Welcome to the ISIPS Newsletter September 14, 2018
Needlestick & Sharps Injuries
Editorial: Signs of Progress in Opioid Fight
Preventing Workplace Violence in Mental Health Facilities
Accidental Needlesticks: The Silent Killer
Study Quantifies Needlestick Injury Rates for Materials Recovery Facility Workers
Sharps Injuries and Exposures to Blood on the Rise: Physicians Now Outpace Nurses in Reported Exposure Incidents
California Senate Passes Drug, Needle Take-back Program
The Staggering Injury Rates for Workers in Healthcare
What to do if you find a used needle on your private property in London?
The City of London suggests using tongs to pick it up and placing in a closed container. The City of London has partnered with the Middlesex-London Health Unit and Regional HIV/AIDS Connection to produce a video that provides step-by-step instructions on how to properly dispose of used sharps and syringes. The video is targeted towards residents to educate them on how to safely pick up the used needles they may find on their property.
 
"While having written directions was helpful, being shown and having a video to show the actual steps would be more helpful," said Lynn Loubert, City of London Division Manager, Aquatics, Arenas and Attractions. "So we created this video to explain it and make it a simpler process." 
Sharps injuries – are you at risk?
Standardised monitoring of sharps injuries is largely overlooked in the Australian healthcare industry even though healthcare workers suffer as many as 18,500 sharps injuries each year. Because not all injuries are reported, it’s estimated that actual numbers could be twice the amount.  It’s been more than 10 years since the statistic for needlestick injuries (NSIs) among Australian healthcare workers was identified, and despite calls for policy reform including routine NSI monitoring and mandated use of safety engineered devices (SEDs), Australia remains one of the few developed countries without legislation or jurisdictional directives mandating comprehensive adoption and use of SEDs.
CoGx® InnoSafe: Greater protection against needle stick injuries
With their exposed cannulas, used syringes are a source of risk at physicians’ surgeries, laboratories, and hospitals the world over. Although existing needle protection systems reduce the risk of injury for the end user, they are more complex for pharma companies to fill and must be handled by medical specialists. With the Gx InnoSafe, Gerresheimer is now offering a syringe with an integrated passive safety system that avoids inadvertent needle stick injuries, prevents repeated use, and is designed with pharmaceutical companies’ production processes in mind as well as being optimized for simple and intuitive use by medical specialists. 
Child poked by needle while sleeping in La Crosse motel
A child complained to his father about being poked by something while sleeping at the Adriatic Motel Saturday night. According to a La Crosse Police report, the father located a needle under the covers of a bed at the Adriatic Motel, 3438 Mormon Coulee Road, La Crosse. The child was taken to an area hospital.
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
Health officials: Get tested for HIV if you got a 'vampire facial'
Oral Health and Health-related Quality of Life in HIV Patients
Breaking the Stigma of Dating and Loving With HIV
Special antibodies could lead to HIV vaccine
HIV prevention pill reaching more people who need it
Kids tested for HIV after touching needles found in Lethbridge playgrounds
City says supervised consumption site is not to blame for needle debris in public areas. Parents in Lethbridge, Alta., say there's growing concern over used needles in the community, with children being forced to undergo repeated blood tests to rule out infections such as HIV or hepatitis after encountering used syringes in places like school playgrounds.
 
Posts on social media over the past few months have shown needles found in Lethbridge playgrounds, with potentially dangerous surfaces exposed to children.
HEPATITIS
Colorado approves $41 million settlement to treat 2,200 prisoners with chronic hepatitis C
Wayne County Responds To Hepatitis A Outbreak
French hepatitis E cases up since 2010; researchers say pork is main reservoir
FDA Approves New Drug For Hepatitis A And Measles Exposure
This Celebrity-Favorite Treatment May Have Exposed People to HIV and Hepatitis
Health Department Warns Utah Restaurant Patrons of Hepatitis A Exposure
Lawsuit: Pregnant bride, guests exposed to hepatitis A at Newport reception
A Kentucky couple is suing the Newport Syndicate, charging that they and their 240 wedding guests were exposed to hepatitis A during an August reception at the banquet hall....
Kentucky hepatitis A outbreak tops 1,500 cases
The hepatitis A outbreak in Kentucky, which started 10 months ago and has affected 71 percent of the state’s counties, has grown to 1,562 cases through late August. This includes 63 new cases reported the week ending Aug. 25.   Fifty-six percent, or 881 people required hospitalization for their illness and 12 people died. Jefferson County has accounted to 593 cases, followed by Boyd and Carter counties with 158 and 120 cases, respectively.
 
The increase in cases observed in Kentucky was well over the 10-year average of reported hepatitis A cases, and several cases have been infected with hepatitis A virus (HAV) strains genetically linked to outbreaks in California, Utah, and Michigan.
Two West Virginia jail inmates diagnosed with hepatitis A
Health officials in West Virginia say two jail inmates have been diagnosed with hepatitis A.  News outlets report the inmates were diagnosed Friday while four other inmates were showing hepatitis A symptoms at the North Central Regional Jail in Doddridge County.
North Andover landscaper hospitalized after being pricked by hypodermic needle
A landscaper was hospitalized Tuesday after being pricked by a hypodermic needle while working in North Andover.
 
The landscaper was rushed to Lawrence General Hospital after being pricked by a needle while cleaning up debris outside a CVS on Route 114.
 
The town’s police chief said he’s concerned the man could have been infected with AIDS or Hepatitis C.
WEST NILE
First 2018 locally contracted case of human West Nile Virus confirmed in Washoe County
El Paso health officials report fifth West Nile virus case of season
Washoe County Human West Nile Case Most Likely Acquired Locally
West Nile Virus lingering in Nebraska
Public Health Threat Declaration for West Nile, EEE in NH
‘Remain vigilant:’ First human case of West Nile Virus for 2018 identified in Milwaukee
First two human cases of West Nile Virus reported in New Mexico
First Human Case Of West Nile Reported In Suffolk County
Delaware reports fifth human case of West Nile virus
EBOLA
Rare antibodies could be key ingredients in therapeutics capable of neutralizing many Ebola types
Uganda: Kabarole sets up Ebola isolation centre
We Need to Stop Ebola – for the Right Reasons
New cases of Ebola show outbreak in the Democratic Republic of Congo is not yet under control
Congo adopts innovative technology to fight new Ebola outbreak
Namibia Prepares for Ebola Outbreak
In Congo, a new and less isolating Ebola treatment center
ZIKA VIRUS
Steep drop in Zika cases undermines vaccine trial
How the immune system protects against Zika-induced neurological symptoms
Why People Are Jumping to Conclusions About Meghan Markle and Zika Right Now
Eye Findings in Infants With Suspected or Confirmed Antenatal Zika Virus Exposure
Study: 1 in 7 children of Zika-infected mums have problems
IN THE NEWS
UNINTENDED CONSEQUENCES - COCKROACHES, USED NEEDLES, DIRTY NAPPIES: WHAT SUPERMARKET STAFF FIND IN NEW REUSABLE BAGS
(With all of the anxiety focused on removing plastic from everywhere - there might be a big downside with this approach to the environment.)
 
With Coles set to follow Woolworths and impose the single-use plastic bag clampdown from July 1, supermarket giants have been forced to address employee concern about unhygienic reusable bags.
 
A worker suffering a needle stick injury from a used needle in a bag and cockroaches emerging from bags onto check-outs are the type of occurrences being reported.
 
“People shouldn’t have to pack unhygienic bags,” insists Bernie Smith, from the Shop Assistants Union.
More >
SHARPS INJURIES AND EXPOSURES TO BLOOD ON THE RISE: PHYSICIANS NOW OUTPACE NURSES IN REPORTED EXPOSURE INCIDENTS
Occupational exposure surveillance data collected by the International Safety Center from healthcare centers in the US reveal that workers have suffered an increase in needlesticks, sharps injuries, and blood and body fluid exposures (BBFEs) at work. These avoidable incidents can lead to the transmission of dangerous pathogens like HIV/AIDS, hepatitis C, measles and Methicillin-resistant Staphylococcus aureus. More injuries are occurring with sutures, reusable scalpels, between steps of a multi-step procedure, and in the operating room (OR). Find more details about the surveillance data at www.internationalsafetycenter.org.
 
"We find the increase in contaminated sharps injuries incredibly concerning," commented Amber Mitchell, DrPH, MPH, CPH, president and executive director of the International Safety Center. "The reports indicate inadequate use of safer medical devices, even though devices with sharps injury protections have been available for decades. We are also troubled that failure to use safer devices is especially high among physicians." To look more deeply into the root cause of these injuries, the Center has introduced new Exposure Prevention Information Network (EPINet®) injury reporting forms in 2018.
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MEET THE FORGOTTEN SCIENTIST WHO INVENTED THE MEASLES VACCINE
Jonas Salk gained worldwide fame for his polio vaccine; Louis Pasteur is remembered, among other things, for developing a vaccine against rabies, and Edward Jenner's name is forever connected to vaccination against smallpox. But history barely remembers the microbiologist who, arguably, saved more lives than any other doctor or medical researcher of the 20th century (and who continues to save millions every year despite having been dead since 2005). His name is Maurice R. Hilleman, and during his 40-year career, he developed over 40 human and animal vaccines (that's roughly a vaccine per year, for those of you playing at home), including the ones for chickenpox, hepatitis A and B, measles, meningitis, mumps, rubella, and several strains of the flu virus. The measles vaccine alone prevents an estimated 1 million deaths from the once-common disease every year.
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

 

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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THERE’S SAFETY IN A SHARPS CONTAINER
Most of us do not spend much time thinking about where our waste goes. But if you use biomedical equipment, it’s on you to responsibly dispose of waste that could pose a risk to others. Many people use sharps to manage health conditions. If you do, you should have access to a sharps container.
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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.
UNDERREPORTED NEEDLESTICK INJURIES AMONG HEALTHCARE WORKERS
Needlestick injuries (NSIs) among healthcare workers (HCWs) pose an important health challenge and several pieces of evidence show that in many cases HCWs do not report the injury. Among the 1010 participants, 580 (57.42%) showed a positive history of NSI; the total number of occurrences of NSI was 914. The major item causing NSI was the syringe with needle (315; 34.47%). In this way, NSIs occurred most frequently during recapping and injection [339 (37.10%) and 147 (16.10%), respectively]. 
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NEEDLESTICK INJURY PREVENTION SYSTEMATIC LITERATURE REVIEW
This systematised review was undertaken to appraise research on the effects of training and the use of needle-safety devices (NSDs) on the prevention of needlestick injuries (NSIs) among health workers, focusing on a European perspective. A literature search from 2007 to 2017 was performed, which identified six studies that investigated the introduction of training and NSDs and their affect on NSIs. 
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ACCIDENTAL NEEDLESTICKS: THE SILENT KILLER
We all know that doctors and nurses work long hours under trying conditions, particularly in hospital emergency rooms, to save lives and bring healing and comfort to the sick. What too many people do not know is that healthcare workers face a potential silent killer every day that is so common it is routinely overlooked and ignored: accidental needlesticks. Every year in the United States, more than 400 million blood draws are performed. Some of these are carried out during routine doctor visits, some in outpatient laboratory settings, many in the emergency room (ER) or ambulances, where workers and patients are under extreme stress, circumstances can be chaotic, and safety measures compromised in the rush against time. Nearly every healthcare worker has a story about a needlestick or a near miss. Even the most experienced nurses and other practitioners, working long hours with no margin of error, will experience that sinking feeling of dread when the sharp end of a used needle accidentally punctures their skin with a potential to cause infection. My own story is from the summer of 1998, when I was working as a nurse in the emergency room (ER) at Brigham and Women’s Hospital in Boston. Asked by a colleague to perform a blood draw on a patient with difficult venous access, I was able accomplish the task on my first attempt. 
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WALMART CUSTOMER POKED WITH NEEDLE INSIDE TOILET PAPER DISPENSER - THERE’S ONLY ONE WALMART IN GALLUP, NEW MEXICO.
In fact, it’s the only Walmart for 50 miles. As a result, hundreds, even thousands of people pass through every day.  Richard Werner was recently one of those thousands of everyday customers. Walmart customer poked with needle inside toilet paper dispenser. “August 9th. I jumped off the bus to do a transfer. Had to use the restroom at Walmart here in Gallup, New Mexico,” Werner said. Little did he know that he'd end up with this little wound that's led to bigger problems. “Went in to do my business and when I reached up to get tissue paper to wipe, basically I got stuck by a dirty needle,” Werner said. He snapped photos of the bathroom.
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HEALTHCARE WORKERS
Healthcare is the fastest-growing sector of the U.S. economy, employing over 18 million workers. Women represent nearly 80% of the healthcare work force. Healthcare workers face a wide range of hazards on the job, including sharps injuries, harmful exposures to chemicals and hazardous drugs, back injuries, latex allergy, violence, and stress. Although it is possible to prevent or reduce healthcare worker exposure to these hazards, healthcare workers continue to experience injuries and illnesses in the workplace. Cases of nonfatal occupational injury and illness with healthcare workers are among the highest of any industry sector.
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HIV AND A TALE OF A FEW CITIES
While global incidence rates of HIV have declined notably in recent years, the virus that causes AIDS remains a major and, in some ways largely unmitigated, public health threat in some countries and regions.
 
In a pair of new modeling studies, researchers at University of California San Diego School of Medicine, with international colleagues, examined how policy reform in terms of drug decriminalization (in Mexico) and access to drug treatment (in Russia) might affect two regions hard hit by the HIV pandemic: Tijuana, Mexico and the Russian cities of Omsk and Ekaterinburg.
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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
 
PARAMEDIC SAYS EXPOSED SYRINGE WAS PLACED AT VANCOUVER HOTEL TO INJURE SOMEONE
A Metro Vancouver paramedic says a syringe was hidden in the entrance of an East Hastings hotel with the intention of poking an unsuspecting visitor.
 
As paramedics were responding to a call at the Lux Hotel at 7:20 a.m. on Monday they noticed an exposed needle from a syringe protruding from the wall close to the automated door button.
 
Surrey paramedic Will Rogers called it a “near miss.”
 
A Facebook post shared by Rogers said the syringe was “intentionally manipulated (bent) so that the exposed sharp was sticking out, with the obvious intention to poke anyone reaching for the button.”
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