Welcome to the ISIPS Newsletter August 24, 2018
Needlestick & Sharps Injuries
School needle stick incident devastates family
Peterborough public works receiving double the calls for discarded needles
Pre-filled syringes: A quantum leap in innovation for drug administration
Too many Americans die on the job. Are things about to get worse?
County health officers explores clean needle exchange program
Needle and syringe finds raise questions in Fort Smith
Credence MedSystems raises $13m to support syringe systems
Health department offers free needles
Here's how to handle sharps on the farm
The Irish Times view on responding to cocaine use
UK: Leading product safety lawyer voices concerns over syringe driver safety
A leading product safety lawyer belives the government should open an inquiry into the safety of syringe drivers after media reports suggested that the threat to life from such devices had been ‘ignored’ during the Gosport Hospital inquiry.
 
According to reports, a whistleblower from the Gosport inquiry panel suggested that the inquiry ‘buried’ evidence of cheap, faulty syringe drivers which may have caused the death of thousands of patients treated in UK hospitals.
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.
HIV
Untreated genital warts may increase risk of HIV transmission
Ending HIV stigma can lead to improved prevention, management
Nashville investigates 'bullying' at troubled HIV program; director on leave for 2 months
Reducing needlestick injuries among healthcare workers in South Africa
Healthcare workers (HCWs) are at increased risk of contracting various communicable diseases. Needlestick injuries (NSIs) are a common mechanism of exposure. Training in basic universal precautions and utilisation of safety-engineered devices (SEDs) are interventions known to reduce the risk of NSI.
NovaGuard® SA Pro Driven by innovation, committed to safety
The NovaGuard® SA Pro safety system can be deployed using a single-handed technique to shield the exposed needle. West’s NovaGuard SA Pro safety system helps protect healthcare workers and patients from accidental needlestick injury. The NovaGuard SA Pro system can be deployed using a single-handed technique and was designed to prevent pre-activation during handling. The system is compatible with ISO 1mL long glass staked-needle syringes and is transparent for ease of drug inspection and delivery. Furthermore, the device design facilitates easy assembly of a glass pre-filled syringe with very minimal change parts and changeover time to existing assembly equipment.
Prison guards shouldn't decide health policy, says former minister
The public - not prison guards - should be the ones to decide whether Canberra's jail should have a needle exchange program, according to a former ACT health minister.
 
Former ACT health minister and outgoing president of the World Federation of Public Health Associations  Michael Moore has renewed calls for a needle and syringe program in the Alexander Maconochie Centre, seven years after the ACT branch recommended one be set up.
Needle stick incident devastates family
THE grandparents of a six-year-old boy believe they have not been taken seriously after he was allegedly pricked with a syringe while playing in the sand pit at Gatton State School.
 
Year 1 student Caleb Connelly said when he felt the needle prick he immediately reported it to a teacher who allegedly put the syringe in the bin.
 
The grandparents claim no further action was taken after the incident on Friday, August 10.
 
As a result, Caleb went three days without the recommended medical attention.
 
In a statement to the Gatton Star, a Department of Education spokesman said the school acted immediately to investigate the reported needle stick injury.
 
But Caleb's grandparents, who are his legal guardians, say they are still yet to be contacted.
HEPATITIS
Miami Township Taco Bell employee diagnosed with hepatitis A
Free vaccinations offered to prevent hepatitis A outbreak
State to host Hepatitis A vaccinations
UPDATE: Cases of Hepatitis A continue to rise in Hamilton County
10 Steps to Take After a Hepatitis C Diagnosis
Health officials warn of possible hepatitis A exposure at Indianapolis restaurant
Health department reports 119 cases of hepatitis A in Oakland County, as of Aug. 1
Health officials warn of possible hepatitis A exposure at Indianapolis restaurant
Marion County health officials are recommending that some customers at a café on the canal receive the hepatitis A vaccine after potential exposure to the disease that can cause liver damage.
 
Anyone who ate at Fresco Italian Café on the Canal, at 340 W. Michigan Street, on Aug. 6 should consider getting a vaccine to prevent against infection, health officials say.
 
The one hitch: You need to do it fast, as the shot needs to be administered within two weeks of exposure.
What goes into a restaurant health inspection?
Just a few weeks ago, the Fayette Mall in Lexington closed the entire food court after dozens of people who ate there became sick with a norovirus. The health department inspected all of the restaurants before the food court reopened.
 
WKYT followed health inspectors as they gave a restaurant a health score and what the health department looks for in a restaurant that offers the public food in a safe manner.
 
Senior Environmental Health Specialist Danielle Wells said the first thing a health worker looks for in a restaurant is the hand sink.
 
"We find the hand sink, and we wash our hands. We definitely want to set an example for our food service employees," Wells said.
Mum and son's needle stick injury ordeal
Mum-of-three Carmel Reekie said she wanted to talk about the incident because she had struggled to get information about how to deal with a needle stick injury.  Redland Hospital facility manager Susan Freiberg said staff would be educated on infection control after the incident.
Park employee diagnosed with Hep C after needle stick
Huntington’s parks have been designed to be a place of carefree joy for kids and their guardians like Ashlyn McGlown and her grandson.Word that a park worker had been stuck by needle and then diagnosed with Hepatitis C shattered that perception for many...
WEST NILE
West Nile detected in East Houma
State reports year's first human cases of West Nile virus
1st human cases of West Nile virus identified in Massachusetts; infected horse euthanized
West Nile Virus Risk Leads To Mosquito Spraying In Fairfax
First human cases of West Nile virus confirmed in Mass.
Mass. confirms three human cases of West Nile Virus, including woman from Worcester County
Massachusetts Reports 3 Human Cases of West Nile Virus
1 Michigan Resident Dies From West Nile Virus; 8 Cases
West Nile virus cases in Greece jump in 2018
States with most serious cases of West Nile virus this year
Utah sees first death from West Nile virus in 2018
Utah has seen its first death of the season from West Nile virus, the Salt Lake County Health Department reported in a statement Wednesday.  The person who died was "over the age of 65 and suffered from other health concerns," according to the statement. The person passed away last week and was diagnosed with a "more severe" form of West Nile virus.
 
Salt Lake County's statement said the death is a reminder of the seriousness of the virus. Mosquito abatement districts in the county have detected West Nile virus in 30 mosquito pools.
EBOLA
Ebola in the DRC: Death toll rises in second outbreak
Children particularly affected by the Ebola outbreak in the DRC – UNICEF
New Ebola Outbreak Hits Children Hard
Ebola crisis worsens in Congo, health workers infected
Ebola deaths in DR Congo rises to 49 with 2,000 feared 'contacts'
ZIKA VIRUS
First-in-human trial begins for live, attenuated Zika vaccine
NIH begins clinical trial of live, attenuated Zika vaccine
The CDC released new Zika virus guidelines — here's what you need to know
IN THE NEWS
CREATING A CULTURE OF SAFETY AND OSHA COMPLIANCE
While many may associate healthcare worker injuries with fast-paced ERs and stress inducing ORs, primary care physicians in medical offices and clinics also face serious health risks and hazards every day. Regardless of the work environment, exposure to sharps, drugs, and other factors make healthcare workers more vulnerable to workplace injury than those in almost any other sector. Fortunately, many of the thousands of reported (and unreported) healthcare worker injuries each year can be prevented with proper training and an eye toward compliance.
 
Sticking to a sharps safety strategy
 
Many major health industry organizations have highlighted the issue of sharps injuries in recent years. The Association of Occupational Health Professionals in Healthcare (AOHP) found that healthcare workers are sustaining 320,000 needlestick incidents each year in hospital and non-hospital settings. The CDC estimates that about half of sharps injuries may go unreported, and the Occupational Safety and Health Administration (OSHA) estimates that 5.6 million workers in the healthcare industry and related occupations are at risk of exposure to bloodborne pathogens. Any worker who handles sharps devices, such as hypodermic needles or blood collection devices, is at risk.
More >
ARTERIAL BLOOD GAS SAMPLING USING PRE-HEPARINISED SAFETY SYRINGE
Taking arterial blood gases (ABG) is an essential part of the diagnosis and management of critically ill patients. An arterial blood sample is collected from an artery, primarily to determine the ABGs. Health professionals should only undertake this if the procedure is in the legal scope of practice for their profession in their country, and they have demonstrated skilled, proficient, safe practice after formal training. Blood samples can be obtained via an arterial catheter inserted into an artery or percutaneously by using a needle to directly puncture into the artery. This article provides an overview of this subject area. It includes case studies where the Pulsator Plus Arterial Blood Gas Syringe (Smiths Medical) was used to safely and effectively collect blood samples for analysis.
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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

 

PETERBOROUGH PUBLIC WORKS RECEIVING DOUBLE THE CALLS FOR DISCARDED NEEDLES
A blood filled syringe sits nestled in the grass behind the old Shoppers Drug Mart at the corner of Charlotte and Aylmer streets.
 
It’s the first of many used needles seen littered throughout downtown Peterborough. Most are off the beaten path, and out of sight from pedestrian traffic, but one is just a 100 feet away from a children’s play centre at the Simcoe and Bethune Street Park. Another one is just a foot away from being stepped on by citizens using the path along Jackson Creek between Charlotte Street and the King Street parking garage. Several syringes are lodged between rock cuts along the Otonabee River adjacent to Millennium Park.  According to Peterborough public works manager Brain Jobbitt, the city is picking up an increased number of discarded syringes.
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HOW LONG HAVE YOU BEEN WITH YOUR MEDICAL WASTE DISPOSAL COMPANY?
 
 
 
 
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
 
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.
NHS KEPT USING 'DANGER SYRINGES' IN BID TO SAVE MONEY, INVESTIGATION CLAIMS
At least nine people may have died because the health service kept using instruments which were given one star safety rating out of five - At least nine people died because the NHS used syringe pumps that did not meet internationally approved safety standards in a bid to save cash, it has been claimed.
 
Thousands of lives were put at risk as Britain’s health service continued to use equipment other countries had banned, an investigation by The Sunday Times reports.
 
Experts say the number of fatalities linked to the pumps may actually be many times higher – but no record was ever made because of “institutional indifference” to elderly patients in their final days.
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NEEDLESMART PROFESSIONAL PH
A product designed specifically for the Phlebotomy market. Taking the contaminated sharp and associated parts at the point of use. The NeedleSmart Ph will destroy the sharp, separate the constituent parts, and sort them into specific waste streams ready for downstream disposal.

 
 
 
 
 
 
 
 
 
 
 
 
 
 
 
The NeedleSmart range has the potential to:
  • Reduce hypodermic needles to sharps bins by up to 70%
  • Generate a reduction in sharps disposal cost in the order of 30%
  • Costs reduction / end of line
  • Potential to recycle product
Charging figures: Full charging - 1p to charge. Melt 300 needles - 0.5p
12.5p / kWhr
 
MUM OF GIRL PRICKED BY NEEDLE WANTS TO SEE CRACKDOWN AT DERBY PARK
A Derby mum whose daughter was pricked by a needle in a city park is calling for police to exercise extra powers to tackle drug taking and anti-social behaviour.
 
Theresa Doyle says her six-year-old, Izabelle, started to scream in agony when she was injured by a sharp object while performing a cartwheel in Normanton Park on Tuesday.
 
In the last few weeks, residents living near the top end of Normanton Road and near Arboretum Park have complained of an increase in drug dealing, drug taking and prostitution.
 
Yesterday, police announced they had issued a 48-hour dispersal order for that part of Normanton, including Alder Walk, Grove Street and the area around Lidl on Normanton Road. It means police officers have the authority to ask people to leave the area if they believe them to be involved in anti-social behaviour. Refusal to leave would lead to arrest.
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NEEDLESTICK INJURIES COSTING NHS MILLIONS OF POUNDS
According to the NHS Resolution’s annual report and accounts (2016/ 2017), it received 1,833 incident claims for needlestick injuries between 2012 and 2017 (fiscal years).
 
Of these, the 1,213 successful claims cost the NHS £4,077,441, but a UK-based company, NeedleSmart is now offering a technological solution to reduce injuries and costs – which is reported at more than 100,000 in the UK.
 
The new needle disposal technology, which can be used in hospitals, clinics and GP surgeries, takes a used hypodermic needle and transforms it into a sterile, non-sharp needle – in seconds.
More >
WHAT ARE YOUR CHANCES OF GETTING HIV, OR ANY OTHER DISEASE, FROM A NEEDLE PRICK ON THE FINGER? (THE NEEDLE HAD JUST BEEN USED TO COLLECT TUBES OF BLOOD FROM A PATIENT, SET ON THE TABLE, AND PRICKED YOU.)
Great question! It’s wise to be in the know about workplace health risks. The Centers for Disease Control and Prevention (CDC) estimates that approximately 385,000 sharps-related injuries (i.e., being stuck by a needle) occur in health care workers each year in the United States. But, fear not! There are things you can do to prevent a needlestick injury from happening (more on this later)!  Getting back to your question about Human Immunodeficiency Virus (HIV); according to the CDC, if a person is stuck by a needle with HIV-positive fluid on it, approximately 2.3 out of 1,000 individuals, if untreated, will become infected with HIV. So, the odds of being infected with HIV from a needlestick injury are less than one percent. Interested in more stats about possible disease transmission and what to do if you are accidently stuck? 
 
There are two types of injuries that could place a health care worker at risk: a percutaneous injury (i.e., being stuck by a needle or cut with a sharp object) or a mucus membrane injury (i.e., exposed skin that is chapped, scraped, or afflicted with dermatitis). And, as you suggested, injuries may expose health care workers to a range of blood-borne pathogens including, but not limited to, HIV, hepatitis B, and hepatitis C. Risk of transmission can increase if the needle is visibly bloody, if the procedure involved placing the needle in one of the patient's veins or arteries, or if it was a deep injury.
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ACCIDENTAL NEEDLE STICK INJURY IN PUBLIC PLACES
In the community setting, a needle stick injury is rare and usually arises from the accidental puncturing of the skin by a syringe needle left in places such as in parks, playgrounds, laneways or public toilets. When a person experiences a needle stick injury, there may be anxiety and distress, this is a natural response when thoughts of potential infection with blood borne viruses (BBVs) such as human immunodeficiency virus (HIV), hepatitis B and C occur. The risk associated with transmission of BBVs through needle stick injuries in community settings is very low.
SHARPS INJURY PREVENTION CHALLENGE
More than 1/3 of all sharps incidents occur to nurses, 50% happen in exam rooms, and almost always preventable. Don't get stuck.
 
Sign up for our Healthy Nurse, Healthy Nation™ challenge and get pointers on how to avoid these injuries.
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NEEDLE STICK INCIDENT DEVASTATES FAMILY
THE grandparents of a six-year-old boy believe they have not been taken seriously after he was allegedly pricked with a syringe while playing in the sand pit at Gatton State School. Year 1 student Caleb Connelly said when he felt the needle prick he immediately reported it to a teacher who allegedly put the syringe in the bin.
More >
PARK EMPLOYEE DIAGNOSED WITH HEP C AFTER NEEDLE STICK
Huntington’s parks have been designed to be a place of carefree joy for kids and their guardians like Ashlyn McGlown and her grandson.Word that a park worker had been stuck by needle and then diagnosed with Hepatitis C shattered that perception for many...
More >
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