Welcome to the ISIPS Newsletter March 16, 2018
Needlestick & Sharps Injuries
Vial Adaptors for Reconstitution Drug Market Worth US $1.3 Bn by 2024
Needle cleanup event planned for Saturday in Charleston
Kanawha-Charleston needle exchange participation already dropping
Chattanooga CARES announces syringe exchange program
AIIMS Anaesthetist Contracts Hep B after Needle Stick Injury: Are our doctors safe?
Medical-waste company fined for violating more than a dozen safety rules
Protecting Patients with VanishPoint Retractable Syringes
Needlesticks are not just the fear of 4-year-olds receiving their vaccinations; they are also the source of blood-borne infections afflicting millions of healthcare practitioners. When a conventional needle is left exposed after use on a patient, it can accidentally stick another person, such as a healthcare worker. The accidental needlestick can infect that person if the patient had any blood-borne diseases. Recent estimates place the number of needlestick injuries in the United States at more than 300,000 per year, with infection by HIV or Hepatitis as possible consequences. The spring-retractable syringe, VanishPoint, was created to prevent needlestick injuries and ameliorate other unsafe injection practices.
VanishPoint Blood Collection Set
The VanishPoint Blood Collection Set, from Retractable Technologies, Inc., features automated in-vein retraction that effectively reduces the risk of needlestick injuries and blood exposure.  The safety mechanism is activated by depressing a retraction trigger that is located near the finger-grip area.  This allows for easy one-handed activation, without changes in hand position, while reducing the risk of inadvertent activation.  The needle is retracted directly from the patient, virtually eliminating exposure to the contaminated needle.
A Seattle Library Employee Was Stuck With a Needle. Should Branches Make Changes to Deal With the Opioid Epidemic?
The Seattle Public Library and the King County Public Library system already take very different approaches to drug use and needle disposal in public restrooms
Product review for Wright Prefilled Syringe Case
A Convienient way to transport a prefilled insulin syringe The Wright Prefilled Syringe Case makes transportation of prefilled syringes as simple as carrying a fountain pen. Designed to fit in a pocket or purse, the Wright Prefilled Syringe case holds most E-Z JECT, B-D, PharmaPlast and TERUMO syringes (not compatible with Monoject syringes). The interior is designed to safely hold the syringe plunger in "your" preset position with the approximate dosage. 
HIV
Use of HIV-prevention drug grows, but lags among nonwhites
HIV/AIDS expert expected as Trump’s next pick to head CDC: report
Man tests positive for HIV while taking PrEP
HIV rates rise in at least two US hot spots
Slowdown in HIV/AIDS Progress Puts Focus on Young Women
'Rapidly Growing' HIV Clusters Help Pinpoint Prevention Efforts
HIV infection down by 39% in South Africa
The research by the South African Institute of Race Relations indicates that the country has made significant progress in the fight against HIV/AIDS.
One of the Largest Clusters of HIV Infections Reported in Milwaukee
125 Milwaukeean high schoolers, adults and children have become infected with HIV, syphilis or both — in what is being reported as “one of the largest sexually transmitted infection” clusters ever identified.
Wound Care and Infection Management: Risk Factors for Infection
A discussion on wound infection risk factors and the role of medical adhesives, such as medical tapes, in the prevention and management of infections in wound care.
Syringe exchange program provides users with clean needles, offers help
It may sound counter-intuitive – providing drug users with clean needles to help them get off drugs. But those who have been there say it works.
 
Non-profit syringe exchange programs have operated under the radar for years in Tennessee. After a long fight, they became legal last year to help cut down on the cost of treating HIV and Hepatitis C, but also to help with the opioid crisis. Users who turn in needles for clean ones receive information about how to get help with addiction.
HIV Outbreak In Milwaukee Considered Largest STI Cluster In U.S. History
"This is an epidemic people are not talking about enough," says one public health expert.
 
At least 125 people, including some high school students, have tested positive for HIV, syphilis or both in a growing cluster of sexually transmitted infections affecting in Milwaukee.
Needle cleanup event planned for Saturday in Charleston
Organizers said Friday they expect about 40-60 people to participate in a needle cleanup this weekend in Charleston.
 
Also Friday, the City of Charleston provided a list, in response to a public records request, that showed an increase in needle-stick injuries among city workers in recent years, but also showed that problems city officials have cited as reason for closure occurred before the needle exchange began.
 
Kanawha Communities That Care, a nonprofit substance abuse prevention coalition, and other local groups began planning the Saturday cleanup event a couple of months ago after community members suggested it, said Kim Shoemake, project coordinator. The event “also seeks to increase awareness of substance abuse-related problems and how citizens can work together to positively transform neighborhoods and communities,” according to a news release.
Why Unsafe Injection Practices Need to be Urgently Addressed
India: Last month, 21 people in UP’s Unnao district contracted HIV after they were administered injections using a single syringe, all in the name of cheaper treatment. This, however, is not an isolated incident and is unlikely to be the last if we don’t change how we do things.
 
For quite a few years now, there have been horrifying incidents of people dying or being infected with reused injections.
 
In 2015, 59 children were injected with antibiotics using the same syringe at a government hospital in Hyderabad. In 2012, Haryana reported an outbreak of hepatitis C and 70% of the 1,605 cases were linked to reused syringes. A similar incident was reported from Gujarat in 2009, which resulted in 89 deaths.
HEPATITIS
Seniors Hepatitis A Vaccine Clinic Being Repeated Friday Due to Demand
Are There Massive Hepatitis A Outbreaks In The US?
America Has A Massive Hepatitis A Problem, And No One Is Talking About It
Hepatitis A vaccine clinic for seniors set for Thursday
Health officials confirm case of hepatitis A in food handler at Olga's Kitchen in Monroe
India: NDA seizes fake hepatitis vaccines
The National Drug Authority (NDA) is investigating how eight private hospitals and clinics came to sell counterfeit hepatitis B vaccines in Mbarara, Kampala and Mbale. 
As inquiries proceed, the authority has asked the public to remain calm awaiting further advice. Amos Atumanya, the NDA regulatory officer who led the three-week preliminary investigation, told journalists yesterday that the fake vaccines are allegedly manufactured by the Serum Institute of India. 
Louisville's hepatitis A outbreak: Cases spread to Indiana and now some schools are closed
An outbreak of hepatitis A in Kentucky, centered in Jefferson County, has spread to more than 100 people — a significant increase in a state that typically sees about 20 cases per year. 
 
Confirmed cases have continued to grow since the outbreak was declared in November when there were 19 cases in Louisville. At the time, officials said common risk factors included homelessness or drug use.
WEST NILE
Climate change spurs proliferation of disease-bearing insects, increases exposure to viral infections
Shooting Star's Van McLain Dies From West Nile Virus Complications (Week in Review)
Black balloons at West Haven City Hall signify depth of opioid crisis
Manitoba man relearning how to walk after West Nile virus
Like Zika, West Nile Virus Causes Fetal Brain Damage, Death In Mice
Can Previous Exposure to West Nile Alter the Course of Zika?
Light pollution may promote the spread of West Nile virus
ZIKA VIRUS
Novel Blood Test Developed by Columbia Researchers May Detect Zika More Accurately
Birth Defects in 7% of Zika Pregnancies in French Territories
Ebola, zika and SARS get a new friend: Disease X - a new potential pandemic
HEALTH OFFICIALS DETERMINE THE ISLANDS OF THE BAHAMAS ARE ZIKA FREE
Mosquitoes spreading Zika virus in parts of U.S.: CDC
CDI Labs Collaborates on Discovery of New Biomarkers for Zika Infection
IN THE NEWS
ADVANCES IN INTERNAL BONE FIXATION - SHARPS SAFETY FOR ORTHOPEDIC SURGEONS
Imagine being an orthopedic surgeon and knowing that your patient’s artificial hip is worn out or loose. You have made the necessary incisions and are now ready to insert your hands into the open wound so that you can palpate around the hip to see the extent of the damage. As you get ready to place your hands into the tissue, you think to yourself, “I have a pretty good chance of getting stuck on a cabling wire that is surrounding the bone. Will I get stuck? What was this patient’s hepatitis or HIV status?” What would you do? This is a real concern facing surgeons and their staff every time that they perform an orthopedic surgery. Let’s talk about hip joint replacement surgeries for a moment.
 
One of the most essential joints in the body is the hip joint. It is called   a “ball-and-socket” joint because the ball (head) of the femur rotates inside the cup-shaped, hollow socket (acetabulum) of the pelvis. The mating surfaces of the femoral head and the acetabulum are covered with a slippery tissue called articular cartilage. This articular cartilage is about one-eighth of an inch thick and is a tough, lubricious material that allows the surfaces to slide against one another without damage.
The articular cartilage in natural hip joints can wear out. When this occurs, the result is excruciating pain and limited movement. When the hip joint wears out, it is often neces- sary to replace it with an implant, called a total hip replacement or total hip arthroplasty. Total hip replacement implants typically have three parts, including:
the stem, which fits into the femur;
the ball, which replaces the spherical head of the femur; and
the cup, which replaces the worn out acetabular socket.
 
These parts come in a variety of sizes to accommodate many different body sizes. The primary objective of hip replacement surgery is to relieve pain  and  restore  movement. For most patients, the surgery is initially successful, but many patients will eventually require further surgery due to a wearing out of the cup implant. This wear creates particu- late debris, which can cause further wear ultimately resulting in a painful loosening of the implant components. This condition is often treated with revision hip surgery, in which the loose or worn implants are removed and replaced by new implants. Revision hip surgery is more complicated and more time consuming than first time (or primary) hip replacement and the outcome is often less satisfactory. Complete pain relief is less common than in primary hip replacement and complication rates are higher.
 
Surgeons,  nurses  and  technicians  are at risk for accidental sharps injuries each time one of these total hip replacement procedures is performed. These accidental sharps injuries place operating room personnel at the highest risk among healthcare professionals for occupational hepatitis B and C infections because of their frequent exposure to blood;1 they are also at comparatively high risk for human immunodeficiency virus (HIV) infection.
 
Other reasons for hip revision surgery include fracture of the hip, the presence of infection, or disloca- tion of the prosthesis. In these cases  the  prosthesis must often be removed or replaced in order to prevent long-term damage to the hip itself. The life expectancy of implants used in first-time hip replacement surgery is usually given as 10 to 15 years, whereas revision implants may need to be removed after eight to 10 years. Periprosthetic femur fractures (i.e., fractures around a hip stem) are not rare (see sidebar story on page 36). These types of fractures are often treated in combination with revision hip replacement surgery.
 
...continued next week...
 
VANISHPOINT® BLOOD COLLECTION TUBE HOLDER
  • Automated retraction is activated by securely closing end cap while needle is still in patient's vein

  • Once activated, needle is automatically retracted from patient, virtually eliminating exposure

  • Single use holder protects users from both ends of contaminated blood collection needles

  • Utilizes conventional multiple sample blood collection needles and prevents cross contamination

  • Capable of multi-tube blood draws

  • Small diameter tube adapter available for use with small diameter tubes

 

TIME TO CHANGE THE CULTURE OF FATIGUE IN THE HEALTHCARE PROFESSION
The Association of Anaesthetists of Great Britain and Ireland (AAGBI), Royal College of Anaesthetists (RCoA) and the Faculty of Intensive Care Medicine (FICM) have come together to start a national conversation about the impact of fatigue and shift working on the NHS workforce. The campaign will support healthcare professionals with practical, everyday solutions which help to raise awareness, change attitudes and improve working environments.  By supporting this campaign, you are backing a call for enhanced education, protected rest breaks and better access to facilities for all NHS staff. 
More >
WHY UNSAFE INJECTION PRACTICES NEED TO BE URGENTLY ADDRESSED
India: Last month, 21 people in UP’s Unnao district contracted HIV after they were administered injections using a single syringe, all in the name of cheaper treatment. This, however, is not an isolated incident and is unlikely to be the last if we don’t change how we do things.
 
For quite a few years now, there have been horrifying incidents of people dying or being infected with reused injections.
 
In 2015, 59 children were injected with antibiotics using the same syringe at a government hospital in Hyderabad. In 2012, Haryana reported an outbreak of hepatitis C and 70% of the 1,605 cases were linked to reused syringes. A similar incident was reported from Gujarat in 2009, which resulted in 89 deaths.
More >
CLICKZIP SAFETY SRYINGE
Clickzip
The ClickZip™ Needle Retractable Safety Syringe is a new and globally patented Swiss technology active, high-quality needle with a retraction mechanism, thus preventing needlestick injury and syringe reuse.The ClickZip™ Needle Retractable Safety Syringe is simple to operate, which is why the technology is so valuable. Minimal or no extra training is required to use this product. Please view below the simple four step process of DRAW, INJECT, ZIP, SNAP.
 
The ClickZip™ Needle Retractable Safety Syringe is simple to operate which is why the technology is so valuable. Minimal or no extra training is required to use this product.
 
Using the ClickZip syringe is easy - a simple four step process of DRAW, INJECT, ZIP, SNAP.
 
Step 1: Shown is the ClickZip™ as it is packaged. Make sure the needle is fixed tight and then use the standard aseptic technique to DRAW out the medication and fill the syringe.

 
Step 2: INJECT the medication by fully depressing the plunger to the end of the syringe barrel to engage the locking mechanism. The user should be able to feel and hear a ‘CLICK’.

 
Step 3: ZIP the plunger back to retract the needle safely back into the barrel. The needle will tilt to one side and prevent the needle being able to be pushed out again, preventing reuse or needlestick injury.

 
Step 4: SNAP off the plunger at the breaking point. ClickZip™ is now disabled and cannot be reused. Discard the complete unit as per regulations require.

With less waste, a safer mechanism, and no need for special sharps disposal units, and the potential for needle reuse or needlestick injury greatly reduced, long term and other immediate costs are significantly lowered, and safety and health benefits for health workers, patients and the community as a whole are significantly increased.

 
AMERICA HAS A MASSIVE HEPATITIS A PROBLEM, AND NO ONE IS TALKING ABOUT IT
The potentially deadly disease is on the rise in homeless and drug-using populations across the country.
More >

 
Built-in safety mechanism is activated by fully depressing plunger while needle is still in patient 
 
Once activated, needle is automatically retracted from patient, virtually eliminating exposure
 
One-handed activation 
 
Requires minimal training
 
Non-reusable
 
Safe, efficient disposal
 
Color coded for gauge size
 
1cc, 3cc, 5cc, and 10cc syringe sizes available, in a variety of needle gauges and lengths.
TUNGSTEN SYRINGE SHIELD FOR TECHNETIUM-99M
Tungsten syringe shield designed for Technetium-99m use. This syringe shield has 2 mm tungsten shielding to provide 99.9% attenuation of Tc-99m to assure hand and finger dose protection. The tungsten syringe shield has a lead glass viewing window with a lead equivalency of 2 mm for accuracy and assurance. This tungsten syring shield design has an easy-to-operate syringe holding clip to keep the syringe in place while injecting the patient and while withdrawing the Tc-99m from the elution vial shield. The design of this syringe shield has an ergonomic grip to minimize the potential of spillage and optimize handling time. 
 
This tungsten syringe shield has been designed for the new legislation which requires the use of safe syringes with safety covers to prevent needlestick injuries. These safety cover needles have different.
More >
OUR CORPORATE MEMBERS
Please click on any ISIPS member below to view their sharps safety products!
Packaging your drug in a prefillable syringe with a safety feature will provide protection for health care workers and patients against accidental needlestick injuries. The NovaGuard SA (Staked-needle Automatic) syringe system can be deployed using a single-handed technique to shield the exposed needle.

 
System Benefits
·        Mitigates glass flange breakage
·        Bulk packaging enables automated assembly
·        Designed to prevent pre-activation
·        Uses standard plunger rods
·        Tamper resistant

 
To learn more about using the NovaGuard SA syringe system for your drug product, or for information on any of West’s injectable drug packaging or delivery system technologies, click here.

 
*For investigational use only by our pharmaceutical and biotechnology development partners. West markets the NovaGuard SA technology as an integrated system. Final assembly is completed by the pharmaceutical company.
West and the diamond logo and NovaGuard™ are trademarks or registered s of West Pharmaceutical Services, Inc. in the United States and other jurisdictions.
© Copyright 2018 International Sharps Injury Prevention Society
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