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! ! ! ! ! Facebook LinkedIn Twitter Google Plus Website Respirator Selection Guide for Aerosol Transmissible Diseases

The employer is responsible for selecting PPE, including but not limited to respiratory protection, appropriate for the hazard and the environment. The employer can always choose to select a higher level of respiratory protection than the minimum required.

Disease Job Task Respirator

Airborne infectious Routine patient At least N95 disease* (suspected care & support or confirmed) operations

High hazard At least PAPR procedures**

Seasonal Influenza Routine patient In accordance with facility (suspected or care & support policy; CDPH recommends confirmed) operations at least permitting optional N95 use

High hazard At least N95 procedures**

Other diseases In accordance with facility policy requiring droplet precautions***

* See list on reverse or in Appendix A of ATD Standard ** See definition on reverse or in ATD Standard *** See list on reverse or in Appendix A of ATD Standard

California Department of Public Health, Occupational Health Branch AUGUST 2015 CAL/OSHA ATD STANDARD—DISEASES/ CAL/OSHA ATD STANDARD—DISEASES/ PATHOGENS REQUIRING AIRBORNE PATHOGENS REQUIRING DROPLET INFECTION ISOLATION PRECAUTIONS Diphtheria pharyngeal (designated in the standard as “airborne infectious diseases” or AirIDs) Epiglottitis, due to Haemophilus influenzae type b

Aerosolizable spore-containing powders such as Haemophilus influenzae Serotype b (Hib) disease/ Haemophilus influenzae serotype b—Infants and Anthrax/Bacillus anthracis children Avian influenza/Avian influenza A (strains capable of Influenza, (typical seasonal variations)/ causing serious disease in ) influenza * Varicella disease (, disseminated ) Meningitis (rubeola)/ Measles Haemophilus influenzae, type b known or suspected Neisseria meningitidis (meningococcal) known or /Monkeypox virus suspected Severe acute respiratory syndrome (SARS) Meningococcal disease sepsis, pneumonia (see also meningitis) (variola)/Variola virus Mumps (infectious parotitis)/Mumps virus Tuberculosis (TB)/Mycobacterium tuberculosis Mycoplasmal pneumonia Novel or unknown pathogens as defined by the infection (erythema infectiosum) standard Pertussis (whooping cough) Any other disease for which public health guidelines Pharyngitis in infants and young children/Adenovirus, recommend airborne infection isolation Orthomyxoviridae, Epstein-Barr virus, virus, Pneumonia Adenovirus CAL/OSHA ATD STANDARD— Haemophilus influenzae Serotype b, infants and HIGH HAZARD PROCEDURES DEFINITION children High hazard procedures are “procedures performed on Meningococcal a person who is a case or suspected case of an aerosol Mycoplasma, primary atypical transmissible disease (or on a specimen suspected Streptococcus Group A of containing an aerosol transmissible pathogen in a Pneumonic plague/Yersinia pestis laboratory), in which the potential for being exposed virus infection (German measles)/ to aerosol transmissible pathogens is increased due to Severe acute respiratory syndrome (SARS) the reasonably anticipated generation of aerosolized Streptococcal disease (group A streptococcus) pathogens.” Skin, wound or burn, Major Such procedures include, but are not limited to: Pharyngitis in infants and young children Pneumonia • Sputum induction in infants and young children • Bronchoscopy Serious invasive disease • Aerosolized administration of pentamidine or Viral hemorrhagic fevers due to Lassa, Ebola, Marburg, other medications Crimean-Congo fever viruses (airborne infection isolation and respirator use may be required for • Pulmonary function testing aerosol-generating procedures) • Autopsy, clinical, surgical, and laboratory Any other disease for which public health guidelines procedures that may aerosolize pathogens. recommend droplet precautions