Welcome to the ISIPS Newsletter December 7, 2018
Needlestick & Sharps Injuries
Blood Collection Tubes Market – Substantial Rise in Industrial Sectors to Offer Growth Prospects by 2026
Smart Insulin Pens Market to Grow at a CAGR of 23.2% through 2027
Retractable Technologies, Inc. Announces Results as of September 30, 2018
'Needle Know-How' webinar gets to the point
Eleven breakthroughs in science and medicine by South Africans
Seattle police officer pricked by used needle in city park
Utah man dies from rabies; first in state in 74 years
A Moroni man has died from rabies, the first death of its kind in Utah since 1944.
 
Gary Giles, 55, died Sunday, but struggled for weeks with an slowly progressing disease that doctors couldn't stop from infecting his brain and other organs, ultimately leading to his death.
 
He and his wife, Juanita Giles, didn't realize that the bats that had frequented their home were carriers of a rabid and highly contagious virus.
 
"The bats never hurt us, and we were always catching them in our hands and releasing them outside because you hear all the time about how bats are good for the insect population, and you don't want to hurt them," Giles said Thursday.
 
"The bats would lick our fingers, almost like they could taste the saltiness of our fingers, but they never bit us."
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.
Needle stick injuries in the community
Injury from used needles and syringes found in community settings arouses much concern, especially when children find discarded needles and injure themselves while playing with them. The user is generally unknown, and parents and health care providers fear that the needle may have been discarded by an injection drug user with a blood-borne infection. Although the actual risk of infection from such an injury is extremely low, the perception of risk by parents results in much anxiety. Evaluation, counselling, and follow-up with parents and the child are needed.
UK: Confusion over what to do with sharps bins in the Fens after new ruling says you can no longer take to GP surgeries or chemists
A woman who injects a chemotherapy drug, that is potentially fatal in the wrong dose, is worried about infection control and safety when patients can no longer take their sharps bins to their local GP surgery for disposal. Local councils are set to take responsibility for sharps bin disposal next year as part of a UK-wide NHS policy change but already it is in place at the George Clare surgery in Chatteris, the woman says.
 
The woman, who inject methotrexate, a drug prescribed for cancer and arthritis patients, said: “I went to take my bin to the George Clare surgery and was told I have to get in touch with the council.
 
“If the council sets up a door to door collection, as has been suggested this is unsafe. My front door is straight on to the pathway used by students at Cromwell.
Seattle officer treated after used needle goes through shoe
A veteran Seattle police officer is being treated after stepping on a used syringe in a city park. KOMO-TV reports the officer is a member of the city's Navigation Team that deals with street campers, the mentally ill and drug addicts on a daily basis.Police spokesman Sgt. Sean Whitcomb says the incident is "100 percent scary."
 
The unidentified officer was walking with Baker Park on Crown Hill last week when the needle went through his shoe. Whitcomb did not know what kind of shoe he was wearing.
From the Archives - Stuck by a Needle, Not by a Decision
I didn’t think it would happen to me so soon, just a few months after beginning my second career as a nurse. I stuck my thumb with a large-bore needle filled with the blood of a patient with hepatitis C who had come to the emergency room with abdominal pain.
 
This happened with a 10-milliliter syringe I was using to transfer blood from one tube into another. I was trained not to do this; it was a bad idea. But I put my patient’s comfort above my own safety: when I learned an extra blood test had been ordered, I hoped to save him the pain of a second needle stick.
 
I thought better of my decision to make the transfer and hesitated — just as I noticed the needle bending while I struggled to pierce the tough rubber top of the specimen tube. Two drops of blood came out of the tip of the needle. Afterwards, I saw one bloody smudge on my glove; I feared the other drop had gone into my thumb.
 
I froze, breathless.
Dublin: Waste worker lost partner after prick from needle on job
A waste management worker, who claimed a new relationship he was in ended after he suffered a needle stick injury to his hand, has settled a damages claim against Dublin City Council.
 
Gavin Geraghty alleged in the €60,000 damages claim that, when he helped a fellow worker lift a heavy sack of refuse a needle attached to a syringe went right through his left hand.
Diabetics Need More Than A Flu Shot
When diabetics get their annual flu shot, they should discuss a complete immunization review with a doctor, nurse or pharmacist. This is the advice from the American Association of Diabetes Educators (AADE), who is strongly encouraging all diabetics to be fully protected before the flu season...
HIV
Recent incarceration associated with increased risk for HIV, HCV
Vaccine against HIV to Be Tested in Seven African Countries
How African Scientists Are Testing Cheaper, Faster Ways To Test For Malaria, Pregnancy, HIV Success
HEALTH WARNING HIV epidemic as Eastern Europe sees its highest ever rate of infection and health bosses warn more must be done to combat its spread
The United Nations AIDS agency UNAIDS warned in July that complacency was starting to stall the fight against the global epidemic, with the pace of progress not matching what is needed.
HEPATITIS
More than 200 people vaccinated so far after hepatitis A exposure at SouthPark restaurant
Hundreds get vaccinated after second hepatitis A scare in less than five months
Dozens visit Mecklenburg County Health Department for Hepatitis A vaccination after potential exposure in SouthPark
Two cases of Hepatitis A confirmed in Warren
Hepatitis A linked to Charlotte's Village Tavern, vaccinations encouraged
Record number of Hepatitis A cases affecting Cuyahoga County
Kent County considered hepatitis A outbreak area
IRELAND: HEPATITIS B CASES ROSE BY 9% LAST YEAR
The number of cases of people infected with hepatitis B rose by 9% last year, although the health authorities say that infection levels of the potentially fatal disease remain low here.
 
New figures published by the Health Protection Surveillance Centre (HPSC) show the number of notifications of the infection rose by 9% last year to 532, from 487 cases in 2016.
 
However, the HPSC said the prevalence of hepatitis B in the general population in Ireland remains low, at less than 1%. This is similar to most other northern European countries.
Association of workload on occupational needlestick injuries
Blood and body fluid exposures had the highest prevalence (47.4%) among all injuries. Needlestick injuries showed a significant relation with gender, age, number of shifts in a month and work experience. With increase in mental workload, needlestick injuries increase by 35%. Also, injuries reported by nurses working in rotating shifts were 15%-53% more than nurses working in fixed shifts.
 
CONCLUSION: Working in rotating shifts and work overload was significantly related to all injuries. Decreasing nurses’ mental workload, introducing guidelines and efficient training in shift work schedules can help decrease occupational injuries among nurses.
Diabetes in the UK
Position Statement: Safe disposal of sharps used by people with diabetes
Many people with diabetes need to use sharps, such as insulin syringes and fingertip lancing devices, to treat and manage their condition.  These sharps need to be disposed of safely to minimise the risk of accidental injury or the spreading of infectious diseases. To encourage and enable responsible behaviour, sharps disposal should be as easy as possible and take into account the preferences of people with diabetes. 
Hepatitis A outbreak continues to grow in Northern Kentucky, health officials say
There is a serious health warning in Northern Kentucky Friday night, one that could potentially affect everyone in the region.
Novel Test Method for the Evaluation of Fluid Leakage at the Glove-Gown Interface and Investigation of Test Parameters
Exposure to patients' blood/body fluids could be life-affecting, when providing care to patients with infectious diseases. Although the glove-gown interface is considered one of the weakest points of the protective ensemble system, there is a lack of research, and existing standards do not provide much guidance on strategies to minimize gaps between the gowns and gloves. Currently, there is no known standard test method to evaluate fluid leakage or assess performance improvements with new gowns/gloves.
WEST NILE
Greenwood Co. officials confirm finding of another West Nile case
Flower Mound resident is second in Denton County to get West Nile virus
Worst season ever for West Nile in Conn.
Human case of West Nile Virus confirmed in Leon County
Local doctors warn people about West Nile Virus after one confirmed case in North Myrtle Beach
West Nile Virus found in Lockhart
First West Nile Virus Case Appears In King County
EBOLA
African Countries Intensify Vigilance on Ebola
Ebola vaccine technology could speed up development of other vaccines
Uganda Finalizes Plans to Vaccinate Front-line Health Workers against Ebola
In 'Survivors' documentary on Ebola, Sierra Leoneans finally have their say
Zambia heightens its capacity for preventing and responding to the threat of an outbreak of Ebola Virus Disease
DRC: Ebola update - October 2018
Why Are People So Angry At Ebola Responders In The Democratic Republic Of The Congo?
Ebola epicentre hit with malaria outbreak amid fears of DOUBLE epidemic
AN EBOLA-ravaged region has now been hit with a malaria outbreak, with health authorities scrambling to prevent a double epidemic.Around 421 people have contracted ebola in the latest outbreak to hit the Democratic Republic of Congo, which has been described as the biggest in the country’s history. More than half of the infected have died, with 241 suspected ebola fatalities. And to make matters worse, the region has now been hit with a malaria spike.
ZIKA VIRUS
This Prenatal Blood Screening May Predict Birth Defects From Zika Virus
Scientists discover biomarkers for Zika-related birth defects
Caribbean Says Zika No Longer an Issue. Doctors Say Not So Fast
Are wild monkeys becoming a reservoir for Zika virus in the Americas?
Zika publicity has faded, but the health threat remains real
IN THE NEWS
3 WAYS HOSPITALS CAN PROMOTE SAFE INJECTION PRACTICES
Harmful infection practices have affected about 150,000 patients since 2001 and caused about 50 documented outbreaks of bacterial infections or viral hepatitis, according to the CDC.
 
Here are three ways hospitals can promote safe injection practices, as cited by Pharmacy Times:
 
1. Educate nurses, pharmacists and pharmacy technicians with an initial orientation and an annual training on safe infection practices. Hospitals should "assess and reinforce practitioner competence associated with even the most basic concepts of infection control and aseptic technique," according to Pharmacy Times.
 
2. Review policies and procedures related to safe injection practices, ensuring they coincide with current federal practice guidelines.
 
3. Monitor employees' adherence to proper injection techniques in all relevant healthcare settings to help identify unsafe injection practices or instances of syringe reuse.
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TOP RISK MANAGEMENT ISSUES IN HEALTHCARE
Healthcare, like every other area, has its own risks. In the case of healthcare, the risks have to be contained well because of the obvious fact that any unseen or unaddressed risk can be a potential source of danger to the patient’s health or very life. This is the most urgent need for addressing risk management issues in healthcare.
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NHS FORCED TO PAY COMPENSATION TO 1,200 STAFF WORRIED THEY HAVE BEEN INFECTED AFTER NEEDLE PRICK
More than 1,200 NHS staff have won compensation after being injured by needles potentially infected with HIV or hepatitis over the past six years.
 
Official figures reveal an “unacceptable” picture of widespread failures to dispose of needles safely, resulting in pay-outs of at least £4,077,441 since 2012.
 
Hospitals are under a strict legal obligation to dispose of syringes safely, usually by means of a solid, brightly marked “sharps” bin, which doctors and nurses should ensure are close at hand before administering injections.
 
However, data from NHS Resolution, the body that handles negligence claims against trusts, shows there were 1,833 claims for so-called needlestick injuries between 2012 and 2017.
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

 

SYRINGE FOUND IN WISCONSIN TRICK-OR-TREATER'S BAG
Middleton police put out a child safety alert Thursday after a syringe was found in a trick-or-treater’s bag of Halloween candy. 
 
Police said the item was an iSecure sample of training syringe. The family had been trick-or-treating in the Foxridge neighborhood Wednesday. 
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DID YOU KNOW? PREVENTING NEEDLESTICK INJURIES PDF FILE
GOOGLE'S PARENT HAS A PLAN TO ELIMINATE MOSQUITOES WORLDWIDE
Silicon Valley researchers are attacking flying bloodsuckers in California's Fresno County. It's the first salvo in an unlikely war for Google parent Alphabet Inc.: eradicating mosquito-borne diseases around the world.
 
A white high-top Mercedes van winds its way through the suburban sprawl and strip malls as a swarm of male Aedes aegypti mosquitoes shoot out of a black plastic tube on the passenger-side window. These pests are tiny and, with a wingspan of just a few millimeters, all but invisible.
 
“You hear that little beating sound?” says Kathleen Parkes, a spokesperson for Verily Life Sciences, a unit of Alphabet. She’s trailing the van in her car, the windows down. “Like a duh-duh-duh? That’s the release of the mosquitoes.”
 
Google's Parent Has a Plan to Eliminate Mosquitoes Worldwide
Jacob Crawford, a Verily senior scientist riding with Parkes, begins describing a mosquito-control technique with dazzling potential. These particular vermin, he explains, were bred in the ultra-high-tech surroundings of Verily’s automated mosquito rearing system, 200 miles away in South San Francisco. They were infected with Wolbachia, a common bacterium. When those 80,000 lab-bred Wolbachia-infected, male mosquitoes mate with their counterpart females in the wild, the result is stealth annihilation: the offspring never hatch.
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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.
NEEDLESTICK INJURY PREVENTION
‘Tis the season of giving and sharing, but in the healthcare world, ‘tis the season of flu shots and IV fluids. Healthcare workers don’t necessarily enjoy giving shots, but they certainly don’t want to share what is on the other end of that needle after the shot is given. There have been several prevention protocols and protective devices put in place over the years to prevent needlestick injuries.  However, they are still one of the most prevalent injuries in the healthcare industry today.  According to the Centers for Disease Control and Prevention (CDC), there are approximately 385,000 needlestick or other sharp-related injuries occurring in healthcare each year.
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CLEANERS AT THE FOREFRONT OF NEEDLESTICK INJURIES
Figures show the importance of controlling hazards, as European Health and Safety Week gets under way
 
Almost two thirds of workers who successfully claim compensation for needlestick injuries are cleaners – mainly because the needles weren’t correctly disposed.
 
“These figures are a timely reminder of the risks to health and safety posed by used needlesticks, and how they can affect staff in all sectors, and not just clinical staff,” warned UNISON assistant national health and safety officer Robert Baughan.
 
He was speaking at the start of European Health and Safety Week, which focuses this year on hazardous substances.
 
A UNISON analysis of nearly 100 successful compensation claims for needlestick injuries lodged by union members over the five years showed that 62% of them came from cleaning staff in all sectors, including health, social care, education and local government.
 
Three quarter of the injuries came from incorrectly sorted needlesticks, or ones that weren’t disposed of correctly. The rest came from discarded needles. None of the needlesticks concerned were safety devices.
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AN UNSAFE PRACTICE: REUSE OF PRE-FILLED SALINE FLUSH
Unsafe injection practices have affected over 150,000 patients since 2001 and have led to more than 50 documented outbreaks of bacterial infections or viral hepatitis, according to the CDC.
 
Although many practitioners follow the CDC’s safe injection practices guidelines, the results of a survey of more than 5000 practitioners about the use of needles, syringes, and vials suggest that some may be placing patients at risk of transmission of bloodborne diseases. One percent of the survey respondents admitted to always or sometimes reusing a syringe for more than 1 patient.
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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
 
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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MORE THAN 30 YEARS LATER, THE UK GOVERNMENT OPENS INQUIRY INTO BLOOD CONTAMINATED WITH HIV AND HEPATITIS C
On Sept. 24, the first widespread inquiry into how thousands of people in the United Kingdom received contaminated blood in the 1970s and 1980s began with a preliminary hearing and a commemoration event dedicated to the victims. The inquiry will look into whether drug companies or government agencies knew the blood products were contaminated at the time they were being used, whether victims were tested or treated without their consent, and whether documents were destroyed in an attempt to cover up the truth.
 
About 5,000 hemophiliacs in the UK contracted hepatitis C and 1,200 of them also contracted HIV after receiving contaminated blood or blood products. Many of them went on to unknowingly pass these diseases to their spouses and partners, as well as to their own children. Sir Brian Langstaff, chair of the inquiry, has said that as many as 25,000 people could have been harmed by the tainted blood products and that at least 2,400 people have already died as a result.
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WHAT IS RISK OF INFECTION TRANSMISSION IN DENTAL OFFICES?
Standard precautions include hand hygiene, use of protective equipment, cough etiquette, sharps safety, safe injection practices, sterile instruments and disinfected environmental surfaces.
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BD LAUNCHES A CAMPAIGN TO ENCOURAGE USAGE OF SAFETY ENGINEERED DEVICES
There have been epidemics of Hepatitis B and Hepatitis C in many parts of the country due attributable to reuse of syringes and needles
 
To encourage the usage of safety engineered devices, BD is organizing a ‘Santa Says…Stay Sharp Be Safe’ pan India campaign.
 
Aligned with its commitment towards safety of healthcare workers, the campaign will run during December 20-31 to spread awareness of healthcare worker safety across hospitals such as Medanta, Gangaram, Artemis, Columbia Asia, Apollo, PSRI, ESI, BLKapur to name a few in Delhi.
 
Realising the occupational hazards faced by workers in a healthcare setup, BD had initiated this campaign last year. This year, the campaign focuses on the issues faced by healthcare workers – needle stick injuries including exposure to bloodborne pathogens such as HIV/AIDS and hepatitis, being the most highest of all.
 
According to a study, India contributes to 30% of the 16 billion injections administered worldwide. Sadly, of these, 63% are estimated to be unsafe due to improper sterilization, reuse or faulty administration, making them a leading cause of infection to healthcare workers.
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CHOICE MEDWASTE HELPS PROTECT HEALTHCARE PROFESSIONALS FROM ACCIDENTAL INFECTION
For healthcare professionals, an accidental needlestick from an infected syringe can be a life-altering hazard. From HIV to hepatitis B, medical professionals must safely navigate a number of potential sources of exposure every day. Healthcare professionals and facility managers looking for a more convenient way to protect their health and the health of their employees are encouraged to contact Choice MedWaste to schedule their OSHA-approved biohazardous waste removal or purchase the sharps containers and training necessary to reduce the risk of needle sticks.
 
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DISEASES CARRIED BY INVADERS

Invaders are trying to get in the U.S. with a multitude of heath problems that spread easily. On Thursday Tijuana’s Health Department warned that the potential ‘Invaders’ are suffering from respiratory infections, tuberculosis, chickenpox and other serious health issues

Out of 6,000 migrants who are currently residing in Tijuana, over a third of them (2,267) are being treated for health-related issues which are contagious.
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100 YEARS AFTER THE SPANISH FLU: LESSONS LEARNED AND CHALLENGES FOR THE FUTURE
Even with the 2017-2018 influenza season -- a high severity, H3N2-predominant season -- behind us, fall brings new anticipation of the next bout with an old foe. This year marks the 100th anniversary of the 1918 Spanish influenza pandemic, an event that experts have called the worst acute infectious disease outbreak in modern history. This pandemic, triggered by influenza virus H1N1 killed an estimated 20 million to 50 million people, with a high mortality in young adults aged between 20 and 40 years. A war-ravaged population was further decimated by this pathogen.  
 
As Sands, et al. (2016) reminds us, "Pandemics and epidemics have ravaged human societies throughout history. The plague, cholera, and smallpox killed tens of millions of people and destroyed civilizations. In the past 100 years, the Spanish flu of 1918-1919 and HIV/AIDS caused the deaths of nearly 100 million people. Advances in medicine have transformed our defenses against the threat of infectious disease. Better hygiene, antibiotics, diagnostics, and vaccines have given us far more effective tools for preventing and responding to outbreaks. Yet the severe acute respiratory syndrome (SARS), the Middle East respiratory syndrome (MERS), and the recent West African Ebola outbreak show that we cannot be complacent.
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INCIDENCE OF SHARPS INJURIES AMONG SURGICAL STAFF
This meta-analysis found that a surgeon will have a sharps injury in about 1 in 10 surgical procedures. Of 45 studies analyzed, the incidence rate was 13.2 sharps injuries per 100 time-units.
 
Per 100 person-years, the rate was 88.2 for self-reported injuries, 40.0 for perforations, and 5.8 for administrative injuries. Per 100 person-operations, the rate was 2.1 for self-reported injuries, 11.1 for perforations, and 0.1 for administrative injuries.
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HEXARMOR GLOVES GUARD AGAINST NEEDLESTICK INJURY
The devastating personal consequences of needlestick injury as experienced by an ambulance technician.
 
“It was like I wasn't leading my own life. I was scared, worried for the future, and the stress of not knowing ether way took its toll on family life. I would isolate myself in my workshop, as I felt I couldn't talk and it was wrong for a man to cry.”
 
Scot Grant is a 35-year-old ambulance technician, working both in the private medical sector and now within the NHS. He is married with four children. Outside work, he volunteers with Search Dogs Sussex as a lowland rescue medical technician, providing a service to police forces when looking for vulnerable missing people. The team currently has 19 human and 10 dog volunteers. Scot really enjoys being able to combine his day job with his voluntary role and assisting people in his community.
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