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Rational Use of Personal Protective Equipment for Coronavirus Disease (COVID-19) and Considerations During Severe Shortages Interim Guidance 6 April 2020
Rational use of personal protective equipment for coronavirus disease (COVID-19) and considerations during severe shortages Interim guidance 6 April 2020 Background • avoiding touching your eyes, nose, and mouth; • practicing respiratory hygiene by coughing or This document summarizes WHO’s recommendations for the sneezing into a bent elbow or tissue and then rational use of personal protective equipment (PPE) in health immediately disposing of the tissue; care and home care settings, as well as during the handling of • wearing a medical mask if you have respiratory cargo; it also assesses the current disruption of the global symptoms and performing hand hygiene after supply chain and considerations for decision making during disposing of the mask; severe shortages of PPE. • routine cleaning and disinfection of environmental and other frequently touched surfaces. This document does not include recommendations for members of the general community. See here: for more In health care settings, the main infection prevention and information about WHO advice of use of masks in the general control (IPC) strategies to prevent or limit COVID-19 community. transmission include the following:2 In this context, PPE includes gloves, medical/surgical face 1. ensuring triage, early recognition, and source control masks - hereafter referred as “medical masks”, goggles, face (isolating suspected and confirmed COVID-19 shield, and gowns, as well as items for specific procedures- patients); 3 filtering facepiece respirators (i.e. N95 or FFP2 or 2. applying standard precautions for all patients and FFP3 standard or equivalent) - hereafter referred to as including diligent hand hygiene; “respirators" - and aprons. This document is intended for 3. -
Occupational Hygiene Report Writing
BACK TO BASICS PEER REVIEWED Occupational hygiene report writing Peter-John “Jakes” ABSTRACT Jacobs Occupational hygiene reports record occupational hygiene exposure assessments. Although their (MPH Occ. Hygiene) Cas Badenhorst (PhD purpose and format can vary, they must provide adequate information for managing occupational Occ. Hygiene) risks and so ensure the health and safety of employees. This article describes how to write a good occupational hygiene report, specifi cally with respect to the minimum content and style. Corresponding author: E-mail: jakes.jacobs2@ Key words: occupational hygiene report, content, standards sasol.com INTRODUCTION When the target audience is the senior management of an The fi ndings of occupational hygiene exposure assessments organisation, the report needs to be concise and prefer- are recorded in occupational hygiene reports. The purpose ably no longer than one page with the technical and other of these reports can vary, for example providing commu- information contained in an appendix. A popularly recounted nication to management, employees, health and safety anecdote is that the average reading ability of a company’s representatives, engineers, etc. regarding occupational chief executive offi cer is equitable to that of a 14-year-old, the hazards present in the workplace, addressing emergencies reason being that they are burdened with massive amounts and, importantly, provide practical exposure control advice of data that must be digested on a daily basis. This report and, are critical in managing occupational risks.1 Although can typically be a summary of fi ndings as described in the several formats for the reports exist, they should all serve detailed occupational hygiene report. -
Occupational Exposure to Heat and Hot Environments
Criteria for a Recommended Standard Occupational Exposure to Heat and Hot Environments DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health Cover photo by Thinkstock© Criteria for a Recommended Standard Occupational Exposure to Heat and Hot Environments Revised Criteria 2016 Brenda Jacklitsch, MS; W. Jon Williams, PhD; Kristin Musolin, DO, MS; Aitor Coca, PhD; Jung-Hyun Kim, PhD; Nina Turner, PhD DEPARTMENT OF HEALTH AND HUMAN SERVICES Centers for Disease Control and Prevention National Institute for Occupational Safety and Health This document is in the public domain and may be freely copied or reprinted. Disclaimer Mention of any company or product does not constitute endorsement by the National Institute for Occupational Safety and Health (NIOSH). In addition, citations of websites external to NIOSH do not constitute NIOSH endorsement of the sponsoring organizations or their programs or products. Furthermore, NIOSH is not responsible for the content of these websites. Ordering Information This document is in the public domain and may be freely copied or reprinted. To receive NIOSH documents or other information about occupational safety and health topics, contact NIOSH at Telephone: 1-800-CDC-INFO (1-800-232-4636) TTY: 1-888-232-6348 E-mail: [email protected] or visit the NIOSH website at www.cdc.gov/niosh. For a monthly update on news at NIOSH, subscribe to NIOSH eNews by visiting www.cdc.gov/ niosh/eNews. Suggested Citation NIOSH [2016]. NIOSH criteria for a recommended standard: occupational exposure to heat and hot environments. By Jacklitsch B, Williams WJ, Musolin K, Coca A, Kim J-H, Turner N. -
درمان و تشخیص نامه شیوه کلرین گاز با مسمومیت Medical Guideline For
شیوه نامه تشخیص و درمان مسمومیت با گاز کلرین Medical Guideline for Chlorine Gas Poisoning اداره کل پدافند غیرعامل وزارت بهداشت، درمان و آموزش پزشکی مرداد 6931 فهرست مطالب عنوان صفحه 1- مشخصات کلی ....................................................................................................................................... 1 1 ....................................................................................................................... Threshold Limit Values; 2- ویژگیها ............................................................................................................................................... 2 2-1: مکانیسم اثر ...................................................................................................................................... 2 3- نحوه مواجهه و تماس ............................................................................................................................... 3 3-1- مواجهه حاد تنفسی ............................................................................................................................ 4 3-2- مواجهه حاد پوستی ـ مخاطی ................................................................................................................ 4 3-3- مواجهه حاد گوارشی .......................................................................................................................... 5 4- عﻻیم و نشانه های مسمومیت ...................................................................................................................... 5 4-1- عﻻیم مواجهه حاد تنفسی -
Toxicological Profile for Chlorine
CHLORINE 25 3. HEALTH EFFECTS 3.1 INTRODUCTION The primary purpose of this chapter is to provide public health officials, physicians, toxicologists, and other interested individuals and groups with an overall perspective on the toxicology of chlorine. It contains descriptions and evaluations of toxicological studies and epidemiological investigations and provides conclusions, where possible, on the relevance of toxicity and toxicokinetic data to public health. A glossary and list of acronyms, abbreviations, and symbols can be found at the end of this profile. 3.2 DISCUSSION OF HEALTH EFFECTS BY ROUTE OF EXPOSURE To help public health professionals and others address the needs of persons living or working near hazardous waste sites, the information in this section is organized first by route of exposure (inhalation, oral, and dermal) and then by health effect (death, systemic, immunological, neurological, reproductive, developmental, genotoxic, and carcinogenic effects). These data are discussed in terms of three exposure periods: acute (14 days or less), intermediate (15–364 days), and chronic (365 days or more). Levels of significant exposure for each route and duration are presented in tables and illustrated in figures. The points in the figures showing no-observed-adverse-effect levels (NOAELs) or lowest observed-adverse-effect levels (LOAELs) reflect the actual doses (levels of exposure) used in the studies. LOAELs have been classified into "less serious" or "serious" effects. "Serious" effects are those that evoke failure in a biological system and can lead to morbidity or mortality (e.g., acute respiratory distress or death). "Less serious" effects are those that are not expected to cause significant dysfunction or death, or those whose significance to the organism is not entirely clear. -
Neurotoxicity: Identifying and Controlling Poisons of the Nervous System
Index -i abused drugs activities of, 33, 81, 88, 322 addiction, 6, 52,74, 75 aldicarb, 47, 173,251 designer drugs, 51 aldrin, 250,252,292 effects on nervous system, 6,9, 51–53, 71 allyl chloride, 303 health costs of, 20,53,232 aluminum, 48 psychoactive drugs, 6, 10,27,44,50 and Alzheimer’s disease, 54-55 withdrawal from, 74 oxide, 14, 136 see also specific drugs Alzheimer’s disease academic research effects on hippocampus, 71 cooperative agreements with government, 94 environmental cause, 3, 6, 54-55, 70, 72 factors influencing directions of, 92-94 research on, 259 acetaldehyde, 297 American Academy of Pediatrics, 189 acetone, 14, 136,296, 297,303 American Conference of Governmental Industrial Hygienists, acetylcholine, 26, 66, 109, 124,294, 336 28, 151, 185, 186,203,302-303 acetylcholinesterase, 11,50,74,84,187,203, 289,290-292,336 American National Standards Institute, 185 acetylethyl tetramethyl tetralin (AETT) ammonia, 14, 136 exposure route, 108 amphetamines, 74 incidents of poisoning, 47, 54 amyotrophic lateral sclerosis neurological effects of, 54 characteristics of, 54 acrylamide, 73, 120 environmental cause, 3, 6, 54-55, 70, 72 neurotoxicity testing, 166, 175 incidence of, 54, 55 regulation for neurotoxicity, 178 research on, 259 risk assessment approaches, 150, 151,216 anencephaly, 70 research on neurotoxicity, 258 anilines and substituted anilines, 179 acrylates, 175 animal tests, 13 acrylonitrile, 203 accuracy and reliability, 106, 115 neurotoxicity testing, 166, 173 advantages and limitations of, 105, 106, 111, 112, 114, -
Guide to OH&S Certifications & Designations
THIRD EDITION Guide to OH&S Certifications & Designations A Resource for Safety Practitioners, Employers, and those considering a Career in Occupational Health & Safety COHSPRAC CRST This guide is produced by the Canadian Society of Safety Engineering CSSE Guide to OH&S Certifications & Designations 1 A Guide for Employers and OH&S Practitioners This document has been prepared by Canadian Society of Safety Engineering (CSSE) in the pursuit of CSSE’s mission, vision and goals. All rights reserved. Permission to photocopy or download for individual use is granted. Further reproduction in any manner, including posting to a website, is prohibited without prior written permission of the publisher. Permission may be obtained by contacting the CSSE at [email protected]. © Canadian Society of Safety Engineering 468 Queen Street East, Suite LL-02 Toronto, Ontario M5A 1T7 Tel.: 416-646-1600 www.csse.org Third Edition September 2018 CSSE Guide to OH&S Certifications & Designations 2 A Guide for Employers and OH&S Practitioners PURPOSE OF THE GUIDE The Guide is intended to serve as a resource to employers when hiring a health and safety practitioner. It also provides guidance to future OH&S practitioners on the type of education, experience, and other qualifications being sought by employers. Information on both Canadian and International safety certifications and designations is provided, along with suggested competencies and qualifications for OH&S positions from entry to executive level. An interview guide is included to provide employers with suggested -
Management of Occupational Exposure Limits: a Guide for Mine Ventilation Engineers
Management of Occupational Exposure Limits: A Guide for Mine Ventilation Engineers Derrick J. (Rick) Brake1,2(&) 1 Mine Ventilation Australia, Brisbane, QLD, Australia [email protected] 2 Monash University, Melbourne, VIC, Australia Abstract. Many underground mines do not have a qualified or dedicated occupational (industrial) hygienist on site, or even available as a resource. Many mine ventilation engineers do not even consider occupational exposure moni- toring to be relevant to their role as an engineer. In many cases where occu- pational exposure monitoring is conducted, the mine ventilation engineer is not informed about the results of the monitoring, or if he is, cannot interpret cor- rectly what these results mean. This bunker mentality separating occupational hygiene and ventilation engineering reduces the range of tools available to the ventilation engineer to actively adjust or tune the ventilation system to keep the underground environment healthy, or as healthy as it could otherwise be. This paper sets out the principles and practices that the mine ventilation engineer needs to know to be able to understand how to interpret occupational hygiene monitoring results, and the implications for the mine primary and secondary ventilation systems. Keywords: Occupational Á Industrial Á Hygiene Á Monitoring Underground Á Ventilation 1 Introduction In most countries, occupational (or industrial) hygiene is managed by professional hygienists—quite a different field of specialty to engineers; mine ventilation engineers have only been peripherally involved if at all. The exception is probably South Africa where the role of ventilation engineers now tends to encompass at least basic occu- pational hygiene management. There are arguments for and against combining the roles of hygienist and engineer, but the dual-role system has not been adopted elsewhere to date. -
Chlorine and Hydrogen Chloride
This report contains the collective views of an nternational group of experts and does not xcessarily represent the decisions or the stated 1 icy of the United Nations Environment Pro- '€mme, the International Labour Organisation, or the World Health Organization. Environmental Health Criteria 21 CHLORINE AND HYDROGEN CHLORIDE 'ublished under the joint sponsorship of Ic United Nations Environment Programme. the International Labour Organisation, and the World Health Organization / \r4 ( o 4 UI o 1 o 'T F- World Health Organization kz Geneva, 1982 The International Programme on Chemical Safety (IPCS) is a joint ven- ture of the United Nations Environment Programme. the International Labour Organisation, and the World Health Organization. The main objective of the IPCS is to carry out and disseminate evaluations of the environment. Supporting activities include the development of epidemiological, experi- mental laboratory, and risk assessment methods that could produce interna- tionally comparable results, and the development of manpower in the field of toxicology. Other relevant activities carried out by the IPCS include the development of know-how for coping with chemical accidents, coordination of laboratory testing and epidemiological studies, and promotion of research on the mechanisms of the biological action of chemicals. ISBN 92 4 154081 8 World Health Organization 1982 Publications of the World Health Organization enjoy copyright protec- tion in accordance with the provisions of Protocol 2 of the Universal Copy- right Convention. For rights of reproduction or translation of WHO publica- tions, in part or in loto, application should be made to the Office of Publica- tions, World Health Organization, Geneva. Switzerland. The World Health Organization welcomes such applications. -
Occupational Health Hazards: Employer, Employee, and Labour Union Concerns
International Journal of Environmental Research and Public Health Review Occupational Health Hazards: Employer, Employee, and Labour Union Concerns Oscar Rikhotso 1,* , Thabiso John Morodi 1 and Daniel Masilu Masekameni 2 1 Department of Environmental Health, Tshwane University of Technology, Private Bag X680, Pretoria 0001, South Africa; [email protected] 2 Occupational Health Division, School of Public Health, University of Witwatersrand, Parktown 2193, South Africa; [email protected] * Correspondence: [email protected]; Tel.: +27-123-824-923 Abstract: This review paper examines the extent of employer, worker, and labour union concerns to occupational health hazard exposure, as a function of previously reported and investigated com- plaints. Consequently, an online literature search was conducted, encompassing publicly available reports resulting from investigations, regulatory inspection, and enforcement activities conducted by relevant government structures from South Africa, the United Kingdom, and the United States. Of the three countries’ government structures, the United States’ exposure investigative activities con- ducted by the National Institute for Occupational Safety and Health returned literature search results aligned to the study design, in the form of health hazard evaluation reports reposited on its online database. The main initiators of investigated exposure cases were employers, workers, and unions at 86% of the analysed health hazard evaluation reports conducted between 2000 and 2020. In the synthesised literature, concerns to exposure from chemical and physical hazards were substantiated by occupational hygiene measurement outcomes confirming excessive exposures above regulated Citation: Rikhotso, O.; Morodi, T.J.; health and safety standards in general. Recommendations to abate the confirmed excessive exposures Masekameni, D.M. -
Question of the Day Archives: Monday, December 5, 2016 Question: Calcium Oxalate Is a Widespread Toxin Found in Many Species of Plants
Question Of the Day Archives: Monday, December 5, 2016 Question: Calcium oxalate is a widespread toxin found in many species of plants. What is the needle shaped crystal containing calcium oxalate called and what is the compilation of these structures known as? Answer: The needle shaped plant-based crystals containing calcium oxalate are known as raphides. A compilation of raphides forms the structure known as an idioblast. (Lim CS et al. Atlas of select poisonous plants and mushrooms. 2016 Disease-a-Month 62(3):37-66) Friday, December 2, 2016 Question: Which oral chelating agent has been reported to cause transient increases in plasma ALT activity in some patients as well as rare instances of mucocutaneous skin reactions? Answer: Orally administered dimercaptosuccinic acid (DMSA) has been reported to cause transient increases in ALT activity as well as rare instances of mucocutaneous skin reactions. (Bradberry S et al. Use of oral dimercaptosuccinic acid (succimer) in adult patients with inorganic lead poisoning. 2009 Q J Med 102:721-732) Thursday, December 1, 2016 Question: What is Clioquinol and why was it withdrawn from the market during the 1970s? Answer: According to the cited reference, “Between the 1950s and 1970s Clioquinol was used to treat and prevent intestinal parasitic disease [intestinal amebiasis].” “In the early 1970s Clioquinol was withdrawn from the market as an oral agent due to an association with sub-acute myelo-optic neuropathy (SMON) in Japanese patients. SMON is a syndrome that involves sensory and motor disturbances in the lower limbs as well as visual changes that are due to symmetrical demyelination of the lateral and posterior funiculi of the spinal cord, optic nerve, and peripheral nerves. -
Part 18 Personal Protective Equipment Highlights
Occupational Health and Safety Code 2009 Part 18 Explanation Guide Part 18 Personal Protective Equipment Highlights • Section 229 recognizes that the face piece of a full face piece respirator can provide eye protection. • Section 232 requires workers to wear flame resistant outerwear if they could be exposed to a flash fire or electrical equipment flashover. • Section 233 provides several options in protective footwear. Footwear requirements are based on the hazards feet may be exposed to. External safety toecaps are permitted as an alternative to protective footwear when a medical condition prevents a worker from wearing normal protective footwear. Footwear approved to ASTM Standard F2413 is now acceptable for use in Alberta. • Section 234 recognizes both Canadian Standards Association (CSA) and American National Standards Institute (ANSI) standards for protective headwear. • Section 235 requires employers to ensure that a worker riding a bicycle or using in-line skates or a similar means of transport wears an approved cycling helmet. • Section 246 requires employers to ensure that respiratory protective equipment must be approved by the National Institute for Occupational Safety and Health (NIOSH) or by another organization that sets standards and tests equipment, and is approved by a Director of Occupational Hygiene. Directors of occupational hygiene are staff members of Alberta Human Resources and Employment appointed by the Minister under Section 5 of the OHS Act. • Section 247 requires that employers select respiratory protective equipment in accordance with CSA Standard Z94.4-02, Selection, Use and Care of Respirators. • Section 250 requires that employers test respiratory protective equipment for fit, according to CSA Standard Z94.4-02, Selection, Use and Care of Respirators, or a method approved by a Director of Occupational Hygiene.