Welcome to the ISIPS Newsletter August 3, 2018
Needlestick & Sharps Injuries
Woman jailed for vicious Devonport street attack
Health Unit provides needle collection box
Health department offers free needles
Take Action to Prevent Hepatitis at Work
Mind and Body: World Hepatitis Day is July 28
Injection technique 1: administering drugs via the intramuscular route
The Irish Times view on responding to cocaine use
ACLU sues North Carolina prisons over lack of Hepatitis C screening, treatment
Both patients and health professionals on the sharp end of needlestick injuries
A Robot May One Day Draw Your Blood
Here is how to handle sharps on the farm - It was reported that over 80% of farmers have accidentally stuck themselves with a needle
Due to concerns about blood-borne pathogens, there are clear guidelines for the disposal of sharps used in people. But what happens to all the used sharps used in agriculture? Where are they stored? Can they be thrown in the household trash? Are there general guidelines or recommendations for disposal?
One of the early initiatives for the Upper Midwest Agricultural Safety and Health Center was researching needlestick injuries in animal agriculture and “best practices” for prevention of needlestick injuries. It was reported that over 80% of farmers1 (Jennissen, Wallace et al. 2011.) have accidentally stuck themselves with a needle, prompting UMASH to develop educational materials related to needlestick prevention in agricultural settings.
A recent UMASH review of veterinary sharps disposal documented the county level resources in both Minnesota and South Dakota. The Upper Midwest overall has a number of swine, dairy, beef operations who use sharps for vaccination and disease treatments. We observed that there were some variations in recommendations from state to state with respect to sharps disposal.
What to know to handle dairy cattle and avoid injury
If you've grown up on a farm or grown up working with large animals, you probably intuitively know how to act around cows. But for someone who hasn't grown up around these large animals, it can be intimidating and dangerous. 
That's why it's important to have the right words, tools and training methods to teach people how to work safely with animals, explained Libby Eiholzer, a bilingual dairy specialist with Cornell Cooperative Extension. Eiholzer provided points for those who aren't familiar with handling cows during a New York Center for Agricultural Medicine and Health (NYCAMH) webinar provided by AgriSafe...  Using needles safely
On a farm, injections are used for a lot of different things, some which might not be too bad for people and some that could be bad. But even just a needle stick can be serious. It's a puncture wound and could get infected.
"Farms aren't clean environments," Eiholzer said.
The injury should be reported and treated appropriately. Trying to recap the needle increases the risk of injury.
"It's so easy to miss the little opening of the caps and end up pricking yourself instead," said Eiholzer. 
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.
Advocates say Florida needs to do more to provide health care for HIV, AIDS treatment
New kit to test HIV load in blood within one hour
DOH launches 3-way pageant vs HIV
Lessons from HIV/AIDS crisis can apply to the opioid crisis
Computer simulations predict the spread of HIV
Paradoxes, Pitfalls Persist in HIV Remission Research
Methadone Lowers HIV Transmission in Injection-Drug Users
Bedford Utilities: Hepatitis A Isn’t Contaminating City Water
Jail inmates get hepatitis A vaccine to prevent potential outbreak
KY students must have Hepatitis A vaccine to start school
Tanzania: Hepatitis B, C Incidence Rising, Says Medical Officer
Hepatitis A outbreak continues to grow in Kentucky
You need to know the scary truth about viral hepatitis
Hepatitis A scare keeps inmates out of court
A group of McCracken County Jail inmates didn’t make it to court Thursday because of a hepatitis A scare. The scare centered around an inmate who was taken to the jail Monday. The McCracken County Sheriff’s Department learned Thursday that inmate has hepatitis A.As a precaution, that inmate and other who had been exposed did not go to court.A judge rescheduled their court dates.A hepatitis A outbreak is ongoing in Kentucky and other states.
Jail inmates get hepatitis A vaccine to prevent potential outbreak
Hamilton County Justice Center inmates are getting vaccinated for hepatitis A after four were diagnosed with the infection that inflames the liver and can cause liver disease.
Cincinnati Health, Hamilton County Public Health departments and the jail are working together to get the inmates vaccinated, officials said Thursday. 
Hamilton County Sheriff's Office spokesman David Daugherty said that NavCare, the jail's primary medical care contractor, is taking the lead on evaluating and addressing the cases of hepatitis A.
First human case of West Nile virus in Idaho found in Canyon County man
Human case of West Nile virus confirmed in Canyon County
'Rapid Build-Up Of West Nile Virus Activity' Occurring In CT
Fairfax Co. reports 1st human case of West Nile virus amid ‘surge’ in infected mosquitoes
West Nile Virus detected throughout Mobile County
What to Know About West Nile Virus This Summer
Public health officials warn of increased West Nile activity
West Nile discovered in Shelby County resident; first case of 2018
What is West Nile virus? 3 things to know about the mosquito-spread ailment
Congo Ebola outbreak poses high regional risk, says WHO
Top City Health Official, Who Faced Down Ebola and Zika, Will Resign
The Latest Ebola Outbreak Is Centered in a War Zone
Ebola virus to be studied in Boston lab
Ebola virus breaks out in Congo again, days after last one ended
Congo confirms 4 new Ebola cases in North Kivu province, week after outbreak in northwest ends
Officials: Patient tests negative for Ebola
A patient thought to possibly have contracted Ebola tested negative for the virus Sunday evening, according to officials with the Colorado Department of Public Health and Environment. This was the second test of the day that returned a negative result. The patient was admitted to Denver Health Sunday morning and put in the bio containment unit out of an abundance of caution. The hospital is one of only ten in the country designated by the CDC to handle something like this. At Denver Health, emergency workers wore special suits to protect them from the highly infectious disease. Doctors say the Denver man began exhibiting symptoms of Ebola Sunday morning, which the CDC says can range from fever to severe headaches to vomiting.
Top City Health Official, Who Faced Down Ebola and Zika, Will Resign
Maternal Dengue Immunity Protects Against Fetal Damage in Mice Following Zika Virus Infection
FIU Researchers Invent Machine That Can Detect Zika in 40 Minutes
Research shows Zika virus to be more dangerous than previously thought
Orlando scientists report cancer-killing potential of Zika virus in early study
Zika’s power, destructive in fetuses, might be turned against tumors, scientists say
'Zika epidemic is not over,' says Brazilian specialist
World Dodgeball Association & NeedleSmart
The World Dodgeball Association is delighted to announce that NeedleSmart is a new Official Partner.
The partnership will support the future development of Dodgeball across the World and will support new projects that the World Dodgeball Association will unveil later this year.
Needlesmart is a unique and patented device to destroy Hypodermic Needles preventing many needle stick injuries and contracting diseases through the injuries. See more about their market leading technology on www.needlesmart.com.
Safety-engineered devices should be the norm, not exception, advocates urge
Ask a clinician what he or she should have to do to perform their patient care tasks safely and the ideal answer likely may surprise you.
Nothing. Or at least next to nothing.
For some, this scenario requires a convergence of attitudes, behaviors and events. These include clinician access to an abundance of safety-engineered, but user-friendly devices that pose limited inconvenience and require little thought to use, coupled with an ability — innate or acquired through education and training — to handle, manage and navigate through the pressure-cooking stresses of providing patient care. The latter also includes anticipating patient reactions to care delivered by sharps devices and distributing exposed sharps devices between clinicians in the surgical field.
“Because of the pressures in the operating room and the prevalence of infectious disease, it is important for clinical staff to have safety-engineered products available to them, and for OR teams to actively participate in the selection of safety devices that will best suit their needs and preferences,” said Mary Hannon, Director of Marketing, Aspen Surgical, Caledonia, MI. “However, safety-engineered products alone will not prevent sharps injury. Safety education, training, personal practices, healthcare facility culture and legislation together with safety-engineered products, have the best chance of decreasing incidence of sharps injury.”
Amber Hogan Mitchell, DrPH, President and Executive Director, International Safety Center (ISC), League City, TX, concurs about the need for a comprehensive solution to preventing sharps injuries that merges safety-engineered product use with safety-minded practices.
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The Centers for Disease Control and Prevention (CDC) estimates that 62% – 88% of sharps injuries can be prevented simply by using safer medical devices. Researchers should always consider how to safely handle sharps and identify procedures and/or scenarios when a sharps injury could occur. By identifying when a sharps injury can occur, planned activities can be evaluated, reducing the likelihood of a sharps-related injury.
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  • 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


Reducing Needlesticks with Proper Disposal
Making sure you have a solution in place for sharps removal is a crucial component of sharps injury prevention. MedPro supports ISIPS mission to reduce these injuries among HCP’s and have heard far too many horror stories of physicians or staff loading up a box of sharps or medical waste and “driving it to the local hospital” for disposal. This not only puts you at risk for an injury, but also is could harm your practice should any of the waste spill. 
MedPro can help with solutions ranging from sharps mailback services to multiple pickups per week, we are here to meet the needs of your practice even as those needs change. 
If its been awhile since your practice had a “medical waste checkup”, give us a call. In an industry full of egregious price increases and surprise surcharges, MedPro is the changing the game with flat rate, transparent pricing and clear contracting terms. We’d be happy to show you or your administrator how much you could save by right-sizing your services, and working with a BBB A+ rated partner. Call us today at 888-678-4199 to get started or visit medprodisposal.com/isips for more information. 
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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
Safe, efficient disposal
Color coded for gauge size
1cc, 3cc, 5cc, and 10cc syringe sizes available, in a variety of needle gauges and lengths.
After a needlestick injury (NSI) with contaminated blood, there is a risk of seroconversion. Statutory accident insurance (SAI) claims data were used to determine the numbers of seroconversions for hepatitis B and C viruses (HBV, HCV) and for HIV.
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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.

Viral hepatitis B and C are major health challenges, affecting 325 million people globally.  They are root causes of liver cancer, leading to 1.34 million deaths every year. 
Hepatitis B and C are chronic infections that may not show symptoms for a long period, sometimes years or decades. At least 60% of liver cancer cases are due to late testing and treatment of viral hepatitis B and C. Low coverage of testing and treatment is the most important gap to be addressed in order to achieve the global elimination goals by 2030. 
WHO will focus on the theme: "Test. Treat. Hepatitis" for World Hepatitis Day 2018 events. 
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