Institute of Medicine). 2015. The use and effectiveness of powered air purifying respirators in health care: Workshop summary. Washington, DC: The National Academies Press.
“Knowing is not enough; we must apply.
Willing is not enough; we must do.”
INSTITUTE OF MEDICINE
OF THE NATIONAL ACADEMIES
Advising the Nation. Improving Health.
THE NATIONAL ACADEMIES
Advisers to the Nation on Science, Engineering, and Medicine
The National Academy of Sciences is a private, nonprofit, self-perpetuating society of distinguished scholars engaged in scientific and engineering research, dedicated to the furtherance of science and technology and to their use for the general welfare. Upon the authority of the charter granted to it by the Congress in 1863, the Academy has a mandate that requires it to advise the federal government on scientific and technical matters. Dr. Ralph J. Cicerone is president of the National Academy of Sciences.
The National Academy of Engineering was established in 1964, under the charter of the National Academy of Sciences, as a parallel organization of outstanding engineers. It is autonomous in its administration and in the selection of its members, sharing with the National Academy of Sciences the responsibility for advising the federal government. The National Academy of Engineering also sponsors engineering programs aimed at meeting national needs, encourages education and research, and recognizes the superior achievements of engineers. Dr. C. D. Mote, Jr., is president of the National Academy of Engineering.
The Institute of Medicine was established in 1970 by the National Academy of Sciences to secure the services of eminent members of appropriate professions in the examination of policy matters pertaining to the health of the public. The Institute acts under the responsibility given to the National Academy of Sciences by its congressional charter to be an adviser to the federal government and, upon its own initiative, to identify issues of medical care, research, and education. Dr. Victor J. Dzau is president of the Institute of Medicine.
The National Research Council was organized by the National Academy of Sciences in 1916 to associate the broad community of science and technology with the Academy’s purposes of furthering knowledge and advising the federal government. Functioning in accordance with general policies determined by the Academy, the Council has become the principal operating agency of both the National Academy of Sciences and the National Academy of Engineering in providing services to the government, the public, and the scientific and engineering communities. The Council is administered jointly by both Academies and the Institute of Medicine. Dr. Ralph J. Cicerone and Dr. C. D. Mote, Jr., are chair and vice chair, respectively, of the National Research Council.
JAMES S. JOHNSON (Chair), Consultant, JSJ and Associates
LINDA HAWES CLEVER, Senior Physician, California Pacific Medical Center
BARBARA DEBAUN, Improvement Adviser, Cynosure Health
MELISSA MCDIARMID, Professor of Medicine and Director, Occupational Health Program, University of Maryland School of Medicine
CECILE S. ROSE, Professor, Department of Medicine, National Jewish Health, University of Colorado, Denver
DANIEL K. SHIPP, President, International Safety Equipment Association
CATHARYN T. LIVERMAN, Program Director
MARGARET A. MCCOY, Senior Program Officer
SARAH DOMNITZ, Program Officer
CLAIRE GIAMMARIA, Research Associate
JUDY ESTEP, Program Associate
ANDREW M. POPE, Director, Board on Health Sciences Policy
1Institute of Medicine planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published workshop summary rests with the workshop rapporteurs and the institution.
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This workshop summary has been reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise, in accordance with procedures approved by the National Research Council’s Report Review Committee. The purpose of this independent review is to provide candid and critical comments that will assist the institution in making its published workshop summary as sound as possible and to ensure that the workshop summary meets institutional standards for objectivity, evidence, and responsiveness to the study charge. The review comments and draft manuscript remain confidential to protect the integrity of the process. We wish to thank the following individuals for their review of this workshop summary:
LISA M. BROSSEAU, University of Illinois at Chicago
JAMES CHANG, University of Maryland Medical Center
CRAIG COLTON, 3M
BILL KOJOLA, Industrial Hygienist
MELISSA MCDIARMID, University of Maryland School of Medicine
KNUT RINGEN, Independent Consultant
Although reviewers listed above have provided many constructive comments and suggestions, they did not see the final draft of the summary before its release. The review of this workshop summary was overseen by LEWIS R. GOLDFRANK, New York University School of Medicine; Bellevue Hospital Center and New York University Hospitals; and New York City Poison Center. Appointed by the Institute of Medicine, he was responsible for making certain that an independent examination of this
summary was carried out in accordance with institutional procedures and that all review comments were carefully considered. Responsibility for the final content of this workshop summary rests entirely with the rapporteurs and the institution.